Therapists in Waxhaw, NC
![Photo of Amanda G. Fink Qualified Supervisor And Counselor, MA, LMHC, LCMHC, CMC, QS, Counselor](https://photos.psychologytoday.com/dcc35995-a684-459f-bbf9-809559440d9b/1/320x400.jpeg)
Amanda G. Fink Qualified Supervisor And Counselor
Counselor, MA, LMHC, LCMHC, CMC, QS
Verified Verified
3 Endorsed
Waxhaw, NC 28173 (Online Only)
Availability for Clients and Supervisees! Do you feel like you're falling short of your own goals? Are you struggling in relationships? A Better You Counseling and Coaching Center is offering Tele-Therapy sessions for clients and Supervisees! (Inquire about Walk and Talk Therapy.) Do you relate to the following: relationship issues, life goal questions, situational & life adjustments, anxiety, grief, or depression? Veteran or Military family member? Your time and resources are valuable. Get in touch with us!
Availability for Clients and Supervisees! Do you feel like you're falling short of your own goals? Are you struggling in relationships? A Better You Counseling and Coaching Center is offering Tele-Therapy sessions for clients and Supervisees! (Inquire about Walk and Talk Therapy.) Do you relate to the following: relationship issues, life goal questions, situational & life adjustments, anxiety, grief, or depression? Veteran or Military family member? Your time and resources are valuable. Get in touch with us!
![Photo of Whitney Jennings, MS, LCMHC](https://photos.psychologytoday.com/84ae18ed-f038-46da-94ef-d6b2b97a87b6/1/320x400.jpeg)
I offer Intensive Psychotherapy services (or Intensives) for those who desire a deeper therapeutic experience. Intensives are structured in four-hour blocks and can range from 4 hours to 2 days, based on the needs and requests of the client.
I offer Intensive Psychotherapy services (or Intensives) for those who desire a deeper therapeutic experience. Intensives are structured in four-hour blocks and can range from 4 hours to 2 days, based on the needs and requests of the client.
![Photo of Brenda Louise Puckett, LCMHC, Counselor](https://photos.psychologytoday.com/c9571643-6495-440b-b574-ebc8be8ebc23/1/320x400.jpeg)
I am a Generalist, working with children adolescents, individuals, couples and families. I use a CBT approach, with Christ-centered focus with scripture and prayer. Trauma healing and transformation are essential in my practice.
I am a Generalist, working with children adolescents, individuals, couples and families. I use a CBT approach, with Christ-centered focus with scripture and prayer. Trauma healing and transformation are essential in my practice.
![Photo of Seima Samuels, MSW, LCSWA, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5373b6cc-1425-4e0d-8cbc-2ee99af97fda/2/320x400.jpeg)
Seima Samuels
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Waxhaw, NC 28173
Waitlist for new clients
My mission is to offer you a secure and nurturing environment to gracefully navigate life's transitions. Throughout your therapeutic journey, we'll collaborate to pinpoint the most effective tools and strategies tailored to your unique needs. This collaborative process empowers you to reach your goals and embrace a brighter future.
My mission is to offer you a secure and nurturing environment to gracefully navigate life's transitions. Throughout your therapeutic journey, we'll collaborate to pinpoint the most effective tools and strategies tailored to your unique needs. This collaborative process empowers you to reach your goals and embrace a brighter future.
![Photo of Julie C Sandoval - Julie C. Sandoval, LCSW, Teletherapy for NC & SC, MSW, LCSW, LISW CP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/f48f64ed-06c2-4160-97d6-ce03072878e2/1/320x400.jpeg)
Julie C. Sandoval, LCSW, Teletherapy for NC & SC
Clinical Social Work/Therapist, MSW, LCSW, LISW CP
Verified Verified
1 Endorsed
Waxhaw, NC 28173 (Online Only)
Not accepting new clients
I am a Bilingual Spanish/English and Bicultural therapist experienced in working with a variety of individuals and couples struggling with issues related to depression, anxiety, and life transitions/adjustments. I have a particular area of interest and additional training in couples treatment, relational/family problems, and solution focused strategies.
