Online Sex Therapy & Couples Counseling in North Carolina.
Improve your relationship with yourself, your partner, and your sexuality.
If you're in North Carolina and looking for a sex therapist or couples counselor who truly specializes — not just a generalist with a passing interest in relationships — you've found her.
I'm Dr. Anna Smith, a Licensed Psychologist and AASECT Certified Sex Therapist based in North Carolina, offering online sessions to clients across the state including Charlotte, Raleigh, Durham, Greensboro, Asheville, Winston-Salem, and Chapel Hill. All sessions are conducted via secure, HIPAA-compliant telehealth — meaning you can access specialized, expert-level sex and couples therapy from anywhere in the state, on a schedule that works for you.
From emotional disconnect, desire discrepancy or sexual dysfunction, to communication breakdowns, trust issues, or life transitions, and the stuff that’s hard to talk about with a therapist who doesn’t get it. You’ve come to the right place.
Services available in North Carolina
What I offer:
Online sex therapy for individuals and couples
Online couples counseling using Emotionally Focused Therapy (EFT)
Individual therapy for relationship patterns, identity, and intimacy
Therapy intensives for concentrated, accelerated progress
My practice is proudly LGBTQAI welcoming, trans-affirming, kink-knowledgeable, and poly/ENM-affirming
Why telehealth works:
Sessions from the privacy and comfort of your own home
No commute, no waiting rooms, no logistical barriers
Same quality of care — research confirms telehealth therapy is as effective as in-person
HIPAA-compliant, fully secure video platform
Flexible scheduling to fit your life
Who I work with:
Individuals exploring sexuality, identity, desire, or relational patterns
Couples dealing with conflict, distance, or sexual disconnection
People processing sexual trauma or harmful messages about sex
Those in non-traditional relationship structures (ENM, polyamory, kink)
Trans and non-binary individuals seeking affirming, specialized care
How to get started
Your first step is a free 20-minute phone or video consultation. We'll talk about what's bringing you in, answer any questions you have, and make sure we're a good fit before you commit to anything. I currently have availability for new clients in North Carolina.
Frequently asked questions
Q: Do you offer in-person sessions in North Carolina?
A: All sessions are online via telehealth. This makes specialized care accessible statewide — without the cost, commute, or logistical complexity of in-person therapy.
Q: Do you take insurance?
A: I am an out-of-network provider. Many clients use their out-of-network benefits or FSA/HSA accounts. I provide superbills for insurance reimbursement upon request.
Q: Are you licensed to see clients in this state?
A: Yes — I hold licensure to practice in North Carolina through PsyPact, which allows me to provide psychology services across participating states via telehealth.
Q: How long does therapy take?
A: Many clients experience meaningful shifts within 6–10 sessions. Others prefer longer-term work or even intensives. You're always in control of the pace and duration of our work together.