Mental Health Resources in North Carolina: A Comprehensive Guide

Mental health is an essential part of overall well-being, yet accessing the right support can be challenging – especially if you don’t know where to turn. In North Carolina, we have a ton of mental health resources for individuals and families in need. This comprehensive guide compiles crisis hotlines, statewide organizations, community clinics, online directories, and peer support networks across NC. Our goal at Fresh Breath Therapy is to make these resources more inclusive, accessible, and compassionate to everyone. Whether you’re in the mountains of Western NC or along the coast, help is available.

At Fresh Breath Therapy, we believe everyone deserves accessible mental health care. We are a North Carolina-based therapy practice dedicated to inclusivity and empathy, providing telehealth therapy statewide. We’ve created this guide to help empower our community with knowledge and encourage those who are struggling to seek help. 

Importance of Accessible Mental Health Resources in NC

North Carolina is a diverse state – urban centers like Charlotte and Raleigh, coastal communities like Wilmington, and rural mountain towns like Ashvielle each have unique needs. Regardless of where you live, knowing about local mental health services can be life-saving. Accessible care means having mental health hotlines, nearby clinics, and support groups that anyone can reach, especially marginalized or underinsured communities. Breaking the stigma and making help easy to find ensures that more people get support earlier, improving outcomes for individuals and families.

Fresh Breath Therapy is deeply committed to community care. That means not only providing quality therapy to our clients, but also connecting people with resources beyond our practice. We understand that one size does not fit all – some may need a 24/7 crisis line, others a weekly peer group, and others long-term counseling. This guide reflects that comprehensive approach. It’s written in an informative, empathetic tone, and we hope it serves as a welcoming starting point for anyone in North Carolina seeking help.

(Let’s dive into the specific resources available, organized by type and region.)

Crisis Hotlines & Immediate Support Services

If you or someone you know is in crisis – feeling suicidal, in emotional distress, or facing a mental health emergency – immediate support is available 24/7. The following hotlines and text lines connect you with trained counselors who can provide emergency help and referrals to local services:

• NC Crisis Services (Mobile Crisis Teams): North Carolina has a statewide system of local crisis response teams that can come to you during a mental health or substance use crisis. Each county is served by a regional “LME/MCO” agency that operates a 24/7 crisis line and mobile crisis unit. For example, in many central NC counties you can call Cardinal Innovations’ crisis number at 1-800-939-5911 to access mobile crisis services. Mobile crisis teams are staffed by mental health professionals who will meet you in the community (at home, school, etc.) to provide on-site help. These services are free and available around the clock. (If there is immediate danger or a life-threatening emergency, always call 911 first and request a CIT-trained officer

• Crisis Text Line: If you prefer texting, you can use the national Crisis Text Line. Text “HOME” to 741741 to connect with a volunteer Crisis Counselor who will chat with you via text message.  This line is free, confidential, and 24/7, providing support for any type of crisis – not just suicidal thoughts, but any painful emotion or situation where you need someone to listen. A trained counselor will respond and help you move from a hot moment to a calmer state. Texting can be an especially accessible option for teens or anyone who finds it easier to write than talk about what they’re feeling.

• 988 Suicide & Crisis Lifeline: The National Suicide Prevention Lifeline is now reachable by simply dialing 988 (you can also text 988). This is a free, 24/7 hotline for anyone in the U.S. experiencing suicidal thoughts, emotional distress, or any kind of mental health crisis. Callers are connected to trained counselors who listen with compassion and can direct you to further help or dispatch emergency services if needed. The 988 Lifeline is available to everyone – including specialized support for veterans (press 1 after dialing 988 to reach the Veterans Crisis Line), Spanish speakers, and LGBTQ+ youth. If you’re thinking of harming yourself or are very overwhelmed, please call 988 – you don’t have to go through it alone

• SAMHSA National Helpline: For substance use or general mental health help, you can call the SAMHSA helpline at 1-800-662-HELP (4357). This is a confidential, free, 24/7, 365-day-a-year information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders. It’s often called the Treatment Referral Routing Service – when you call, you can get referrals to local treatment facilities, support groups, and community organizations. They can also mail you free publications and information. If you’re not sure where to start in finding help for addiction or mental illness, SAMHSA’s helpline is a great nationwide resource to guide you.

• NC Peer Warm Line: In addition to crisis lines, NC offers a “Warm Line” for emotional support. The NC Peer Support Warmline at 1-855-PEERS-NC (855-733-7762) is a phone line answered by trained peer support specialists (people with lived experience of mental health challenges).  It’s available 24/7 for anyone in North Carolina who just needs to talk to someone who’s been there. Warm lines are not formal crisis counseling, but rather a compassionate ear and shared understanding from a peer. This can be incredibly comforting if you’re feeling alone, anxious, or depressed and want to talk it out with someone who understands. Sometimes having a fellow human to talk to makes all the difference.

Remember, you are not alone – help is available any time of day or night. These hotlines and text lines are there for you. If one doesn’t work (e.g. lines are busy), try another. Your life matters, and there are caring people ready to support you.

