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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Jessica Sawyer Horne

Offering therapy in North Carolina
License: SC LISW 9505, MO LCSW 2021013809
Stress, AnxietyRelationship issuesSelf esteemCareer difficultiesCoping with life changes
21 years of experience

Jessica Sawyer Horne, MSW, LCSW, LISW-CP, LCAS, CCS, DCSW, ACSW, is a licensed independent clinician with nearly 16-years of experience in the behavioral health field and overall 18-years in the social work/human services field. Mrs. Sawyer Horne has a Master’s Degree of Social Work, with a specialization in Health/Mental Health, from Clark-Atlanta University, of Atlanta, GA. She also has a Bachelor’s Degree in Sociology/Social Welfare from Winston-Salem State University, Winston-Salem, NC. Mrs. Sawyer Horne has worked in different treatment setting to include but not be limited to: outpatient behavioral health, emergency services, inpatient psychiatric services, residential substance use program, integrated care, community based services, etc. The populations she has worked with range from children to geriatrics. Mrs. Sawyer Horne’s theoretical orientation is diverse (eclectic) and individualized, to include but not be limited to: Cognitive-Behavioral Therapy (CBT), Family Systems Therapy, Psycho-dynamic Approaches, Behavioral Based Therapies, Seeking Safety, Psycho-Education, Mindfulness, Solution-Focused, Supportive Psychotherapy, etc. I am honored that you have chosen to work with me. Please know that I value the counseling relationship. I consider this relationship to be one of mutual, sacred trust.

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Pamela Harris-Jones

Offering therapy in North Carolina
License: NC LCMHC 12374
Stress, AnxietyAddictionsFamily conflictsTrauma and abuseDepression
11 years of experience

**Welcome — I’m So Glad You’re Here** Deciding to explore counseling is not always easy. It takes courage to say, “I need some extra support right now,” and I want to honor the strength it took to arrive here. Whether you’re dealing with anxiety, stress, low moods, or just feeling stuck in patterns that don’t serve you anymore—you’ve already taken the first step toward change by being here. My approach is rooted in “Cognitive Behavioral Therapy (CBT)”, a method that has helped countless people find relief and build resilience. What I love about CBT is that it’s not just about talking—it’s about learning skills and strategies you can actually use in your day-to-day life. Together, we’ll explore the thoughts and habits that may be keeping you stuck, and I’ll support you in gently shifting them so you can begin to feel lighter, more balanced, and more in control. Here’s what you can expect when we work together: * A warm, welcoming space where you’ll feel truly heard and never judged * Practical tools to help you break free from cycles of worry, stress, or self-doubt * Support in building coping strategies that *fit you and your life* * Guidance in reconnecting with your strengths so you can start to feel more like yourself again I don’t believe in “quick fixes,” and I don’t believe anyone is broken. What I do believe is that small, steady steps forward—when taken with support—can lead to lasting change. My role is to walk alongside you, offering encouragement and practical skills as you navigate your journey. So, welcome. You don’t have to do this alone. If you’re ready to take the next step, I’d love to connect with you. Reach out today to schedule a session—and let’s begin this journey together.

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Mia Bush

Offering therapy in North Carolina
License: SC LPC 10145, OK LPC 5196
Stress, AnxietyRelationship issuesAnger managementDepressionCoping with life changes
10 years of experience

As a licensed therapist serving Oklahoma, I specialize in supporting individuals navigating complex emotional landscapes. My practice centers on helping clients address challenges like depression, anxiety, relationship dynamics, and life transitions. I bring a compassionate, culturally responsive approach to therapy, with a deep commitment to understanding each person's unique experiences. My therapeutic work focuses on empowering clients to develop self-love, improve communication, overcome social anxiety, and explore personal growth. I'm particularly passionate about supporting women, young adults, and individuals experiencing workplace stress, multicultural challenges, and interpersonal dynamics. Drawing from evidence-based practices, I create a supportive environment where clients can explore their emotions, develop healthy coping strategies, and work towards meaningful personal transformation. My goal is to help you build resilience, gain insight, and move towards a more fulfilling life.

