New Reflections Counseling
North Carolina Therapists: In-Person in Cary & Telehealth Statewide
Looking for a counselor or therapist in North Carolina? Our North Carolina-licensed clinicians support individuals, couples, and families by secure telehealth statewide, with in-person appointments in Cary (currently full; new clients start by secure video).
Quick Questions About Online Therapy in North Carolina
Is there an online therapist in North Carolina who takes Aetna?
Yes. New Reflections Counseling sees clients by secure video anywhere in North Carolina and is in network with Aetna, Cigna, UnitedHealthcare (including UMR plans), Blue Cross Blue Shield of North Carolina and Tricare East, and for military families, Taylor Friend, MS, LCSWA, is a military spouse herself. In-person times at our Cary office are fully booked right now, so new clients start by video. Plan participation varies by clinician; we’ll match you with someone in network. Call (984) 201-0494 or use our contact form, and we will check your benefits free, usually within a couple of hours.
Is there an online couples therapist in North Carolina?
Yes. At New Reflections Counseling, Taylor Friend, MS, LCSWA, and Tamara Wright, LCSW, see couples by secure video anywhere in North Carolina. Taylor is trained in the Gottman Method (Level 1) and also offers premarital and discernment counseling, and emotionally focused therapy (EFT) is available by video too. Evening appointments are offered when available.
Is there an online therapist in North Carolina for teens and families?
Yes. At New Reflections Counseling, Taylor Friend, MS, LCSWA, sees children and teens age 10 and up by secure video, and both Taylor and Tamara Wright, LCSW, offer whole-family sessions. Your teen needs to be physically in North Carolina for each session.
Can I get medication management in North Carolina?
Yes. Gina Ashman, MSN, MHA, PMHNP-BC, a board-certified psychiatric-mental health nurse practitioner, offers psychiatric evaluation and medication management by secure video anywhere in North Carolina, for children, teens and adults. ADHD medication is non-stimulant only. Medication visits are in network or in process with Aetna, Cigna, Blue Cross Blue Shield of North Carolina and Tricare East, and we verify your plan before your first visit. Some medications carry additional requirements for remote prescribing, and the rules have changed several times in recent years.
Helping Individuals, Families, and Relationships in North Carolina
New Reflections Counseling P.A. provides supportive couples therapy and marriage counseling for partners, families, and individuals throughout North Carolina and surrounding communities, including Cary, Durham, and Apex, through in-person and secure telehealth care. Cary’s in-person times are currently full, so new clients there start by video. Our therapists work with clients experiencing relationship strain, communication breakdowns, and emotional challenges while creating a welcoming environment centered on connection, understanding, and growth. Whether you are navigating conflict, rebuilding trust, or working through a major life transition, we are committed to helping you build healthier, stronger relationships.
Our services include Couples & Relationship Therapy, Marriage Counseling, Individual Therapy, family counseling, premarital counseling, trauma-informed therapy, PTSD-related care, anxiety and depression support, grief and loss support, LGBTQIA+ affirming counseling, and psychiatric evaluation and medication management by secure video.
Relationship Support Tailored to Your Unique Partnership
No two relationships experience challenges in the same way, which is why our therapists take a personalized and collaborative approach to care. We help couples strengthen communication, rebuild trust, manage conflict, and better understand the patterns that may be straining the relationship. Our goal is to provide practical guidance and evidence-based support that encourages lasting connection and emotional growth.
We commonly help couples and clients with:
Convenient In-Person & Telehealth Therapy in North Carolina
We offer in-person sessions at our Cary office (currently full, so new clients start by video) and secure telehealth counseling for clients throughout North Carolina, allowing couples, families, and individuals to access therapy in a flexible and confidential setting. Virtual counseling provides consistent support while making it easier to prioritize your relationship within busy schedules and everyday life.
In addition to North Carolina, telehealth counseling services are also available for clients located in FL, NY, NJ, CT, SC, RI, CO, PA, TN, and IL.
Looking for the office rather than the state? Our Cary page covers 150 Preston Executive Drive and what we treat across the Triangle.
Clients from Apex, Morrisville, Holly Springs and Fuquay-Varina meet with us by secure video; in-person times at the Cary office are currently full — see therapists in Cary for the address.
Helping Couples and Families Build Healthier Relationships
Relationship dynamics, communication struggles, and emotional stress can affect every area of life. Our therapists provide supportive counseling designed to help couples and families strengthen communication, improve emotional understanding, and navigate challenges together in healthier ways. We focus on creating supportive environments that encourage stronger relationships, emotional resilience, and long-term stability.
