Counseling for College Students & Young Adults in Charlotte, NC

The years between 18 and 26 bring more change than almost any other stretch of life: leaving home, college pressure, first jobs, new relationships, and figuring out who you are. We offer counseling for college students and young adults in person at our Midtown Charlotte and Pineville offices, and by telehealth for anyone living or attending school in North Carolina or South Carolina. Daytime appointments fit between classes and around work schedules.

Who it's for

We help college students and young adults with:

  • Anxiety, worry, panic, and perfectionism
  • Academic stress, test anxiety, procrastination, and burnout
  • Depression, low motivation, and feeling stuck
  • Homesickness and adjusting to college life
  • ADHD, executive functioning, and time management in college or a first job
  • Relationship and roommate conflict; breakups
  • Social anxiety and making friends in a new place
  • Identity, self-esteem, and figuring out “what’s next”
  • Family stress and changing relationships with parents
  • Life transitions: graduation, first job, moving, engagement
  • Grief and loss
  • Neurodivergent young adults (autism, ADHD) navigating independence

Away at School? You Can Still See a Charlotte Therapist.

If you’re a Charlotte-area student attending college in North Carolina or South Carolina, you don’t have to start over with a campus counseling center or wait weeks for an appointment. Our licensed psychologists and counselors provide telehealth counseling to students at schools across both states, including:

North Carolina: UNC Charlotte, NC State, UNC Chapel Hill, Duke, Wake Forest, Appalachian State, East Carolina, UNC Wilmington, UNC Greensboro, UNC Asheville, Davidson, Elon, Queens University of Charlotte, Johnson & Wales Charlotte, Central Piedmont Community College, and others.

South Carolina: Clemson, University of South Carolina, College of Charleston, Winthrop, Coastal Carolina, Furman, Wofford, The Citadel, and others.

Because of state licensing rules, the student must be physically located in North Carolina or South Carolina at the time of each session. Every one of our counselors is licensed for North Carolina telehealth, and nine are also licensed to see South Carolina residents.

Many students begin counseling with us in person over summer or winter break and continue by telehealth once the semester starts. Parents often appreciate that their student keeps working with a hometown practice they already trust.

The Work of Being 18 to 29

This stage of life has its own developmental tasks: figuring out who you are apart from your family, building adult relationships and friendships, meeting academic and work expectations, handling money and independence for the first time, and making decisions that feel permanent. Counseling at this age isn’t only about symptoms. It’s about building the self-awareness and coping skills that carry into the rest of adulthood.

What to Expect

A free consultation first

A short call with our intake team to talk through what’s going on and match you with a counselor who’s a good fit.

Your own therapist, your own goals

Sessions run about an hour. New clients usually start weekly while you and your therapist build rapport, assess what’s going on, and set treatment goals. As things stabilize and you’re making progress, most young adults move to every-other-week sessions, with more to work on between appointments. You set the agenda. Our counselors draw on evidence-based approaches including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT) skills, Acceptance and Commitment Therapy (ACT), person-centered therapy, and mindfulness-based work. EMDR for trauma is available with a certified clinician.

Confidential, even if a parent is paying

Once you’re 18, your sessions are confidential. We’ll talk with you about what, if anything, you’d like shared with family, and how to involve them if that would help.

In person or telehealth

Meet at our Midtown Charlotte or Pineville office, or by secure video from your dorm, apartment, or car between classes. You can switch between the two as your schedule changes.

Daytime slots that work with a college schedule

Mid-morning and early-afternoon appointments are usually the easiest to get, and they fit the gaps in a typical class schedule better than evenings.

A Note for Parents

If you’re a parent reading this on behalf of your student, you’re in the right place. We can talk with you first about what you’re seeing, but your adult child will need to schedule and consent to their own care. Many parents find it helps to send their student this page, or to suggest starting with a single consultation over a school break. We also offer counseling and coaching for parents if you’re navigating this transition yourself.

Questions from Students & Parents

Can I do therapy over telehealth if I'm at college in another city?

Yes, as long as your school is in North Carolina or South Carolina and you’re physically in one of those states during the session. All of our counselors are licensed for NC telehealth, and nine are also licensed for SC. If you attend school in another state, we can see you in person or by telehealth when you’re home in NC on breaks.

Can I see you in person over the summer and switch to telehealth during the semester?

Yes. This is one of the most common ways college students work with us. You keep the same therapist year-round.

I'm still on my parents' insurance. Will they see what I talk about?

No. Your sessions are confidential once you’re 18. Your parents’ insurance may show that a visit occurred and the type of service, but not what was discussed. We’re happy to explain exactly what appears on an explanation of benefits.

Does Child & Family Development only see children?

No. While we’re known for pediatric services, our counseling team works with clients through young adulthood, including college students and adults in their twenties. Many of our young adult clients first came to us as kids and returned when they needed support later.

What's the difference between your counseling and my campus counseling center?

Campus centers are a great resource, but many limit the number of sessions, have long waitlists, and close over breaks. With us, you get ongoing care with the same licensed therapist, no session cap beyond what your insurance allows, and continuity when you’re home.

Do you offer ADHD testing or evaluations for college students?

Yes. Our psychologists provide psychological and psychoeducational evaluations that can support academic accommodations. Ask about this during your consultation.

How quickly can I get an appointment?

Daytime appointments, especially mid-morning and early afternoon, are generally available within a week or two. Evening slots fill faster.

Do you provide crisis or emergency services?

We are an outpatient practice and do not provide emergency or crisis services. If you are in crisis, call or text 988 (Suicide & Crisis Lifeline) or go to your nearest emergency room. We’re glad to schedule ongoing counseling once you’re safe.

Our young adult counseling team

These counselors and psychologists work with college students and young adults. All are licensed for telehealth in North Carolina; psychologists and LCMHC-level counselors are also licensed to see South Carolina residents.

Insurance for Young Adult Counseling

We accept Aetna, Aetna State Health Plan, Blue Cross Blue Shield of NC, Cigna (through Evernorth Behavioral Health), and MedCost for counseling for college students and young adults in Charlotte, including telehealth sessions. Students covered under a parent’s plan can use that coverage, and many student health insurance plans reimburse out-of-network therapy. See all insurance details.

  • Aetna
  • Aetna State Health Plan (NC State Health Plan for Teachers and State Employees)
  • Blue Cross Blue Shield of NC
  • Cigna (Evernorth Behavioral Health)
  • MedCost
  • Will file with most out-of-network plans

Free Consultation

Your first step: Schedule a free consultation to talk with an expert. Whether you're in Charlotte or on campus anywhere in North Carolina or South Carolina, the first step is a short call. We'll listen, answer your questions, and match you with a counselor.

Schedule Now

New client consultation times are now available with our clinical leaders:

Schedule A FREE Phone Consultation Today

Jessica or Erin for Physical Therapy, Mallory for Occupational Therapy, Emily for Speech Therapy, and Brandyn or Missy for Psychology and Counseling. They'll help you identify the services that best fit your child's needs and guide you to the next steps.

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