Online Therapy for Kids & Teens in North Carolina
Handspring Health provides virtual therapy for children, teens, and young adults ages 8–29 across North Carolina. Our licensed North Carolina therapists specialize in anxiety, depression, ADHD, and more. Most families pay under $30 per session with insurance.

Meeting a wide range of needs
Get started with therapy fast
Your first consultation is free, then insurance covers the sessions after that with a nominal copay.
Start with a free consultation
Meet with our clinical services team to discuss what brings you here and get matched to one of our licensed therapists. No waitlist, available within 48 hours.
Meet your therapist for an assessment
Meet with your therapist so they can form an accurate diagnostic assessment and develop an effective treatment plan.
Begin treatment within a week
With remote sessions, flexible scheduling, and length of treatment tailored to your needs, this is high-quality care that’s made to fit your life.
Support for the whole family
Meet our expert therapists
Counties we serve in North Carolina
Alamance County
Alexander County
Alleghany County
Anson County
Ashe County
Avery County
Beaufort County
Bertie County
Bladen County
Brunswick County
Buncombe County
Burke County
Cabarrus County
Caldwell County
Camden County
Carteret County
Caswell County
Catawba County
Chatham County
Cherokee County
Chowan County
Clay County
Cleveland County
Columbus County
Craven County
Cumberland County
Currituck County
Dare County
Davidson County
Davie County
Duplin County
Durham County
Edgecombe County
Forsyth County
Franklin County
Gaston County
Gates County
Graham County
Granville County
Greene County
Guilford County
Halifax County
Harnett County
Haywood County
Henderson County
Hertford County
Hoke County
Hyde County
Iredell County
Jackson County
Johnston County
Jones County
Lee County
Lenoir County
Lincoln County
Macon County
Madison County
Martin County
McDowell County
Mecklenburg County
Mitchell County
Montgomery County
Moore County
Nash County
New Hanover County
Northampton County
Onslow County
Orange County
Pamlico County
Pasquotank County
Pender County
Perquimans County
Person County
Pitt County
Polk County
Randolph County
Richmond County
Robeson County
Rockingham County
Rowan County
Rutherford County
Sampson County
Scotland County
Stanly County
Stokes County
Surry County
Swain County
Transylvania County
Tyrrell County
Union County
Vance County
Wake County
Warren County
Washington County
Watauga County
Wayne County
Wilkes County
Wilson County
Yadkin County
Yancey County
How we deliver lasting improvement
We’re proud to provide best-in-class mental health care for a wide variety of emotional and behavioral challenges. Here’s how we do it.

