Therapists in North Carolina

Welcome! I'm a Licensed Clinical Mental Health Counselor based in North Carolina. I provide trauma-informed therapy and have extensive training in Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT). My goal is to help clients feeling stuck, helpless, overwhelmed, or just tired of repeating patterns break free, heal, and become the best version of themselves. Just like a pearl is formed out of painful experience, so can psychological and emotional pain be transformed into something beautiful!

Hi there, I’m Julissa. Are you feeling less like yourself lately or finding it hard to make confident decisions? Whether you’re overwhelmed by life’s demands, navigating a new chapter, or struggling with anxiety and self-doubt, I’m here to help. As a holistic therapist, coach, and spiritual guide, I support individuals ready to step into clarity, peace, and purpose. Together, we’ll explore your inner world, heal emotional wounds, and build confidence in who you are becoming. I’m proud of you for seeking support—it’s the first step toward feeling like yourself again.

I am a Clinical Health Psychologist. I received my doctoral degree in Clinical Health Psychology in 2014 and completed my internship year of training at the Alpert Brown Medical School of Brown University. I've worked in Public Health for the Army, as an Assistant Professor at East Carolina University, and at the Veteran's Health Agency. My main focus is sleep. I am dedicated to helping people get a better night's rest. I treat insomnia and nightmare disorders, help people learn about and adjust to neurological and respiratory sleep disorders like narcolepsy and sleep apnea, and help prople develop confidence in managing the medical treatments for certain sleep disorders.

Hello! I am a Licensed Clinical Social Worker servicing the mental health needs of individuals and groups for over 10 years. I graduated with my undergraduates in Psychology and Spanish, followed by my Master's of Science in Social Work, and ended with my Doctorate of Clinical Leadership in Social Work. I help people deal with day to day life challenges brought on by mental health concerns in our lives. My experience includes work with multi-ethnic children in foster group homes, adults in the Dallas area, women, and more recently with active duty military personnel. I help my clients process and heal from trauma using various methods to meet each person where they are at. Providing therapy is a privilege for me. I'd love to see if I may be of service to you. Please schedule a session if you're interested in working with me. Sometimes, the best is yet to come.

Mr. Brown is a Licensed Clinical Social Worker who specializes in interpersonal relations and reality testing. He also utilizes various evidenced based practices that are tailored to the clients’ needs while meeting them where they are in their journey. He utilizes structures that include individual, couples, family, alternative relationships, and/or process groups. He is licensed to practice clinically in Tennessee, Florida, Indiana, Pennsylvania, Arizona, and Virginia, and has a private practice located in the heart of the Nashville Black Community. He is an avid supporter of the needs, culture, and outlook of the African American community, while operating within an African Centered framework. Mr. Brown enjoys studying, teaching, and implementing Ancient African history. He recently traveled to Accra, Ghana during the Year of Return. With over 10 years of experience providing therapy, interpersonal training, and life management. I utilize various treatment approaches including trauma resolution, solution focused therapy, and mindfulness techniques. I will walk with you along your journey, providing a comprehensive treatment plan for your success.

Hi, I am Cristina! I am eager to meet you to help you build stronger, healthier & more reliable habits & coping skills. I specialize in emotional eating behaviors triggered by stress, anxiety, etc. I often work with clients taking GLP-1 medications that need behavior support for maintaining healthy habits. I have 8 years of experience in helping patients with weight management and various other mood disorders. I am a Licensed Professional Counselor with over 14 years experience in mental health and over 20 years in the wellness field. I bring a mindfulness approach that focuses on non-judgment, compassion and identifying your strengths even when you may have trouble seeing them. I have a Masters of Science Degree in Clinical Mental Health Counseling from the University of North Carolina - Greensboro.

I’m pleased to share that I am now offering in-person sessions.... I’m a therapist passionate about supporting people through both emotional struggles and the real-life challenges they face. My work focuses on healing that’s not just psychological but also grounded in your everyday experiences. I offer a compassionate, down-to-earth approach that’s tailored to your needs. Together, we’ll explore what’s holding you back, build practical tools, and work toward helping you feel more understood, empowered, and ready to move forward.

