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Reality Therapy / Choice Theory therapists in Durham, NC

We are proud to feature top rated Reality Therapy / Choice Theory therapists in Durham. We encourage you to review each profile to find your best match.
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Raleigh, North Carolina therapist: Nour Counseling, counselor/therapist
Reality Therapy

Nour Counseling

Counselor/Therapist
Finding a therapist shouldn’t feel overwhelming—or like a guessing game. At Nour Counseling, we take the time to actually listen before we match you, so you’re not left scrolling through profiles trying to figure it out on your own. We consider what you’re looking for, what you’ve experienced in past therapy (what worked and what didn’t), and the kind of connection you want to feel in the room. We’re also clear about our values—our clinicians are culturally responsive and affirming, and we hold space for clients navigating complex identities and sociopolitical realities without minimizing or dismissing them. Our goal is simple: to help you get connected to a therapist who not only has the right expertise, but who genuinely feels like a good fit.  
9 Years Experience
Online in Durham, NC (Online Only)
Charlotte, North Carolina therapist: Jess Clodfelter, counselor/therapist
Reality Therapy

Jess Clodfelter

Counselor/Therapist, MS, LCMHC, LPC, NCC, CCTP-II
You don’t need another space where someone nods at you and hands you a worksheet you’ll never use — and you definitely don’t need one where you have to explain or defend who you are. I provide gender-affirming therapy for adults across North Carolina and South Carolina, working primarily with trans, nonbinary, and queer folx navigating identity exploration, dysphoria, and the very real stress of existing in a world that doesn’t always get it. My work is trauma-informed and attachment-based, helping you make sense of patterns like overthinking, burnout, people-pleasing, and relationship cycles without pathologizing the hell out of you. This is a space that’s collaborative, honest, and actually feels human — where we unpack what’s keeping you stuck and build something that fits you better. If you’re looking for therapy that’s affirming, real, and a little more direct than the usual, you’re in the right place — go ahead and reach out.  
12 Years Experience
Online in Durham, NC (Online Only)
Charlotte, North Carolina therapist: Lynette Cisneros, counselor/therapist
Reality Therapy

Lynette Cisneros

Counselor/Therapist, LCMHC, LMHC
Therapy is not a one size fits all discipline. As an experienced therapist I recognize that adaptability is key. Your provider must be able to move within the space of the session with you as things present. This is where my experience & our rapport becomes invaluable. In my practice I strongly believe this space is for and about you. Our dynamic is intended as a tool to heal with compassion, intentionality and humor. When we can laugh we will.  
25 Years Experience
Online in Durham, NC (Online Only)
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Raleigh, North Carolina therapist: Thomas Coogan, licensed mental health counselor
Reality Therapy

Thomas Coogan

Licensed Mental Health Counselor, LCMHC
What makes my therapy practice stand out is my commitment to understanding and supporting you as an individual. I tailor each session to your unique needs, using evidence-based techniques and genuine empathy to ensure you feel heard and valued. By creating a safe, nonjudgmental space, I empower you to explore your challenges, develop new skills, and achieve lasting positive change.  
20 Years Experience
Online in Durham, NC (Online Only)
Garner, North Carolina therapist: First-Aid Counseling, PLLC, counselor/therapist
Reality Therapy

First-Aid Counseling, PLLC

Counselor/Therapist, LCMHC, LCASA, LCSW
Our practice is built on the belief that everyone deserves a safe, supportive place to heal and grow. We are a diverse team of therapists who provide compassionate, client-centered care tailored to each person’s unique needs and goals. Whether you are struggling with anxiety, trauma, relationship issues, stress, or major life changes, we are here to help you build coping skills, strengthen resilience, and create meaningful change. Reaching out can be difficult, but you do not have to face things alone.  
3 Years Experience
Online in Durham, NC (Online Only)
Durham is home to Duke University and Duke University Medical Center, one of the leading psychiatric research and treatment centers in the country — an institution that deeply shapes the quality and sophistication of the local therapy community. The Research Triangle's concentration of academics, researchers, and healthcare professionals creates demand for therapists with intellectual depth and experience with high-achievement anxiety, identity work, and the stresses of competitive knowledge-economy careers. Durham also has a vibrant Black community with deep historical roots, and therapists offering culturally affirming care, racial identity work, and intergenerational trauma support are well represented. The city's progressive culture sustains strong demand for LGBTQ+-affirming therapists, and many practitioners integrate social-justice-informed approaches across their work.

Reality Therapy / Choice Theory therapists in Durham, North Carolina Statistics

Reality Therapy / Choice Theory therapists in Durham, North Carolina average 15 years of experience and charge around $201 per session. 100% offer online sessions. The most commonly treated issues are ADHD (82%), Stress (82%), and Anxiety or Fears (73%).

Average years in practice

15 Years Experience

Average cost per session

$201

Accept insurance

55%

Offer sliding scale

36%

Gender ID

43% Female
36% Male
14% Non-Binary
7% Gender Fluid

Session Type

73% Online Only
27% In Person and Online

Top Specialties

82% ADHD
82% Stress
73% Anxiety or Fears
73% Depression
73% Trauma and PTSD
64% Self Esteem
55% LGBTQ+ Issues

Ages Served

100% Adult
82% Young Adult
73% Senior
64% Teen
45% Children

Client Focus

64% Women
55% LGBTQ+
55% Men
55% Military / Veterans
45% Black / African American

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