Therapists in Cary, NC
You are someone who has an inkling that life can be better than it is right now. You need it to be better - how you have been living is no longer working for you! You are ready to try something different and move towards change rather than repeat the same patterns over and over.
You are someone who has an inkling that life can be better than it is right now. You need it to be better - how you have been living is no longer working for you! You are ready to try something different and move towards change rather than repeat the same patterns over and over.
Trisha Scott
Clinical Social Work/Therapist, MSW, LCSW, CEDS-C
13 Endorsed
Online Only
Waitlist for new clients
Welcome! I provide individual, couples, family, and group therapy services to people of all gender identities and sexual orientations ages 15 and up. Areas of expertise include eating disorders, trauma, anxiety, depression, OCD, interpersonal conflict, personality disorders, and others. Some areas of specific clinical interest of mine include disordered eating, gender/sexuality concerns, and relationship issues. Additionally, I am passionate about supervising and consulting with other clinical social workers as well as clinicians working toward eating disorder specialist credentialing.
Welcome! I provide individual, couples, family, and group therapy services to people of all gender identities and sexual orientations ages 15 and up. Areas of expertise include eating disorders, trauma, anxiety, depression, OCD, interpersonal conflict, personality disorders, and others. Some areas of specific clinical interest of mine include disordered eating, gender/sexuality concerns, and relationship issues. Additionally, I am passionate about supervising and consulting with other clinical social workers as well as clinicians working toward eating disorder specialist credentialing.
Brooke is a licensed Marriage and Family Therapist who works from a trauma-focused and attachment-based lens, while tailoring her approach to each client’s unique needs. She provides a safe, compassionate space that fosters honesty and trust with the therapeutic process, helping to lead clients toward growth and self-discovery. Brooke has been working with clients since 2017, specializing in trauma-informed therapy and is experienced working with individuals, couples and families overcoming life stressors to develop healthier patterns.
Brooke is a licensed Marriage and Family Therapist who works from a trauma-focused and attachment-based lens, while tailoring her approach to each client’s unique needs. She provides a safe, compassionate space that fosters honesty and trust with the therapeutic process, helping to lead clients toward growth and self-discovery. Brooke has been working with clients since 2017, specializing in trauma-informed therapy and is experienced working with individuals, couples and families overcoming life stressors to develop healthier patterns.
I have a passion for working with children, adolescents, and their families. My approach is strengths-based and solution-focused, where clients feel safe to express their feelings, and gain both insight and improved functioning. I offer an inclusive and welcoming environment for all and am dedicated to meeting you wherever you may find yourself during this stage of life. I believe that each child, adolescent, and family is unique, and I will tailor my practice to support your specific needs. I am committed to walking alongside you and your family to discover any challenges you may be experiencing and to empower you in your journey.
I have a passion for working with children, adolescents, and their families. My approach is strengths-based and solution-focused, where clients feel safe to express their feelings, and gain both insight and improved functioning. I offer an inclusive and welcoming environment for all and am dedicated to meeting you wherever you may find yourself during this stage of life. I believe that each child, adolescent, and family is unique, and I will tailor my practice to support your specific needs. I am committed to walking alongside you and your family to discover any challenges you may be experiencing and to empower you in your journey.
I’m an approachable and compassionate therapist dedicated to walking alongside you through whatever life brings your way. I work with clients of all ages and abilities, believing that healing happens in a safe, supportive space where you can show up as your true self without judgment, pressure, or pretense.
I believe honesty with yourself is the foundation for healing. My style is warm, collaborative, and authentic. Whether you’re feeling stuck, overwhelmed, anxious, or uncertain about your next step, I’ll meet you with care and curiosity. You don’t have to navigate it alone.
I’m an approachable and compassionate therapist dedicated to walking alongside you through whatever life brings your way. I work with clients of all ages and abilities, believing that healing happens in a safe, supportive space where you can show up as your true self without judgment, pressure, or pretense.
I believe honesty with yourself is the foundation for healing. My style is warm, collaborative, and authentic. Whether you’re feeling stuck, overwhelmed, anxious, or uncertain about your next step, I’ll meet you with care and curiosity. You don’t have to navigate it alone.
I am a licensed clinical social worker with 11 years of experience, providing individual therapy to both adults and youth. During this time, I have supported clients with issues of anxiety, depression, grief, transitions, and trauma. I take this work seriously, knowing how hard it can be to reach out for help, and strive to do my very best for those coming to me for guidance.
I am heavily influenced by relational models, attachment theory and ways in which our upbringing and early relationships lead us to show up as the people we do today.