Therapy in North Carolina
New Reflections Counseling, P.A. serves residents across North Carolina through secure telehealth therapy, connecting you with licensed clinicians from the comfort of your own home. Cary sits at the heart of the Research Triangle—a region known for its demanding professional culture, growing families, and the kind of high-achieving lifestyle that can quietly put strain on mental health and relationships. Our therapists understand that context and start from your situation, whether you are navigating relationship conflict, managing anxiety, processing past trauma, or simply looking for a space to work through life’s challenges.
We serve clients across North Carolina, including nearby communities including Apex, Morrisville, Holly Springs, Fuquay-Varina, Wake Forest and throughout Wake County, as well as Raleigh and Chapel Hill a short drive away. Further afield we work with clients in Durham and Charlotte—all via HIPAA-compliant video sessions that fit around a full workday or family schedule.
Common Reasons North Carolina Residents Seek Therapy
Many of our North Carolina clients come to us after trying to manage on their own for longer than they needed to. The reasons people reach out vary, but some of the most common include:
- Couples therapy and marriage counseling for communication breakdowns or recurring conflict
- Anxiety, burnout, and stress related to high-pressure careers in the Triangle tech and healthcare sectors
- Healing after infidelity or a breach of trust
- Navigating major life transitions—relocation, career changes, a new baby, or empty-nest adjustments
- Individual therapy for depression, grief, low self-esteem, or ADHD
- Family counseling and parenting support
If any of these resonate, you are not alone—and a licensed therapist at New Reflections Counseling is ready to help.
Marriage & Couples Counseling
Our North Carolina office is at 150 Preston Executive Drive, Suite 201, Cary, and most couples we work with in the state are seen by secure telehealth, and in-person times in Cary are currently full, so new couples start by video. There is a fuller account of how marriage counseling is structured, what the first session involves and how insurance treats couples work on our page about marriage counseling in Cary, NC.
Online Couples Therapy in North Carolina
New Reflections Counseling, P.A. offers online couples therapy by secure video anywhere in North Carolina, from the Triangle to Charlotte, Wilmington and the mountains. Two North Carolina clinicians see couples: Taylor Friend, MS, LCSWA, with Level 1 Gottman Method training, who also offers premarital and discernment counseling; and Tamara Wright, LCSW, who pairs CBT with a strengths-based approach. Emotionally focused therapy (EFT) is available by video too. In-person times at our Cary office are full right now, so new couples start by video, and evening appointments are offered when available. North Carolina plans we’re in network with: Aetna, Cigna, UnitedHealthcare (including UMR plans), Blue Cross Blue Shield of North Carolina and Tricare East. Plan participation varies by clinician; we’ll match you with someone in network. If either of you is afraid of the other, joint sessions are not the safe first step. Call 911 in an emergency, or the National Domestic Violence Hotline at 1-800-799-7233.
Does insurance cover couples therapy in North Carolina?
Sometimes. Coverage hangs on whether one partner is being treated for a diagnosed condition. Plans generally pay for treatment rather than for relationship help on its own. When couples sessions are part of one partner’s care, a plan may pay, and we bill that way where it applies. For military families on Tricare East, marriage counseling is covered only when it’s needed to treat a diagnosed mental disorder. Send your card through our free benefits check and we’ll raise couples sessions with the plan by name; if the answer is no, HSA and FSA cards and out-of-network superbills are still options.
Can we do couples therapy if we live in different cities, or one of us works in South Carolina?
Inside North Carolina, yes: you can join from two places, for example one of you at home in Raleigh and the other on a work trip to Asheville. Across the state line, licensing sets the rule: during the session, both partners must be somewhere your therapist holds a license. Tamara Wright, LCSW, is licensed in both North Carolina and South Carolina, so a couple with one partner working in Rock Hill or Fort Mill may be able to see her. Ask us when you get in touch.
Frequently Asked Questions: Therapy in North Carolina
Is therapy in North Carolina available via telehealth?
Yes. New Reflections Counseling serves clients across North Carolina by secure telehealth, with in-person sessions at our Cary office (currently full; new clients start by video). Sessions are conducted via HIPAA-compliant video, so you can meet with a licensed North Carolina therapist from any private space—your home, your car during a lunch break, or your office after hours.
Do you offer marriage counseling in North Carolina?
Yes. Our North Carolina-licensed clinicians include therapists trained in the Gottman Method, a well-researched approach to couples work. You do not need to be in crisis to benefit; many couples come to us simply to strengthen communication before small issues become larger ones.