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Dr. Sha-Rhonda Green

Offering therapy in North Carolina
License: NY LCSW 099805, IL LCSW 149028404
Stress, AnxietySelf esteemDepressionCoping with life changes
23 years of experience

As a licensed therapist with over two decades of experience, I specialize exclusively in supporting Black women through complex emotional landscapes. My work centers on helping Black women navigate challenges such as depression, anxiety, self-esteem struggles, relationship stress, role strain, and major life transitions. I am deeply committed to creating a compassionate, affirming therapeutic space where Black women can explore their inner worlds, heal from past wounds, and cultivate self-love. My approach is culturally responsive and honors the intersectional realities that shape Black women's experiences—including identity, systemic stress, family dynamics, and workplace trauma. My therapeutic work focuses on communication skills, life purpose exploration, boundaries, managing guilt and shame, understanding attachment patterns, and building emotional regulation. I support clients in developing resilient coping strategies and reclaiming their personal narrative through insight-based work. By maintaining a focused caseload of Black women, I provide care that is ethically grounded, sustainable, and aligned with both my expertise and capacity. Actively licensed and currently accepting clients residing in the following states: Alabama, Arkansas, Florida, Georgia, Illinois, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Tennessee, Texas, and Virginia.

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Tawnya Thompson

Offering therapy in North Carolina
License: NC LCMHC 5045
Stress, AnxietyRelationship issuesDepressionCoping with life changes
24 years of experience

I am a licensed clinical mental health counselor in the state of North Carolina. I having been working in this field for over 24 years. I am fortunate to have been afforded the opportunity to work in a variety of settings. These settings include substance abuse treatment, mental health crises, domestic violence, critical incidences, youth corrections, individual, couples and family counseling. I have worked with clients who have had issues with depression, anxiety, stress and psychsocial problems. While I have benefitted greatly from these experiences, I believe myself to be most effective in individual counseling. I have taken the benefit of all these experiences and combined them to be the best counselor I can be. No matter the initial presentation of my clients, their issues tend to fall into one or more of the areas of my experience. As a therapist, my theoretical approaches tend to be solution focused, reality based with an emphasis on how my client views him or herself and the world around them. I believe we all make decisions and exhibit individual behaviors based on what we perceive is happening to us and the world around us. My goal is to help my clients determine if their beliefs, as well as their actions, are helping them be the best they can be. In addition to that, I work to ensure that my clients have the emotional tools they need to appropriately and effectively manage the emotional ups and downs of life. As I see it, life is "a continuum of temporary circumstances that we all must navigate the best we can with the skills we have". My calling is to serve others, with the hope that I can contribute in some way to helping them make their lives better..

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Connie Kretchmar

Offering therapy in North Carolina
License: TN LPC 2440, NC LCMHC 9902
Stress, AnxietyRelationship issuesFamily conflictsTrauma and abuseDepression
18 years of experience

Welcome to counseling! I look forward to meeting you and assisting you in identifying and accomplishing your goals in a safe, supportive setting. I have 18 years counseling experience, have a BS in Human Development, a Master of Arts (MA) in Counseling from East Tennessee State University, and am licensed in North Carolina (LCMHC) and Tennessee (LPC-MHSP). I enjoy working with women and men, families, adolescents, all races, ethnicities, genders and sexual orientations. My treatment approach is cognitive behavioral, acceptance/commitment, person-centered, solution-focused, and I have found that working with a client usually leads us to a therapeutic approach which can be satisfactory and successful for the client. Taking the first step to come to counseling can give you a wonderful opportunity to clarify what has meaning to you, what may be lacking in the present or is holding you back from a more meaningful and fulfilling life. Once we identify these issues, we can address them positively, learn to use coping skills that may have been absent or forgotten, and have the opportunity to feel relief and momentum toward an improved present and future. It’s my personal belief that everyone benefits from counseling, whether they may be suffering from (and want to lessen) symptoms of depression, anxiety, trauma from the past or the present, grief, behavioral problems, parenting or relationship challenges, communication or self esteem issues. Working with a client in the counseling setting, I believe in the importance of building a caring, empathic, non-judgmental relationship by meeting a client where she/he is in life. I believe in the strength, courage, and resilience inherent in all people and that most people who seek out counseling come because they are temporarily stuck, not sick.

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Candice Halley

Offering therapy in North Carolina
License: NC LCMHC 8022
Stress, AnxietyGriefSelf esteemCareer difficultiesDepression
16 years of experience

As a licensed therapist in North Carolina, I bring over 15 years of dedicated experience supporting individuals through complex life challenges. My approach is compassionate and holistic, focusing on helping clients navigate issues like depression, anxiety, stress, and personal growth. I specialize in addressing a wide range of emotional and psychological experiences, including social anxiety, trauma recovery, relationship difficulties, and life transitions. My therapeutic style centers on empowering individuals to develop self-love, improve communication, and rediscover their sense of purpose. With expertise in women's issues, young adult challenges, and workplace dynamics, I offer a supportive environment where clients can explore their experiences and develop meaningful strategies for healing and personal development. My goal is to walk alongside you, providing guidance and support as you work towards emotional wellness and personal transformation.

