Find Youth Mental Health Resources
At the 988 Suicide & Crisis Lifeline, they understand that life’s challenges can sometimes be difficult. Whether you or a loved one is facing mental health struggles, emotional distress, alcohol or drug use concerns, or just need someone to talk to, their caring counselors are here for you . You are not alone.
The 988 Lifeline is available 24/7/365. Your conversations are free and confidential.
Press 2 for Spanish-language support.
Hotlines, Text, and Chat Support
NAMI Teen & Young Adult (T&YA) HelpLine
(800) 950-6264 or Text FRIEND to 62640
A free nationwide peer-support service providing information, resource referrals, and support to teens and young adults available by phone, text, or chat.
Offers National Alliance on Mental Illness (NAMI) Peer Support Specialists are who are experienced and well-trained young people.
Available
Monday-Friday
10:00 AM to 10:00 PM
Somethings
A free peer support program for NC teens ages 13+ offered in partnership with NCDHHS.
Connects adolescents with certified peer mentors via text, video, or through an app.
Support is available after school hours and is backed by licensed clinicians for seamless connection to higher-level care when needed.
Available
After School & On Weekends
Promise Resource Network Peer Support Warmline
1-855-PEERS NC (1-855-733-7762)
Confidential 24/7 peer support warm-line serving NC residents, available anytime, any day.
Certified Peer Support Specialists are available to support individuals dealing with mental health or substance use challenges and provide assistance navigating resources.
Available
24/7
RHA Health Services – Mobile Crisis Management
(888) 573-1006 — rhahealthservices.org
Mobile Crisis provides 24/7/365 crisis response in the community to stabilize, support, and advocate for individuals experiencing a mental health, substance use, or intellectual/developmental crisis situation.
Can provide in-person emergency support in Mitchell, Yancey, and 9 other counties in WNC.
Insurance blind/no cost for services.
Available
24/7
Say Something
The Say Something program empowers students to recognize and report warning signs of potential harm. Students learn to become Upstanders — rather than bystanders – who:
- “Know the signs” of violence or self-harm in a classmate or themselves.
- Can “say something” to a Trusted Adult to get help for a peer in crisis – or oneself – and protect the school community from potential violence.
Available
24/7
A Mental Health Care Glossary
Not sure what some of these terms mean? Click to learn more below!
Peer Support
Certified Peer Support Specialists (CPSS) provide support to others who can benefit from their lived experiences.
Certified Peer Support Specialists (CPSS) are highly trained individuals with lived experience who can help you with your mental health and substance use recovery. They are people with personal lived experience that may be just like yours. Certified Peer Support Specialists:
- Meet you where you are without judgment
- Help you navigate the system for treatment, employment, housing, and relationships
- Teach you how to advocate for yourself and work with your treatment plan
Learn more from the NC Department of Health and Human Services
HelpLine or Warmline
A helpline or warmline is a free, confidential, non-emergency phone line staffed by trained individuals, providing emotional support for mental health struggles, loneliness, or daily stress.
Unlike crisis lines, they are not intended for emergencies, but rather are preventative, providing a compassionate listening ear to prevent crises.
Resource Navigation
Resource navigation is when a professional helps individuals and families access the resources they need to thrive. This can include helping with housing, transportation, healthcare, education, and more.
Resource Navigators work with a wide range of community organizations and government agencies to identify and connect people with the services that can best meet their needs.
Sliding Scale Fee
A sliding scale is a flexible pricing model for services—most commonly therapy, healthcare, or legal aid—where costs are adjusted based on a client’s income and ability to pay.
Find Support in Mitchell, Yancey, & WNC
Youth Mental Health Guide
Click the provider names below to see what services they provide and contact information.
If you’re looking for additional resources or resources for adults, view the full Mental Health and Substance Use Resource Guide. Or use the other buttons to jump to a specific section of the youth guide.
Youth - Counseing and Therapy
Click on a name below for more information about each provider or practice.
You can also visit Open Path Psychotherapy Collective for low-cost virtual and in-person counseling.