I am a licensed clinical social worker with 11 years of experience, providing individual therapy to both adults and youth. During this time, I have supported clients with issues of anxiety, depression, grief, transitions, and trauma. I take this work seriously, knowing how hard it can be to reach out for help, and strive to do my very best for those coming to me for guidance.
I am heavily influenced by relational models, attachment theory and ways in which our upbringing and early relationships lead us to show up as the people we do today.
If you’re here, it might be because stress and worry have started to take over your daily life. Maybe your mind is constantly racing, experiencing feelings of self-doubt, or uncertainty. If that sounds familiar, you’re not alone and don’t have to figure it out alone.
My passion is helping people find relief from anxiety and rediscover a sense of calm and confidence. We’ll start by focusing on what helps you feel more grounded so those overwhelming thoughts and feelings don’t have as much control. From there, we’ll work towards your bigger goals, whether that's building stronger relationships or healing from past experiences.
If you’re here, it might be because stress and worry have started to take over your daily life. Maybe your mind is constantly racing, experiencing feelings of self-doubt, or uncertainty. If that sounds familiar, you’re not alone and don’t have to figure it out alone.
My passion is helping people find relief from anxiety and rediscover a sense of calm and confidence. We’ll start by focusing on what helps you feel more grounded so those overwhelming thoughts and feelings don’t have as much control. From there, we’ll work towards your bigger goals, whether that's building stronger relationships or healing from past experiences.
I work with individuals and couples to go beneath the surface - the emotions, fears, and old wounds that quietly shape the way you think, feel, and connect. Together, we’ll listen to what your distress is trying to tell us, and help you build new ways of relating — to yourself and others — that feel calmer, safer, and more fulfilling. It’s hard to keep moving when you feel disconnected from yourself or the people you love. Maybe you’re tired of being the strong one, of holding everything together, or of repeating the same patterns. On the outside, you’re coping — but inside, it feels like something needs care and attention.
I work with individuals and couples to go beneath the surface - the emotions, fears, and old wounds that quietly shape the way you think, feel, and connect. Together, we’ll listen to what your distress is trying to tell us, and help you build new ways of relating — to yourself and others — that feel calmer, safer, and more fulfilling. It’s hard to keep moving when you feel disconnected from yourself or the people you love. Maybe you’re tired of being the strong one, of holding everything together, or of repeating the same patterns. On the outside, you’re coping — but inside, it feels like something needs care and attention.
Dr. Owen Guess was born and raised in Greensboro, NC. Owen received his bachelor’s of Social Work degree from North Carolina A&T State University in 2010. Upon receiving his degree he pursued his Masters of Social Work Degree from Clark Atlanta University in 2011. Following his time in Atlanta, Owen spent time working as an outpatient therapist for six years. During his time he worked with pre-teens, adolescents, and adults. While working with as an outpatient therapist Owen desired more information to best serve those in need of assistance.
Dr. Owen Guess was born and raised in Greensboro, NC. Owen received his bachelor’s of Social Work degree from North Carolina A&T State University in 2010. Upon receiving his degree he pursued his Masters of Social Work Degree from Clark Atlanta University in 2011. Following his time in Atlanta, Owen spent time working as an outpatient therapist for six years. During his time he worked with pre-teens, adolescents, and adults. While working with as an outpatient therapist Owen desired more information to best serve those in need of assistance.
Comprehensive Psychological Evaluations: When your child or teen is struggling, it can feel overwhelming! My passion is helping children and families move past these struggles! Gaining a better understanding of individual challenges and strengths through a psychological evaluation is the first step in providing your child the support they need to thrive. With 20 years of experience as a School Psychologist, as well as clinical knowledge through private practice, I understand the broad range of functioning of children, can determine each child's individual needs and recommend effective supports to successfully meet those needs.
Comprehensive Psychological Evaluations: When your child or teen is struggling, it can feel overwhelming! My passion is helping children and families move past these struggles! Gaining a better understanding of individual challenges and strengths through a psychological evaluation is the first step in providing your child the support they need to thrive. With 20 years of experience as a School Psychologist, as well as clinical knowledge through private practice, I understand the broad range of functioning of children, can determine each child's individual needs and recommend effective supports to successfully meet those needs.
Each of us plays a role in helping to make the world a happier and better place, and as a counselor I have the opportunity to do so through my work. Helping clients to feel empowered, reach their full potential, and see the beauty in themselves is how I help clients become their best selves. As a North Carolina Board Certified Licensed Mental Health Counselor with over 20 years of experience working with children, adolescents, and adults I have had the pleasure of meeting many people of varying backgrounds. I provide individual, couples, and family-integrated counseling.
