Therapy for Anxiety, Boundaries, and Healing from Trauma
If you’re feeling overwhelmed, stuck in people-pleasing, or disconnected from yourself, therapy can help you slow down, understand what’s happening, and move forward in a way that feels more grounded and sustainable.
Working with Me
Who I Work Best With
I work primarily with millennial women who are thoughtful, self-aware, and often carrying more than they let on. Many of my clients struggle with anxiety, people-pleasing, perfectionism, or the lingering impact of past experiences. They’re ready to look inward, reflect honestly, and try new ways of relating to themselves and others.
My Approach
Therapy with me is collaborative, grounded, and paced with care. I draw from evidence-based approaches while staying attuned to your nervous system and lived experience. Rather than quick fixes, we focus on understanding patterns, building insight, and creating change that feels realistic and sustainable.
What You Can Expect
Sessions are a space to slow down, make sense of what’s happening beneath the surface, and practice responding to life with more clarity and self-trust. We’ll work together thoughtfully — with room for curiosity, humor, and compassion — while keeping therapy focused and intentional.
Practical Details
I offer in-person sessions in southeast North Carolina and secure telehealth for clients across the state. Therapy typically occurs on a consistent schedule, and clients can schedule their own appointments through the secure client portal. If this feels like it may be a good fit, the next step is completing the new client intake form.
You’re capable, insightful, and outwardly “doing fine.” Yet inside, you feel tense, tired, and stretched thin.
You’re constantly managing expectations, reading the room, and trying not to disappoint anyone, even when it costs you. Saying no feels heavier than it should. Rest doesn’t feel restorative. And despite all your effort, it never quite feels like enough.
Many of the clients I work with are high-functioning and self-aware, yet emotionally exhausted. They replay conversations, overthink decisions, and push through discomfort instead of listening to it. Over time, this survival-style functioning leads to anxiety, resentment, and a quiet sense of disconnection from themselves.
Before reaching out, they often feel unmotivated, distracted, and deeply fatigued—confused about why “simple” things feel so hard. They wonder why other people seem to manage life with ease while they’re constantly bracing, adjusting, or holding it all together.
This isn’t a personal failure, it’s a nervous system that’s been working overtime.
Therapy doesn’t have to be about fixing you. It can be a space to unlearn the pressure to perform, reconnect with your needs, and build a sense of internal safety that doesn’t rely on approval.
If you’re ready to stop living in constant overwhelm mode and start relating to yourself with more clarity and compassion, I’d love to support you getting there.
Welcome!
Hi, I’m Audrey Keeton.
I’m a mental health therapist based in Wilmington, NC, dedicated to helping adults heal, grow, and live boldly.
For years, I felt like I was chasing some elusive secret to life—shapeshifting to fit in, trying to earn belonging by being everything to everyone. Therapy taught me a powerful truth: you don’t have to be perfect to be loved. Now, as an adult with ADHD, I’ve learned to embrace my unique way of moving through the world. I’ve let go of rigid ideas about productivity and perfection and instead built systems rooted in self-compassion and flexibility. That shift—toward honoring my strengths and needs—is something I now help others discover for themselves.
As a therapist trained in EMDR, neuropsychotherapy, and neurodivergent-affirming care, I specialize in supporting adults with late or self-discovered ADHD and Autism who are navigating anxiety, masking, and self-worth struggles. I bring humor, empathy, and practical, evidence-based tools to our work together—helping you quiet the noise of the world’s expectations so you can uncover and trust your own voice.
At The Coastal Counselor, I’ve created a space where it’s safe to slow down, explore who you are, and move toward the life you actually want. You don’t have to do it alone—let’s work together to help you heal, grow, and live boldly.
A glance into my toolkit
I help clients move away from over-exerting, masking, and people-pleasing—and toward a way of living that feels more grounded, honest, and sustainable. I’ve spent years working with people navigating anxiety, people-pleasing, and obsessive or looping thoughts. Below are the areas I specialize in and have trained in extensively, because white-knuckling your way through life isn’t actually a requirement.
At The Coastal Counselor, I am dedicated to creating an inclusive and supportive environment for all clients, including those who are neurodivergent. My approach is affirming, person-centered, and tailored to meet the unique needs of each individual.
Accessible Communication: Starting therapy with me is simple and flexible. You can initiate the intake process via phone, email, or text, whichever method feels most comfortable for you.
Personalized Scheduling: I understand that flexibility is essential. I offer online scheduling, allowing clients the option to schedule via the client portal at their convenience, as well as telehealth options to accommodate different schedules and preferences.
Sensory-Friendly Spaces: My office is designed to be a calming and comfortable space. I provide sensory-friendly elements such as adjustable lighting and minimal noise distractions to help you feel at ease. I also offer an array of tactile or fidget tools to use at any time during our sessions and welcome any movement that your body might need during our time together. Some examples include standing, stretching, or sitting on the floor.
Tailored Therapeutic Approaches: I recognize that each person's experience is unique. Therapies including EMDR and Exposure Response Prevention are adapted to suit individual needs and preferences, ensuring effective and compassionate care.
Continuous Learning: My commitment to ongoing education in neurodivergent affirming therapy ensures that I am always implementing the latest research and best practices to support clients effectively.