Welcome! My name is Shabria Mayne, and I have over 10 years of experience as a professional counselor. I hold a Master of Science in Clinical Mental Health Counseling from Mercer University in Atlanta, GA. I am a Virginia licensed professional Counselor and a North Carolina Licensed Clinical Mental Health Counselor. My objective entails goals centered around developing the mental health and functional well-being of women, men, and teens of diverse cultural backgrounds.

Are you struggling with feeling worried or depressed? Are you experiencing difficulty focusing or coping with life situations? Congratulations on taking the steps to improve your mental health. I feel that it is important to have your voice heard and I am here to provide a safe space just for that. I have worked as a therapist for the past 16 years with individuals and families. My goal is to help you reach for personal therapy goals.

I am a Licensed Clinical Social Worker in North Carolina and owner of The Kairos Experience, PLLC. I have been professionally practicing for three years. I am trained and skilled at assisting clients in navigating recovery from childhood trauma and narcissistic abuse, effective parenting using Attachment Theory, couples counseling, and treating individuals with depression, anger issues, and anxiety. I currently have openings for 5-7 couples (self-pay only) and 20 adolescents or adults.

I am dedicated to helping people heal holistically from past traumas, anxiety, depression, anger or relationship challenges. I use a very effective treatment modality called Eye-Movement Desensitization and Reprocessing (EMDR) to help people heal from traumatic memories, negative beliefs about themselves, or past situations in one's life that have caused them emotional pain. In addition, I teach people how to manage their thoughts and emotions using mindfulness, mind/body, meditation practices, and cognitive behavioral methods. For those who are interested in healing their mental health naturally through changing their life style habits, I have training in how proper nutrition, sleep and exercise can help improve one's brain health, and therefore improve their mental health.

Hello and welcome to your healing journey! My name is JaSarah N. Baldwin. I am a Licensed Clinical Mental Health Counselor and a Licensed Clinical Addiction Specialist - Associate. I would first like to thank you for considering me to be a part of our journey and for taking this incredible step in your life. I am an advocate for mental health wellness for myself and others. Sometimes in life we are hit with so many obstacles that we do not know what or where to go. My goal as a counselor is to assist you with what you need to jump of the hurdles that you may experience.

You deserve support, and if you are coming with your partner , you both do, no matter how hard the road ahead may seem. You need someone that will strive to understand you, but commit to supporting you in moving towards change that feels meaningful. While I will never pretend to know your exact pain, I do find that my experience juggling life as a parent, a partner, and in demanding careers such as corporate leadership and skilled trades have often helped me find a traction point to connect with you , so I can support you.

Hello! I am Licensed Marriage and Family Therapist. I got my undergraduate degree at Carson-Newman University in Psychology and my Masters Degree from Capella University. I have been practicing for over 10 years. I work with adolescents, young adults, and adults through the lifespan. I enjoy being able to walk alongside people so they can become the best version of themselves, learn how to heal previous trauma, and develop healthy coping skills.

I’m a Licensed Clinical Social Worker who believes therapy doesn’t have to feel like sitting in a stiff chair while someone silently nods at you. I bring both professionalism and a sense of humor into the room, because sometimes laughter really is the best coping skill .I’ve worked with teens, college students, and adults for the last 7 years. Some common concerns I have helped navigate are stress, anxiety, depression, life transitions, relationships, and the big messy in-betweens that don’t necessarily always fit neatly into a diagnosis.

I work remotely with clients in New York, New Jersey & North Carolina. Oftentimes, even the strongest and most resilient need a helping hand. If you're feeling unhappy, unfulfilled, angry, sad or simply feeling unlike yourself, maybe it's time you take the hand of someone else to help get you back to feeling like yourself again. Therapy can be intimidating, time consuming and even scary however I promise it is the best investment you can ever make in yourself.

Hi! I’m a Licensed Clinical Social Worker. I am independently licensed in NC, SC, and GA. I enjoy working with children, adolescents, and adults striving to better cope with and better manage daily challenges. I have experience in outpatient therapy and hospice social work. I enjoy working with and learning about others. My personal goal is to learn something new every day.

I am Remi. I have been working with individuals and families for over 10 years. I am a first-generation immigrant and I am passionate about family and cultures that we are actively creating. I can collaborate with other healthcare professionals, integrate complementary therapies, or address systemic factors that impact clients' well-being. I have a diverse background and an open mind.