Each of us plays a role in helping to make the world a happier and better place, and as a counselor I have the opportunity to do so through my work. Helping clients to feel empowered, reach their full potential, and see the beauty in themselves is how I help clients become their best selves. As a North Carolina Board Certified Licensed Mental Health Counselor with over 20 years of experience working with children, adolescents, and adults I have had the pleasure of meeting many people of varying backgrounds. I provide individual, couples, and family-integrated counseling.
Chronic Hope Counseling PLLC
Licensed Clinical Mental Health Counselor, LCMHC
1 Endorsed
Online Only
We licensed counselors, interns, play therapy for children and everything in-between! If you are feeling overwhelmed. anxious, isolated, lonely, or simply want to learn how to live your best life with your pain. Chronic Hope is the place to be. We offer counseling services for those with chronic pain and illness. Your pain/illness affects everything you do, so it needs to be taken into every consideration as you heal. We can help you learn to live beyond you pain by getting you in your best place mentally. All of our clinicians and interns have personal experience with pain, creating a unique, empathetic experience.
We licensed counselors, interns, play therapy for children and everything in-between! If you are feeling overwhelmed. anxious, isolated, lonely, or simply want to learn how to live your best life with your pain. Chronic Hope is the place to be. We offer counseling services for those with chronic pain and illness. Your pain/illness affects everything you do, so it needs to be taken into every consideration as you heal. We can help you learn to live beyond you pain by getting you in your best place mentally. All of our clinicians and interns have personal experience with pain, creating a unique, empathetic experience.
Whether it’s the weight of high expectations, managing difficult emotions, or navigating complex relationships, I understand how exhausting it can be to hold everything together. I offer a thoughtful, grounded space where we work intentionally toward insight, growth, and balance while staying oriented to your goals. I specialize in depression, anxiety, trauma, eating disorders, high-stress transitions, and spiritual concerns. My work integrates insight, emotional regulation, and problem-solving in support of meaningful change. The goal is not quick fixes, but durable change that asks for reflection, honesty, and participation.
Whether it’s the weight of high expectations, managing difficult emotions, or navigating complex relationships, I understand how exhausting it can be to hold everything together. I offer a thoughtful, grounded space where we work intentionally toward insight, growth, and balance while staying oriented to your goals. I specialize in depression, anxiety, trauma, eating disorders, high-stress transitions, and spiritual concerns. My work integrates insight, emotional regulation, and problem-solving in support of meaningful change. The goal is not quick fixes, but durable change that asks for reflection, honesty, and participation.
I believe that seeking therapy is an act of courage, especially when life feels overwhelming or uncertain. Many of my clients come to therapy feeling exhausted by anxiety, weighed down by self-doubt, struggling in relationships, or navigating major life transitions. My role is to provide a safe, non-judgmental space where you can be heard, and begin to make sense of what you’re experiencing.
In our work together, we focus on your goals, whether you’re looking to manage stress, heal from past experiences, improve communication, build confidence, or reconnect with your sense of purpose. Therapy is tailored to fit you specifically.
I believe that seeking therapy is an act of courage, especially when life feels overwhelming or uncertain. Many of my clients come to therapy feeling exhausted by anxiety, weighed down by self-doubt, struggling in relationships, or navigating major life transitions. My role is to provide a safe, non-judgmental space where you can be heard, and begin to make sense of what you’re experiencing.
In our work together, we focus on your goals, whether you’re looking to manage stress, heal from past experiences, improve communication, build confidence, or reconnect with your sense of purpose. Therapy is tailored to fit you specifically.
Elizabeth Pugliese
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, NCC
3 Endorsed
Online Only
Not accepting new clients
It can be exhausting to navigate life when isolated, facing one stressor after another, feeling depressed or anxious, or trying to recover from a traumatic experience. For many, these experiences interfere with day-to-day life such as our relationships, work, school, and more. For many, therapy can provide needed support. The most significant part of therapy is your relationship with your therapist, this is why I approach therapy by getting to know you as a whole person and use a collaborative approach to help empower your innate strengths.
It can be exhausting to navigate life when isolated, facing one stressor after another, feeling depressed or anxious, or trying to recover from a traumatic experience. For many, these experiences interfere with day-to-day life such as our relationships, work, school, and more. For many, therapy can provide needed support. The most significant part of therapy is your relationship with your therapist, this is why I approach therapy by getting to know you as a whole person and use a collaborative approach to help empower your innate strengths.
I am a compassionate and dedicated therapist with a strong specialty in treating eating disorders, including anorexia nervosa, bulimia, binge eating disorder, and other forms of disordered eating. As a Licensed Clinical Social Worker Associate, I am deeply committed to helping teens and adults (15+) navigate and heal their relationships with food, body image, and themselves. In addition to eating disorders, I also support individuals navigating co-occurring issues such as depression, anxiety, CPTSD, trauma, attachment concerns, and major life transitions.