I am a Bilingual Spanish/English and Bicultural therapist experienced in working with a variety of individuals and couples struggling with issues related to depression, anxiety, and life transitions/adjustments. I have a particular area of interest and additional training in couples treatment, relational/family problems, and solution focused strategies.
![Photo of Allison Whaley McLaurin, MEd, NCC, LCMHC](https://photos.psychologytoday.com/e63d6c38-8389-4ccc-a830-c1bd2ee6c8ed/3/320x400.jpeg)
Allison Whaley McLaurin
Licensed Clinical Mental Health Counselor, MEd, NCC, LCMHC
Verified Verified
4 Endorsed
Waxhaw, NC 28173
I am a believer in the human experience and normalizing the suffering that is a part of that experience. I do not take a pathological approach to individuals' mental health. I believe you will suffer within your lifetime and that we can work together to build your capacity for resilience. That being said I understand that some individuals have a chemical imbalance, or may experience psychosis if that is the case we can work together to take the proper steps for your health. Presently I work with children from ages six and up as well as adults.
I am a believer in the human experience and normalizing the suffering that is a part of that experience. I do not take a pathological approach to individuals' mental health. I believe you will suffer within your lifetime and that we can work together to build your capacity for resilience. That being said I understand that some individuals have a chemical imbalance, or may experience psychosis if that is the case we can work together to take the proper steps for your health. Presently I work with children from ages six and up as well as adults.
![Photo of Jennifer Fisher, LCSW, RPT-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/544414a5-0767-4cff-be76-e0b1663e231c/2/320x400.jpeg)
Jennifer Fisher
Clinical Social Work/Therapist, LCSW, RPT-S
Verified Verified
Waxhaw, NC 28173 (Online Only)
I have been working in the mental health field for over 30 years, the last 20 being in private practice. Sometimes it helps to have a place to put your stress and feelings so you can release them and take a break from them. I offer a safe space to explore and process your feelings. I teach coping strategies, or reinforce the ones you already use.
I have been working in the mental health field for over 30 years, the last 20 being in private practice. Sometimes it helps to have a place to put your stress and feelings so you can release them and take a break from them. I offer a safe space to explore and process your feelings. I teach coping strategies, or reinforce the ones you already use.
![Photo of Rachael Luscombe, LCSWA, Clinical Social Work/Therapist](https://photos.psychologytoday.com/8f8fc6bc-eced-4b10-a86c-65cc054e1457/2/320x400.jpeg)
My name is Rachael, and I would be honored to be a part of your life’s journey. I understand that beginning therapy can sometimes feel overwhelming or uncomfortable, but I strive to provide a warm, caring, and down to earth atmosphere. I truly enjoy helping people set goals, solve problems and create positive change in their lives; I look forward to working with you.
My name is Rachael, and I would be honored to be a part of your life’s journey. I understand that beginning therapy can sometimes feel overwhelming or uncomfortable, but I strive to provide a warm, caring, and down to earth atmosphere. I truly enjoy helping people set goals, solve problems and create positive change in their lives; I look forward to working with you.
![Photo of Dr. Angie Beachkofsky, PhD, LP, HSP-P, Psychologist](https://photos.psychologytoday.com/7f9b7075-a708-454c-b845-42dd76747055/1/320x400.jpeg)
My clinical interests have grown from general therapy issues into more niche areas such as couples, anxiety, obsessive compulsive behaviors, career, grief, chronic pain, substance abuse, self-injurious behaviors, personality disorders, trauma, and faith-based issues. I have also expanded into psychological testing ranging from personality, differential diagnosis, pre-surgical screening (e.g., spinal cord stimulator implants, bariatric), and cognitive assessments. My experience also includes training medical residents, supervision of masters/doctoral students, consulting, and teaching at a collegiate level.
