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serving raleigh, NC

virtual therapy for Raleigh, NC

Half of Raleigh moved here from somewhere else. You take the job, you make the move, and you leave your whole support system a few states back. The life you build here can be genuinely good and still feel lonely in a way that's hard to say out loud. Virtual therapy for Raleigh, NC gives you one person in your corner who isn't a coworker, a two-month-old friendship, or a group text three time zones away.

I'm Lindsey Smith, a therapist licensed in North Carolina, based in Asheville and working by video across the state: Raleigh, Cary, Durham, Apex, Wake Forest, the whole Triangle. I'm taking new clients now.

what I specialize in

A lot of my Raleigh clients think for a living. Research, engineering, grad school, medicine. Their brains don't have an off switch to find. Some just got an ADHD diagnosis in their thirties and finally have a name for it. Some have been anxious so long they filed it under ambitious. My work is trauma-informed and nervous system-based, which means we don't stop at understanding the problem; we work on the wiring underneath it. I see people for anxiety, OCD, trauma, and burnout.

anxiety & OCD

A mind that keeps re-solving things it already solved. Intrusive thoughts, worry that spirals, and ERP for OCD when that's what's going on.

ADHD & neurodivergence

Affirming care for adults with ADHD or autism, including the ones who kept up by working twice as hard and paid for it with burnout no one saw.

trauma & EMDR

The older history that still sets the terms for how you work, rest, and let people in. EMDR is one of the most studied trauma treatments there is.

transitions & burnout

New city, new job, a life that reorganized faster than you did. Starting over from zero somewhere you don't have roots is its own specific kind of tired.

how virtual therapy works

Sessions are HIPAA-compliant video. A private room and a stable connection is the whole ask. No Beltline at rush hour, no ducking out of work early, no waiting room. If you've got a packed calendar or an ADHD relationship with logistics, dropping the commute is often what turns therapy from a nice idea into something you actually keep doing.

Sessions are 50 minutes, with 80-minute extended sessions for EMDR and deeper trauma work. Through a partner practice I accept Blue Cross Blue Shield NC, Aetna, MedCost, and the NC State Health Plan. Self-pay starts at $150.

who I work with

Teens 16 and up, young adults, and adults. LGBTQ+ affirming. Many of my clients are transplants, or the first in their family to do the kind of work they do, or people so deep in technical and academic worlds that no one's asked how they're actually doing in years.

you can stop searching "therapist near me" now

The first step is a free 15-minute call. No commitment, no script, just enough time to figure out whether I'm the right person for this.

common questions about virtual therapy for Raleigh, NC

How does virtual therapy work if I'm in the Triangle?

It's HIPAA-compliant video, so all you need is a private space and a connection that holds. You skip the Beltline and the leaving-work-early part entirely. If a full calendar or ADHD is why therapy keeps sliding down your list, that alone tends to settle it.

Do you take insurance?

Through a partner practice I take Blue Cross Blue Shield NC, Aetna, MedCost, and the NC State Health Plan, and telehealth is covered the same as in-person. Self-pay is $150 for 50 minutes. HSA and FSA cards work.

I just moved to Raleigh and don't really have people here yet, can therapy help with that?

Yes. A move looks like a logistics project and is really closer to grief. You left a version of your life behind, even if leaving was the right call. Building from scratch is hard, and it helps to have one steady person who had the full context from day one.

ready to get started? the consult call is free.

let's talk →

Lindsey Smith, LCSWA is a therapist based in Asheville, NC, providing virtual therapy to clients throughout North Carolina, including Raleigh, Cary, Durham, and the greater Triangle area. She specializes in anxiety, OCD, trauma, EMDR, and neurodivergent-affirming care.

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