I am a compassionate and dedicated therapist with a strong specialty in treating eating disorders, including anorexia nervosa, bulimia, binge eating disorder, and other forms of disordered eating. As a Licensed Clinical Social Worker Associate, I am deeply committed to helping teens and adults (15+) navigate and heal their relationships with food, body image, and themselves. In addition to eating disorders, I also support individuals navigating co-occurring issues such as depression, anxiety, CPTSD, trauma, attachment concerns, and major life transitions.
My ideal client is someone who feels ready for change, even if they’re unsure where to start. They may be navigating anxiety, trauma, relationship challenges, or life transitions, or feeling stuck or overwhelmed. They want a safe, inclusive space where their story is honored and understood. Their goals often include healing past wounds, gaining clarity, improving emotional regulation and relationships, and reconnecting with their sense of self so they can move forward feeling more grounded, confident, and fulfilled.
My ideal client is someone who feels ready for change, even if they’re unsure where to start. They may be navigating anxiety, trauma, relationship challenges, or life transitions, or feeling stuck or overwhelmed. They want a safe, inclusive space where their story is honored and understood. Their goals often include healing past wounds, gaining clarity, improving emotional regulation and relationships, and reconnecting with their sense of self so they can move forward feeling more grounded, confident, and fulfilled.
Zenith Counseling PLLC-Available Appts.
Licensed Professional Counselor, MA, LCMHC
6 Endorsed
Cary, NC 27518
At Zenith Counseling, we believe that every journey, no matter how challenging, can lead to a place of growth and healing. Our dynamic team of compassionate clinicians is dedicated to supporting individuals—from children to adults—as they navigate the complexities of life. Whether you're facing the trials of addiction, grappling with eating disorders, or adjusting to new life circumstances, we’re here to help you every step of the way.
At Zenith Counseling, we believe that every journey, no matter how challenging, can lead to a place of growth and healing. Our dynamic team of compassionate clinicians is dedicated to supporting individuals—from children to adults—as they navigate the complexities of life. Whether you're facing the trials of addiction, grappling with eating disorders, or adjusting to new life circumstances, we’re here to help you every step of the way.
My practice is dedicated to helping adult clients take charge of their emotional and psychological health, happiness, and success. I provide evidence-based consultation, counseling and psychotherapy services with a personal touch that is collaborative and client-centered; solution-focused, goal-oriented and practical; tailored to clients' core values and beliefs; and exclusively private and confidential.
My practice is dedicated to helping adult clients take charge of their emotional and psychological health, happiness, and success. I provide evidence-based consultation, counseling and psychotherapy services with a personal touch that is collaborative and client-centered; solution-focused, goal-oriented and practical; tailored to clients' core values and beliefs; and exclusively private and confidential.
I am a Licensed Clinical Social Worker with over 20 years of experience working with neurodiverse and neurotypical individuals and their families, across the lifespan. I have a passion for working with children, adolescents and young adults. I work with trauma, anxiety, social difficulties, emotional regulation, grief and loss and navigating life transitions and challenges. I draw from an eclectic blend of therapies in my practice, including Solutions Focused, CBT, Play Therapy, Narrative Therapy and Mindfulness, believing that no one therapeutic tool fits everyone.
I am a Licensed Clinical Social Worker with over 20 years of experience working with neurodiverse and neurotypical individuals and their families, across the lifespan. I have a passion for working with children, adolescents and young adults. I work with trauma, anxiety, social difficulties, emotional regulation, grief and loss and navigating life transitions and challenges. I draw from an eclectic blend of therapies in my practice, including Solutions Focused, CBT, Play Therapy, Narrative Therapy and Mindfulness, believing that no one therapeutic tool fits everyone.
See more therapy options for Cary
How does your Therapist compare?
Number of Therapists in Cary, NC
1,000+
Average cost per session
$150
Therapists in Cary, NC who prioritize treating:
| 93% | Anxiety |
| 87% | Depression |
| 77% | Self Esteem |
| 74% | Relationship Issues |
| 72% | Coping Skills |
| 72% | Stress |
| 67% | Life Transitions |
Average years in practice
10 Years
Top 3 insurances accepted
| 91% | Aetna |
| 89% | BlueCross and BlueShield |
| 58% | Cigna and Evernorth |
How Therapists in Cary, NC see their clients
| 68% | In Person and Online | |
| 32% | Online Only |
Gender breakdown
| 84% | Female | |
| 15% | Male | |
| 1% | Non-Binary |