Major Statewide Mental Health Organizations

North Carolina has several prominent nonprofit and state organizations devoted to mental health advocacy, education, and services. These can be excellent touchpoints for finding information, support groups, and assistance navigating care:

• NAMI North Carolina (National Alliance on Mental Illness – NC Chapter): NAMI NC is the state chapter of the nation’s largest grassroots mental health organization. NAMI North Carolina offers no-cost mental health services including peer-led support groups, educational programs, and advocacy initiatives. They help people living with mental illness and their families, caregivers, and friends – “You are not alone!” is a guiding motto. NAMI NC and its local affiliates (like NAMI Wake County, NAMI Charlotte, NAMI Guilford, etc.) host free support groups such as NAMI Connection (peer recovery groups for adults with mental health conditions) and Family Support Groups (for family members). They also offer classes like Peer-to-Peer (an 8-session recovery course for individuals) and Family-to-Family (education for family caregivers). You can reach NAMI NC’s Helpline at 1-800-451-9682 (M-F 8:30am-5pm) for information and support. Website: naminc.or

IV. Community Mental Health Clinics & Local Organizations (by Region)

In addition to big organizations, North Carolina has many community-based clinics, nonprofits, and programs offering direct services. These are often the heart of mental health care at the local level, especially for uninsured or low-income individuals. Below, we break down resources by region of NC so you can find support near you. We include free or low-cost clinics and notable nonprofits, with links and contact info:

Research Triangle (Raleigh, Durham, Chapel Hill, Cary)

• UNC WakeBrook Crisis and Assessment Center (Raleigh): A 24/7 facility offering walk-in crisis stabilization, detox services, and short-term psychiatric care for Wake County residents. (Location: 107 Sunnybrook Rd, Raleigh. Phone: 984-974-4800). WakeBrook provides emergency evaluation, medication management, and connection to follow-up care. If you’re in Wake County and experiencing a mental health or substance use crisis, you can go to WakeBrook instead of an ER. (Note: As of late 2023, WakeBrook’s services are operated by RI International in partnership with Alliance Health)

• Durham Recovery & Response Center (Durham): A crisis center in Durham County providing medication management, crisis counseling, and referrals for adults in immediate need. Phone: 919-560-7305. Location: 309 Crutchfield St., Durham. You can walk in 24/7 for help with psychiatric crises or detox. This center (operated by Freedom House Recovery Center) stabilizes individuals and connects them to ongoing care.

• Carolina Outreach – Behavioral Health Urgent Care (Durham): A behavioral health urgent care clinic at 2670 Durham-Chapel Hill Blvd, Durham, serving children and adults with Medicaid or no insurance. They offer walk-in crisis assessments, emergency medication refills, and short-term counseling. Phone: 919-251-9009 for immediate assistance. No appointment needed – this is a great option if you need timely help (days or evenings) for mental health or substance use issues.

• El Futuro, Inc. (Durham & Siler City): El Futuro is a nonprofit outpatient clinic offering comprehensive bilingual mental health services for Latino families. Their staff is culturally competent and able to provide therapy and psychiatric care in Spanish. Location: 2020 Chapel Hill Rd., Suite 23, Durham. Phone: 919-688-7101. (They also have a clinic in Siler City, NC.) El Futuro’s mission is “Una Familia. Un Futuro.” – to nurture stronger familias by providing accessible mental healthcare to Hispanic/Latinx communities.

• Triangle Family Services (Raleigh): A longstanding nonprofit in Raleigh that offers affordable counseling on a sliding scale. TFS provides individual, family, and couples therapy with licensed clinicians, and they adjust fees based on income. They accept many insurances and see uninsured clients as well. Phone: 919-821-0790. Location: 3937 Western Blvd, Raleigh. Triangle Family Services also has programs for domestic violence and financial counseling, addressing a holistic range of family stressors.

• Catholic Charities Counseling Services (Raleigh): Catholic Charities of the Diocese of Raleigh offers mental health counseling (for individuals, couples, and families) with licensed therapists, and fees are sliding scale – they will not turn anyone away for inability to pay. Services are offered to people of all faiths (you do not have to be Catholic). Phone: 919-790-8533 (ext. 29 en español). Location: 3000 Highwoods Blvd, Raleigh.

• New Leaf Behavioral Health (Raleigh): A nonprofit community mental health center providing therapy for children, teens, and adults in the Raleigh area. They have a sliding scale fee structure and can often offer low-cost counseling with graduate interns. Phone: 919-781-8370. Location: 3725 National Dr., Suite 125, Raleigh. New Leaf’s vision is to ensure no one is denied care due to financial barriers

Charlotte Metro Region

• Mental Health America of Central Carolinas – Free Counseling Center (Charlotte & Cabarrus): MHA of Central Carolinas operates a free counseling program for uninsured and under-insured residents in Mecklenburg and Cabarrus counties. This Counseling Center’s mission is to serve communities of color and others facing barriers to care. Services are provided by graduate-level counseling interns under supervision, at no cost to the client. They offer short-term counseling for issues like depression, anxiety, grief, and life transitions. Contact: MHA Central Carolinas – mhaofcc.org – Phone: 704-365-3454.