I’m Aileen Imana, a licensed therapist passionate about helping women and neurodivergent clients heal, grow, and reclaim their power. I provide a supportive space to explore life’s challenges, develop practical coping skills, and connect with your strengths so you can live with clarity, confidence, and purpose. Therapy has always been more than a profession for me—it’s a calling. My path has been shaped by my own healing journey, which taught me that resilience isn’t about never breaking; it’s about learning how to bend without losing yourself. Over the years, I’ve worked with women, creatives, and neurodivergent clients to transform self-doubt into self-trust, pain into purpose, and overwhelm into clarity. I believe in blending evidence-based tools with real-world application, honoring both the science and the soul of healing. My work is rooted in compassion, cultural awareness, and a belief that everyone has the capacity to create a life they don’t just survive, but truly love.

Hi, I'm Felicia N. Holman-Reid! Thank you for considering sharing your journey with me. Starting counseling can be stressful, but hopefully we can start this process together, getting you to a better place mentally. I received a Bachelor of Science in Experimental Psychology from University of South Carolina-Spartanburg (Upstate)-2002 & Master of Arts in Counseling w/Mental Health emphasis from Webster University-2007. Also, I've received training in mediation & conflict resolution for about 11 years.

I’m a North Carolina–licensed clinical mental health counselor with over 20 years of experience supporting individuals through some of life’s toughest challenges. My work focuses on helping people heal from trauma, manage anxiety and depression, rebuild after divorce, and navigate complex emotional issues such as bipolar disorder, eating disorders, grief, and chronic medical illness. I also provide support for those struggling with self-esteem, sleep issues, and life transitions. I bring a compassionate, down-to-earth approach to therapy and believe in creating a space where you feel safe, understood, and empowered. Whether you’re facing something recent or carrying pain from the past, I work with you to build practical tools for healing and growth. A proud North Carolina native, I hold a B.S. from Western Carolina University, an M.S. in counseling from Webster University, and a doctorate in psychology from Liberty University. I’m passionate about helping you find clarity, strength, and hope—one step at a time.

Hi there! I'm a Licensed Clinical Mental Health Clinician (LCMHC) based in North Carolina. I received my Masters from Grand Canyon University and have been working in the mental health field for 6 years. I am committed with assisting women with managing life stressors, postpartum and pregnancy, anxiety, and coping. I also work with youth assisting with learning how to manage emotions, process trauma, and enhance communication skills.

I specialize in Cognitive Behavioral Therapy, challenging negative thought patterns that contribute to anxiety and depression. Teaching clients to identify stressors and develop strategies for managing them, such as mindfulness, and relaxation techniques. Working with clients to build their self confidence and trust their ability to manage their feelings. Most importantly there will be an emphasis on self care and self preservation, providing empathy and emotional support.

Hello! I am Shakeyla, a Licensed Professional Counselor in South Carolina, North Carolina. and Florida. I’m a Licensed Clinical Mental Health Counselor and the owner of The Flourishing Place. I specialize in helping teens and adults navigate anxiety, depression, trauma, and self-esteem challenges. My empathetic and collaborative approach empowers clients to heal, set boundaries, and flourish in every aspect of their lives.

Hello! I’m a licensed counselor with over 10 years of experience in the field. My specialties include working with trauma, PTSD, depression, anxiety, mood disorders, stress, and compulsive and obsessive behaviors. I use a holistic approach that incorporates techniques such as mindfulness and cognitive behavioral therapy. I often find that my clients benefit from my experience working with modern neuroscience, which helps us better understand what’s going on inside our brains as we work towards changing our patterns of thinking and behavior.

Hi! I'm a Licensed Clinical Social Worker (LCSW) from North Carolina. I got my Master of Social Work degree from the Joint MSW program at NC A&T State University. My husband is in the military and we have moved multiple times since then. I am also a mother to 3 young children. I help adults examine their behavior patterns to become "unstuck" and live their life to the fullest.

I am licensed as a social worker as well as an addiction specialist. My ideal client is struggling to understand how substance use and misuse is effecting their life.Maybe they are questioning their own use, or that of their partner, children, or they grew up with alcoholics in the household. I also love working with people with depression and anxiety who want to examine where they are at and where they might want to go. I love thinking outside the box and encouraging new ways of seeing the world and its possibilities.

