Getting mental health care can help you learn to overcome your challenges and meet your goals. If you’re looking for psychotherapy in North Carolina, consider online therapy. While there may be mental health clinics and independent practices in the state, it can be challenging to find in-person treatment. An online therapy platform like BetterHelp can help you overcome barriers like a lack of in-network providers or transportation challenges.

With BetterHelp, you can work with a mental health professional who will guide you through the counseling process from the comfort of your home at a time that works for you. While BetterHelp does not currently offer treatment to children or adolescents, experienced providers are familiar with various treatment modalities that provide individual therapy to young adults, middle-aged people, and seniors. 

Therapy can help you overcome a number of challenges, including improving low self-esteem, learning healthy coping skills, navigating family conflicts, or undertaking self-exploration. If you’re looking for a therapist, NC has many telehealth services available. The providers below are licensed to provide therapy across North Carolina and can help you take steps toward living your best life.

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John ODonoghue

Offering therapy in North Carolina
License: LMFT,LCMHC
Stress, AnxietyRelationship issuesGriefSelf esteem
27 years of experience

For 25 years I have had the privilege to help people navigate difficult passages in their lives, in a variety of settings. Give yourself credit for reaching out, because a good therapist during these times can make a huge positive difference. In retrospect you may see that ill fortune, suffering and emotional pain helped you grow, and that without these challenges you may not have learned what you needed to progress. As Eckhart Tolle has said, suffering can be your greatest teacher. I did not become a therapist until midlife, and have had my own share of major life changes, transformations, suffering, and loss. These experiences have deepened my empathy and compassion, which I hope to bring to you. I have learned that creating trust in the therapeutic relationship is a vital part of the process, and like all therapists I am sworn to hold you with unconditional, non-judgmental positive regard. I have earned two Masters Degrees (in Psychology and Counseling Psychology), and hold two licenses – Licensed Professional Counselor and Licensed Marriage and Family Therapist. Whether you are seeking longer term therapy to illuminate hidden patterns, or solution focused brief therapy for a specific problem, we will tailor our work accordingly to your goals and wishes. I am committed to helping you discover your ability to heal and grow, to listen to your inner wisdom, and find peace, self-acceptance, and self-confidence instead of fear. I have expertise with relationship struggles of all kinds, including dating, and alternate lifestyles. Addiction is a special interest, having developed a comprehensive alternative addiction treatment program in India suitable for any addiction – alcohol, drugs, food, gambling, sex, polysubstance cocktails, internet addictions, and others. I am open minded and abide by the principles of Harm Reduction. As an EAP counselor, I enjoy helping people with workplace and career issues. Other areas of expertise include grief and loss, blended family issues, stress, coping with the narcissists in your life, mild depression, anxiety, social anxiety, procrastination, guilt, anger, self blame, PTSD, family conflict, highly sensitive people, spirituality (mindfulness) and existential issues. I wish you all the best in your journey, and should you choose me, I look forward to working with you.

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Alisha Cooper

Offering therapy in North Carolina
License: LPC
Stress, AnxietyRelationship issuesSelf esteemDepressionCoping with life changes
12 years of experience