My clinical interests have grown from general therapy issues into more niche areas such as couples, anxiety, obsessive compulsive behaviors, career, grief, chronic pain, substance abuse, self-injurious behaviors, personality disorders, trauma, and faith-based issues. I have also expanded into psychological testing ranging from personality, differential diagnosis, pre-surgical screening (e.g., spinal cord stimulator implants, bariatric), and cognitive assessments. My experience also includes training medical residents, supervision of masters/doctoral students, consulting, and teaching at a collegiate level.
![Photo of Dionysios Kakouras, MSW, LCSW, LCAS, Clinical Social Work/Therapist](https://photos.psychologytoday.com/f127e9f8-6e27-4877-8a11-b5f085af9294/2/320x400.jpeg)
Dionysios Kakouras
Clinical Social Work/Therapist, MSW, LCSW, LCAS
Verified Verified
2 Endorsed
Waxhaw, NC 28173
I became interested in psychotherapy in my young adult years, as I searched for meaning in life. With a primary interest in medicine, I knew that my ultimate goal was to help others. It was during my own personal experience with therapy (as a client) that I came to really value relationships with people and the power of the psychotherapy space. I believe that transformative change occurs simply by genuinely existing with another person.
I became interested in psychotherapy in my young adult years, as I searched for meaning in life. With a primary interest in medicine, I knew that my ultimate goal was to help others. It was during my own personal experience with therapy (as a client) that I came to really value relationships with people and the power of the psychotherapy space. I believe that transformative change occurs simply by genuinely existing with another person.
![Photo of Phillip Jordan, LCMHC](https://photos.psychologytoday.com/2cb174cc-b260-442c-9249-85b404de4c4a/2/320x400.jpeg)
Phillip Jordan
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Waxhaw, NC 28173 (Online Only)
Hello, my name is Landon Jordan, I am so happy that you have reached out for help. I am a Licensed Clinical Mental Health Counselor in North Carolina. I have worked for several years to help clients achieve their goals and reach a better quality of life. I have several years of experience as a crisis therapist, as well as experience with dual diagnosis populations, I primarily focus on individuals that have mental health needs as well as life and adjustment issues. I typically work with adults, I am most comfortable treating mental health issues and life adjustment issues.
Hello, my name is Landon Jordan, I am so happy that you have reached out for help. I am a Licensed Clinical Mental Health Counselor in North Carolina. I have worked for several years to help clients achieve their goals and reach a better quality of life. I have several years of experience as a crisis therapist, as well as experience with dual diagnosis populations, I primarily focus on individuals that have mental health needs as well as life and adjustment issues. I typically work with adults, I am most comfortable treating mental health issues and life adjustment issues.
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I offer a calm, accepting space for you to explore your inner world, past experiences, and the impact these have on your present day. Those who consider themselves highly sensitive, often feel misunderstood, or are contemplating existential and/or spiritual concerns are areas I provide insight into. I am also passionate about working with adolescents and children (ages 7+). In today's times, young people face unprecedented challenges and circumstances that require connection, support, and guidance. I provide this along with skills to utilize one's innate capacity for growth and change.
I offer a calm, accepting space for you to explore your inner world, past experiences, and the impact these have on your present day. Those who consider themselves highly sensitive, often feel misunderstood, or are contemplating existential and/or spiritual concerns are areas I provide insight into. I am also passionate about working with adolescents and children (ages 7+). In today's times, young people face unprecedented challenges and circumstances that require connection, support, and guidance. I provide this along with skills to utilize one's innate capacity for growth and change.
![Photo of Ashley Elsaesser, MSEd, LCMHC](https://photos.psychologytoday.com/2123c1c8-df4c-4193-942f-be0ebd6ea123/1/320x400.jpeg)
Ashley Elsaesser
Licensed Clinical Mental Health Counselor, MSEd, LCMHC
Verified Verified
Waxhaw, NC 28173
It takes a lot of courage to reach out for help. I am honored to be apart of each client's journey. I enjoy working with adolescents, and adults. With over 10 years of working in both the education and mental health field, I specialize in all issues as they relate to education. I also have a passion for working for women who are navigating difficult life transitions. My approach is warm, encouraging, with a touch of humor (which I believe to an important part of the therapeutic process). I believe in working with my clients to identify their inner strengths. I am looking forward to learning more about you and helping you grow.
