Search by name or concern, or narrow the list by what matters most to you: insurance, location, availability and more. Every clinician here offers affirming, identity-centered care. Not sure where to start? Call 252-220-0420, text us or contact us and we will help you find a good fit.

Availability

🟢 Accepting clients🟠 Limited Availability🟡 Waitlist

Insurance & payment

AetnaBlue Cross Blue Shield (BCBS)CHAMPVACignaNC State Health PlanSelf-pay OptionsUnitedHealthcare

Focus areas

Adoption TraumaAnxiety DisordersAssessment ServicesBIPOC-Affirming CareBorderline Personality Disorder (BPD)Boundary Setting and People-PleasingBurnout & StressCareer & Professional StressDepressionDissociative Disorders & DIDDomestic Violence / Intimate Partner ViolenceEMDREmotional RegulationExecutive FunctioningGenerational PatternsGrief CounselingIdentity ExplorationKink-Affirming CareLatinx/Hispanic Affirming CareLGBTQIA+ Affirming CareLife Transitions SupportMenopause & PerimenopauseNarcissistic Abuse RecoveryNeurodivergent SupportObsessive-Compulsive Disorder (OCD)Parent-Child & Parenting SupportPerfectionism & High AchievementPerinatal & Postpartum Mental HealthPolyamory & Consensual Non-MonogamyRecovery & Addiction SupportRelationship IssuesSelf-EsteemSexual & Physical AssaultShameTrauma-Informed Care

Therapy approach

ACT (Acceptance and Commitment Therapy)Attachment-Based TherapyBrainspottingCBT (Cognitive Behavioral Therapy)DBT (Dialectical Behavior Therapy)EFT (Emotionally Focused Therapy)Ego State TherapyEMDR (Eye Movement Desensitization and Reprocessing)ERP (Exposure and Response Prevention)Gottman MethodI-CBT (Inference-Based Cognitive Behavioral Therapy)IFS (Internal Family Systems)MI (Motivational Interviewing)Mindfulness/Mindfulness TherapyNarrative TherapyParts WorkPerson-Centered TherapySomatic TherapyStrengths-Based TherapyTF-CBT (Trauma-Focused Cognitive Behavioral Therapy)

Session format

Couples TherapyFamily TherapyIndividual Therapy

In-person location

Cary NCDurham NC – Chapel Hill RdDurham NC – SouthparkElkin NCGreenville, NC

Online in

FloridaKentuckyMarylandMichiganNorth CarolinaSouth CarolinaVermontVirginiaWashington

Age range

Adolescents/TeensAdultsChildrenCollege Students

Language

EnglishSpanish (Español)

🟠 Limited Availability

Lacey Cottingham

MSW, LCSW · she/her

Neurodivergent-affirming therapy for complex trauma, dissociation, and the things you've been told you should just try harder to overcome.

Specializes in: Anxiety Disorders, Assessment Services, Depression, Dissociative Disorders & DID, LGBTQIA+ Affirming Care, Neurodivergent Support, Trauma-Informed Care

Approaches: Brainspotting, Ego State Therapy, IFS (Internal Family Systems), Somatic Therapy

Durham NC – Southpark

Florida · North Carolina · South Carolina · Vermont

Ages: Adults · Insurance: Aetna, BCBS, CHAMPVA +3 · Fee: $200 per session, limited sliding scale

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Affirming, inclusive counseling and recovery support, in person across North Carolina and online.

252-220-0420
Text us
appointments@originscw.com

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Specialties

Anxiety Disorders
Depression
Trauma-Informed Care
LGBTQIA+ Affirming Care
Grief Counseling
Assessment Services
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Locations

All locations
Cary, NC
Durham – Chapel Hill Rd
Durham – Southpark
Elkin, NC
Greenville, NC

Cost & insurance

Insurance we accept
Out-of-network billing
Self-pay options

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Emergency & crisis info If you or someone you know is experiencing an emergency or crisis and needs immediate help, call 911 or go to the nearest emergency room. You can also call or text 988 to reach the Suicide & Crisis Lifeline.