In-person across NC · Online in 9 states
Affirming therapy to help you heal authentically
Compassionate, inclusive mental health and recovery counseling, in person at locations across North Carolina, or online for folks in NC, SC, FL, VT, MD, KY, MI, VA, and WA.
We accept insurance plans from:
and more...
Your journey to mental well-being gets easier from here
Getting started with therapy shouldn't be the hardest part.
Three simple steps, and you're on your way.
1
Explore your matches
Tell us what you need, and we’ll match you with an affirming North Carolina therapist who fits your identity, care preferences, and insurance.
2
Schedule Your Visit
Choose in-person care across North Carolina or virtual care in 9 states.
3
Join Your Session
Begin healing with personalized therapy from someone who sees and supports the whole you.
Whatever you're carrying, there's a place for it here
Feeling overwhelmed by anxiety, trauma, or big life transitions? You don't have to navigate it alone. Explore our full range of inclusive therapy options, in person across North Carolina or online wherever you are.
At Origins, care begins with belonging
We're dedicated to offering inclusive mental health and recovery counseling to folks across North Carolina and beyond: care that honors every identity, story, and starting point.
Everyone belongs
You don’t have to explain yourself or earn your place here. You’re welcomed as you are, from the very first hello.
Identity-affirming care
Your culture, orientation, gender and story are part of who you are, never something to fix.
Collaboration, not prescription
You’re the expert on your own life. We listen first, then shape your care together, at your pace.
Safety at every step
Clear expectations, real choice and a steady pace, so healing can happen without repeating harm.
Care that fits your life
Therapy works best when it’s easy to start and easy to keep going. Choose the setting, the payment option and the clinician that fit what you need right now.
Finding a great therapist doesn’t have to be hard
Meet some of the affirming clinicians on the Origins team, then browse everyone to find the person who fits you best.
Come find us, or meet us online
Cary, NC
110 Iowa Ln, Suite 201
Cary, NC 27511-4493
In-person and online therapy in Cary, near Kildaire Farm Road. Individual and family therapy for children, teens and adults.
Durham – Chapel Hill Rd
2009 Chapel Hill Road
Durham, NC 27707-1109
Individual therapy at our Chapel Hill Road office in Durham’s Lakewood area, with online sessions across North Carolina.
Durham – Southpark
5007 Southpark Dr, Suite 200-B
Durham, NC 27713-7739
Individual, couples and family therapy in person at our Southpark office in south Durham, with online sessions across North Carolina.
Elkin, NC
111 Church Street, Suite A
Elkin, NC 28621-3414
Individual therapy for teens and adults in downtown Elkin, with online sessions across North Carolina. Serving Elkin, Jonesville and the Yadkin Valley.
Greenville, NC
704 Cromwell Drive, Suite A
Greenville, NC 27858-5894
Our main office offers in-person and online individual therapy for children, teens and adults in Greenville, Pitt County and eastern North Carolina.
Helpful reading from our clinicians
Mental Health & TherapyAug 25, 2026
When More Than One Thing Can Be True
Postpartum depression, psychosis and narcissistic abuse can overlap, and isolation makes each harder. A therapist explains why more than one thing can be true.
Mental Health & TherapyMay 6, 2026
When the Crises Never Stop: Living with Constant Hopelessness
Feeling like nothing will ever get better? Learn what hopelessness is, a step-by-step way to get through the moment, and how therapy can help.
Mental Health & TherapyApr 9, 2026
Functioning in Crisis Mode: What Leon from Resident Evil Shows Us About Survival
Being “on” all the time has a cost. Learn what survival mode does to your body and mind, why calm can feel uncomfortable, and how to start feeling safe again.
We're here to make this easy
Starting therapy brings up real questions about fit, cost and what to expect. Here are answers to the ones we hear most. Still not sure? Reach out and we’ll help you find your way.
Getting Started
How do I book my first appointment?
Select “Schedule your first appointment” or “Book a Consult” to open our secure client portal, then choose the clinician and time that work for you. Prefer to talk first? Call 252-220-0420, text us, or email appointments@originscw.com.
How do I choose the right therapist?
Start with the therapist directory. You can filter by specialty, therapy approach, location, insurance, age range and whether a clinician is accepting new clients, and each profile explains how that clinician works. If you’re unsure, contact us and we’ll help you narrow it down.
Do you offer in-person and online sessions?
Yes. Origins has offices across North Carolina and offers secure telehealth sessions. Session formats and the states each clinician can serve vary, so check the clinician’s profile for their locations and virtual options.
What if my therapist isn’t the right fit?
That’s okay, and it’s more common than you might think. A good fit matters more than almost anything else in therapy. Talk with your therapist about what isn’t working, or contact us and we’ll help you find someone else.
Understanding Costs
Which insurance plans do you accept?
Origins has clinicians who accept Aetna, Blue Cross Blue Shield, CHAMPVA, Cigna, the NC State Health Plan and UnitedHealthcare. Not every clinician takes every plan, so filter the therapist directory by your insurance or check the clinician’s profile. We are not able to accept Medicaid and Medicare plans (including Healthy Blue and the United Healthcare Community Plan), certain BCBS plans (like UNC Health Alliance, Blue Local and Blue Home), or TRICARE at this time.
How do I know what therapy will cost with my insurance?
Your cost depends on your plan: your deductible, copay or coinsurance and network rules all matter. Call the member services number on your insurance card and ask about outpatient mental health benefits before your first appointment.
Can I use out-of-network benefits?
Some plans reimburse part of the cost of out-of-network therapy. If you pay directly, ask about a superbill you can submit to your insurer. Reimbursement isn’t guaranteed, so check your benefits first.
Are self-pay or sliding-scale options available?
Yes. Self-pay is available even if you have insurance, and some clinicians offer a limited number of sliding-scale or reduced-fee appointments. Availability varies, so check the clinician’s profile or contact us for current information.
Ready when you are
Reaching out is the hardest part. Book a consult online or give us a call, and we’ll help you find a therapist who fits your needs, your identity and your schedule.