HELLO. Thank you for stopping by. My name is "AC" (Alisha) and I am a licensed professional counselor. Thank you for stopping by :-) I am trained clinically as a therapist. However, the reason I do this type of work is for a much deeper and meaningful reason. I will have to take you to the past for a moment. I have religious roots but they were not good ones in terms of helping me understand the things that I was struggling emotionally. If those challenged endured for a long time, there was really no help. It was summed up as not having "enough" faith. Tired of hearing this sentiment, I pursued counseling for Christians who felt like they were faithless because they had struggles. I wanted to stop this from perpetuating one person at a time. What you can expect from a counselor who is a Christian? You can expect that you will not be shamed into thinking that you do not have enough faith. In fact, we may not even talk about faith in sessions unless you ask for that. I say to people that I am a Christian so that you know my core values. Do I have people that do not share the same values? I sure do... not to talk about my values but what you are seeking relief in with kindness and care. Before we do: Here are a few things to expect: 1. Nervousness-What will happen? How will I feel? What should I say or not say? There are questions that can cause some nervousness. Just remember, everything that you have experienced is part of the human experience. Say what you want if you want, when you want. 2. Feeling like what's the Point-"I don't feel a change". Some times a light will flicker in therapy BUT not always in every session will that occur. But whether it occurs in real time or not, what we talk about is always working on you consciously or subconsciously. You will know when you notice that a new way of looking at something happens and think to yourself, "That is a new though or different reaction that I had." This delayed reaction to a therapy session is actually more common! 3. Frustration-As you do your "work", you'll notice that people who you are in relationship have not. Learning how to take your new found skills and freedom into the world takes a new perspective. Who are you now regardless of all circumstances is the question that you will be able to answer. This means that despite what others do or don't do, you will be OK. 4. It is time to Fly- You will find at some point in your personal work that you are not as distressed and you are better able to manage thoughts that once brought you distress. You are spreading your wings and will not have an imminent need for counseling. No matter when this occurs for you, I want you to fly. It may be time for you to end your subscription and do just that. If a few weeks have passed and you have not used the service, you are likely taking flight on something new that you discovered. Please Fly High. No need to feel as though you have to maintain your subscription "just in case". You can always come back later if you'd like. 5. Flexibility and Persistent pesky gnats. That is what I am calling thoughts and feelings that just need time to stop appearing and biting. Do not feel odd if you still fight to fan off pesky thoughts. Likely there is a "holding on" to a thought, belief, image, or something else that you have not fully released. This is where the need for flexibility comes in. You will have to be flexible and not hold on rigidly to the way you have interpreted things (even though you are sure that you are "right") . Even if you are right, you still may be left feeling less than free. Counseling is a good tool to see what is left in your thoughts that need to be re-worked. 6. Never Compare Yourself to Others. Do the best that you can do. That is Enough. Appointments: You are free to choose any time that you see on the calendar. If you need to verify that your time zone is reflected accurately, know that I am in the Eastern Time Zone in the US (EST time). Your time zone as listed on your account will be seen. If you travel outside that time zone, a good app is World Time Buddy to verify. My commitment to you is that I will be on-time and prepared for your session. I will not respond to other clients while I am in session with you. Should I have to reschedule an appointment, I will do that as soon as possible, likely days in advance as not to disrupt your plans. I will then get you reschedule ASAP. If I have an personal emergency and need to cancel the next day, I will inform you promptly of my situation and when I will be available. I ask that you take the same care when scheduling or cancelling. PLEASE NOTE: The Golden Rule Policy for No-shows or a Same Day cancellation. Please cancel 24 hours in advance. This allows for your block to be used. Cancellations that occur the same day, prevents anyone else from scheduling in that time. Emergencies do happen and I take a person's word for it without explanation. The honor system is enough :) In the case of a true emergency, you are free to reschedule as you wish. Crises and emergencies are rare. However, should 2 emergencies occur resulting in you not maintaining your appointment, please talk to me so that I can understand your unique needs before attempting to reschedule. If the no-show/same-day cancellation was for any other reason and you would like another appointment, I ask that you message me and Request a Same- Day appointment. I will give you the times that are open for the day you contact me. This it lessens the chance of a repeat no-show and I can serve efficiently. Have a lovely day, AC

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Wilbert Nichols

Offering therapy in North Carolina
License: LCMHC
Stress, AnxietyRelationship issuesBipolar disorderDepression
9 years of experience