All Souls Counseling
(828) 259-3369 — Fax: (828) 259-3779
allsoulscounseling.org
- Has 18+ professionally licensed therapists who provide high-quality compassionate mental health counseling for uninsured and underinsured adults of Western North Carolina.
- Also places therapists within partner community organizations to make counseling as accessible as possible.
- Offers counseling on a sliding scale fee basis.
Blue Ridge Restorative Psychiatry
14 Academy Street, Burnsville, NC
(828) 536-5050 — blueridgerestorativepsychiatry.org
4mentalhealth@blueridgerestorativepsychiatry.com
- Offers psychiatric evaluation and management of children, adolescents and adults for all major psychiatric issues, including mood disorders, anxiety disorders, PTSD/trauma, ADHD, eating disorders, substance use disorders and more.
- Also offers psychiatric consultations.
CareNet Counseling Services
| Marion (Main Center) 79 Academy Street, Marion, NC (828) 559-0125 |
Asheville 27 Church Street, Asheville, NC (828) 559-0125 |
- Offers counseling services for people of all ages, backgrounds and faiths.
- Most insurance and employee assistance plans accepted. Contact for more information.
- Financial assistance may be available for those without insurance or with limited coverage.
Center for Rural Health Innovation — Health-e-Schools
(828) 467-8815 — appts@crhi.org
health-e-schools.com
- Provides in-school telehealth for general health concerns as well as medication management, and behavioral health visits.
- Any student enrolled in the Yancey or Mitchell public school system is eligible to use Health-e-Schools. Signed guardian consent form is required for youth under 18.
- Accepts Medicaid, NC HealthChoice, BCBS, State Employees Health Plan, and more.
- Sliding Scale available. Patients won’t be turned away based on insurance status or ability to pay.
Mountain Community Health Partnership (MCHP)
Bakersville Health Center — Burnsville Health Center
Celo Health Center — Spruce Pine Health Center
(828) 688-2104 — mchp.care
- Mountain Community Health Partnership (MCHP)Comprehensive Outpatient Services
- Counseling
- Medical Care
- Peer Support
- Prevention Services
- School-Based Therapy
- Medication-Assisted Treatment
- Individual counseling to address mental health concerns such as anxiety, depression, stress, PTSD, and family/relationship concerns.
- Behavioral assessments and treatment necessary to effectively manage chronic health conditions.
- Identify and assist patients to address issues such as transportation, food insecurity, housing, and childcare.
- Accepts BlueCross and BlueShield, Medicaid, Medicare, and other local insurances.
- Sliding Fee Program and Affordability Program are available.
- As a Federally Qualified Health Center, MCHP provides quality health care to patients, regardless of their ability to pay. Call for more information.
Mt. Mitchell Counseling | Landon Scott Beaver, LMFTA
mtmitchellcounseling.com/ — 828.675.6511
- Specializes in relationship issues and family conflict for adults, teens, families, and couples.
- Accepts Aetna, Anthem, BlueCross and BlueShield, Carelon Behavioral Health, Cigna, GEHA, NC State Health Plan, Oscar, United Healthcare, and private pay.
- Sliding scale fees may be available.
Nature Nurture, PLLC | Shannon Krenek, LCSW
(828) 365-8585 — shannon@naturenurturetherapy.com
naturenurturetherapy.com
- Outpatient mental health therapy primarily focusing on children and teens.
- Helping young people, families, and communities develop strong connections with themselves, others, and the natural world.
- In network with NC Blue Cross Blue Shield.
Parent to Parent-Family Support Network of the High Country
Teresa Emory, Mitchell/Yancey Outreach Coordinator
(828) 284-2287 — emorytd@appstate.edu
parent2parent.appstate.edu
- Provides support, education and caring connections to families who: have children with diverse physical, emotional, intellectual or health needs; or are grieving the loss of a child.
- Offers support groups, workshops, resources, and liaison assistance.
Rooted Therapy Services, PLLC
(828) 278-4469 — mkayla@rootedtherapyservices.org
rootedtherapyservices.org
- Virtual therapy services for adolescents and adults.
