She is a licensed clinical psychologist who specializes in cognitive-behavioral therapy (CBT) and is the Director of the CBT and the Dialectical Behavior Therapy (DBT) programs and training clinics for psychiatry residents and psychology graduate students. She is a diplomat with the American Board of Professional Psychology, and an active member of the North Carolina Psychological Association and the Academy of Cognitive Therapy. She has co-authored several research articles and been lead author on several papers and presentations on personality disorders, CBT, DBT, trauma, PTSD, and health care utilization.