• Promise Resource Network (Charlotte): PRN is a peer-run organization in Charlotte providing peer support classes, support groups, and recovery resources. They have a Recovery Hub where individuals with mental health or substance use challenges can drop in for classes on wellness, support groups, arts, job readiness, etc. All services are free. They embody the philosophy “Nothing About Us Without Us,” with people with lived experience leading the way. Website: promiseresourcenetwork.org.

• Atrium Health Behavioral Health – Psychiatric Emergency Department (Charlotte): For immediate crises, Atrium Health’s Behavioral Health Charlotte campus at 501 Billingsley Rd. has a 24/7 psychiatric emergency department. They can handle mental health emergencies and have inpatient units if needed. Phone: 704-444-2400. (While not free, they are the primary crisis hospital for the area; they do accept uninsured patients in emergencies and stabilize everyone regardless of ability to pay.)

• Novant Health Behavioral Health (Charlotte): Novant Health runs outpatient behavioral health clinics and partial hospitalization programs in the Charlotte area. Additionally, Novant’s Presbyterian Medical Center has a behavioral health intake center (call 800-786-1585). They provide assessments and referrals.

• Anuvia Prevention & Recovery Center (Charlotte): A nonprofit focusing on substance use services, Anuvia offers counseling, DWI programs, and outpatient treatment on a sliding scale. They also have prevention programs in the community. While substance-focused, they address co-occurring mental health needs as well. Website: anuvia.org.

• NAMI Charlotte: The local NAMI affiliate offers free support groups (currently online) for individuals and families, and can connect you with Charlotte-area resources NAMI Charlotte’s website provides a guide to local providers and programs. Website: namicharlotte.org.

Triad Region (Greensboro, Winston-Salem, High Point)

• Guilford County Behavioral Health Center (Greensboro): Opened in 2021 as a partnership between Guilford County and Cone Health, this center is a one-stop hub for crisis and outpatient care. It includes a 24/7 Behavioral Health Urgent Care (for walk-in crisis assessments), a peer living room, as well as outpatient therapy and medication clinics. Location: 931 Third St., Greensboro. Phone: 336-890-2700. They serve children, adolescents, and adults in a “bright, friendly, safe environment”. If you live in Guilford (Greensboro/High Point) and have an urgent mental health need, this is an excellent resource to get immediate care and follow-up under one roof.

• Kellin Foundation (Greensboro): Kellin Foundation is a nonprofit that provides free trauma-focused counseling and support in Guilford County, especially for youth and families. Their services include therapy for children and adults affected by violence or significant trauma, support groups, and case management. Location: 2110 Golden Gate Dr. Suite B, Greensboro. Phone: 336-429-5600. Kellin Foundation’s mission is to “strengthen resilience among children, families, and adults” through trauma-informed programs. If you’re in the Triad and seeking help for trauma or loss (and cost is a barrier), Kellin is a compassionate resource.

• Daymark Recovery Services (multiple Triad locations): Daymark is a nonprofit behavioral health provider that operates many local clinics and crisis centers across NC. In the Triad, Daymark runs the Forsyth County Behavioral Health Urgent Care (BHUC) at 650 N. Highland Ave., Winston-Salem – a 24/7 walk-in crisis center for anyone in a mental health or substance use crisis. They serve uninsured, Medicaid, and Medicare clients (no one is turned away). Daymark also provides Mobile Crisis in that area (24/7 mobile crisis number 1-866-275-9552). Additionally, they have outpatient offices in Winston-Salem, High Point, Asheboro, etc., offering therapy, medication, and ACT Team services. Website: daymarkrecovery.org.

• Monarch (Triad Offices): Monarch is a statewide provider with clinics in Forsyth, Guildford, Davidson, Randolph and other counties. For example, Monarch’s clinic in Winston-Salem (4140 N. Cherry St.) offers walk-in mental health assessments (arrive by 3pm for same-day service) for uninsured or Medicaid patients. They can assist with medication management via telepsychiatry and therapy. Phone: 336-306-9620 (Winston location). Monarch also operates clubhouses and vocational programs for adults with serious mental illness in the region.

• Mental Health Greensboro (Greensboro): Formerly the Mental Health Association in Greensboro, this nonprofit offers free peer-led support groups and recovery skills classes. They run Wellness Academy classes on topics like coping skills, mindfulness, and managing specific conditions. They also have peer support specialists who can work one-on-one with individuals (Peer Support Coaching). Website: mhag.org.

• NAMI Guilford & NAMI NW Piedmont (Winston-Salem): NAMI affiliates in the Triad area provide family and peer support groups at no cost. NAMI Guilford covers Greensboro/High Point and offers virtual groups open to anyone in the area. NAMI Northwest Piedmont (covering Forsyth and surrounding) also offers Connection groups and classes. These are great for ongoing support and learning from others with lived experience.

