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.

Jill Duffy
If you are seeking online counseling support, you are among thousands of others currently struggling with depression, anxiety, illness, loss, trauma or other critical stress, whose timely access to care requires the flexibility of services offered by BetterHelp. As a Master of Social Work, and Licensed Clinical Social Worker (LCSW), I have over 30 years’ experience working with families and children across numerous settings, to include private non-profits, mental health, social services and K-12 education. I have worked with adults around issues of abuse and neglect, domestic violence, parent-child conflict, intergenerational trauma, and other associated diagnoses, to include depression, anxiety, suicidal ideation, self-harm, and substance abuse. I retired from public education as a Director of Student Support Services in July 2020 and am currently also rostered as a Resiliency Educator. The training curricula used in this work is trauma-informed and heavily steeped in the body’s neuro-biological response to stress. My approach to treatment is holistic, strengths-based, client centered, and solutions focused. I employ several techniques, to include Cognitive Behavioral Therapy, Mindfulness training, psycho-educational counseling, resiliency tools, and case management, should there be a need for advocacy or other community supports. As a clinical social worker, I involve the client in their treatment to ensure the plan includes their goals and desired outcomes. Guided by the NASW Code of Ethics, my personal style is non-judgmental, respectful, genuine and sensitive to the individual’s situation. I am very comfortable dealing with individuals, couples, or families that are experiencing a crisis, and strive to provide a welcoming, safe space to a diverse client population. Above all else, the relationship formed during our work together is critical to your success and satisfaction with the services offered. I have found that using the video option during sessions is the quickest and best way to create a strong, therapeutic connection, and encourage my clients to use that format whenever possible. My professional goal for all is to provide clients with the skills needed to manage their current circumstances along with the ability to apply those skills to future issues. Everyone’s journey includes inevitable bumps along the way. If my strategic approach aligns with your counseling expectations, I’m here to help you achieve your goals.

TyLisa Mitchell
Hello, My name is TyLisa Mitchell, and I am here to assist you with the ever-changing structure of daily life. I have extensive background in working with children as well as adults facing challenging times throughout their lives. We all have those days and times where we can't quite figure out what is going and what to do next. If this is you and you're looking for someone who is well versed and dedicated to the profession of helping others, look no further. I am here to assist you with choosing a new pathway that best suits your needs. I have worked in many diverse backgrounds, and I am multiculturally competent. I am an ally to all walks of life. I often utilize cognitive behavioral therapy to create plans to retrain our thinking and perspectives, also I have completed many certifications towards being trauma-informed ( trauma focused Cognitive behavioral therapy certification in progress), just one example. I'd like to consider myself very eclectic and I'm willing to meet you wherever you are, to determine your specific needs for a successful and healing treatment process. I'm looking forward to working with you!!!

Sara Roesler
I am a Licensed Clinical Social Worker with over 20 years of experience working with individuals who are managing depression, anxiety, chronic illness and life changes. I received my social work degrees from the University of Kansas where the Strengths Perspective paradigm was developed. The Strengths Perspective recognizes the human capacity for resilience, courage and thriving. I also have a Masters in Public Health from Boston University. My MPH has given me more skills to help people with health prevention. My approach to therapy and coaching, is to focus on your strengths to help identify where you want to change and grow. I look forward to working with you!

Dr. Garrick "Keilan" Rickard
I am a licensed psychologist in Georgia, North Carolina, and Tennessee with 12 years of professional work experience. I have experience helping clients with lgbtqia+ related issues, stress and anxiety, relationship issues, and coping with grief & loss. I believe in treating everyone with respect, sensitivity, and compassion. I will collaborate to meet your unique and specific needs.

Clatoyia Andrews
I am a Licensed Clinical Social Worker in North Carolina, Virginia, District of Columbia, Delaware and Maryland. My experience comes from providing direct mental health and behavioral health services to adults and teens with a variety of presenting issues including depression, anxiety, trauma, relationship and family issues. My experience is varied and across settings. I have provided individual skill building services to those with serious mental illness, facilitated groups in school settings and provided brief psychotherapy intervention through telephonic and emergency room settings. I tend to utilize Cognitive Behavioral Therapy, Mindfulness, Solution-Focused Therapy and Strengths-Based Therapy. My therapy style is pretty laid back. I have been described as supportive, caring, and compassionate, with a pretty good sense of humor. I like to focus on identifying your strengths and helping you to maximize them to overcome your obstacles. I'm here to help you sort through the things that are difficult right now, and offer you a safe place to be open and honest without fear of judgment. You have taken the first and most important step by reaching out for help. A top priority for me is to meet you where you are and adjust my approach to what will work best for us as we work together. EDUCATION Masters of Social Work NORFOLK STATE UNIVERSITY 2016

Sophia Baker
I am licensed in North Carolina with 5 years of professional work experience. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!

