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41 Clayton St Suite #300, Asheville, NC 28801

102 Commonwealth Ct, Suite B, Cary, NC 27511

Teen Therapy & Counseling in Asheville, NC

Affirming therapy for neurodivergent, LGBTQIA+ and BIPOC teens ages 12–17,
in person in Asheville and Cary or online across North Carolina.

Teen therapy at a glance

Who it’s for

Neurodivergent, LGBTQIA+ and BIPOC teens and their families. Ages 12 and up (varies by therapist).

Where

In person in Asheville and Cary, or online anywhere in North Carolina.

Insurance

Aetna, BCBS, MedCost, AmeriHealth Next, UnitedHealthcare, TRICARE or private pay. Limited sliding scale. Plans vary by therapist.

Fees

$175 first appointment (intake) · $150 per 60-minute session.

How to start

Free phone consultation: call or text (828) 515-1246 or request an appointment.

Young woman talking with her therapist during a session

Why Teen Therapy?

Being a teenager is hard. Being a teen who feels different can be harder.

Maybe your teen is anxious, withdrawn or overwhelmed at school. Maybe they recently learned they’re autistic or ADHD, came out, or are figuring out their gender. Maybe they’re carrying the weight of racism, family conflict or a faith community that didn’t accept them.

Our therapists work with teens as whole people. We don’t try to make your teen fit in. We help them understand themselves, build skills that fit how their brain works, and feel safer being who they are.

Is your teen struggling, and you’re not sure where to start?

Who We Work With

Our teen therapists focus on teens who often feel unseen in traditional therapy:

  • Neurodivergent teens: autistic, ADHD, AuDHD and gifted teens, including new or late diagnoses
  • LGBTQIA+ teens: queer, trans, non-binary and questioning teens
  • BIPOC teens: support that understands race, culture and identity
  • Teens healing from religious trauma, especially LGBTQIA+ teens from high-control faith communities
  • Families who want to understand and support their teen, through family sessions

Many teens fit more than one of these, and that’s welcome here. Families often reach out about anxiety, depression, burnout, school stress, identity questions, family conflict or trauma.

Lgbtqia+ Therapy
Family Counseling Family Life Counseling

How Teen Therapy Works With Parents and Caregivers

Your teen gets their own space, and you stay part of the process.

  • Getting started: a parent or guardian usually reaches out first, books the free consultation, and completes intake paperwork and consent for teens under 18.
  • The first session: often includes time with you and your teen together, then time with your teen alone.
  • Ongoing sessions: mostly one-on-one with your teen. Parent check-ins and family sessions are added when they help, and your teen is part of that decision.
  • Privacy: what your teen shares stays between them and their therapist, with standard safety exceptions such as a risk of serious harm. Your therapist explains these limits to both of you at the start.
  • Scheduling: after-school times vary by therapist. Tell us your teen’s schedule during the free consultation and we’ll match you with a therapist whose hours fit. Online sessions can save the drive after school.

Read more on our blog: how to explain neurodivergence to family, support and resources for LGBTQIA2+ youth and PDA vs. ODD.

Common questions

What ages do you see?
Our therapists see teens from age 12. Each therapist sets the youngest age they see, from 12 to 16, and it’s shown under their name above.
Do parents join sessions?
Sometimes. The first session often includes you and your teen together. After that, sessions are mostly one-on-one with your teen, with parent check-ins or family sessions when they help.
Is what my teen says kept private?
Yes, with standard safety exceptions such as a risk of serious harm. Your therapist explains these limits to you and your teen at the start, so everyone knows what stays private.
Do you have after-school appointments?
After-school times vary by therapist. Tell us your teen’s schedule in your free consultation and we’ll match you with someone whose hours fit. Online sessions can make after-school times easier.
Can my teen do therapy online?
Yes. Every one of our therapists offers secure video sessions anywhere in North Carolina, and some also see teens in person in Asheville or Cary.
3 EASY STEPS

Start Teen Therapy in North Carolina.

Ready to find the right therapist for your teen? Our teen therapists see clients in person in Asheville and Cary and online across North Carolina. To get started, follow these three steps:

Trusted Counseling Asheville

Frequently Asked Fee &
Insurance Questions

We accept payment through a HIPAA compliant payment processing software.
This ensures that your financial information remains encrypted and protected.

I’m nervous about starting therapy. Is that normal?

Therapy can be vulnerable and new, so it’s natural to be nervous. It can be scary to think of opening up or crying in front of someone new, perhaps fearing that it will be awkward and uncomfortable. The fear around that can feel overwhelming. Getting the counseling we need can be challenging. And although it’s normal to be nervous, that doesn’t make it feel great. It takes courage to continue getting the help you need.

Therapy is a space where you can be yourself and feel safe from judgment, including feeling nervous. We’re committed to finding a way to care for your nervousness and ensure sessions are as comfortable as possible.

We’re here if you want to talk about it during a free phone consultation.

Take your time to read through this website. If you sense that we may be a good fit based on what you are reading, you can call us.

During a free phone consultation, you can ask one of our therapists about how they have helped other people like you before, ask how they work as a therapist, or any other questions you may have that are specific-to-you. You’ll also be able to tell them what’s up, and you and one of our therapists can decide together how they can help.

It will usually take a couple of sessions to feel comfortable and develop a relationship. During the sessions, you’ll be able to understand how comfortable you feel in sessions. Our approach is not going to work for everyone. What’s most important is that you find someone who you feel is the right fit for you. We can explore that together.

If something feels overwhelming or even terrifying to discuss, that’s actually very normal. It can often feel difficult to talk about some things. During sessions, your therapist will never push you to talk about things that are too painful for you to talk about. They will be there to guide you towards discovering what feels comfortable for you to share. Working at your pace, together you can look at the tough stuff if you’re ready.

You can also share with them that you are nervous to open up about something, and you and your therapist can talk about that too. Whatever is present for you. Whatever you are going through. Bring that to session and you can explore that together.

If you open up, we will not think you are crazy. We will think you are someone who’s very courageous. Many clients have had the same fear (that people would think they are crazy).

Through our own life journeys and working with clients, we know how “normal” your experience is.

You’re not being dramatic or “too much.” Nothing you can say will cause us to judge you.

We know nobody’s perfect. We all struggle. We all suffer in different ways.

Whatever it is you’re going through, we provide a safe space where you can feel heard and supported without judgment.

You might already know that you want to share sensitive information about your loved ones and you don’t want them to find out what you’ve said. So we want you to know that unless there is an imminent danger to yourself or someone else, everything you share is completely confidential.

There is nothing more important than your privacy.

You can rest assured that you can talk about anything without fear of that information getting out.

If you have specific questions about how confidentiality works, you can ask during your free phone consultation or anytime during your work with your therapist.

Overall, you can think of the first session as a structured assessment that helps your therapist get to know you and the challenges that brought you into treatment. They’ll invite you to share more about yourself, and you can also talk about what’s worked or not worked for your mental health in the past.

Some questions that your therapist might ask during a first session include:

  • What brought you to therapy?
  • Have you gone to therapy before? How did that go?
  • What do I need to know about you to understand your current challenges?

You can ask your therapist questions as well. You might be curious about their experience or how future sessions work.

The most important part of a first session is that you see if you feel your therapist is a good fit for you. If you feel supported, seen, and at ease with them, you can discuss if you’d like to meet again.

LET'S TALK

Your Next Step for
Healing Journey

Sometimes the hardest part is getting started. We’re here to make it easier with a free consultation—just a conversation, no pressure, only support.

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