I am a Licensed Clinical Mental Health Counselor who has been in the helping profession for over 18 years. I received my licenses to practice in 2011 prior to that I was a case manager for at risk youth ad individuals with developmental disabilities. I have always enjoyed helping people realize their best self. My personal theoretical orientation to counseling is an integrative approach based on person-centered view that the relationship between the counselor and client is important for healthy change. I will try to enable the client to become more fully and creatively alive and to become free from the blocks and unfinished business that may diminish satisfaction, fulfillment, and growth, and to experiment with new ways of being. I also use Cognitive Behavioral Therapy, which is an effective approach for many clients. I also believe that a Cognitive (thought process) approach coupled with behavior changes is effective for many clients. I also acknowledge the importance of the client’s spiritual orientation and incorporate their belief system as a part of the therapeutic process. I am always striving to be my best self and I enjoy assisting others in discovering the positional that they have within. We have the ability to have total wellness, I want to assist you in attaining total wellness. It takes courage and bravery to take that first step towards change, if you are ready to take that first step I am happy to help guide, support and encourage along the way. I look forward to working with you and helping you create a life full of happiness.

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Jennifer Metzger

Offering therapy in North Carolina
License: MSW,LCSW
Relationship issuesTrauma and abuseSelf esteemDepressionCoping with life changes
13 years of experience

Hello, my name is Jenny and I am a licensed clinical social worker in North Carolina providing therapy through Better Help. I'm so glad you have decided to explore therapy. I completed a BA in Psychology from NCCU and earned my Master of Social Work at NC State. For many years, I have partnered with countless individuals in my work at local hospitals and various outpatient settings to help them process their feelings and move forward with a healthier mindset. My overall message has always been, ' Go where you're celebrated, not where you're tolerated!' I believe in actively listening to understand the stressors, thoughts, feelings, and values of my clients so I can reflect their resilient strength and increase their awareness. No matter who we are, when we're confronted with problems it's helpful to have reflection from someone who is compassionate, has personal and professional experience, is educated and unbiased. But ultimately, I believe we're healthiest when we can become confident in knowing ourselves best with or without affirmation from others. I employ a variety of strategies to help you re-frame the challenges of your life and navigate the trauma and loss. I am adept at solution-focused brief therapy. My foundation is built on cognitive and dialectical behavior therapy approaches. In essence, if you change the way you think, you can change the way you behave. I am grateful to provide therapy and would be honored to assist you .

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Karen Cauthen

Offering therapy in North Carolina
License: MA,LCMHC
Stress, AnxietyRelationship issuesGriefDepressionCompassion fatigue
3 years of experience

What is hope? It is the fuel that powers change. Whether good or bad, change is constant. How we react to change stimulates interaction with others creating consequences that affects our world. Hi, my name is Karen. I have a BS in Religion, a MA in Marriage and Family Therapy and I am licensed in the state of North Carolina as a Clinical Mental Health Counselor. My approach to helping people is Eclectic Therapy. I integrate multiple psychotherapies from a variety of disciplines to customize the best possible therapeutic process for each unique client. Whether using a single treatment or a combination of treatments, each counseling session, each treatment plan is adapted to the needs of each individual client, depending on their problem. I have worked with clients in many venues: hospital, private practice, outpatient facility, crisis line. I have treated and co-treated numerous problems: schizophrenia, bi-polar, GAD, PTSD, ODD, OCD, family, marriage and couple relationship issues, pornography, grief, caregiver burnout, substance use, addictions, career changes, trauma, abuse, and more. Asking for help is not always easy but it can be extremely rewarding. I hope when we connect that my training, experiences and style is the right fit for you.

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Patricia Greer

Offering therapy in North Carolina
License: MSW,LCSW,LCAS
Stress, AnxietyAddictionsTrauma and abuseGriefDepression
18 years of experience

Feeling stressed, anxious, confused, bored, lonely, sad or down? Struggling with an addiction? Over the years I have helped many people work through these issues to empower them to improve and enjoy a better quality of life. I know firsthand how it may feel vulnerable and unsettling to reach out and ask for help with therapy. However, I firmly believe we all deserve the opportunity to improve ourselves. I am a LCSW and LCAS, a skilled and accomplished Behavior Health Therapist with integrity, empathy and compassion specializing in the treatment of co-occurring Mental Health and Substance Use Disorders to empower clients and their families to improve their quality of life. Since 2005 I have worked with clients of all ethnic and demographic background. I am experienced with multiple treatment modalities to help individuals and families with various issues, including effective communication, practical coping skills, major traumas and losses, grief, depression, anxiety, anger management/healthy relationships, alcohol/drugs, lifestyle adjustments, and parenting. My goal and hope are to help people find their own voice with assertiveness skills and become comfortable in their own skin to live a better and more fulfilling life. I look forward to working with you!