- Also provide behavioral health treatment to adults, not a crisis center.
- Private pay with sliding scale options, accepts Aetna and Cigna.
Jessica Ruegg, LCMHC
10 North Main St., Burnsville, NC
(828) 385-4286
- Offers Child Parent Psychotherapy, which is an evidence-based trauma treatment for children aged 0-5 and their caregivers.
- Accepts Aetna, Amerihealth Medicaid, BlueCross and BlueShield, NC State Health Plan, NC Healthy Blue Medicaid, United, United Medicaid, and private pay.
- Sliding scale fees available.
Therapy of Hickory
246 E. Tappan St., Spruce Pine, NC
(828) 409-6743 — therapyofhickory.com
- Therapy services for individuals, couples, families, and children.
- Sliding scale fee plans may be available, call for more information.
Youth - Outpatient Treatment
Click on a name below for more information about each provider or practice.
Outpatient and intensive outpatient programs provide treatment at a program site, but the person lives elsewhere (usually at home). Some programs require daily attendance; others meet only one to three times per week.
Intensive outpatient treatment programs require a person to attend 9 to 20 hours of treatment activities per week and usually last from about 2 months to 1 year. People who do best in an outpatient program are willing to attend counseling sessions regularly, have supportive friends or family members, have a place to live, and have some form of transportation to get to treatment sessions
Appalachian Early Guidance Intervention and Support (AEGIS)
1100 Ridgefield Blvd Ste. 170, Asheville, NC
(828) 203-2913 — FEPreferrals@clarvida.com
clarvida.com/locations/asheville-ridgefield
- Provides a specialized outpatient treatment program for adolescents and young adults experiencing their first episode of psychosis using a wraparound team. Services include:
- Individual Resiliency Training
- Family Education & Support
- Medication Management
- Peer Support Services
- Supported Employment & Education
- For more information and resources, visit https://linktr.ee/fpsaegis.
A Caring Alternative
Corporate Office: (828)437-300 — Asheville Office: (828) 475-0822
caringalternative.com
- Provides all day treatment and IIH Services in Mitchell and Yancey counties.
- Day Treatment is an intensive behavioral health service that allows children and adolescents to access clinical treatment while enrolled in the local county school system.
- Intensive In-Home (IIH) teams are available to serve children and adolescents at risk of out-of-home placement and/or need to be stabilized within the home.
Clarvida – Asheville Ridgefield Office
1100 Ridgefield Blvd Ste. 170, Asheville, NC
(828) 670-7723 — clarvida.com
- Provides comprehensive, evidence-based mental health services for children, adolescents, and adults, specializing in outpatient therapy, crisis intervention, and specialized behavioral support.
- Applied Behavior Analysis (ABA)
- Care Management
- Family Centered Treatment (FCT)
- Individual and Group Therapy
- Intensive In-Home Services (IIH)
- Medication Management
- Outpatient Assessment
- Youth Intensive In-Home Services (IIH)
- The Community Support Team (CST) provides direct support to adults with a diagnosis of mental health, substance use, or co-occurring disorder and who have complex and extensive treatment needs. They carry a crisis phone, and services are available 24/7, 365 days a year.
Daymark Recovery Services
360 Beech St., Newland, NC
(828) 733-5889 — daymarkrecovery.org/locations/avery-center
- Substance Abuse and Mental Health Outpatient Treatment Services for youth and adults. Services include:
- Assertive Community Treatment Team (ACTT)
- Routine Outpatient Therapy
- Psychiatry/Medication Management
- Mobile Crisis Services
- Substance Abuse Intensive Outpatient (SAIOP)
- DWI Evaluation and Treatment
- Medication Assisted Treatment – MAT (Suboxone)
- Tailored Care Management (TCM)
- Individual Placements and Supports (IPS – Supported Employment Service)
- Accepts Medicaid, Medicare, and private insurance.
- Individuals with no insurance will be eligible for a sliding or discounted scale.
