Phone: (984) 343-1311

Fax: (984) 345-4091

Grief Counseling in North Carolina

Losing someone can affect your emotions, routines, relationships and sleep. You may want support soon after a death or much later, when others assume you are feeling better.

Our North Carolina clinicians offer grief counseling and can also help with persistent sleep difficulties. Sessions give you space to talk about the loss and the changes it has brought.

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When grief support may help

People experience grief differently. Some find enough support through family, friends or their community; others benefit from counseling. You do not need to meet a particular timeline or level of distress to ask for help.

Grief can change over time

  • Strong feelings may come and go, with periods when daily activities feel manageable
  • Memories may bring sadness, comfort or several feelings at once
  • Anniversaries and reminders may bring renewed distress

Concerns to discuss with a counselor

  • Intense, persistent longing for the person who died
  • Ongoing difficulty accepting the death
  • Feeling that you have lost part of your identity
  • Avoiding reminders or finding it difficult to focus on anything else
  • Feeling that life has lost meaning or struggling to resume daily activities

When symptoms remain intense and impair daily life at least a year after a death, a clinician may assess for prolonged grief disorder. They also consider your circumstances and cultural or religious expectations. Help is available before that point, too.

What grief counseling involves

Counseling does not require you to grieve in a set order or move on by a deadline. You and your counselor decide what you need from the sessions.

You can discuss sadness, anger, relief, guilt or unfinished conversations, including feelings that may be hard to share with people close to you.

Your counselor may use CBT, mindfulness or solution-focused approaches to help with painful beliefs, changing responsibilities and daily routines. The aim is to support you in living with the loss while continuing with parts of life that matter to you.

Most appointments take place by video with North Carolina-licensed clinicians. Limited in-person appointments are available; confirm availability when booking.

Grief and sleep difficulties

Sleep may become disrupted after a death. Thoughts about the loss can feel more noticeable at night, and changes in routine may also affect sleep.

For some people, difficulty sleeping persists even as other aspects of grief change. Spending long periods awake in bed or worrying about sleep can contribute to ongoing insomnia.

When insomnia needs treatment, CBT-I can be part of the same counseling plan. It addresses sleep habits and worry about sleep while your clinician continues to support you with grief.

Learn about other concerns we treat on our therapy and counseling page.

Your Counselor

MaryBeth is a licensed clinical mental health counselor based in Greensboro who treats grief. She is also trained in CBT-I and can address insomnia alongside grief-related concerns.

MaryBeth Borreca

MaryBeth Borreca, LCMHC, CBT-I

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.

All 5 North Carolina clinicians taking new patients treat insomnia. See the full roster if sleep is your main concern.

Insurance

We are in network with Aetna, Blue Cross Blue Shield, Cigna / Evernorth, Medicare, UnitedHealthcare / Optum, UnitedHealthcare Medicare Advantage and Veterans Affairs Community Care Network. Coverage for grief counseling depends on your benefits and clinical needs. Let us check your plan before the first visit.

Things People Ask

It has only been a few months. Is it too soon to see someone?

No. You can seek support at any time after a loss. Grief is not automatically an illness, and counseling can provide space to discuss your feelings, cope with changes and ask for help with daily life.

How do I know whether my grief has turned into something more?

There is no single timetable for grief. If longing, disbelief, avoidance or a sense of meaninglessness remain intense and make daily life difficult, consider an evaluation. In adults, prolonged grief disorder may be considered at least a year after a death, but timing alone does not establish a diagnosis.

I have not slept properly since the funeral. Is that grief or insomnia?

Grief can disrupt sleep, and insomnia may develop or continue alongside it. A clinician can assess your sleep pattern and how it affects you. If insomnia needs treatment, CBT-I can be included in grief counseling.

Do you take insurance for grief counseling?

We bill eligible counseling services as outpatient behavioral health care. Coverage depends on your plan and the clinical diagnosis; grief alone does not automatically qualify for insurance coverage. We can check your benefits before you begin.

Get support after a loss.

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