Gold-standard behavior therapy
We lead with evidence-based care. Our therapists primarily use CBT (cognitive behavioral therapy), the gold-standard, first-line treatment for anxiety, depression, and other common mental health challenges. CBT helps kids, teens, and young adults develop practical skills they can use every day for lasting emotional resilience.
Close collaboration with parents
Parents are essential partners in the therapy process, which is why our care model includes ongoing training and support just for you. We offer scheduled parent training sessions using BPT (behavioral parent training), a research-backed approach that helps parents manage emotional and behavioral challenges at home with confidence and consistency.
We also encourage regular check-ins with your child’s therapist between sessions, so you can stay in the loop and feel supported every step of the way.
Providers with the tools to succeed
Our licensed therapists and clinicians are specially trained to work with children and adolescents across all stages of development. But we don’t stop at credentials — we invest in continuous growth.
Every provider spends 15% of their weekly time in expert-led consultations, clinical case review, and ongoing training, ensuring that they’re always equipped to deliver the highest quality care. Because better-supported therapists mean better outcomes for your child.
Online Therapy that Works
Here are some of the most common challenges that kids & teen face and seek therapy for
Anxiety Therapy for Kids & Teens in North Carolina
Anxiety is the most common mental health concern Handspring treats, and one of the most treatable. Our licensed North Carolina therapists specialize in evidence-based anxiety therapy for kids and teens — including generalized anxiety, social anxiety, separation anxiety, panic attacks, and school-related anxiety. Using approaches like Cognitive Behavioral Therapy (CBT) and exposure therapy, our North Carolina anxiety therapists help children and adolescents build real coping skills they can use at home, at school, and with friends. If your child struggles with persistent worry, avoidance, physical symptoms like stomachaches before school, or sleep problems driven by anxious thoughts, teen anxiety therapy with Handspring can help. Sessions happen over secure video from the comfort of your home — which many anxious kids actually prefer over in-person appointments.
ADHD Therapy for Kids & Teens in North Carolina
ADHD looks different in every child, and our North Carolina ADHD therapists tailor treatment to how your child’s ADHD actually shows up — whether that’s trouble focusing in school, emotional dysregulation, impulsivity, or executive function challenges like starting homework or managing time. Our ADHD therapy for kids combines behavioral strategies, parent coaching, and skills training that help families build structure without constant conflict. For teens, our North Carolina therapists focus on self-advocacy, study skills, and managing the emotional side of ADHD — which is often the part that gets missed. We don’t prescribe medication, but if your child is already on an ADHD medication (or you’re exploring whether medication might help), our therapists coordinate with your pediatrician or psychiatrist to make sure therapy and medication work together.
Depression Therapy for Teens in North Carolina
Teen depression is rising, and it rarely looks like adult depression. In teens, it often shows up as irritability, withdrawal from friends and activities, changes in sleep or appetite, or a drop in school performance — not sadness. Our licensed North Carolina therapists specialize in depression therapy for teens using evidence-based approaches including Cognitive Behavioral Therapy (CBT) and behavioral activation. We work with your teen on the thought patterns driving their depression, help them reconnect with activities that used to bring joy, and — when appropriate — involve parents so the whole family feels supported. Virtual sessions make it easier for teens who are already struggling to show up. If your teen has been withdrawn, hopeless, or just “not themselves” for more than a few weeks, teen depression therapy is worth exploring.
Frequently Asked Questions
What happens on a free consult call?
The free 30-minute consult is conducted by a member of our intake team. It is an opportunity to share what is happening for your child, learn about Handspring’s approach to care, and determine whether we are the right fit for your family. During the call, we discuss your goals, answer your questions, and outline what ongoing care would look like. If you would like an insurance estimate before your call, please include your insurance details when booking, and we will verify your benefits and share your per-session cost in advance. Book a free consult.
Who are your North Carolina therapists?
All Handspring therapists are W-2 employees, not independent contractors. We are not a marketplace. Every North Carolina therapist is a fully licensed clinician with specialized training in working with children, teens, and young adults. Each is backed by a clinical supervision team and participates in regular trainings to ensure consistent, high-quality care. When you book a consult, our intake team matches your child with a therapist who specializes in their specific needs, whether that is anxiety, ADHD, depression, school-related challenges, or another concern.
Do you provide parenting support?
Yes. Parenting support is one of Handspring’s three core services, available in two forms. Parent coaching is a standalone, skills-based service focused on practical strategies for managing specific behavioral or emotional challenges at home. Therapy for parents provides separate support for parents managing their own stress, anxiety, or the emotional demands of raising a child who is struggling. When a child’s disruptive behavior is the primary concern, we often use Behavioral Parent Training (BPT), in which strategies are taught, modeled, and practiced so parents can apply them effectively in daily situations.
How do I know if you take my insurance, and how much will it cost?
We accept most major insurance plans in North Carolina, including Blue Cross Blue Shield of North Carolina, Aetna, Cigna, United Healthcare, and Optum. Because plan coverage is nuanced and varies by specific policy, the best way to confirm is to book a free consult and submit your insurance details. We will verify your benefits and share your exact copay estimate before your call. Most families pay under $30 per session with insurance. Without insurance, sessions are $125 in North Carolina. We also accept FSA and HSA payments. Book a free consult.
What happens in the first session?
The first session is an assessment session with your North Carolina therapist. The focus is on getting to know your child, understanding what is happening at home and school, identifying your family’s goals, and beginning to build rapport. Your therapist will ask questions, explain how ongoing sessions will work, and outline next steps. The session is intentionally low-pressure; we do not address the most difficult topics in the initial meeting. The level of parent involvement going forward is tailored to your child’s age and needs, and we discuss this before the first appointment.
Can young adults book without a parent?
Yes. Young adults age 18 and over can book their own consult and schedule therapy independently in North Carolina; parent involvement is not required. If a young adult prefers to include a parent in the consult or in their ongoing care, we can accommodate that. For anyone under 18, a parent or legal guardian books the consult and participates in the call.
What ages do you treat?
Handspring provides therapy for children ages 8–12, teens ages 13–17, and young adults ages 18–29. We also offer parent coaching for parents of children age 2 and up, and therapy for parents at any life stage.
Can I change my therapist?
Yes. We recommend giving your matched therapist at least one month of sessions before deciding on a switch, since building rapport with a child or teen often takes several sessions. If for any reason you would like a change, we will rematch your child with another specialist on our team.
How do I reach you?
You can book a free 30-minute consult at app.handspringhealth.com/signup, call us at (855) 467-1300, or text (215) 320-0401 to speak with a member of our team. Phone and text support is available Monday through Thursday, 9am–5pm ET. For care-related questions, such as rescheduling a therapy session or billing inquiries, please email support@handspringhealth.com.

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