Answers to Our Top Questions

Below are a few of the most frequently asked questions from clients at Tar Heel Human Services, P.C. We understand you may have a question that is not addressed on this page. If so, please feel free to call or email us. It would be our pleasure to help you receive the answers you are looking for. 

 Some of the questions and answers are specific to mental health services offered in North Carolina, so please be sure to check for details for the state where you reside. 


Q: Can therapists in North Carolina give official mental health diagnoses?

A: Yes! Licensed therapists like LCSWs, LCMHCs, LMFTs, and Psychologists in NC are trained and authorized to diagnose conditions such as:   

  • Depression (MDD) 
  • Anxiety & Panic Disorders 
  • PTSD 
  • ADHD
  • Bipolar Disorder 
  • OCD & more 

Therapists use the DSM-5 to assess symptoms and develop personalized treatment plans. A diagnosis can help guide therapy, support insurance coverage, and connect you to additional resources if needed.   

Not all mental health professionals can diagnose. Make sure you’re working with someone licensed to do so (not a coach or peer counselor).   

Whether you’re seeking clarity, support, or next steps, your journey to mental wellness can start with an accurate diagnosis.


Q: How much does therapy cost?   

A: One of the most common questions we get! We accept many major insurance plans, and in many cases, therapy is covered at little to no cost to you. Everyone’s coverage is different, so we’re happy to help you understand your options. Contact us at 910-298-6207 or send a message to learn more.How much does therapy cost?     


Q: What is 988 in NC?   

A: 988 is the mental health crisis and suicide prevention hotline in North Carolina (and nationwide). If someone is experiencing a mental health, substance use, or suicidal crisis, they can call or text 988 to be connected with a trained counselor 24/7. It’s free and confidential.


Q: Is individual therapy covered by insurance? 

A: Usually, yes! Most health insurance plans in North Carolina include mental health benefits that cover therapy.   

  • Check if your therapist is in-network. 
  • You may still have copays or deductibles. 
  • Some plans require pre-authorization or a diagnosis. 
  • Coverage details vary. Always double-check your plan!


Q: Is family therapy covered by insurance?

A: Sometimes! Many insurance plans in NC do cover family therapy, especially if it’s part of treating a diagnosed mental health condition. Check if it’s in-network Some plans need pre-approval Coverage may depend on who the primary client is Give us a call today to find out whether family therapy is covered by your insurance plan!


Q: What is the difference between behavioral health and mental health?

A: While the terms are often used interchangeably, they actually refer to related but distinct ideas: 

  • Mental health focuses on your emotional, psychological, and social well-being. It’s about how you think, feel, and handle life’s stresses. Good mental health means you’re able to cope with daily challenges, build healthy relationships, and make decisions. Conditions like depression, anxiety, and bipolar disorder fall under mental health.

  • Behavioral health is a broader term that includes mental health and considers how behaviors impact your overall well-being. This covers habits and actions such as substance use, eating patterns, exercise, sleep, and how you manage stress. It addresses how behaviors affect your mental and physical health and vice versa. 

In short, mental health is about your mind and emotions, while behavioral health includes those plus the behaviors that influence your health. Both are important for overall wellness and often overlap in treatment and care.


Q: Do I need a referral to see a therapist? 

A: Good news! Most of the time, no referral is needed! You can usually reach out to a therapist directly. However, some insurance plans might require one, so it’s always smart to double-check with your provider first.


Q: How do I know if I need therapy?

A: Therapy isn’t just for crisis moments. It’s for any time you’re feeling overwhelmed, anxious, stuck in negative patterns, or just not quite yourself. Maybe you’re dealing with stress, relationship struggles, or just want a safe space to explore your feelings. 

If your mental or emotional health is affecting your daily life or happiness, therapy can be a great step toward feeling better and gaining new tools to cope. 

Remember, taking care of your mind is just as important as taking care of your body. Don’t hesitate to reach out!


Q: Can I do therapy online in NC?

A: Yes, absolutely! Online therapy (also called teletherapy or telehealth) is available all across North Carolina! 

You can meet with a licensed therapist from the comfort of your home, office, or even your car (just park first!). All you need is a private space and a good internet connection.

  • Most insurance plans now cover online therapy just like in-person visits.
  • It's great for busy schedules, rural areas, or anyone who prefers more flexibility. 
  • We offer virtual sessions for children, teens, and adults. 

Online therapy is a safe, convenient, and effective way to get the support you need, no commute required!


Q: What ages do you work with?

A: Our therapists work with all age ranges-children, teens, and adults. Whether it’s play therapy for little ones, support for teens navigating tough transitions, or guidance for adults at any stage of life. No matter your age, we’re ready to meet you where you are.


Q: What happens during the first therapy session? 

A: In your first session, your therapist will get to know you. Together, you will explore what’s bringing you in, your goals, and some background info. They’ll also do an assessment for mental health concerns like anxiety or depression to better understand how to support you.


Q: Do I have to take medication if I go to therapy?

A: You do not have to take medication just because you’re going to therapy! 

Our therapists provide talk therapy (also called psychotherapy), which can help you work through emotions, stress, relationships, trauma, and more, without medication. Many people benefit from talk therapy alone! 

That said, if it seems like medication could be helpful based on your symptoms (like severe anxiety, depression, or mood changes), your therapist might talk with you about it and refer you to a psychiatrist or medical provider, but the decision is always yours. 

We are happy to support you in making the choice that’s best for you.


Q: Is everything I say in therapy confidential?

A: Yes, everything you say in therapy is confidential. There are a few legal exceptions, such as if there is a risk of harm to yourself or others, or in cases of abuse. Your therapist will explain these limits during your first session.


Q: How often should I go to therapy?

A: How often you go to therapy depends on your individual needs, goals, and circumstances. Some people benefit from more frequent sessions during challenging times, while others may prefer less frequent check-ins for ongoing support. Your therapist will work with you to determine the best schedule to help you make progress and feel supported.


Q: What if I don’t “click” with my therapist?

A: If you don’t “click” with your therapist, that’s completely normal and okay. A strong therapeutic relationship is important for effective therapy, so feeling comfortable and understood is key. Sometimes it takes a few sessions to build trust. However, if after some time, it still doesn’t feel like the right fit, it’s perfectly fine to look for someone else. Therapists understand this and want to help you find the best match for your needs. Don’t hesitate to communicate your feelings or ask for recommendations. Finding the right therapist can make a big difference in your healing journey.