Are you struggling with: -fear, worry, or self-doubt? -sadness and a lack of contentment? -grief and loss? -major life changes or transitions? Often our emotions negatively impact our daily life and our relationships. It is possible to feel better and take back control of your emotions. I would be honored to help you get there. I believe therapy is most helpful when it is driven by your specific needs and preferences. I will listen carefully to understand your goals and will partner with you in working toward them. Taking the first step to begin therapy can feel overwhelming, but I will offer you a safe and nonjudgmental space to begin your process of growth and healing. I believe it is essential to have a good client-therapist fit. Let's meet and see if working together could benefit you.

Warm Greeting, My name is Kylie — I’m a therapist, a mother, and someone who deeply believes in the power of being seen, heard, and supported. Life doesn’t come with an instruction manual, especially when it comes to healing from trauma, navigating through life transitions, or adjusting to life after bringing a tiny human (or humans!) into the world. Whether you're feeling like you’ve lost yourself somewhere between diaper changes and school drop-offs, or you're carrying the heavy weight of past pain that refuses to stay in the past, I’m here for you. My practice is built on compassion, connection, and just the right amount of humor (because sometimes if you don't laugh, you'll cry — and sometimes we’ll do both). I specialize in working with: Trauma – The kind that’s loud and the kind that’s quiet, but still lingers. Postpartum – Depression, anxiety, identity shifts, rage, exhaustion… sound familiar? Parenthood – From fertility struggles to toddler tantrums to “why did no one warn me?” moments. You’re not broken. You’re human. And humans are messy, beautiful, resilient beings. I work from a trauma-informed, attachment-based perspective to help you reconnect with yourself, feel more grounded in your daily life, and find your way back to joy (or at least a full night's sleep — we can dream, right?). Therapy with me is a judgment-free zone. You can come exactly as you are — in yoga pants, with spit-up on your shirt, or holding back tears (or curse words). This is your space to exhale. Let’s talk. You don’t have to do this alone anymore.

Hi! I'm a LCMHC based in North Carolina. I received my Masters from Montclair state University and have been practicing since 2012. Being a counselor, entrepreneur, and a mom, I have experienced the struggles of the balancing act for high achievement and multitasking, and with help from my counselors I have eventually learned that act. now I love to help clients mastering the the same skill to enjoy success and life together.

I’m a queer-affirming, feminist therapist who works with individuals navigating identity, trauma, intimacy, and burnout. I specialize in supporting LGBTQ+ folks and women who are unpacking the stories they've been told about their bodies, relationships, and worth. My approach is collaborative, nonjudgmental, and grounded in deep respect for individual lived experience—we’ll move at your pace, toward the life you actually want.

Hello, I'm Shelia Campbell Bright I'm a Licensed Clinical Mental Health Therapist. I earned my Master of Science in Professional Counseling at Mid-America Christian University in Oklahoma City, Ok. I've been a practicing clinician for 6 years. ~( Licensed in: North Carolina, Florida, South Carolina) You and I will uncover the underlying causes of your worries, thoughts and fears to help you relax and see your situations in a new light. Not only will I help eliminate the ruminations and anxiety attacks so you can be productive at work and sleep at night, but I will also teach you problem solving and coping skills to build your resilience to cope when new problems arise in the future.

My name is Stephanie, and I'm a licensed clinical social worker living in North Carolina. I have been practicing professionally since 2018, and have worked with diverse populations of children, adults, families and couples, in settings that include private practice, school-based, corporate, agency and crisis work. I have extensive experience working with military-involved families, justice-involved individuals and their families, and those who are or have been deeply involved in faith communities. I take a systems-minded approach that looks at all of the layers surrounding an individual and seeks to enhance both nurturing of self and a healthy attachment to layers of community care. My favorite part of being a clinician is having the privilege of witness folks learn and develop their own strengths and truths, and become holistically healthier, more empowered, and more in control of their own lives.

I am an experienced Licensed Clinical Social Worker (LCSW) with over 20 years of dedicated practice in mental health, and my mission is to help individuals unlock their fullest potential by creating lasting change in their lives. My background spans a wide range of settings, from community-based work with children and disabled adults to providing therapy in psychiatric hospitals, schools, and private practice. With a double major in Visual Arts and Psychology from the University of North Carolina -Asheville and a Master’s in Social Work from East Tennessee University, I bring a blend of clinical expertise and creativity to my practice.

