Depression can affect your mood, motivation, energy and sleep. Our North Carolina clinicians provide therapy to help you manage symptoms and return to activities that matter to you.
When insomnia is also present, it can be addressed in the same treatment plan. Poor sleep and low mood often affect each other, so your clinician asks about both.
Book An AppointmentDepression may involve sadness, a loss of interest or a persistent sense of emptiness. It can also affect concentration, appetite, energy and sleep. Symptoms may include:
If several symptoms persist most days for two weeks or longer, consider speaking with a clinician. The screening below can help you describe how you have been feeling.
The PHQ-9 is a nine-question depression screening published by Kroenke, Spitzer and Williams in 2001. Your answers are scored in your browser and are not sent anywhere.
A high score suggests symptoms worth discussing with a clinician; a low score does not rule out depression. This questionnaire is a screening aid, not a diagnosis.
Over the last two weeks, how often have you been bothered by any of the following problems?
You answered that you have had thoughts of being better off dead or of hurting yourself. Whatever the rest of your score says, that answer matters on its own, and it is worth talking to someone today. Call or text 988 to reach the 988 Suicide & Crisis Lifeline, free, 24 hours a day, or chat at 988lifeline.org. If you are in immediate danger, call 911.
A clinician can help interpret your score alongside your symptoms and history. The questionnaire alone cannot diagnose depression.
Talk your score over with a North Carolina clinicianIf you are having thoughts of harming yourself, do not wait on a questionnaire: call or text 988 (the 988 Suicide & Crisis Lifeline) any time, or call 911 if you are in immediate danger.
Our clinicians use cognitive behavioral therapy to address thoughts and behaviors that contribute to depression. Depending on the clinician and your needs, treatment may also include mindfulness, solution-focused techniques or motivational interviewing.
Sessions help you recognize unhelpful thought patterns, rebuild daily routines and gradually return to meaningful activities. You practice skills between appointments and review progress together.
If you also have insomnia, your clinician can add CBT-I to the plan. They assess your sleep pattern and work on habits and thoughts that keep sleep difficulties going.
Our treatment process page explains CBT-I. The therapy and counseling page describes other services available here.
Our clinicians provide therapy and do not prescribe medication. You can attend therapy whether or not you take an antidepressant. If medication may be useful, your clinician can coordinate with your primary care doctor or psychiatrist. Medication decisions remain with your prescriber.
Most appointments are by video with North Carolina-licensed clinicians. Limited in-person care is available; confirm availability when booking. Sessions usually begin weekly and last 50 to 60 minutes.
Below are three of the North Carolina clinicians whose work centers on mood as well as sleep. Everyone, with licenses and credentials, is on the full roster.
MaryBeth Borreca is a Licensed Mental Health Counselor (LMHC) in Florida with more than five years of counseling experience and a Master of Science in Clinical Mental Health Counseling from the University of North Florida. She has completed specialized training in Cognitive Behavioral Therapy for Insomnia (CBT-I). MaryBeth is known for remaining fully present with each client, forming a unique therapeutic relationship and creating a space that feels both comfortable and appropriately challenging. She tailors sessions to individual needs while drawing on evidence-based treatment approaches. New clients can expect their first session to focus on getting acquainted, collaboratively setting treatment goals, and determining together whether the therapeutic fit feels right.
Jasmine Chesson is an active, engaged therapist who believes in being fully present in the work alongside her clients. Her style is steady, honest, and compassionate. She listens not only to what is said, but to the feelings, patterns, and pauses around it. Jasmine brings structure when it's helpful and spaciousness when clients need room to breathe, moving at a pace that honors each person's nervous system and real-life circumstances. She has completed specialized training in Cognitive Behavioral Therapy for Insomnia (CBT-I). Clients often describe feeling seen, grounded, and less alone in their work with her. Jasmine's goal is not to judge, but to help clients understand themselves more clearly and support them as they grow.
Polly brings a warm, collaborative, and down-to-earth approach to therapy, creating a space where clients feel safe, heard, respected, and empowered to make meaningful changes. She believes in showing up without fear of judgment, and many clients appreciate her conversational style that balances honest exploration of difficult topics with moments of humor, self-discovery, and strength recognition. Polly is committed to providing affirming care for individuals who identify as BIPOC, LGBTQIA+, bicultural or biracial, neurodivergent, ability-diverse, and those from underrepresented communities. She has also completed specialized training in Cognitive Behavioral Therapy for Insomnia (CBT-I), an evidence-based approach for addressing sleep concerns.
We bill depression therapy as outpatient behavioral health care and currently work with Aetna, Blue Cross Blue Shield, Cigna / Evernorth, Medicare, UnitedHealthcare / Optum, UnitedHealthcare Medicare Advantage and Veterans Affairs Community Care Network. Coverage depends on your plan. Mention VA community care or Medicare Advantage when booking so we can check any referral or authorization requirements.
Not on one of those plans, or not sure what yours covers? Get in touch and we will check your benefits for you before you commit to anything.
Yes. Depression and insomnia can reinforce each other, so addressing both may be helpful. Your clinician can combine CBT for depression with CBT-I for sleep difficulties and decide with you where to begin.
Controlled trials have found comparable results for CBT delivered by telehealth and in person. Video sessions allow you to attend from a private place anywhere in North Carolina, with a clinician licensed in the state.
A typical course of structured depression therapy takes twelve to twenty weekly sessions, though needs vary. If CBT-I is included, the sleep component usually takes six to eight sessions. Your clinician discusses the likely timeline and adjusts it based on progress.
A score of 20 or higher indicates significant symptoms and is a reason to arrange a clinical evaluation this week. The score alone does not diagnose depression. If you answered anything other than "not at all" on the final question, or you are thinking about hurting yourself, call or text 988 now. Otherwise, contact a clinician and bring the result to your appointment.