01 · Who Genera works with

Genera works with stress, Anxiety, grief and parenting issues

Genera lists 16 specialisms and 16 further focus areas. Specialisms are the subjects Genera chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Genera's own words

What Genera says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

Welcome,

The counseling experience is one of a very personal, shared interaction; one of the most crucial aspect of this relationship is trust. People come to counseling because they want something to be different in their lives. The counseling process can be fun and exciting, and at times, possibly challenging. However, the goal will always be to bring about some positive change. My approach to counseling is best described as and can include: strength based, solution-focused, client-centered while utilizing cognitive behavioral and/or family systems techniques. I believe people are capable of reaching their fullest potential given the right support and tools for change. Whenever possible, treatment should involve the entire support system. The goals and techniques of therapy will be based on the client specific goals and reasons for entering into counseling. I view counseling as a process where I help my client explore, clarify and identify their needs and facilitate them in making changes in thoughts, beliefs and behaviors. I also value collaborating with other community resources in order to extend support for the well-being of the client. I look forward to working with you.

I have 14 years of experience in school, agency, and private practice settings providing individual, group, and family counseling. Counseling experience that I have provided treatment for include:

Crisis Intervention Anxiety Stress Management Grief and Loss Anger Management Depression/Bipolar Parenting Issues Education Communication Skills Values/Goals Clarification At-Risk Youth Career Development Lifestyles: Cultural, Religious, and Sexual Orientation

Training

B.A in Psychology, University of North Carolina at Chapel Hill- 2001 M.A. in Counseling, North Carolina Central University- 2006

Grace and Courtesy , Genera N Gilliam, MA, LCMHC, NCC (Nicole)

Genera Gilliam, on the BetterHelp listing · read 9 Oct 2026

03 · How Genera works

The 4 approaches Genera lists, in plain English

These are the clinical methods Genera lists. The descriptions are Maker Therapy's, not Genera's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Genera runs a session.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Mindfulness-Based TherapyMBCT

Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

04 · What happens next

From this page to a first session

Genera practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Genera's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Genera at this point.

2. Naming Genera specifically

   BetterHelp matches algorithmically by default, so asking for Genera is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Genera.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

4 questions worth asking Genera

Built from what Genera actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Genera's - Genera has not seen them and is under no obligation to answer any of them.

• “You list both Cognitive Behavioural Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “With 16 years in, what has changed most in how you work?”

  Long experience is only an advantage if it has been examined. This tends to surface whether it has.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LCMHC

Licensed in

North Carolina

Licence

NC LCMHC 9629

Licence number

9629

Licence expires

30 Jun 2027

NPI

1669719761

Years in practice

16

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Genera's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Genera. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.