Do you accept insurance?
We are in network with Aetna, Cigna, UnitedHealthcare, Blue Cross Blue Shield and Tricare. Medication visits with Gina Ashman are in network or in process with Aetna, Cigna, Blue Cross Blue Shield of North Carolina and Tricare East, and we verify your plan before your first visit. We do not accept Medicare or Medicaid. Self-pay is $125 per individual session and $175 for couples or family sessions, each 45–50 minutes, and $200–$250 for an extended 90-minute individual, couples or EMDR session. You can check your insurance before your first session.
How do I get started with therapy in North Carolina?
Call us at (984) 201-0494 or use our online contact form to request an appointment. We will match you with one of our North Carolina-licensed therapists and schedule your first session at a time that works for you.
More on specific work in North Carolina: DBT-informed therapy in Cary, trauma therapy in Cary and online teen therapy in North Carolina, BPD therapy in North Carolina and grief counseling across North Carolina.
Where We Work
We see clients in person in Wellington, Florida, and Cary, North Carolina, and by secure video across twelve states: Colorado, Connecticut, Florida, Georgia, Illinois, New Jersey, New York, North Carolina, Pennsylvania, Rhode Island, South Carolina, and Tennessee.
You can read about the clinicians you would be working with on our therapists page, or call the Cary office at (984) 201-0494.
More on Therapy in North Carolina
Further reading on how we work with clients across North Carolina:
- Therapy services in North Carolina — an overview of care across the state.
- Therapy in Charlotte, NC — local and telehealth counseling options.
- Stress and burnout therapy in Cary, NC — telehealth support for chronic overwhelm.
- Marriage counseling in Cary, NC — couples work with trusted counselors.
- Marriage counseling in Durham, NC — repairing communication and trust.
Looking for couples work in the Triangle? We have dedicated pages on marriage counseling in Raleigh and marriage counseling in Cary, covering the Gottman Method, work after an affair, discernment counseling, and what sessions cost.
What We Help North Carolina Clients With
Jump to the service that fits, contact us, or call (984) 201-0494 if you’re not sure.
Lisa Abrotsky, LMFT, Qualified Supervisor (FL, NY, CT, SC), Diagnostic Privilege (NY), EMDR trained, Gottman Method Couples Therapy Level 1 and 2 trained
(FL, NY, NC, SC, CT, NJ, CO, PA, TN, IL)
Founder & Licensed Marriage and Family Therapist
As a couple’s therapist Lisa Abrotsky integrates and explores past issues from different angles, helping couples gain insight into adjustments they may need to make in the relationship.
“I strongly believe all individuals have the power to change and through a collaborative approach all goals can be achieved.”
Taylor Friend, MS, LCSWA
(NC)
Licensed Clinical Social Worker Associate
Taylor is dedicated to helping children, adolescents, and adults navigate life’s challenges with greater resilience, self-understanding, and healing. Taylor works with clients facing trauma, chronic pain, life transitions, and everyday stressors, providing a compassionate and nonjudgmental environment for growth. Taylor’s goal is to help clients build self-awareness, strengthen their inner resources, and create a more balanced and fulfilling life. Taylor is trained in Gottman Method Level 1 and Strengthening Resilience for Youth.
Tamara Wright, LCSW
(NC, SC)
Licensed Clinical Social Worker
Tamara has over eight years of experience treating anxiety, depression, stress, relationship difficulties and self-esteem concerns. She combines Cognitive Behavioral Therapy (CBT) with a strengths-based approach, helping clients recognize unhelpful patterns, connect thoughts, emotions and behaviors, and develop practical coping skills.
Gina Ashman, MSN, MHA, PMHNP-BC
(NC)
Board-Certified Psychiatric Mental Health Nurse Practitioner
Gina brings more than 30 years of nursing experience to psychiatric evaluation and medication management for children, teens and adults across North Carolina, by secure video. She treats depression, anxiety, ADHD (non-stimulant medication only) and mood disorders, with a compassionate, collaborative approach that starts with listening. Read Gina’s bio.
Getting Started
Welcome to NRC
At New Reflections Counseling (NRC), we understand that starting therapy can feel like a big step. The first session is a conversation about what brought you here now, what you have already tried, and what would make this worth continuing.
Therapy at NRC starts from your situation, not a script. Whether you are seeking support during a difficult time, looking to improve relationships, or working toward personal development, our clinicians are here to guide and support you throughout the process.
Ready to Talk to Someone?
Take the first step toward healing and growth. Contact us today to schedule your appointment.