Nature Nurture, PLLC | Shannon Krenek, LCSW
naturenurturetherapy.com — (828) 365-8585 — shannon@naturenurturetherapy.com
- Outpatient mental health therapy primarily focusing on children and teens
- Helping young people, families, and communities develop strong connections with themselves, others, and the natural world.
- In network with NC Blue Cross Blue Shield.
The Pisgah Institute
158 Zillicoa St.; Asheville, NC
(828) 254-9494 — www.pisgahinstitute.com
- Provides consultation, Transcranial Magnetic Stimulation (TMS), medication management, and individual psychotherapy for children, adolescents, and adults.
- In person and virtual appointments are available.
- Accepts Medicare, Medicare, alternative PPO plans, and self-pay. Contact for more information.
RHA Health Services
rhahealthservices.org/services/behavioral-health-services/behavioral-health-north-carolina/
| Mitchell (828) 765-0894 4929 NC-226 S. Bakersville, NC |
Yancey (828) 682-2111 72 Blue Ridge Lane Burnsville, NC |
- Mental Health and Substance Use treatment for both adults and youth.
- Accepts Medicaid, individuals with no insurance, Medicare, and many private insurances
Youth - Residential Treatment
Click on a name below for more information about each provider or practice.
Residential programs provide a living environment with treatment services. In residential programs for youth, the participants attend school as a part of the program. Residential programs are best for people who do not have stable living or employment situations, have limited or no family support, and/or those with serious substance use disorders who have been unable to get and stay sober or drug-free in other treatments.
Broughton Hospital (State of NC Psychiatric Hospital)
1000 South Sterling St., Morganton, NC
(828) 608-4000
- The State Psychiatric Hospital provides comprehensive inpatient mental health services to youth ages 12-17 and adults who cannot be safely treated at a lower level of care.
- Treatment and rehabilitative services are tailored to the individual needs and assets of their target population, persons with significant mental illness.
- Broughton Hospital serves western North Carolina by creating opportunities for individuals to recover from mental illness and substance use disorders by instilling hope, facilitating choice, promoting healing, and supporting their personal journeys of wellness.
- Accepts Health insurance, Medicare and/or Medicaid.
- Ability to pay does not contribute to admission decisions.
Daymark Recovery Services – Caiyalynn Burrell Child Crisis Center
277 Biltmore Ave., Asheville, NC
(877) 277-8873 — daymarkrecovery.org/locations/fbc-buncombe
- Facility-Based Crisis Service for children and adolescents, ages 6-17 that provides an alternative to hospitalization for eligible youth that present with escalated behavior due to a mental health, intellectual or developmental disability, or substance use disorder and requires treatment in a 24-hour residential facility.
- Indirect, intensive short-term, medically supervised service provided in a physically secure setting that is available 24 hours a day, seven days a week, 365 days a year.
- Accepts Medicaid and some private insurances. Call to determine if your insurance covers CFBC level of care.
- Uninsured individuals may be eligible for a sliding or discounted scale as defined by the relevant Managed Care Organization/Local Management Entity.
Eliada
2 Compton Dr., Asheville, NC
(828) 254-5356 — eliada.org
- Provides residential treatment, campus-based education through Day Treatment Services, specialized behavioral interventions, psychiatric evaluation, medication management, crisis stabilization and clinical services.
- Students should be referred by their Complex Care Manager from VAYA.
Mission Health—Sweeten Creek Mental Health and Wellness Center
Patient Referral: (828) 213-4696
missionhealth.org/services-treatments/mental-behavioral-health
- 120 Bed facility offering services for behavioral health emergencies and acute inpatient services, as well as preventative and stabilizing outpatient care for youth and adults.
- Services include Intensive outpatient program (IOP), Older adult structured outpatient program (SOP), Partial hospitalization program (PHP), Telemedicine & Psychiatry, and Electroconvulsive therapy (ECT).
- Accepts Medicare, most commercial insurances, and self-pay.
Spanish Speaking and Bilingual Resources
Click on a name below for more information about each provider, practice, or organization.
