Therapy sessions in North Carolina typically range between $75 and $250 per session, depending on the provider’s level of training and location—Raleigh-area therapists often fall between $140–$150 per hour If you're paying out of pocket, options include sliding‑scale fees based on income, university counseling clinics, or community mental health centers. Many practices also offer superbills for out‑of‑network insurance reimbursement, and you may be able to use HSA/FSA funds 

At Well Roots Counseling, we choose not to accept insurance so we can provide the highest level of personalized and confidential care. Insurance companies require a formal mental health diagnosis, detailed session notes, and ongoing documentation in order to authorize treatment. These requirements significantly limit your privacy and often restrict the type, length, and frequency of therapy.

A formal diagnosis is only given when clinically appropriate and ethically supported by adequate assessment. Since we do not accept insurance and do not provide insurance-related documentation, we are not required to assign diagnoses for clients who prefer not to have one on record.

Many clients choose private-pay therapy specifically to avoid receiving a diagnosis that could remain in their permanent health record or be shared between insurance companies.

If a diagnosis is needed for medical or psychiatric coordination of care, we discuss that on a case-by-case basis to ensure accuracy and ethical practice.

By remaining private pay, we are able to:

• Protect your confidentiality

• Tailor treatment without insurance-imposed limitations

• Focus on your needs—not on meeting insurance company criteria

• Avoid labeling clients with diagnoses that may not be clinically appropriate or desired

This allows us to offer a therapeutic space that is flexible, client-centered, and fully confidential.

Superbills function as insurance reimbursement documents and require us to assign a formal mental health diagnosis and include specific codes and clinical information. Because we do not diagnose for insurance purposes and do not participate in insurance reimbursement processes, we do not generate superbills.

Instead, we provide:

• Itemized receipts for payment

• The ability to use HSA or FSA cards (when discussed during the intake process)

This approach protects client privacy and maintains the integrity of our private-pay, diagnosis-optional practice structure.

Yes, at Well Roots Counseling, we offer both online throughout the state of North Carolina and in-person therapy in Raleigh, NC. We understand that your needs and schedule can shift, which is why we provide the flexibility to choose what works best for you. Whether you're looking for the convenience of virtual sessions or the connection of face-to-face support, we’re here to meet you where you are—literally and emotionally. 

Well Roots Counseling does not bill insurance directly. However, we do accept HSA and FSA accounts, which many clients use to cover the cost of sessions.There can be benefits to paying for therapy privately. When you don’t use insurance, your care remains entirely confidential—there’s no requirement for a mental health diagnosis to be shared with a third party. You're also able to have more control over your treatment, including how long you stay in therapy and the type of support that feels right for you, without restrictions placed by your insurance provider. This flexibility helps us focus on what truly matters: your goals, your story, and your pace.

At Well Roots Counseling, therapy for women creates space to explore the experiences and challenges that many women carry — often quietly and without support. While general counseling may cover a broad range of concerns, therapy tailored specifically for women focuses on areas like fertility struggles, pregnancy and postpartum transitions, motherhood, relationships, identity shifts, and the emotional weight that can come from trying to do it all. It’s a space where your story is seen, your feelings are valid, and you don’t have to hold it all alone.

Our work is centered on understanding how life transitions, trauma, and emotional overwhelm can impact well-being. We create space for women to show up honestly, without judgment, and explore the things that often go unspoken. Whether you’re navigating career stress, parenting, grief, or just trying to feel more like yourself again, we offer support that honors your lived experience.

Absolutely. Therapy can be a powerful support during the emotional highs and lows that come with fertility challenges, pregnancy, postpartum recovery, and loss. These seasons often bring a mix of joy, grief, identity shifts, and overwhelm. At Well Roots Counseling, our therapists in North Carolina are all trained perinatal mental health specialists who deeply understand these unique experiences. You don’t have to carry it all quietly. Whether you're struggling to feel like yourself again after giving birth or navigating the stress of infertility, therapy offers a space to feel seen, supported, and understood as you work toward healing.

Both in-person and online therapy can be effective for trauma and anxiety, but the best choice depends on what feels right for you. In-person therapy offers a more personal connection where you and your therapist can pick up on subtle cues and create a safe, calming space together. For some, this face-to-face setting can make it easier to feel grounded and supported when working through difficult emotions. However, online therapy provides flexibility and comfort, allowing you to engage from your own space. At Well Roots Counseling, our therapists in North Carolina are trained to support trauma and anxiety in both settings. We also offer EMDR therapy, a powerful treatment for trauma, accessible both in-person and online. We’re here to help you find the approach that fits your needs and lifestyle.

Choosing the right therapist is a personal and important decision. At Well Roots Counseling in North Carolina, we encourage you to look for someone who listens deeply and makes you feel comfortable and understood. It’s important that your therapist has experience with the specific challenges you’re facing, whether that’s anxiety, trauma, postpartum struggles, or other concerns. Our team includes perinatal mental health specialists trained to support women through pregnancy, postpartum, and beyond. Trust your instincts—if you feel safe and supported, that’s a strong sign you’ve found a good match. Don’t hesitate to reach out for a consultation to see if a therapist feels like the right fit for you. Your healing journey deserves someone who truly sees and supports you.

At Well Roots Counseling in Raleigh, we are proud to offer LGBTQ+ affirming therapy. Our therapists create a welcoming, respectful space where you can be your true self without judgment. We understand the unique challenges that LGBTQ+ individuals may face and are committed to supporting your mental health with compassion and understanding. Whether you’re exploring your identity, dealing with stress related to discrimination, or seeking support for any life challenges, we’re here to walk alongside you with acceptance and care.