Mallory Spence

Adults | Anxiety, depression, trauma, and substance use | Perinatal and postpartum specialty

Helping Adults Navigate Anxiety, Life Transitions, Pregnancy, and Postpartum with Compassionate Care

Life can feel overwhelming when anxiety, emotional challenges, or major life transitions begin affecting your daily life. Whether you’re feeling stuck, navigating relationship concerns, adjusting to a new chapter, or experiencing the emotional changes that can come with pregnancy or the postpartum period, you don’t have to face it alone.

Mallory provides a warm, supportive space where you can feel heard, understood, and empowered to move forward. She works with individuals who are:

  • Feeling overwhelmed by anxiety, stress, or depression.
  • Navigating relationship challenges or major life transitions.
  • Struggling with self-esteem, self-doubt, or feeling stuck.
  • Looking for healthier ways to cope with difficult emotions and build resilience.
  • Adjusting to pregnancy, the postpartum period, or the transition to parenthood.
  • Experiencing pregnancy-related anxiety, postpartum anxiety, or postpartum depression.

No matter where you are in your journey, Mallory is committed to helping you build confidence, find balance, and create meaningful, lasting change.

Mallory Spence, LCSW, LCAS, therapist at LMV Counseling in Wilmington, NC

Meet Mallory Spence, LCSW, LCAS

Mallory believes that healing begins with feeling seen, supported, and understood. She is passionate about creating a warm, compassionate space where clients can explore life’s challenges without fear of judgment. Her collaborative, client-centered approach is tailored to each person’s unique needs, helping clients develop practical tools, strengthen resilience, and move toward meaningful, lasting change.

While Mallory works with a variety of concerns, she has a special passion for providing pregnancy and postpartum therapy. She understands that this season of life can bring both joy and unexpected challenges. From adjusting to parenthood to managing anxiety, depression, or overwhelming emotions, she provides a supportive environment where clients can process their experiences, build confidence, and reconnect with themselves.

Mallory believes therapy should feel like a partnership. Together, you’ll work toward understanding your experiences, developing effective coping strategies, and creating a path toward greater emotional well-being.

What therapy with Mallory feels like

Therapy with Mallory is calm, honest, and supportive. She creates a space where you can speak openly about what’s hard—without fear of judgment or pressure to have it all figured out. Mallory balances warmth with gentle directness, helping you explore patterns, build insight, and develop practical tools to support emotional regulation during difficult stretches.

  • Steady and supportive: A grounded presence when things feel overwhelming
  • Collaborative: Therapy is shaped around your goals, values, and pace
  • Non-judgmental: A space to talk honestly about thoughts and feelings that feel hard to say out loud
  • Practical and reflective: Building insight while developing tools you can actually use

Mallory meets you where you are, helping you feel more connected to yourself as you navigate what’s in front of you.

Mallory’s approach: thoughtful and evidence-based care

Mallory draws from a range of evidence-based and trauma-informed approaches, tailoring therapy to each client’s needs. Her work supports emotional regulation, stress reduction, and insight into how thoughts, feelings, and behaviors interact—especially during periods of intense change.

Her clinical approach includes:

  • Cognitive Behavioral Therapy (CBT)
  • Motivational Interviewing
  • Mindfulness-based strategies
  • Trauma-informed care
  • Accelerated Resolution Therapy (postpartum and perinatal focus)

Education and Credentials

  • Master of Social Work, University of North Carolina Wilmington
  • Bachelor of Social Work, University of North Carolina Wilmington
  • Licensed Clinical Social Worker (LCSW) — NC
  • Licensed Clinical Addictions Specialist (LCAS) — NC
  • 8 hours of advanced training in Maternal Mental Health (2026)

Mallory brings experience from outpatient therapy, trauma-informed settings, and community mental health. She is committed to providing thoughtful, ethical, and compassionate care at LMV Counseling.

Start Therapy with Mallory in Wilmington, NC

Reaching out for support is an important first step, and you don’t have to do it alone. Whether you’re navigating anxiety, a major life transition, or the unique challenges of pregnancy or the postpartum period, Mallory is here to provide compassionate, personalized care.

Together, you’ll work toward greater confidence, resilience, and emotional well-being in a safe, supportive environment where you can feel heard and understood.