• Old Vineyard Behavioral Health Services (Winston-Salem): A private psychiatric hospital in Winston that provides inpatient treatment and has a 24/7 assessment line (855-234-5920). They take many insurance plans. While it’s a hospital setting (and not free), we note it as it’s a major resource in the region for acute mental health and substance detox (including for adolescents).

Wilmington & Coastal NC

• Coastal Horizons Center (Wilmington): Coastal Horizons is a comprehensive nonprofit serving Eastern NC, headquartered in Wilmington. They are a certified Critical Access Behavioral Health Agency, meaning they offer a wide range of services – outpatient mental health therapy, substance abuse treatment, crisis intervention, and prevention programs. Coastal Horizons runs the Open House Youth Shelter, the Rape Crisis Center for the area, and outpatient offices in several coastal counties. In Wilmington, their main office is at 615 Shipyard Blvd. Phone: 910-343-0145. They also offer integrated primary care (through Horizons Health) to address physical and mental wellness together. If you’re in the coastal region and need mental health or addiction help on a sliding scale or via Medicaid, Coastal Horizons is a key resource.

• Wilmington Health Access for Teens (WHAT) / Coastal Horizons: WHAT was an organization providing medical and mental health care for adolescents and young adults in New Hanover County It has since become part of Coastal Horizons. Through this program, teens and young adults (ages 6-24) can receive therapy, psychiatric services, and primary care in a youth-friendly setting. Location: 4005 Oleander Drive, Wilmington (Coastal Horizons’ youth clinic). This is a fantastic resource for youth who need services but might be uncomfortable in adult settings.

• Integrated Family Services (Eastern NC Mobile Crisis): IFS provides the mobile crisis teams for many eastern counties (Beaufort, Bertie, Brunswick, Camden, Carteret, Craven, Currituck, Dare, Edgecombe, Gates, Halifax, Hertford, Nash, Northampton, Onslow, Pamlico, Pasquotank, Pitt, etc.) If you are in those counties and have a mental health emergency, you can call 1-866-437-1821 (IFS Mobile Crisis Hotline) and a team will respond 24/7. Integrated Family Services also offers outpatient counseling and a Crisis CHAT service online for youth in crisis (through a partnership with Trillium). They are based in Greenville but serve a large coastal and eastern NC region. Website: integratedfamilyservices.net.

• PORT Health Services (Coastal Plain and Eastern NC): PORT Health is a nonprofit provider with locations in coastal NC (Jacksonville, Morehead City, Greenville, etc.). They offer mental health therapy, medication management, and extensive substance use treatment (including opioid treatment clinics and residential programs). They accept Medicaid, Medicare, and have sliding scale fees. If you’re around the Outer Banks or Inner Banks and need services, PORT Health may have a local clinic. Website: porthealth.org.

• Trillium Health Resources Access Line: As mentioned, Trillium is the managed care agency for the east. By calling 877-685-2415, they can refer you to the nearest appropriate service, whether it’s a therapist in your county, a crisis center, or a specific program. For example, Trillium has funded projects like Facility-Based Crisis Centers in places like Wilmington and Greenville (short-term residential crisis units). They also offer an online service directory. If you’re not sure where to go, you can always start with Trillium’s hotline or NC 2-1-1 (which has a database of local resources).

• NAMI Wilmington (NAMI Cape Fear): The local NAMI chapter covers the Cape Fear region and offers support groups (currently virtual), education classes, and community outreach. Website: namiwilmington.org.

Western NC (Asheville & Surrounding Areas)

• All Souls Counseling Center (Asheville): All Souls is a remarkable nonprofit in Asheville that provides high-quality therapy on a sliding scale to uninsured or under-insured adults. They have a team of contract therapists and no one is turned away for inability to pay – fees can be as low as $0-$5 in some casesThey offer individual, couples, family, and group therapy for a wide range of issues (depression, anxiety, trauma, etc.). Phone: 828-259-3369. Website: allsoulscounseling.org. If you live in the Asheville area and can’t afford private therapy rates, All Souls Counseling Center is a fantastic resource to get care at an affordable cost.

• RHA Health Services – C3356 Comprehensive Care Center (Asheville): C3356 (named for its address, 356 Biltmore Ave) is a facility in Asheville that housed a Behavioral Health Urgent Care and Crisis Center. It offered 24/7 walk-in crisis assessment and a “living room” model for peer support, along with the Neil Dobbins detox center. (As of 2020, the 24/7 BHUC hours were adjusted, but crisis services are still available through RHA.) If you’re in Buncombe County and have an acute issue, you can go to C3356 during its operating hours for help or call Vaya’s crisis line to dispatch mobile crisis. Phone: 828-254-2700 (RHA Asheville). This center was a collaboration to reduce ER visits by providing a mental health-specific urgent care.