Cynthia Reives
I am licensed in North Carolina with 15 years of professional work experience. I have experience in helping clients with stress and anxiety, anger management, motivation, self esteem, and confidence, & depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!

Miriam Espaillat
I am licensed in North Carolina with 6 years of professional work experience. I have experience in helping clients with stress, anxiety, trauma, abuse, coping with grief, coping with loss, intimacy related issues, motivation, & self esteem. I also have experience working with confidence. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.

Lori Speed
As a little girl, I always wanted to help people. As I grew up, that desire became even stronger until I decided a career in mental health was the best way to fulfill that desire. That desire was further cemented when I became a Christian and saw how people were hurting. Throughout life's circumstances, I developed a passion for marriages and families although I do see clients on an individual basis. I view every client as unique and will treat each client as such. My personal belief is that counseling should be a safe and productive place to share, and I make every attempt to make every effort to make each client feel that way. My degree is in marriage, couples and family counseling, but I have experience in trauma and substance abuse. I do marriage counseling, premarital counseling and divorce care. You should never feel ashamed to get therapy. Life can sometimes throw curveballs that require you to seek assistance; let me be there for you. I want to see you overcome your issues and find peace in your freedom. If you have gotten this far, you are one step closer to making a decision that will impact your life for the better. I am licensed in North Carolina and Arizona with licenses pending in other states.

Lesley Smith
I am licensed in North Carolina and Texas with 25 years of professional work experience. I have experience in helping clients with stress, anxiety, motivation, self esteem, couples, body image, confidence, career difficulties, & depression. I also have experience working with coping with life changes. My compassionate and client-centered approach is utilized to empower individuals and couples to heal, grow, and thrive in their personal journeys. 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 seeking a more fulfilling and happier life takes courage. I am here to support you in that process.
How can a counselor support you?
Therapists 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 NC, and one out of five Americans has a mental health condition. Searching for local licensed professionals 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 a BetterHelp therapist does not offer diagnostic or medication management services.
Why do people choose to work 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, BetterHelp can match you with a licensed professional tailored to your preferences noted when you sign up.
The mental health therapists in North Carolina support clients with varying issues through therapy, such as:
- 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 to contact in a crisis
If you are experiencing a crisis or emergency, don't use the BetterHelp site. If you are in life-threatening danger, call 911. If you require support for a crisis, reach out to the hotlines below:
- National Domestic Violence Hotline: 1-800-799-SAFE (7233)
- National Suicide Prevention Lifeline:1-800-273-TALK (8255)
- Crisis Text Line:Text HOME to 741741
- Veterans Crisis Line<:Call 1-800-273-8255 (and press 1) or text 838255. For support for the deaf and hard of hearing community, please use your preferred relay service or dial 711 then 1-800-273-8255.
- Trevor Lifeline(LGBTQ Lifeline): (866)488-7386
- SAMHSA National Helpline: (Substance Use): (800)662-4357
- National Eating Disorder Association Helpline:1-800-931-2237 (M-Th: 9 AM-9 PM EST, Fri 9 AM - 5 PM EST
- Child Help Hotline Call 1-800-422-4453 or use the online chat feature
- National Anti-Hazing Hotline: 1-888-NOT-HAZE (1-888-668-4293)
- Physician Crisis Support Line: Call 1-888-409-0141 if you are a first responder or medical provider experiencing crises related to Covid-1
- Sexual Assault Hotline: Call RAINN at 1-800-656-4673
Frequently asked questions (FAQs)
Some of the most commonly asked questions about therapy can be found in the section 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.
When should I get a therapist in North Carolina?
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 can allow clients seeking therapy to experience professional help through video, phone, or live chat sessions without commuting to an office.
Does insurance cover the cost of 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 the safe option?
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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