Almost nobody books their first appointment with us because they want therapy. They book because they have not slept properly in months. Then, somewhere in the first few sessions, the thing behind the sleep comes into view: a worry that never switches off, a mood that has been flat since spring, a loss that is still sitting on the chest, a memory the nights keep returning to. Sleep is the door most people come through. This page is about what is on the other side of it — and about the counseling half of our name.
Book An AppointmentEach of these has its own page describing what treatment looks like here. Every one of them is delivered by clinicians who are also trained in Cognitive Behavioral Therapy for Insomnia, so if sleep is part of your picture it is treated in the same plan rather than referred elsewhere. The numbers are how many of our North Carolina clinicians currently taking new patients list that problem as a focus.
The center of the practice: CBT-I, the treatment guidelines recommend before sleeping pills, by video across the state.
5 clinicians · how it works →Low mood, early waking, the flatness that empties the days — with a two-minute PHQ-9 screen on the page.
4 clinicians · depression therapy →Nightmares, the startle at 3 a.m., the places you avoid — paced, CBT-based work with the sleep handled alongside.
1 clinician · trauma therapy →The first year after a death, and grief that has stopped moving — with the sleeplessness that comes with it.
1 clinician · grief counseling →Anxiety runs through nearly everything above — 5 of our 5practising clinicians list it — and is treated within whichever course of care fits you. 1 clinician also lists substance use, which we work with when it is tangled up with sleep or mood.
The first appointment is a conversation with a licensed clinician about your nights, your days and what you want to be different. You leave it with a working understanding of what is going on and a plan, not a questionnaire.
Sessions run weekly to begin with, usually 50 minutes, over a secure video link from wherever in North Carolina you are. Therapy for the conditions above is measured in months; your clinician will give you a realistic estimate rather than an open-ended one.
We see most patients via telehealth with North Carolina-licensed clinicians, and a limited number of clinicians also see patients in person. A Murphy address and a Manteo address get the same care, from someone licensed by the same board.
If sleep is part of the problem, CBT-I goes into the same treatment plan. You will not be sent to a separate sleep clinic for the nights and a separate therapist for the rest.
These are the 5 North Carolina clinicians currently taking new patients, based in Raleigh, Greensboro, Charlotte and Edenton. Every one holds a North Carolina clinical license and is trained in CBT-I; what each of them focuses on beyond sleep is listed under their name. Licenses, credentials and full biographies are on the clinician roster.
Kalia Lapomarel is a Licensed Clinical Social Worker (LCSW) and Licensed Clinical Addiction Specialist Associate (LCASA) with expertise in mental health and substance use disorders. She takes an integrative, evidence-based approach, drawing on Cognitive Behavioral Therapy (CBT), person-centered therapy, and motivational interviewing, to help clients challenge unhelpful thought patterns and develop lasting coping strategies. Kalia has specialized training in Cognitive Behavioral Therapy for Insomnia (CBT-I), equipping her to address the sleep-related concerns that often intersect with mental health and addiction recovery. She is committed to providing a compassionate, judgment-free environment where clients feel heard, understood, and supported at every stage of their journey.
Insomnia · Anxiety · Substance abuse · Trauma and PTSD
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.
Insomnia · Anxiety · Depression · Family and relationships · Grief
Randiesa Spires helps clients navigate relationship dynamics, past trauma, anxiety, depression, and other mood complexities, working collaboratively to build coping tools, strengthen relationships, and foster greater self-understanding. In addition to her broader clinical work, Randiesa has completed specialized training in Cognitive Behavioral Therapy for Insomnia (CBT-I), equipping her to support clients whose sleep difficulties may be connected to stress, anxiety, or emotional challenges. Her approach is warm and personalized, focused on helping clients gain clarity, develop practical strategies, and move toward healing at their own pace. Whether you're facing relationship struggles, emotional hurdles, or sleep concerns, Randiesa is ready to listen and guide you on your path to well-being.
Insomnia · Anxiety · Depression
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.
Insomnia · Anxiety · Depression
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.
Insomnia · Anxiety · Depression · Self Esteem
Therapy here is ordinary outpatient behavioral health care, covered by most North Carolina plans the way a specialist visit is. We are currently in network withAetna, Blue Cross Blue Shield, Cigna / Evernorth, Medicare, UnitedHealthcare / Optum, UnitedHealthcare Medicare Advantage and Veterans Affairs Community Care Network.
Your share is set by your plan — a copay or your deductible — and we check it before the first session rather than after. Veterans using community care and Medicare Advantage members need the referral or authorization in place first; tell us when you book. Not on a plan we take, or unsure? Ask and we will find out for you.
Yes. Medicare is one of the plans we bill in North Carolina, alongside Medicare Advantage through UnitedHealthcare and the commercial plans listed on this page. Medicare covers outpatient therapy with a licensed clinical social worker or counselor the same way it covers other outpatient care, with the usual Part B cost-sharing.
Say so, and we will move you. Fit matters more than almost anything else in therapy and nobody here takes it personally. Because our clinicians are licensed across North Carolina and see most people by video, switching does not mean starting over with a different practice or driving somewhere new; it means a different face on the same screen next week.
Therapy. Every clinician on our North Carolina roster holds a state clinical license — LCSW or LCMHC — which means they are qualified to assess and treat diagnosable conditions, bound by clinical ethics and confidentiality rules, and billable to insurance. Coaching is none of those things. We do not offer coaching, and we do not describe what we do as wellness.
You do not have to decide before you book. Most people arrive with a symptom, not a diagnosis, and untangling which problem is driving which is what the first appointment is for. The pages linked above describe what each kind of treatment looks like; if one of them reads like your life, start there, and if none does, start with the sleep and let the evaluation sort out the rest.
Our North Carolina practice is set up for adults. If you are looking for care for someone under eighteen, tell us when you get in touch and we will say plainly whether a clinician on our roster is the right fit, rather than leave you to find out at the first session.