• Meridian Behavioral Health Services (Western NC): Meridian serves the westernmost counties (Jackson, Macon, Haywood, etc.) with outpatient mental health and substance use services. They offer therapy, psychiatric care, mobile crisis, and even clubhouses for psychosocial rehab. They primarily serve Medicaid and uninsured populations. Website: meridianbhs.org.

• NAMI Western Carolina (Asheville): NAMI WC offers support groups in the Asheville area (including a NAMI Connection recovery group and family support group). They also host educational programs and advocacy events. Website: namiwnc.org.

• Local Free Clinics & FQHCs: Many counties have free clinics or Federally Qualified Health Centers that integrate mental health. For example, The Free Clinics in Hendersonville provides free counseling to uninsured patients of that clinic. Blue Ridge Health (FQHC serving Henderson and surrounding counties) has behavioral health counselors in their primary care sites. Check with your local community health center – they often have counseling on a sliding fee scale.

From the mountains to the coast, there are dedicated folks working in community agencies to support mental health. If you need help navigating these, consider calling 2-1-1 or contacting your regional NAMI for guidance. The above list isn’t exhaustive, but it highlights many community mental health NC options that are affordable and accessible.

Online Directories & Digital Resources

In today’s digital age, finding a therapist or support can often start with an online search. There are several reputable online directories and tools that make it easier to locate mental health providers or programs in North Carolina. Here are some to consider:

• Psychology Today Therapist Finder: The Psychology Today website hosts one of the most extensive directories of mental health professionals. You can filter by location (zip code/city), specialty, insurance accepted, and other criteria, making it a comprehensive tool to find local therapists, psychiatrists, or support groups. Providers often have profiles describing their approach, which can help you gauge if they might be a good fit. Tip: when using the site, use filters for “Issues” (e.g. anxiety, trauma), “Insurance” (if you plan to use it), and “Gender/Age” preferences to narrow your search. Website: psychologytoday.com/us/therapists.

• Open Path Collective: Open Path is a nonprofit nationwide network of therapists who offer low-cost sessions ($40-$70 per session) to people in financial need. To use Open Path, you pay a one-time $65 lifetime membership fee, which then gives you access to book with any Open Path therapists. Many therapists in NC participate for in-person or telehealth. This is a great option if you don’t have insurance and can’t afford typical private rates, but can pay a reduced fee. Website: openpathcollective.org – you can search by city or state to find Open Path therapists near you.

• TherapyDen: TherapyDen is a newer directory with a mission of being inclusive and social justice-oriented. It highlights therapists who are LGBTQIA+ affirming, culturally competent, and who work with diverse identities and communities. You can filter for specific populations (e.g. “Black/African American therapists” or “Therapists experienced in transgender issues” etc.). If finding a culturally sensitive therapist is important to you, TherapyDen is a useful resource. Website: therapyden.com.

• Therapy for Black Girls / Therapy for Latinx / Inclusive Therapists: These are specialized directories to find therapists of specific backgrounds or focus. Therapy for Black Girls is a popular site connecting Black women and girls with Black female therapists (and other therapists who support that mission) Therapy for Latinx similarly helps Latinx individuals find culturally sensitive providers Inclusive Therapists is another directory prioritizing therapists who practice with an intersectional, trauma-informed lens (and many BIPOC and LGBTQ+ therapists). If identity and representation matter to you in choosing a therapist, these platforms can be very helpful.

• Fresh Breath Therapy (Telehealth across NC): We’d be remiss not to mention that Fresh Breath Therapy (our practice) is itself a resource! We are a private group practice offering therapy to adults, adolescents, and families statewide via telehealth (and in-person in Cary, NC). Our therapists are licensed clinicians who accept insurance (including Blue Cross NC, Aetna, Cigna, and others) as well as private pay. Areas of focus include anxiety, depression, trauma (we offer EMDR), LGBTQ+ affirming therapy, and more. At Fresh Breath Therapy, we strive to provide therapy that feels welcoming and “like a breath of fresh air for the soul.” Our approach is compassionate, client-centered, and tailored to you. If you’re looking for one-on-one counseling in North Carolina and want convenience, our teletherapy platform allows you to attend sessions from anywhere in the state. Website: freshbreaththerapy.com – you can read about our services and even book a free 15-minute consultation to see if we’re a good fit. We’re here to support you on your mental health journey, whether through therapy with us or helping you connect to other resources.

Using online directories can empower you to find the support that best meets your needs (insurance, cultural fit, issue specialty, etc.). Just be sure to verify credentials and feel free to “shop around” – many therapists offer a brief free phone consult. The right help is out there!

Specialized Community Support & Peer-Led Groups

Sometimes what you need in addition to (or instead of) formal therapy is support from peers or a group setting. North Carolina has many specialized support groups and peer programs catering to specific communities and needs. Here are some notable ones:

• NAMI Peer-to-Peer and Family Programs: As mentioned, NAMI affiliates run free peer-led programs. NAMI Connection recovery support groups (weekly or monthly) bring together people living with mental illness to share and encourage each other – these are confidential and led by trained facilitators who are in recovery themselves. For family members, NAMI Family Support Group provides a space to talk with other families about coping strategies and resources. NAMI NC also offers classes like Peer-to-Peer (an 8-session peer-led course for those with mental health conditions to better understand their condition and build resilience) and Family-to-Family (8-week education for families). These programs are free and can be life-changing in providing knowledge and a sense of community. Check your local NAMI for group times (many are currently on Zoom, making them accessible from anywhere in NC).

