Through secure telehealth sessions, you can access meaningful, compassionate therapy from anywhere in North Carolina. whether you’re in Asheville, Charlotte, Raleigh, or the mountains in between, Spruce & Sparrow Counseling Services is ready to meet you where you’re at While You Enjoy the peace and comfort of your own home.

OCD & anxiety can make daily life feel like a series of impossible “what-ifs.” Therapy provides a space to untangle those patterns & regain a sense of peace & to rebuild your trust in yourself & your ability to care for you.

We use evidence-based approaches such as CBT and exposure-informed techniques along with Mindfulness/Somatic Therapy approaches to help you move beyond obsessive thoughts, compulsions, chronic worry, & to regulate your nervous system. This is immense work, so we always go at your pace & with ample grace & patience.

EMDR (Eye Movement Desensitization & Reprocessing) therapy helps your brain & body process painful memories & find expedited relief. We specialize in online EMDR for PTSD, complex trauma, & attachment wounds, helping you to regulate your nervous system & finally cultivate the headspace to nurture your peace & identity beyond your past. We may also supplement this work with Mindfulness/Somatic Therapy Approaches to help establish your body as a safe space again. Visit our Services page to also learn more about Half-Day EMDR Intensives.

We all carry the patterns we learned from childhood and early relationships that shape how we connect today. Whether you find yourself feeling distant, anxious, avoidant, or “too much” in relationships, we can help you explore those dynamics with curiosity instead of shame. Maintaining safe, secure relationships begins with our relationship with ourselves, which we’ll explore through a trauma-informed lens, CBT, DBT, and potentially some elements of Mindfulness/Somatic Therapy in our individual therapy sessions.

The immensity of depression & loss can make life feel colorless. At Spruce and Sparrow Counseling, we provide online therapy for grief, loss, & depression for teens and adults across North Carolina, helping you process pain at a pace that feels safe. Whether your loss is recent or long ago, we’ll explore how to hold space for each of your complex emotions while slowly rebuilding connection, purpose, & hope.

Our approach blends Mindfulness/Somatic Therapies,strengths-based perspective, trauma-informed care when applicable, & creative interventions for those who find them appropriate. We prioritize holding space for every feeling & thought throughout your experience without shame. Also, we’ll aim to remain curious about new strategies & tools that will help to make everything you’re enduring feel more sustainable & manageable. We’ll explore your self care, obstacles to your needs, & ways to navigate daily life to better refill your cup so that you may continue holding space for all that you carry.

Spruce & Sparrow Counseling Services offers identity-affirming therapy for North Carolina clients seeking help overcoming creative & artistic blocks, nurturing identity & self, & those learning to thrive through life transitions.

We offer therapy for identity exploration, creative burnout, perfectionism, & debunking productivity-based worth, helping you rediscover joy & meaning in your work, self, & relationships. There are also countless creative & expressive approaches that we can cater to your personality, interests, & favorite mediums. You do not have to be a professional or schooled creative to participate in this work! Being creative is the antithesis to anxiety & self-doubt & can nurture anyone brave enough to be curious. Check out our Services page to also see details about our Creative Intensives for Half-Day Creative Therapy Sessions.