It takes a lot of courage to reach out for help. I am honored to be apart of each client's journey. I enjoy working with adolescents, and adults. With over 10 years of working in both the education and mental health field, I specialize in all issues as they relate to education. I also have a passion for working for women who are navigating difficult life transitions. My approach is warm, encouraging, with a touch of humor (which I believe to an important part of the therapeutic process). I believe in working with my clients to identify their inner strengths. I am looking forward to learning more about you and helping you grow.
![Photo of Mallory Smith, LCMHCA, Counselor](https://photos.psychologytoday.com/4287b54d-e5cd-4775-9903-36c744a760a7/3/320x400.jpeg)
Do you have a desire to start your mental health journey but are unsure where to start? Do you feel that you lack the tools or skills to accomplish your goals and satisfy your needs? My passion is helping people learn to navigate their own life and develop their own sense of identity to increase their self-esteem. My work is based on building honest and genuine connections with my clients to ensure that I am creating a safe, open space for them to share their life and their struggles with someone they can trust.
Do you have a desire to start your mental health journey but are unsure where to start? Do you feel that you lack the tools or skills to accomplish your goals and satisfy your needs? My passion is helping people learn to navigate their own life and develop their own sense of identity to increase their self-esteem. My work is based on building honest and genuine connections with my clients to ensure that I am creating a safe, open space for them to share their life and their struggles with someone they can trust.
![Photo of Cyd McDaniel, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c1285693-d91b-4f48-96f1-6a1e8140b048/2/320x400.jpeg)
Are you ready to take a deep dive into your life and address what's holding you back from living your whole life? Does it seem like something is missing? Do you feel depressed, anxious or just numb? What do you believe about your life and the people in your life? If you are ready to lean in and feel better, consider psychotherapy. These sessions are custom designed based on your goals. If what you're doing isn't working and you're ready to try something different, let's get started. Immediate opening for Monday's & Friday's
Are you ready to take a deep dive into your life and address what's holding you back from living your whole life? Does it seem like something is missing? Do you feel depressed, anxious or just numb? What do you believe about your life and the people in your life? If you are ready to lean in and feel better, consider psychotherapy. These sessions are custom designed based on your goals. If what you're doing isn't working and you're ready to try something different, let's get started. Immediate opening for Monday's & Friday's
![Photo of Caroline Sampsell, Clinical Social Work/Therapist](https://photos.psychologytoday.com/fad06edd-2985-4e36-a2c0-a7554c1fd990/2/320x400.jpeg)
Caroline Sampsell
Clinical Social Work/Therapist
Verified Verified
2 Endorsed
Waxhaw, NC 28173
Not accepting new clients
I am passionate about helping women. Society has high expectations of us as women and we face these pressures daily. Let’s also get real for a minute... We pressure ourselves with being perfect and then torment inside when it's not possible. We drain ourself out and forget that we also need to take care of ourselves and sometimes that means our trauma too. Whether it is low self-esteem with a loud internal critic, not knowing how to identify your needs, or a traumatic experience in your way, I will help you figure out what you need moving forward to enjoy life. YOU are worth it!
I am passionate about helping women. Society has high expectations of us as women and we face these pressures daily. Let’s also get real for a minute... We pressure ourselves with being perfect and then torment inside when it's not possible. We drain ourself out and forget that we also need to take care of ourselves and sometimes that means our trauma too. Whether it is low self-esteem with a loud internal critic, not knowing how to identify your needs, or a traumatic experience in your way, I will help you figure out what you need moving forward to enjoy life. YOU are worth it!
![Photo of Maryanne Kudlek, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9a563f70-792a-4c8b-8724-90082130dd74/1/320x400.jpeg)
Maryanne Kudlek
Clinical Social Work/Therapist, LCSW
Verified Verified
Waxhaw, NC 28173 (Online Only)
Hello there! I am a licensed Clinical Social Worker (LCSW) with ten years of experience. I completed my Master's from Stony Brook University in Long Island, New York. Recently, I relocated to North Carolina, and I am honored to help adults of all ages who are facing various challenges with anxiety, depression, addiction, and individuals and couples who are struggling in their relationships.