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Zola Rolen-Daniels

Offering therapy in North Carolina
License: MA,LCAS,LCMHC
Stress, AnxietyAddictionsRelationship issuesFamily conflictsDepression
12 years of experience

I am a mental health and substance abuse therapist licensed in North Carolina with over 15 years experience working in the mental health field. I am certified in DBT and sex offender treatment. I have worked with an array of consumers; children through seniors. I have worked with consumers suffering with depression, anxiety, personality disorders, and substance abuse issues. I pride myself on being compassionate and respectful to all I serve. I am a non-judgmental therapist who focus on client centered therapy. My approach combines cognitive-behavioral, solution-focused and DBT. We will work to develop a treatment plan to address your needs and concerns. I will encourage you to consider how treatment and recovery can support you living your most effective life and would like to support you in building the skills and developing a plan to provide you the best opportunity for success.

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Angela Harris

Offering therapy in North Carolina
Stress, AnxietyAddictionsRelationship issuesSelf esteemDepression
10 years of experience

I am licensed in North Carolina with 10 years of professional work experience. I graduated from East Carolina University in 2012 with a Masters Degree in Social Work and have been involved in many different aspects of the field including advocating and supporting the LGBTQIA and the undocumented community. I have experience in assisting person-served with stress and anxiety, coping with addictions, relationship issues, motivation, self esteem, and feelings of hopelessness to name a few. I work with person served to create an open and safe environment where he/she/they thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. Thanks for demonstrating strength in understanding discomfort. I am here to support you in that process and look forward to this venture.

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Victoria Scott

Offering therapy in North Carolina
License: LPC, NCC,BC-TMH
Stress, AnxietyFamily conflictsTrauma and abuseSelf esteemDepression
9 years of experience

I have enjoyed working for various mental health agencies and have extensive experience in several areas of counseling. I am a Licensed Professional Counselor, in the states of Mississippi, Colorado, Georgia, North Carolina, Louisiana and a Licensed Clinical Professional Counselor in the state of Nevada. I have worked with individuals, couples, families and groups. I have worked with children as young as 4 to adults up to age 101! I have assisted clients who struggle with symptoms of anxiety, depression, addiction, trauma, relational and self-esteem issues. I am a mother of seven, including a son on the autism spectrum. My counseling style is person-centered. I believe in treating everyone with respect and unconditional positive regard. I will devise a plan of treatment created specifically for you. My personal life experiences, in addition to my education and work history, help me to empower individuals to overcome difficult emotional obstacles. I know that asking for help can be difficult. Congratulations on taking that first step. I am looking forward to hearing from you and guiding you through the therapeutic process.

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Randal Withers

Offering therapy in North Carolina
Stress, AnxietyAddictionsRelationship issuesCoping with life changes
10 years of experience

Hi there! My name is Randy. I'm a Licensed Clinical Mental Health Counselor with 10 years of experience in the field. My ideal client is ready to begin a journey of self-improvement and positive change. While my primary expertise is in treating addictions, I use the principles learned in recovery for all areas of behavioral health and wellness, from work-life balance and mental disorders to trauma histories, and relationship dynamics. We all struggle with something, but often we need expert guidance to get unstuck and move forward. That's where I come in. Together, we will identify your core issues (and strengths) and develop goals designed to maximize your potential and increase your quality of life. Let's get started! Your mental health is important to me, because mental health is the key to a productive and happy life. I believe most problems we face stem from unhealthy belief systems and problematic thinking. Fortunately, we can all learn to change the way we think. In doing so, we change our lives for the better!

