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
Kink-affirming, trans-affirming, and ENM-affirming care
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.