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Tamara Hicks

Offering therapy in North Carolina
License: NC LCMHC 12067, OR LPC C6955
Stress, AnxietyFamily conflictsTrauma and abuseSelf esteemCareer difficulties
10 years of experience

My name is "Ms. Tam" or "Ms. Hicks" and I am here to help. I am a licensed mental health professional and I will be able to partner with you on this journey. I am pleased you have selected me as your therapist. I have a strong client base for issues with anxiety, depression, and trauma. The first session dives deep into what will scratch the surface and open certain doors to rooms and places the client wants and needs to explore; or not. I recommend minimum 3 sessions to build upon your toolbox to help manage your symptoms. I have learned that I am not for everyone and everyone is not for me. I am a whole vibe professionally speaking. Therapy is a journey one in which the client is in the drivers seat and the therapist is in the passenger seat, shotgun! The client that wants to get to the root of the pain, hurt, awkwardness, craziness, sadness, the list goes on is a great match with Ms. Tam. The client that also pulls from hope, spirit, experience, the unknown is a match with me. Its helpful for the client to remain open throughout at least 3-6 sessions after the first assessment/session in order to fully rate symptom change. If you are looking for a diverse and inclusive minded therapist, with years of experience in life, education, social services, and mental health services consider myself. I will try to help you. All counseling sessions will be treated with strict confidentiality and is protected by state and federal laws.

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Nettie Clarke

Offering therapy in North Carolina
License: NC LCMHC 10171
Stress, AnxietyTrauma and abuseAnger managementDepressionCoaching
12 years of experience

I am licensed in North Carolina with 12 years of professional work experience. I have experience in helping clients with stress and anxiety, trauma and abuse, anger management, & 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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Arkatheia Thomas

Offering therapy in North Carolina
License: NC LCSW C009095
Stress, AnxietyRelationship issuesFamily conflictsSelf esteemDepression
13 years of experience

I am licensed in North Carolina with 11 years of professional work experience. I have experience in helping clients with stress and anxiety, relationship issues, family conflicts, & motivation, self esteem, and 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.

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Michael Nichols

Offering therapy in North Carolina
License: NC LCMHC 16788
Stress, AnxietyRelationship issuesAnger managementDepressionCoping with life changes
20 years of experience

I am licensed in North Carolina with 20 years of professional work experience. I have experience in helping clients with stress and anxiety, relationship issues, anger management, & 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!

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Karla Jackson

Offering therapy in North Carolina
License: NC LCMHC 21517
Stress, AnxietyLGBTSelf esteemCareer difficultiesCoping with life changes
10 years of experience

As a licensed therapist in North Carolina, I bring a decade of compassionate mental health experience to supporting individuals through life's complex challenges. My professional approach centers on helping clients navigate stress, anxiety, career transitions, and personal growth with empathy and practical strategies. I specialize in working with LGBTQ+ individuals and those experiencing self-esteem challenges, career difficulties, and significant life changes. My therapeutic style is collaborative and affirming, designed to help you develop resilient coping skills and discover your inner strengths. Drawing from evidence-based practices, I create a supportive environment where you can explore your experiences, process emotions, and develop meaningful pathways toward personal transformation. My goal is to empower you to build confidence, manage stress effectively, and create positive momentum in your life journey. Every client's story is unique, and I'm committed to providing personalized, thoughtful guidance that respects your individual experience and supports your growth.

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Renee Avis

Offering therapy in North Carolina
License: NC LCMHC 5383
Stress, AnxietyEating disordersSelf esteemCoping with life changesADHD
20 years of experience

I am licensed in North Carolina with 20 years of professional work experience. I graduated from Argosy University with a Masters in Counseling. I have worked in multiple treatment settings throughout my career. I believe deeply in meeting each individual I work with where they are at in their challenges and struggles they are facing. I work passionately to create a safe, trusting & comfortable space for each individual to work through their therapeutic journey. My areas of experience are anxiety, disordered eating, body image, letting go of the diet culture, life transitions, ADHD and life coaching. I look forward to connecting with you. And helping you to find your way through your therapeutic journey.

