affirming, collaborative telehealth therapy in North Carolina

Hi! I'm Hilary (pronouns: they/them). I am a neurodiversity and trans* affirming, trauma informed, EMDR and ERP trained therapist. I work with clients to heal from past experiences, live authentically, and feel more connected to themselves. I meet each client exactly where they are, using resilience-based and social justice informed approaches.

I offer personalized therapy to meet your individual needs and work toward your goals. I prioritize providing you with a safe and affirming space for healing and exploration.

I offer online therapy, clinical assessments, and professional consultation to individuals residing anywhere in North Carolina.

My areas of expertise include working with trans* and

gender expansive folks, neurodivergence (ADHD and ​Autism), anxiety, disordered eating, trauma, and ​perfectionism. I provide autism and ADHD assessments to ​individuals 13+.

I began my own therapy journey as a client, and I have ​experienced firsthand the positive impact that therapy can ​have in a person's life. I also fully understand the importance ​of working with a therapist who "gets it" - where you can ​show up as your whole, authentic self. You can find my video ​introduction here.

Prior to working in the mental health field, my background is ​art, and I value the importance of creative expression in ​healing and self exploration.

Whether you are a potential client looking to work together, ​or a clinician seeking professional consultation, please feel ​free to reach out to me for a free 20 minute info session. I ​look forward to connecting!

trans affirming

anti fat bias

trauma informed

poly & kink affirming

anti racist

HAES aligned

Counseling

• Individual counseling (ages 13+): $180 / 60 minute session

• ADHD coaching (ages 13+): $180 / 60 minute session

• Couples/relationship counseling: $180 / 60 minute session
• Intake appointment (individuals and couples): $265 / 90 minute session

I am out of network (OON) with all insurance providers.

I can provide you with a monthly superbill to submit to your insurance company, without sacrificing your protected health information.

My number one priority is to provide accessible, effective services. I have a limited amount of space on my caseload for sliding scale clients. Please contact me if you would like to discuss sliding scale options.

Note: Sliding scale payments are not eligible for superbills.

Information on the No Surprises Act can be found here.

Autism & ADHD Assessments

I specialize in providing affirming, collaborative assessments that celebrate your unique strengths and experiences. The assessment process is thorough and comprehensive: together we look at the whole picture of what you are experiencing as well as cross-examining with common misdiagnoses. The assessment process is individualized and tailored to your specific needs.

About

Through the assessment process and in all aspects of working together, I prioritize your individual perspective and experiences. I have received extensive training in providing neurodivergence affirming assessments, and am happy to answer questions you may have about the process. The assessment findings may inform personal accommodations and support strategies that align with your individual identity.

If you are interested in scheduling an assessment, reach out today for a free 20 minute consultation to answer any questions you have, discuss the assessment process, and see if it’s a good fit.

Cost of Service for Assessments

Option 1: Neurodivergence Screener

• Individuals 13+
  
• Cost: $350
• Time: 90 minutes
• Review of your information, experiences and traits compared with clinical diagnostic criteria
• Does not provide a clinical diagnosis

If you decide to schedule the full comprehensive clinical assessment (CCA), the screener does count toward the total cost of the assessment.

Option 2: Full Comprehensive Clinical Assessment

• Individuals 13+
  
• Cost: $1100
• TIme: 240 minutes
• Includes: 30 minute follow up appointment to discuss clinical findings and recommendations
• Thorough review of information, presentation, experience, symptoms and traits, compared with clinical diagnostic criteria of common misdiagnoses
• Does provide a clinical diagnosis

Clinical Consultation

Consultation provides you with a safe space to discuss the emotional impact of your work, process any countertransference or personal reactions, and receive support to prevent burnout.

Please reach out for information on consultation.

About

Clinical consultation for therapists involves a collaborative and reflective process where therapists seek guidance, support, and expertise from peers in the field.

It is an opportunity for therapists to discuss their cases, gain insights, receive feedback, and enhance their clinical skills.

Clinical consultation serves multiple purposes, including professional development, case conceptualization. problem-solving, ethical considerations, and self-care.

Professional Orientation

I use an integrative and trauma-informed approach and draw from a range of theories to suit each client's individual needs.

My approach is primarily client-centered, relational-cultural, and social justice oriented. Meaning, I believe that the therapeutic relationship is key to healing, and I strive to create a create a genuine, empathetic, and collaborative relationship with my clients. I also highlight personal strengths, resiliency, and empowerment. Social justice prioritizes equity, access, participation, and harmony within our society: a social justice approach within counseling recognizes that individuals do not exist in a vacuum: no one exists independent of society, culture, and context.

I acknowledge the ways in which systemic racism, oppressive societal conditions, and historic trauma can take a toll on both mental and physical health. I am LGBTQAI+ affirming and use an anti-oppression lens, and I affirm that all individuals have the potential to live fulfilling and emotionally healthy lives. Click here to watch my video introduction.

Professional Awareness

The mental healthcare system as a whole has been undeniably influenced by colonial systems and ideologies. I acknowledge the toll that systemic oppressions take on an individuals' well-being, impacting physical and mental health of those with marginalized identities.

Our current mental healthcare system must undergo a massive change to create just, equitable, and culturally responsive mental health systems. As a therapist, I am committed to interrogating power structures within myself, within my field, and on a systemic level. I am aware of my social positionality and privileges as a white clinician with a graduate degree, and aim to be mindful of how my positionality and privilege shows up. I engage in my own anti-racist work through personal therapy, supervision, and trainings. I remain open to feedback so that I can continue to grow, challenge myself, and remain accountable.

I am committed to working toward a more equitable, liberatory, and inclusive approach to mental healthcare. I actively address the power imbalance in my work as a counselor, researcher, and advocate. If you have any questions, please feel free to reach out.

Social Positionality and the Counseling Profession

Education

Credentials and Training

• Master of Science, Clinical Counseling with a focus in Substance Abuse from East Carolina University (ECU)
  
• Licensed Clinical Mental Health Counselor Associate (LCMHCA #: A17752) in the state of North Carolina (NC)
  
• National Certified Counselor (NCC #: 1650448)
  
• Eye Movement Desensitization and Reprocessing (EMDR)
  
• Exposure Response and Prevention (ERP)

Specialties and focus

• LGBTQIA+ community
  
• Neurodivergent folks
  
• Teens (ages 13+)
  
• Artists, musicians, creatives
  
• Therapists and helping professionals
  
• Couples/relationships (kink and poly affirming)
  
• Partners and family members of the above
  

Vetiver is a tall grass traditionally used for thatching, making mud bricks, and weaving ropes.

Vetiver plants have a strong root system, and represent resilience, inner strength and interdependence.

Contact

If you think it may be a good fit, feel free to reach out today for a free 20 minute consultation! I look forward to connecting with you.

©2024 Vetiver Counseling & Wellness, PLLC. All rights reserved.

Vetiver Counseling & Wellness, PLLC is located on the unceded land of the Cheraw, Mánu: Yį Įsuwą (Catawba), Occaneechi, Sissipahaw, Eno, and Shakori people. We pay respect to their elders, past and present. We recognize and respect them as the original stewards of this land.