I'm Dr. Shamanda Burston "Dr. Shamanda", a doctoral-trained therapist (PhD, LCMHC, LCAS) with over a decade of experience helping adolescents, millennials, and professionals navigate anxiety, trauma, life transitions, burnout, and substance use recovery. In addition to clinical work, I’m an educator, speaker, and passionate mental health advocate dedicated to promoting wellness and accessibility—especially in underserved communities where resources are often limited.

I am a Licensed Clinical Mental Health Counselor licensed in the state of NC with over 9 years of experience working as a therapist. I have worked with clients with a wide range of ages and concerns including depression, anxiety, relationship issues, parenting problems, OCD, trauma related disorders, low self-esteem, motivation issues, adjustment disorders, and ADHD. The majority of my experience has been with children, teens, and young adults. I enjoy working with the youth of today to help secure a strong solid future for tomorrow. My counseling style is warm and accepting. I believe in treating everyone with respect, sensitivity, and compassion. My approach combines cognitive behavioral therapy (CBT), motivational interviewing, mindfulness, and solution focused therapy. I have a strong appreciation for art and understand the power of art in therapy. I believe that through a strong therapeutic relationship change can occur. I will focus my energy in allowing you to feel heard, cared for, and understood. This will allow you to unlock your true desires and ideas for your next steps. Your future is yours and you will be the author of your story. My role is to help you to embrace your strengths, work with your weaknesses, and help you to reach your own goals. I look forward to helping you reach your goals!

As a Licensed Clinical Social Worker with over a decade of experience and a Master's degree from NC State University, I've dedicated my career to helping people break free from what's holding them back and rediscover their path to growth and fulfillment. Through our work together, you'll develop practical strategies and insights that will help you move beyond feeling stuck and start building the life you envision for yourself.

I am a licensed clinical social worker providing client centered, solution focused therapy for over 25 years with an established private practice since 2005. In my practice, my goal is to provide a supportive environment which allows clients to identify and achieve their goals. In addition to my work as a therapist, I provide training and consultation services regionally and nationally on trauma informed care, adverse childhood experiences (ACEs), sexually harmful behavior, vicarious trauma and self-care.

Welcome! My name is Kim, and I’m so glad you’re here. I’m a Licensed Clinical Social Worker with over 20 years of clinical experience and I believe therapy is a place where you can feel truly heard, supported, and empowered to grow. I utilize an eclectic approach to therapy, which means I draw from different techniques and perspectives to best fit your unique needs and goals. I bring a warm, down-to-earth style to our work together, meeting you where you are and helping you navigate life’s challenges with compassion and hope. My goal is to create a safe and caring space where you feel comfortable to be yourself and move towards the changes you want in your life.

Hi, I am a Licensed Clinical Social Worker (LCSW) based in Florida. I have been practicing for 10 years. I create space for you to explore and learn new ways to cope with feelings of stress, anxiety, and low self-esteem. I bring warmth, compassion, humor and empathy to the therapeutic relationship, and I honor and prioritize the development of trust as a necessary foundation for successful treatment.

Hi this is Carol. I am a licensed independent clinical social worker in eight states. My career started in Pennsylvania where I attended Chestnut Hill College and received my Master's in Counseling Psychology, Marriage and Family Therapy Option. It continued in upstate Pennsylvania where I attended Elmira College (M.S.Ed) and attended SUNY University of Buffalo (MSW). I capped those off with a Psy.D. from Cal Southern University, Magnum Cum Laude 2012. I hold an LCSW in PA, VA, NC, TX, IL and FL. I hold an LISW-CP in South Carolina, and LICSW in RI and MA. I facilitate stress reduction meditations several times weekly on an internet platform for Mindful Leaders. I am a certified AADC in South Carolina. I am trained in EMDR methods including their substance, pain control, and grief and loss protocols. All licensures and certifications are current. I am trained in MBSR, am a certified workplace mindfulness facilitator and have almost completed my MBCT certification. I am a trainer for www.loveandlogic.com in these areas: Parenting the Love and Logic Way and 9 Essential Skills for the Love and Logic Classroom

Hi there! I am Robert Brown, a Licensed Clinical Social Worker based out of North Carolina. I have been practicing for 30 years and have a focus on adults who have experienced depressed mood, anxiety, grief, or trauma. It's always been a privilege for me to serve folks who are ready to create a lasting and meaningful change through our journey together.