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Steven Allman

Offering therapy in North Carolina
Career difficultiesCoping with life changesCoaching
23 years of experience

I have been licensed as a Clinical Mental Health Counselor in North Carolina, USA, since 2001. Prior to getting licensed I was employed in the Executive Search industry. I have also worked as an Outplacement Consultant for the largest outplacement firm in the US. Recently, I was employed with the NC Department of Health & Human Services, Division of Vocational Rehabilitation Services as a Rehabilitation Counselor for 16 years providing career services to clients with physical, mental, and/or developmental challenges. In 2022, I contributed to a newly published career counseling textbook. I served as Advocacy Chair for the Licensed Clinical Counselor Association of NC during 2022 & 2023. I also Chaired the N.C. Professional Association Council in 2023, consisting of Licensed Social Workers, Psychiatrists, Psychologists, Marriage & Family Therapists, & Licensed Addictions professionals. I received the LCCNC "Outstanding Advocacy Award" in 2023 "for excellence in clinical mental health advocacy efforts that advance the counseling profession and the communities served." Earlier, I served as President of the NC Career Development Association, NC Rehabilitation Association, and NC Association of Personnel Consultants. I remain a Certified Personnel Consultant and I have been a Master Career Counselor through the National Career Development Association. I have written a weekly column for a New York Times regional newspaper known as "Career Talk." You are the expert of your story and have strengths that will support you in overcoming challenges you may currently face. My approach to counseling is from a career perspective. All activities of life contribute to our "career" including what we do for pay as well as what we do just for the joy of doing it! Finding joy at work can lead to creating joy when not at work and generalizes to all our relationships! Taking the first step to sign up for counseling requires courage and I look forward to meeting you!

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Meagan Eatmon

Offering therapy in North Carolina
Stress, AnxietyRelationship issuesSelf esteemDepressionCoping with life changes
7 years of experience

I am licensed in North Carolina with 5 years of professional work experience. I have experience in helping clients with stress and anxiety, relationship issues, motivation, self esteem, and confidence, & depression. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

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Monica Giovan

Offering therapy in North Carolina
Stress, AnxietyRelationship issuesParenting issuesDepressionCoping with life changes
14 years of experience

I am licensed in North Carolina with 14 years of professional work experience. I have experience in helping clients with stress and anxiety, relationship issues, parenting issues, & depression. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!

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Jason Rohacs

Offering therapy in North Carolina
License: MS
Stress, AnxietyRelationship issuesTrauma and abuseGriefDepression
25 years of experience

I am licensed as a Marriage and Family Therapist in Illinois and North Carolina with over 20 years of professional work experience helping clients with stress, anxiety, depression, couple, family and relationship issues, trauma and abuse, and grief and loss. I get to know you as a unique individual and this understanding powers your path forward. I listen more than I talk, but I also frequently give out of session assignments that are tailored just for you. I am deeply spiritual yet I make our sessions solely about you, what you believe and what you want to address and change. You are always put first and will feel heard, understood and welcomed.

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Ashley Butt

Offering therapy in North Carolina
Stress, AnxietyRelationship issuesSelf esteemDepressionCoping with life changes
24 years of experience

Welcome! I’m Ashley Butt, a licensed therapist in North Carolina and Virginia with 26 years of experience in guiding individuals toward resilience and personal growth. If you’re feeling overwhelmed by stress and anxiety, navigating relationship challenges, or seeking to boost your motivation and self-esteem, you’re not alone. I’m here to help you uncover your strengths and tap into the unique insights you possess about your own life. I believe that you are the expert of your own story. With courage, you can embark on a journey toward a more fulfilling and happier life. Together, we’ll explore the barriers that stand in your way and work towards meaningful change. My approach is supportive and empowering, and I’m dedicated to walking alongside you as you build resilience and overcome obstacles. If you're ready to take that first step, I invite you to reach out. Let’s work together to create the life you’ve always envisioned!

