Online Therapy in Charlotte, NC
Somatic and nervous system therapy for Charlotte professionals — without the commute.
Serving Charlotte and throughout North Carolina via online therapy.
Charlotte is not a slow city. Online therapy fits that.
Between Uptown, South End, Ballantyne, and everywhere in between, Charlotte professionals are already navigating a lot of ground in a day. Adding a therapy commute to a full schedule is a real barrier — and for many people it's the thing that keeps therapy on the "eventually" list rather than happening now.
Online therapy removes that friction entirely. Same depth of clinical work. Same quality of therapeutic relationship. No travel, no parking, no transition time eating into your evening.
For somatic therapy specifically — the body-based, nervous system-focused approach I use — online sessions work just as well as in-person. The work happens through verbal guidance, pacing, and relational attunement. Your nervous system responds to the quality of the therapeutic relationship regardless of whether we're in the same room. Many clients find working from their own home environment actually helps rather than hinders the work.
What I work with
I work with adults throughout Charlotte and across North Carolina for:
Anxiety & High-Functioning Anxiety
Including generalized anxiety, performance anxiety, and the chronic background activation that Charlotte professionals often carry without identifying it as anxiety — the constant tension, the inability to switch off, the vague sense that something is about to go wrong even when nothing is.
Trauma & PTSD
Single-incident trauma, developmental and relational trauma, complex PTSD, and presentations where previous processing has been incomplete or re-activating. Somatic approaches are particularly well-suited here because trauma is encoded in the body's responses, not only in narrative memory.
Compassion Fatigue & Secondary Traumatic Stress
For Charlotte's substantial healthcare, clinical, and care professional community. The accumulation of others' distress in your own nervous system is real, measurable, and treatable.
Burnout & Chronic Stress
The physiological version — where ordinary rest has stopped restoring you, where the depletion feels bone-deep, where you're still producing but increasingly hollow inside. This requires nervous system intervention, not just self-care advice.
Anxious Attachment & Relationship Anxiety
The nervous system patterns that drive overthinking in close relationships — hypervigilance to disconnection, difficulty trusting, the exhausting monitoring of other people's emotional states. These patterns respond better to body-based work than to insight alone.
Identity-based Stress & Anxiety
For LGBTQ+ individuals, BIPOC clients, and anyone carrying the chronic stress of navigating environments that aren't fully safe. My practice is explicitly LGBTQIA2S+ and BIPOC affirming. I also write gender-affirming care letters.
The Approach: Body-Based, Not Talk-Only
Most therapy is primarily verbal — focused on thoughts, patterns, history, and meaning. That work has real value. My approach goes a layer deeper.
Somatic therapy works directly with the nervous system's physiological state. Rather than analyzing anxiety from the outside, we work with what's happening in the body in real time — sensation, activation, breath, holding patterns — and use that as the primary site of change.
The reason this matters: anxiety isn't just a thought pattern. It's a physiological state. The autonomic nervous system's threat response operates below conscious thought — faster than you can reason about it, independent of what you know or understand. Changing how you think about anxiety doesn't change the underlying state. Somatic therapy addresses that state directly.
The framework draws from Polyvagal Theory, Somatic Experiencing, and trauma neuroscience — all well-supported by peer-reviewed research. This is not wellness-adjacent. It's an evidence-based clinical approach that addresses anxiety where it actually lives.
For a full explanation: Somatic therapy in North Carolina | Anxiety therapy in Charlotte
How online sessions work in practice for Charlotte, NC
Sessions are 75 minutes via SimplePractice's HIPAA-compliant telehealth platform. All you need is a private space and a reliable internet connection.
The 75-minute format is clinically relevant, not just a scheduling preference. Somatic work needs enough time to move through activation, processing, and regulation within a single session. A session that closes while your nervous system is still activated doesn't produce the corrective experience the approach depends on. You leave settled, not stirred up.
Many Charlotte clients do sessions from a home office, a parked car between commitments, or a private room. We can talk through whatever setup makes the most sense for your schedule in the consult.
Practical details
"I have learned to recognize, feel, and care for my emotions in a holistic manner. I never had previously done this."
Session length: 75 minutes
Fee: $225 per session
nsurance: Private pay. Superbill provided for out-of-network reimbursement. HSA/FSA accepted. Thrizer available for automated out-of-network billing.
Platform: Sessions Telehealth (HIPAA-compliant). Zoom as backup.