• Substance Abuse Recovery Support Groups: If you are looking for support in recovery from alcohol or drug use, there are numerous groups:

  • Alcoholics Anonymous (AA) – AA has meetings every day across North Carolina (in big cities and small towns alike). Meetings are free and open to anyone who wants to stop drinking. Find local meetings at aanorthcarolina.org (or the AA Intergroup site for your city).

  • Narcotics Anonymous (NA) – NA offers support for those recovering from any drug addiction. See na.org/meetingsearch to find NC meetings. Like AA, NA is free and peer-led.

  • SMART Recovery – A non-12-step alternative, SMART Recovery groups focus on self-empowerment and use a science-based approach (CBT tools) for overcoming addiction. SMART has meetings (online and some in-person) in North Carolina – check smartrecovery.org for a meeting locator. SMART can be good if you’re looking for a slightly different approach or are not as comfortable with the spiritual aspect of AA/NA.

  • Al-Anon & Nar-Anon – These groups are for family and friends of people with alcohol or drug addictions, respectively. They provide support on how to cope with a loved one’s addiction. You can find Al-Anon meetings at alanon.org.

  • Celebrate Recovery – A Christian faith-based recovery program with chapters in many churches, addressing all kinds of “hurts, habits, and hang-ups” (not just substance). If a faith approach resonates with you, you might find a CR group near you.

• LGBTQ+ Community Mental Health Support: Lesbian, gay, bisexual, transgender, queer and questioning individuals may find it helpful to connect with others who share similar experiences. In NC, several LGBTQ+ centers and organizations host support groups:

  • The LGBT Center of Raleigh offers various peer-facilitated groups (for example, a Transgender support and discussion group, a Queer People of Color group, etc.). They also have a program called Trans Lifeline and can refer to LGBTQ-friendly therapists.

  • The LGBTQ Center of Durham similarly provides programming and could connect you to mental health resources. They often host workshops on mental wellness and specific peer support spaces.

  • Tranzmission in Asheville is an advocacy group that also holds support events for trans and nonbinary individuals in Western NC.

  • GLSEN and PFLAG chapters (found in multiple cities) can offer support for LGBTQ youth and their parents, respectively.

  • For crisis support specifically for LGBTQ+ youth, remember The Trevor Project is a 24/7 nationwide hotline (call 866-488-7386 or text START to 678-678).

• These specialized groups can reduce isolation by connecting you with others who get it. They are safe spaces to talk about mental health in the context of sexual orientation or gender identity, often facilitated by peers or counselors who are part of the community.

• Veterans, Military Families, and First Responders: Those who serve often face unique mental health challenges (trauma, transition to civilian life, etc.). In North Carolina, which has a large veteran population and many military bases (Fort Liberty, Camp Lejeune, etc.), there are tailored supports:

  • The Veterans Crisis Line (dial 988 then press 1) is always there for immediate help. But beyond crisis, consider the Vet Centers – these are counseling centers run by the VA specifically for combat veterans and their families (services are free and confidential, separate from the main VA medical centers).

  • Steven A. Cohen Military Family Clinic at Centerstone (Fayetteville) provides free or low-cost therapy to post-9/11 veterans, active duty (with TRICARE), and families.

  • NC Serves – A coordinated network that helps connect veterans and family members to resources, including mental health services. There are NCServes hubs for different regions (Metrolina, Coastal, etc.).

  • Support groups for first responders: Check out organizations like North Carolina Law Enforcement Assistance Program (NC LEAP) which provides peer support and critical incident debriefings for police and other first responders. Also, local departments sometimes have peer teams or chaplain programs.

  • Triangle Veterans Wellness Outreach (Durham): This nonprofit assists veterans and families with access to care, VA system navigation, and support groups. The Durham VA Medical Center also runs various mental health support groups and classes for veterans (e.g., PTSD support groups, depression management classes).

• The key is that if you or a loved one served, you are not alone – connect with fellow veterans/first responders who can relate. Even something like a weekly coffee group of veterans can be therapeutic.

• Parent, Postpartum, and Family Support Networks: Mental health can be a family affair. Parents may need support when dealing with a child’s behavioral issues or managing their own stress:

  • Postpartum Support International (PSI) – NC Chapter: PSI helps new mothers (and fathers) with postpartum depression, anxiety, and adjustment. They have volunteer coordinators in NC who can link parents to local postpartum support groups and therapists. PSI also runs virtual support groups.

  • Postpartum Education and Support (PEAS) in the Triangle: An organization in Wake County that runs free weekly support groups for mothers experiencing postpartum mood disorders.