My goal is to assist you in developing your vision and journey in becoming your best and desired self. I am person centered and enjoy applying creative strategies in my practice; such as the use of art, music-videos, narrative mediums and activities. I believe that everyone is capable of change. I have extensive experience with working with adolescents, adults, and families. I am an active supporter of persons and groups of varied cultural backgrounds and individuals in the LGBTQ+ community.

Hello, I'm a LCSW in the great state of North Carolina with 4 years of professional work experience working as a Psychotherapist on an assertive community treatment team. I have experience in helping clients with anxiety, depression, anger management, motivation, self-esteem, confidence, and developing self-care and coping skills. I believe in treating everyone with respect, sensitivity, and compassion. During the initial intake it is important to build a therapeutic relationship while obtaining a clear understanding regarding the expectations of the person being served. Once the intake has been completed it is important to develop a personal center plan in-order to work toward accomplishing short-term and long-term goals tailored to meet the unique and specific needs of the individual being served. Over the past 4 years I have been using evidenced based interventions CBT, ACT, and Psych Rehab to assist the people I serve with reducing the severity of their ongoing symptoms and problems. Taking the first step to sign up for therapy can take courage and I look forward to working with anyone who is looking to take that first step.

My clinical background is primarily working with adults who have experienced trauma and relationship issues which present in anxiety, depression, grief/loss and other areas of concern. I pull from various modalities including psychodynamic therapy, cognitive behavioral therapy, motivational interviewing, and grief therapy. I have worked in out patient mental health facilities, on a medical team providing care to individuals with comorbid chronic illnesses, have worked in a crisis setting and now work in private practice.

I’m Dr. Shaniqua Lesesne, a licensed therapist (NC & SC), mindset life coach, and mentor. I’m passionate about empowering individuals to overcome challenges, heal from past wounds, and break free from limiting beliefs. I specialize in working with individuals seeking mental clarity and emotional renewal, and those who are ready to embrace their power and transform their mindset. Together, we can transform your mindset, unlock your potential, and lead you toward a fulfilling, joyful life.

My passion is to work with those who have struggled with the challenges of life; trauma, addiction, relationship issues, mood disorders, grief, attachment, career issues or any stress contributing to anxiety. They may have sought therapy in the past and have become discouraged, for whatever reason. The foundation of therapy is the therapeutic alliance. When one suffers various disorders, life becomes dull and motivation to live according to one's values instead of one's fears is threatened. It is critical that the therapist be attuned to the worldview of the client to facilitate healing, self acceptance and self compassion. Pain is inevitable while suffering is optional.

I am a Licensed Clinical Mental Health Counselor (S10174) in North Carolina. I received my MA in Community and Mental Health Counseling, from Webster University in 2011. I have been in clinical practice since 2012. I have a myriad of counseling experience working with children, adults, couples, and families that have focused on a variety of presenting problems such as depression, divorce recovery, marital conflict, anxiety, codependency, parenting techniques, grief, sexual brokenness and life transition. I provide an individualized treatment approach, displaying honesty and empathy while also offering a space that's safe and allows you to be your true self. I am dedicated to making the treatment experience worthwhile as we all strive to become a better version of ourselves.

My name is Maykin K. Boyd LCSW, LCAS. I received my Master's in Social Work from East Carolina University. I hold licensure & provide therapy services as a clinical social worker (generalist), clinical addictions specialist. I have been in therapeutic practice for the past 6 years. I employ a variety of interventions in practice to include psychotherapy, psychoeducation, & coping skills development.

I’m Sarah, a Licensed Clinical Social Worker and veteran who’s passionate about helping people heal and grow. My work is grounded in compassion, authenticity, and practical tools that help clients feel supported both in and between sessions. I’ve worked in crisis, inpatient, and outpatient settings, and I bring that experience into therapy to meet clients wherever they are. I specialize in helping teens and adults navigate trauma, anxiety, depression, ADHD, and life transitions. Many of my clients are survivors of childhood abuse, intimate partner violence, sexual trauma, or service-related stress. Whether you’re working through a single event or the weight of complex trauma, I’ll meet you with a balance of empathy, evidence-based strategies, and a collaborative spirit. For clients paying out of pocket, I offer a standard rate and keep a few reduced-fee slots to make therapy more accessible.