Who I see: Adults 18+, throughout North Carolina.
Scheduling: Monday–Friday with evening availability. Discussed in the consult.
Affirming practice: Explicitly LGBTQIA2S+ and BIPOC affirming. Gender-affirming care letters available.
"Embodied awareness is truly what Katie is all about. Within a year I was able to reconnect to my body and experience my emotions more fully than I had in years."
"My work with Katie served as the most foundational piece of accepting myself where I am at."
About Katie, your North Carolina Therapist
Katie Hargreaves, LCSW, LCAS, is a somatic therapist and nervous system specialist licensed in North Carolina. She has over 12 years in mental health, more than 5,000 therapy sessions, and her own lived experience resolving clinical anxiety — which informs everything about how she works.
Her training integrates somatic therapy through Alchemy Somatics, polyvagal-informed nervous system regulation through The Embody Lab, breathwork, parts-based approaches, and trauma-informed processing. She works with adults throughout North Carolina online, including Durham, Raleigh, Chapel Hill, and beyond.
Her practice is explicitly LGBTQIA2S+ and BIPOC affirming, and she is trained to provide gender-affirming care letters.
How to get started
Here's how it works:
Step 1
Book a free 15-minute consult. We talk about what's bringing you to therapy, what you want your life to look like, and whether we're a good fit.
Step 2
Schedule your first session. 75 minutes, online, in Durham or from anywhere in North Carolina.
Step 3
Start the actual work. Not more analysis. The actual resolution.
FAQs about Online Therapy in
Charlotte, NC
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Yes — and for somatic therapy specifically, the research supports this. A 2022 meta-analysis in the Journal of Affective Disorders found telehealth therapy produced equivalent outcomes to in-person for anxiety disorders. The relational attunement that drives nervous system regulation happens through voice, pacing, and presence — none of which require physical proximity. Many Charlotte clients find working from their own environment removes the activation that comes from commuting and transitions, which actually supports the work.
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No. Private pay only at $225 per 75-minute session. A superbill is provided for out-of-network reimbursement — many Charlotte clients with PPO plans through major employers recover 40-70% of the fee. HSA and FSA are accepted. Thrizer is available for automated out-of-network billing if you want that handled without the paperwork.
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Sessions are 75 minutes, Monday through Friday with evening availability. Most Charlotte clients schedule before 8am, during a lunch window, or after 5pm. Because there's no commute, the time commitment is the session itself. We work out the right slot in the consult call.
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Yes. Somatic approaches for trauma — including Somatic Experiencing, polyvagal-informed work, and parts-based processing — translate fully to a virtual format. The clinical requirement is a private space where you feel safe enough to work. A home office, a quiet room, or even a parked car between appointments works. We talk through your setup on the consult call.
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Yes — I'm licensed in North Carolina and work with clients statewide. Charlotte, Raleigh, Durham, Chapel Hill, Asheville, Wilmington, Greensboro, anywhere in NC with a private space and stable internet.
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Yes. I'm trained to write letters supporting hormone therapy, gender-affirming surgeries, and related care. This happens within a therapeutic relationship, not as a standalone transaction. → LGBTQ+ affirming therapy in NC
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The NC page covers telehealth therapy across the full state. This page is specifically for Charlotte-based clients — the professional context here is different. Charlotte has a high concentration of finance, banking, healthcare, and corporate professionals carrying a specific kind of chronic high-performance stress. The work I do with Charlotte clients is the same clinical approach, but the presenting profile is consistent enough that it warrants its own space.
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Yes. Katie Hargreaves, LCSW, LCAS, is fully licensed in North Carolina and sees clients throughout the state including Charlotte, Raleigh, Durham, and Chapel Hill.
Katie Hargreaves, LCSW, LCAS | Licensed in North Carolina | Online therapy statewide and in Charlotte, NC | hello@katiehargreavestherapy.com | 323-208-9182
You've done the thinking. This is the part that works differently.
If you've spent years understanding your anxiety without it fully changing, somatic therapy offers the piece that's been missing — working with your body, not just your mind.
The first step is a free 15-minute phone call. No intake forms. No commitment. Just a conversation about what you're looking for.
Areas also served: Chapel Hill | Durham | Charlotte | Raleigh | Online Therapy in North Carolina | LGBTQ+ Affirming Therapy | View our Chapel Hill Google profile