  • Many hospitals in NC (like UNC Rex in Raleigh, Novant in Charlotte) have new mom support groups or “mommy and me” groups that double as support spaces.

  • Family Support Network of North Carolina (FSN-NC): This statewide network (with regional chapters) provides peer support to parents of children with special needs or health/mental health challenges. They can match you with an experienced parent mentor.

  • Exceptional Children’s Assistance Center (ECAC): Offers education and support for families with children who have disabilities, which can include support on mental health/IEP issues.

  • Support Groups for caregivers: For example, NAMI Basics is a class specifically for parents of children with mental health concerns. Also, some areas have groups like Parents of Adolescents Support, etc., often through a church or community center.

• Joining a parent or caregiver support group can relieve a lot of stress – it’s validating to hear others’ stories and learn you’re not the only one dealing with these issues.

• Other Peer Groups: There are many more, depending on your need – e.g., Grief support groups (hospice organizations like Heartland and churches often host these), support groups for chronic illness (like MS, cancer – often addressing mental health impacts of illness), and so on. A good clearinghouse to find these is usually your local hospital’s community classes/events page or NC 2-1-1’s database. Also, check Meetup.com or Facebook for informal mental health support meetups (with caution to ensure they’re legit and helpful).

The beauty of peer and specialized support is the sense of community it offers. Humans are social creatures; connecting with others who share similar struggles can reduce shame and inspire hope. If you’re considering joining a support group, we encourage you to give it a try – you might find your tribe and realize how much strength you can draw from others (and contribute to them too).

Choosing the Right Mental Health Resource

With so many options, how do you decide what kind of help you need and where to start? Choosing the right mental health resource in NC (or anywhere) can feel overwhelming, but here are some practical tips:

1. Identify the Level of Urgency: First, assess how urgent or severe the situation is:

• If you are in crisis (feeling unsafe, suicidal, or unable to function), prioritize immediate help – call a hotline (988 or NC crisis line) or go to a crisis center (like those listed) or ER. Safety comes first.

• If it’s not an immediate crisis but you’re really struggling (e.g., frequent panic attacks, depression affecting daily life), consider seeking short-term support to stabilize – this could be contacting your primary care doctor for medication, calling a local clinic for a sooner appointment, or joining a support group while you wait to see a therapist.

• For ongoing long-term support with manageable issues, setting up regular therapy or joining a weekly peer group could be appropriate.

Understanding whether you need emergency intervention, short-term counseling, or long-term therapy will guide where to look. (It can also be a combination – e.g., someone might call a hotline for immediate relief and start weekly counseling for long-term work.)

2. Consider the Type of Resource That Fits: Different resources serve different purposes:

• Hotlines/Text lines: great for immediate emotional support, safety planning, or resource referrals in the moment of need. (They bridge the gap until you can get in-person help.)

• Therapists/Counselors: for consistent, one-on-one help coping with and improving mental health. This can be short-term (a few sessions to tackle a specific problem) or long-term (months or years to work through deeper issues).

• Psychiatrists/Medication Providers: if you think medication might be needed (for depression, anxiety, bipolar, etc.), you’ll want to see someone who can prescribe – a psychiatrist or psychiatric nurse practitioner. Often you may get a referral via your primary doctor or therapist.

• Support Groups/Peers: useful at all stages – whether you’re in treatment or not, groups can provide that community support and practical wisdom from others.

• Inpatient or Intensive Programs: if you or someone is really in crisis or unable to function (e.g., not eating or sleeping for days, psychosis, danger to self), a higher level of care like a hospital or residential program might be appropriate. This is generally accessed via a crisis evaluation.

Think about what you’re comfortable with and what aligns with your needs. Some people start with their family doctor – which is totally fine; many primary care clinics in NC can treat basic mental health issues or refer you onward. Others know they want a counselor or a specific group. Use the info in this guide to match your situation to the resource.

3. Questions to Ask Providers or Programs: When reaching out to a therapist or clinic, don’t hesitate to ask questions. Here are a few good ones:

• “Are you accepting new patients now?” (And if so, how soon can you be seen – next week vs. 2 months?)

• “Do you take my insurance, and if not, what are the fees?” – finances matter, so be clear on costs. Also ask about sliding scale options if you need it.

• “What is your approach or specialization?” – For example, if you experienced trauma, you might want a therapist who specializes in trauma/PTSD (maybe trained in EMDR or trauma-focused CBT). If you prefer a certain style (like faith-based counseling or a therapist who understands LGBTQ issues), mention that.

• “What should I expect in the first session?” – It’s okay to ask how therapy works if you’re new to it. Providers are used to questions.

• For support groups: “Is the group open (can anyone drop in) or closed (same members each week)?” – and ask if you need to sign up. Also, inquire about the group guidelines: Is it confidential? Is there a trained facilitator? Knowing this can help you feel more at ease.

• For medication providers: “What are the medication policies?” (How often will you have visits, can you contact them between visits if side effects, etc.)