All Souls Counseling
(828) 259-3369 • Fax: (828) 259-3779
allsoulscounseling.org
- Has 18+ professionally licensed therapists who provide high-quality compassionate mental health counseling for uninsured and underinsured adults of Western North Carolina.
- Also places therapists within partner community organizations to make counseling as accessible as possible.
- Offers counseling on a sliding scale fee basis.
Dr. Michelle Alvarez
(828) 827-7924 ((828) 82-PSYCH) — drmichellealvarez.com
- Provides classic psychotherapy services as well as TALKyoga (therapy with yoga).
Blue Ridge Community Health Services (multiple locations)
(828) 692-4289 — brchs.com
- Offers behavioral health for children, adults, and families, as well as other healthcare services.
- Many insurances accepted, contact for verification.
- Sliding scale fees available.
Carla Carballo, LCMHC
68 Grove Street, Asheville
(828) 772-0602 — info@carlacarballocounseling.com
psychologytoday.com/us/therapists/carla-j-carballo-asheville-nc/1040164
- Provides bilingual counseling for grief, anxiety, depression, life transitions, and trauma for youth and adults virtually or in person.
- Accepts Aetna, Blue Cross Blue Shield, and United Healthcare.
- Sliding scale fees available.
Catholic Charities
50 Orange St., Asheville, NC
(828) 820-5148 — ccdoc.org/counseling
- Offers bilingual licensed clinical counseling: for individuals, couples and families both virtual and in-person on a sliding fee scale.
- Also offers immigration legal services and case management services.
- Bilingual counseling is offered in the Asheville location.
El Centro de Henderson County
508 N. Grove St., Hendersonville, NC
(828) 290-7134 — elcentrolac.org
- Offers mental health, advocacy, and educational services.
Centro Unido Latino-Americano
79 Academy St., Marion, NC
(828) 652-0727 — culawnc.org
- Offers services, programs, and connections with other agencies to assist the Latinx community in need.
Cruz Life Center
390 East Main St., Burnsville, NC
(828) 682-6157 — cruzlifecenter.com
- Offers non-invasive, non-pharmaceutical options for the enhancement of an individual’s mental health including Alpha-Stim (Cranial Electrotherapy Stimulation/Microcurrent) and Vielight Neuro (Cranial Photobiomodulation/Near-Infrared Light).
- Alpha-Stim delivers very low-level microcurrent through ear clip electrodes for cranial electrotherapy stimulation (CES). FDA-cleared for the treatment of anxiety and insomnia.
- Vielight Neuro devices deliver near-infrared (NIR) light for photobiomodulation (PBM) using a headset with multiple light modules; and/or an intranasal applicator delivering 10 Hz “Alpha” and 40 Hz “Gamma” stimulation to the brain.
DC Wellness Mental and Behavioral Health Services
(828) 595-2748 — dcwellnessinc.org
- Serves youth, adults, and seniors by providing therapeutic and mental health services for individuals with mental, behavioral, or psychiatric challenges.
El Futuro
2020 Chapel Hill Rd., Suite 23, Durham, NC
(919) 688-7101 — elfuturo-nc.org
Community-based non-profit that provides bilingual and culturally-responsive mental health services including:
- Individual, Family, and Group Treatment
- DWI Assessment and Treatment
- Evidence-Based Practices
- Psychiatric Treatment
- Substance Misuse Evaluation and Treatment
- Accepts Health Choice, Medicaid, and Medicare. Also serving individuals without insurance. Call with further questions surrounding payment.
Jon Jay Esslinger, LPC, LCAS
- Offers counseling services for adults and children, as well as addiction counseling.
Healing Together DBT
(828) 649-5016 — healingtogetherdbt.com
- Provides Dialectical Behavioral Therapy services for adults, adolescents, and families.
- Accepts Aetna, BlueCross, and BlueShield, and TriWest.