How can therapists in North Carolina support you?

Therapists in North Carolina can practice many types of counseling, from marriage and family therapy to cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT). They may also assist you with symptoms of depression, stress, or anxiety.

Therapists may help you set and achieve career goals, work on current issues you may be facing, or address your past. Over 5,736,457 people live in North Carolina, and one out of five Americans has a mental health condition. Searching for licensed professionals in North Carolina may help you find mental health support for personal growth, anxiety disorders, post-traumatic stress disorder (PTSD), and other mental health concerns. You do not need a mental health diagnosis to seek support from one of BetterHelp's licensed providers above.  

The mental health field can include psychiatric medication management, online therapy, marriage counseling, couples therapy, clinical social work, licensed counseling, and other mental health services in person and online. Seeing a licensed provider can help you navigate mental health conditions and life circumstances through mindfulness and other specialized techniques.

Please note that BetterHelp does not offer diagnostic or medication management services.

Why are many residents in the state of North Carolina working with a licensed counselor?

People reach out for mental health support for a variety of reasons. Many individuals work with a counselor for general life advice, while others may attend therapy for a specific concern. Whether you live in a large city or a smaller county in North Carolina, BetterHelp can match you with a licensed professional tailored to your preferences noted when you sign up.

Mental health counselors in North Carolina support clients with varying issues, which can include:

  • Challenging situations or life stressors
  • Eating disorders
  • Anxiety disorders
  • Depression or depressive conditions
  • Adjustment issues
  • Emotional support for a terminal illness
  • Chronic pain emotional support
  • Grief
  • Personality disorders
  • Trauma
  • Relationship conflicts and concerns

Finding a therapist that takes new clients in online therapy can be the first step in finding a treatment plan that works for you. Your therapist can provide a safe space for you to focus on self-care and well-being.

If you're interested in speaking to one of the therapists above or being matched with a counselor in 24 to 48 hours, consider signing up for BetterHelp. BetterHelp has over 35,000 providers, including those listed above.

Emergency services

If you are experiencing a crisis or emergency, don't use this site's online services. If you are in life-threatening danger, call 911. If you require support for a crisis, reach out to the hotlines below:

Frequently asked questions (FAQs)

Some commonly asked questions can be found below.

How much does a therapist cost?

Mental health professionals can differ in price. Forbes found that the average cost of in-person therapy in the US is around $100 to $200 per hour. Pricing can also vary based on your location. 

BetterHelp offers payment plans of $60 to $90 per session, charged monthly in a lump sum. You can also take advantage of this pricing on one of BetterHelp's sister platforms, like ReGain for couples or TeenCounseling for teens aged 13 to 19.

Many therapists may be upfront about their pricing and whether or not they take health insurance from the beginning. Additionally, some in your area may offer a sliding scale plan to allow those with lower incomes to pay less for therapy. However, services online can often save individuals a few hundred dollars per month.

How do I know if I should get a therapist?

Mental health services and mental health providers may help you navigate various concerns. You do not need a diagnosis or condition to attend therapy; You can discuss grief, relationship concerns, stress, or life changes and ask for general advice. A counselor may help you gain power over your life and emotions while you navigate day-to-day experiences.

Mental health issues don't always present as a crisis. Many professionals provide talk therapy and support for life transitions, skills learning, relationship problems, or life coaching. Online therapy sessions in North Carolina can allow clients seeking therapy to experience professional help through video, phone, or live chat sessions without commuting to an office.

Does insurance cover therapy?

Different counseling services can vary in cost. Therapists must apply to accept insurance through insurance companies, which may take time and money, so not every therapist offers services through insurance. If you cannot find a therapist that accepts your plan, BetterHelp may be cheaper than visiting an in-person therapist.

Is online therapy safe?

Online therapy through BetterHelp and its sister platforms is safe. Therapists are licensed, experienced, and vetted before being contracted with the platform. If you experience any concerns with your therapist, you change your counselor through the platform or app at any time.

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