• If contacting an organization like NAMI: you can ask “What support groups or classes would you recommend for my situation?” They often can point you in the right direction and even personally connect you with a program leader.

4. Use Multiple Resources: It’s not an either/or situation. You can (and often should) use multiple resources in tandem. For example: you might see a therapist once a week (individual therapy), attend a support group on the weekend (peer support), and have your family doctor managing medication – all while using a meditation app or online support forum for daily coping. That’s a well-rounded support system! So feel free to mix and match: maybe NAMI support group + private counselor, or crisis line + outpatient program, etc.

5. Don’t Be Afraid to Switch or Seek Second Opinions: If a particular provider or approach isn’t working for you, it’s okay to try something or someone else. Mental health treatment is very personal. You have the right to a good therapeutic relationship. In North Carolina, we have lots of providers – if the first therapist isn’t a good fit, you can find another. Or if talk therapy alone isn’t helping, perhaps add a medication consult. Keep advocating for yourself until you feel you’re getting the help you need.

Understanding Crisis vs. Short-Term vs. Long-Term Support:

• Crisis support = safety and stability in the moment (minutes to days). Example: calling 988 or having a mobile crisis team come.

• Short-term support = solutions for now and near-future (weeks). Example: seeing a counselor for 6 sessions through an Employee Assistance Program, or doing a 4-week support group, or a brief medication trial.

• Long-term support = deeper healing and maintenance (months to years). Example: ongoing therapy, medication management for a chronic condition, involvement in a clubhouse or ongoing peer community.

Many people will use all three at different points in life. And that’s normal! You might use crisis services during a breakdown, then engage in therapy to address underlying issues, and later just check in occasionally or attend alumni support groups to sustain progress.

The bottom line: there is no wrong door. If you start somewhere and it’s not the ideal place, the important thing is you started. Folks at any of these resources will usually help steer you to the right place if they aren’t it. Just reach out – as the famous ad campaign in NC says, “It’s OK to ask for help.”

Re-cap

Navigating mental health can be challenging, but North Carolina’s wide array of resources means help is available and hope is alive. By breaking the silence and reaching out, you take the crucial first step toward healing. Whether it’s calling a warmline for a late-night talk, attending a free support group at a local church, or beginning therapy with a professional, each act of seeking support chips away at the stigma and isolation that mental health struggles often bring.

Let’s continue to foster a community where mental wellness is talked about openly and everyone feels included. Share a kind word about therapy being a strength, not a weakness. Encourage a friend to join you at that NAMI meeting. Celebrate the courage of seeking help.

At Fresh Breath Therapy, we firmly believe that no one should have to “just handle” mental health issues on their own. There is a network of compassionate people – counselors, peers, doctors, advocates – ready to walk alongside you. If you have been considering reaching out, we wholeheartedly encourage you to do so. The sooner you get support, the sooner you will realize that you can feel better and that people do care.

If you ever feel discouraged, recall the motto: “You are not alone.” It’s true – in fact, by reading this guide, you’ve connected (in spirit) with countless others in NC who have walked similar paths and are rooting for your success.

Finally, know that Fresh Breath Therapy is here as one of the many options if you decide professional therapy is right for you. As a private practice (and yes, we accept insurance!), we would be honored to help you navigate your challenges through one-on-one counseling. Sometimes, personalized therapy can complement those community resources by giving you a confidential space to dig deeper into your experiences. If we can be of help, please don’t hesitate to reach out – we offer telehealth statewide, so we’re as close as your phone or computer.

Call-to-Action

We hope this comprehensive guide has shown the breadth of mental health support available in the Tar Heel State. Now we ask for your help in spreading the word:

• Share this guide with friends, family, neighbors, and on social media. You never know who might be silently struggling and in need of these resources. A simple share could connect someone to life-changing help.

• If you belong to a community group (faith community, social club, workplace wellness committee), consider mentioning or distributing some of this information. Let’s create a ripple effect of awareness.

• Most importantly, use these resources for yourself if you need them. Bookmark the crisis numbers. Maybe attend one support meeting just to see what it’s like. The tools only work if we use them – so take that next step for your own well-being.

At Fresh Breath Therapy, our doors (physical and virtual) are open to anyone in North Carolina seeking a compassionate partner in their mental health journey. Don’t hesitate to contact us if you have questions or want to explore therapy services. Sometimes the hardest part is the first phone call or email – but we promise, we’re friendly and judgment-free. Whether you’re dealing with anxiety, trauma, a big life transition, or you’re not even sure what’s wrong but you just don’t feel like yourself – we’re here to help.

Your mental health matters. North Carolina’s community is stronger when we uplift and support each other. Let’s continue breaking down stigma, one conversation and one resource at a time. You deserve support, and now you have a roadmap to find it.

Thank you for reading, and be well!

(If you have any questions about the information in this guide or need further assistance, please reach out to Fresh Breath Therapy at freshbreaththerapy.com or call 919-300-6717. We’re happy to help guide you to the right resource.)