Hello there! I am a licensed Clinical Social Worker (LCSW) with ten years of experience. I completed my Master's from Stony Brook University in Long Island, New York. Recently, I relocated to North Carolina, and I am honored to help adults of all ages who are facing various challenges with anxiety, depression, addiction, and individuals and couples who are struggling in their relationships.
![Photo of Tony Gibson, MA, LMFT, PLLC, Marriage & Family Therapist](https://photos.psychologytoday.com/4b836296-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Life can be challenging, and we are not meant to travel it alone. Each of us, at times, needs another person to walk alongside us as we sort things out. I am honored to serve in this role, working with you through life's difficulties, transitions, tragedies, and triumphs. Very few challenges are insurmountable. Sometimes it just takes some added support.
Life can be challenging, and we are not meant to travel it alone. Each of us, at times, needs another person to walk alongside us as we sort things out. I am honored to serve in this role, working with you through life's difficulties, transitions, tragedies, and triumphs. Very few challenges are insurmountable. Sometimes it just takes some added support.
![Photo of Steven Palin, MA, LCMHC, LPC/S](https://photos.psychologytoday.com/9ad90770-7093-430b-9489-5e602e0949da/1/320x400.jpeg)
Steven Palin
Licensed Clinical Mental Health Counselor, MA, LCMHC, LPC/S
Verified Verified
Waxhaw, NC 28173
There are so many mixed messages coming both from with in and without that it is so easy to become lost in it all. Looking forward can trigger anxiety, looking back can bring on depression, and we don't know what to do in the present to find some relief and direction. Sometimes we even do some out of the way things to try and solve what we have going on, in the end we feel lost and alone.
There are so many mixed messages coming both from with in and without that it is so easy to become lost in it all. Looking forward can trigger anxiety, looking back can bring on depression, and we don't know what to do in the present to find some relief and direction. Sometimes we even do some out of the way things to try and solve what we have going on, in the end we feel lost and alone.
![Photo of Laura Mosedale, LCSW, BCD, Clinical Social Work/Therapist](https://photos.psychologytoday.com/72634243-3e0b-4871-8183-8d8ab2cebb36/3/320x400.jpeg)
Laura Mosedale
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
1 Endorsed
Waxhaw, NC 28173
Please note: I will not be taking on new clients while on extended leave between July-September, 2024 - My goal is to provide a safe, supportive experience that meets the needs you bring with you into this space. I am a licensed in NC, SC, FL, & CA, specializing in trauma, anxiety & depression, and chemical dependency. I use a goal-directed approach to therapy, as I want you to feel like your investment is creating tangible results. This typically involves a combination of evidence-based treatment, supportive counseling, and foundational cognitive/behavioral skills.
Please note: I will not be taking on new clients while on extended leave between July-September, 2024 - My goal is to provide a safe, supportive experience that meets the needs you bring with you into this space. I am a licensed in NC, SC, FL, & CA, specializing in trauma, anxiety & depression, and chemical dependency. I use a goal-directed approach to therapy, as I want you to feel like your investment is creating tangible results. This typically involves a combination of evidence-based treatment, supportive counseling, and foundational cognitive/behavioral skills.
See more therapy options for Waxhaw
How does your Therapist compare?
Number of Therapists in Waxhaw, NC
100+
Average cost per session
$140
Therapists in Waxhaw, NC who prioritize treating:
95% | Anxiety |
91% | Depression |
75% | Relationship Issues |
75% | Self Esteem |
71% | Coping Skills |
69% | Stress |
67% | Trauma and PTSD |
Average years in practice
9 Years
Top 3 insurances accepted
85% | BlueCross and BlueShield |
79% | Aetna |
50% | Cigna and Evernorth |
How Therapists in Waxhaw, NC see their clients
78% | In Person and Online | |
22% | Online Only |
Gender breakdown
83% | Female | |
17% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Waxhaw?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.