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Alexis Lett

Offering therapy in North Carolina
License: NC LCSW C018007
Stress, AnxietyRelationship issuesSelf esteemDepressionCoping with life changes
3 years of experience

Welcome! You are at the right place at the right time! My name is Alexis Lett, currently located in Fayetteville, NC. As a Licensed Clinical Social Worker (LCSW) I have a fresh and innovative and holistic approach to mental health. I have worked in the public service and community mental health field collectively for 10 years working with ages 16-90 years old. I have worked with individuals who experienced SPMI (severe persistent mental illness), anxiety, depression, adjustment disorders, and more. I also have experience working with coping with life changes. 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!

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 BetterHelp therapists in North Carolina does not offer diagnostic or medication management services in therapy.

Why do people choose to work with a licensed counselor or therapists?

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, working with:

  • Challenging situations or life stressors
  • Eating disorders requiring therapy
  • Anxiety disorders in need of therapeutic support
  • Depression or depressive mental health conditions
  • Adjustment issues in need of therapeutic support
  • Emotional support for a terminal illness
  • Chronic pain emotional support
  • Grief therapy
  • Personality disorders
  • Trauma therapy
  • Relationship conflicts and mental health concerns

Finding a therapist in North Carolina 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 therapy site. If you are in life-threatening danger, call 911. If you require support for a crisis, reach out to the therapy hotlines below:

Frequently asked questions (FAQs)

Some of the most commonly asked questions about therapy can be found in the section below.

How much does therapy with a licensed therapist cost?

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

BetterHelp offers payment plans of $70 to $100 per week. 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.

Is it possible to find a therapist, counselor, or psychology practitioner that offers affordable therapy?

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.

What can a psychologist help me with in therapy?

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 BetterHelp accept insurance?

Yes. BetterHelp has joined with major insurance carriers in select states to provide in-network therapy coverage. Coverage may vary by plan, provider, and therapist availability. Insured members pay an average co-pay of $19 per session. Average co-pay is based on current insured BetterHelp members. Explore insurance coverage in major cities like ArlingtonCorpus ChristiPlanoLubbockJacksonvilleMiamiTampaOrlandoSt. PetersburgPort St. LucieHialeahCape CoralTallahasse and Fort Lauderdale.

Are online therapy sessions 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.

In today's fast-paced society, mental well-being has become a cornerstone of a fulfilling life. Amid the daily challenges and stressors that can overwhelm even the most resilient individuals, seeking professional guidance often offers a path to clarity and balance. The journey toward improved emotional health involves understanding personal triggers, embracing self-compassion, and developing effective coping strategies. While self-help books and online resources provide valuable information, nothing compares to the personalized support offered by a qualified mental health professional. One-on-one sessions with experienced experts can help uncover the underlying issues contributing to anxiety, depression, or other emotional hurdles. With a careful and empathetic approach, these professionals tailor their advice to suit individual needs, ensuring that each person receives strategies that work best for their unique circumstances. Whether through cognitive behavioral techniques, mindfulness practices, or other innovative methods, the aim is to foster resilience and empower individuals to take control of their inner lives. For those living in bustling urban centers, engaging in face-to-face sessions in a welcoming environment can be particularly beneficial. Access to a caring clinician provides not only a safe space to explore difficult emotions but also builds a support network essential for long-term recovery. The process encourages self-reflection and greater insight into behavioral patterns that might otherwise go unnoticed. While the journey can be challenging at times, the rewards include enhanced emotional stability, improved interpersonal relationships, and a renewed sense of self-worth. In one notable case, the guidance provided by a highly trained therapist proved instrumental in navigating a tumultuous period. Through structured sessions and tailored interventions, the individual learned to identify stressors and develop healthier responses to adversity. This experience underscored the transformative impact that dedicated support can have on one's overall quality of life. In a region like Texas, community-based initiatives and accessible mental health programs further reinforce the value of professional help. These efforts emphasize early intervention, preventive care, and continuous support, ensuring that more people are equipped to face life's inevitable challenges. Ultimately, investing in mental well-being is an act of self-care that yields lifelong benefits. By embracing professional support, individuals can unlock new levels of emotional resilience and discover pathways to a brighter, more balanced future. Each step taken toward healing represents a commitment to personal growth, enabling a life filled with renewed optimism and strength. Embracing this transformative journey consistently paves the way for deeper understanding, lasting peace, and meaningful personal progress.
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