Helpmate
35 Woodfin St., Asheville, NC
(828) 254-2968; Crisis Line: (828) 254-0516
helpmateonline.org
- Offering a 24-hour hotline, emergency shelter, case management, outreach and education, individual counseling, group counseling, children’s services, and court advocacy services for victims of domestic violence.
Eduardo Moreno, LCMHC
201 Charlotte Street, Asheville
(828) 209-8880 — resilient-networks.org
counselingwithfabian@gmail.com
- Specializes in ADHD, Autism, and PTSD for individuals ages 15-85.
- Provides bilingual counseling services both virtually and in-person.
- Accepts most insurance plans, including Medicaid. Sliding scale fees may be available.
Mountain Counseling Associates, LLC
475 S. Church Street, Suite S 102, Hendersonville, NC
(828) 692-7300 — mountaincounseling.com
- Counseling for adolescents, families, and adults.
- Accepts Cigna, BCBS, Medicare, Medicaid, United Healthcare, Tricare, and many more, as well as private pay options.
NAMI Western Carolina
356 Biltmore Ave. Suite 207, Asheville, NC
(828) 505-7353 — info@namiwnc.org
namiwnc.org
- Offers in-person and virtual support groups for mental health, family support, anxiety support, survivors of suicide loss, and a Spanish language support group.
- For dates, information, and registration information visit: org/calendar
National Suicide Prevention Lifeline
Call 988 and press 2 — text “AYUDA” to 988 — 988lifeline.org
- Provides 24/7, free and confidential support for people in distress via phone, text or online chat.
- Press 2 for Spanish Language support via phone or text “AYUDA” to 988 for Spanish text support.
- Also provides advice, prevention and crisis resources and can be used on behalf of a loved one.
- On the phone, press 1 for Veterans support.
Kat Oliveira, LCMHC
(828) 338-9937 — innercolorscounseling@gmail.com
https://therapyfinder.com/therapist/kat-oliveira-behavioral-health-therapist-asheville-nc
- Offers virtual counseling for Anxiety, Depression, Life Transitions, Gender and LGBTQ issues in English, Spanish, and Portuguese.
- Accepts Aetna, Blue Cross, and out of network for others.
Diana Parra, LCMHC, SEP
(828) 882-2544 — diana@condorcounseling.com
condorcounseling.com
- Specializes in trauma, mood disorders, CPTSD, systemic oppression for immigrants, BIPOC, queer, or trans individuals.
- Offers bilingual support virtually or in-person.
- Accepts Aetna and private pay. Sliding scale and pro-bono spots subject to availability.
El Pueblo – Stronger Minds/Mentes Fuertes
- A collaboration with the University of North Carolina at Greensboro (UNC-G) that offers free, culturally grounded mental health support to adults (18+) in North Carolina who speak Spanish, English, or Arabic.
- Provides 10 free, one-on-one psychoeducational sessions, participants receive tools to improve their emotional well-being and can receive referrals to helpful local resources.
- Sessions can be held in person or over the phone.
Safelight
(828) 693-3840 — safelightfamily.org
- Offering free, confidential help for adults and children affected by domestic violence, sexual assault, or child abuse.
- Services include a 24-hour crisis line, emergency shelter, advocacy, counseling, case management, support groups, job training, and much more.
- Services are available in English and Spanish.
Florencia Seoane, LCSWA
795 Merrimon Ave., Suite 1, Asheville, NC
(828) 929-0422
- Specializes in anxiety, emotional disturbance, and relationship issues for adults, teens, and preteens.
- Serves individuals and families.
- Sliding scale fees available.
TJ Stiers, LCSW
(828) 713-7804 — tjstierslcsw@gmail.com
psychologytoday.com/us/therapists/t-j-stiers-asheville-nc/207323
- Specializes in trauma, PTSD, anxiety, grief/loss, parent-child conflicts, understanding Latino culture, and immigration issues for adolescents, adults, pregnant women, and LGBTQ individuals.
- Offers virtual bilingual counseling.
- Accepts most major insurances and Medicare. Sliding scale fees may be available.
Stillwaters Healing Arts
- Offering nature based, somatic, and mindfulness based therapy.