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Online · North Carolina · Child & Teen Therapy

Online Child Therapy in North Carolina — Help From Anywhere

Licensed child therapists serving families across all of North Carolina via secure telehealth video — providing compassionate, age-appropriate counseling for children and teens dealing with anxiety, behavioral challenges, trauma, ADHD, and more. Start from the comfort of home.

✓ Ages 4 Through 17 ✓ Statewide Telehealth ✓ Insurance Accepted ✓ HIPAA-Secure Video

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Free 15-min consultation - no commitment needed.

Choose a future date and a time between 8:00 AM and 7:00 PM EST.

HIPAA-compliant. Confidential. We respond within 24 hrs.

HIPAA-Compliant
Evidence-Based Methods
Licensed Therapists
Same-Week Appointments
Insurance Accepted
1 in 5
Children in the U.S. experience a mental health condition each year
Early
Intervention leads to significantly better long-term outcomes for children
Ages 4–17
We serve children and teens statewide across North Carolina via telehealth

Your Child Deserves Support — No Matter Where You Live in NC

Whether you’re in a rural county, a busy suburb, or simply can’t make it to an in-person office, online child therapy brings expert care directly to your family — from the comfort and privacy of home.

At Fresh Breath Therapy, our licensed therapists use age-appropriate, evidence-based approaches via secure video to help children build emotional skills, work through difficult experiences, and develop the resilience to thrive.

We serve families across all of North Carolina — from Charlotte and Asheville to the Outer Banks and everywhere in between. No commute. No waiting rooms. Just real, meaningful therapy that fits your family’s life.

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Common Challenges Our Online Child Therapists Address

Our North Carolina child therapists are trained to support a wide range of emotional, behavioral, and developmental challenges — helping children and teens build lasting coping skills through secure telehealth sessions.

01

Anxiety & Worry

Excessive worry, school refusal, social anxiety, separation anxiety, and panic. We teach children calming techniques and help them build confidence to face their fears — all from a safe, familiar environment at home.

02

Behavioral Challenges

Defiance, aggression, emotional outbursts, and difficulty following rules. We work with both children and parents to understand root causes and create positive change at home and school.

03

ADHD & Focus Issues

Difficulty paying attention, hyperactivity, impulsivity, and organizational struggles. Therapy builds executive functioning skills and helps children thrive academically and socially.

04

Trauma & PTSD

Military deployment stress, abuse, accidents, or witnessing difficult events. Our trauma-informed therapists create a safe environment for children to process painful experiences and heal — even remotely.

05

Depression & Mood

Persistent sadness, withdrawal, low motivation, and loss of interest in activities. We help children reconnect with joy, build emotional resilience, and regain a sense of hope through consistent online sessions.

06

Family & Life Changes

Divorce, relocation, new siblings, parental deployment, grief, or blended family transitions. We help children make sense of change and feel secure during uncertain times — wherever they are in NC.

Online Therapy Tailored to Every Stage of Childhood

Children grow and change rapidly — our therapists adapt their approach to meet each child exactly where they are developmentally, using techniques that work seamlessly via video for their age and maturity.

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Young Children

Ages 4–7

Younger children benefit most from in-person sessions, though online therapy can be a great supplement. Sessions are structured to be engaging and interactive — with creative, visual activities that keep little ones focused and expressive via video.

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School-Age Children

Ages 8–12

School-age kids adapt well to telehealth. We combine talk therapy, creative digital activities, and skill-building exercises to help them manage emotions, navigate friendships, and build confidence — all from home.

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Adolescents & Teens

Ages 13–17

Teens are often most comfortable in online sessions — in their own space, on their own terms. Our therapists provide a judgment-free virtual space where teens feel genuinely heard and develop real tools to handle the pressures of adolescence.

Evidence-Based Online Child Therapy, Built Around Your Child

Our North Carolina child therapists are trained in a range of developmentally appropriate, research-backed methods — selecting the approach that best fits your child’s unique needs, age, and goals and delivering it seamlessly through telehealth.

Cognitive Behavioral Therapy (CBT)

Helps children and teens identify unhelpful thought patterns driving anxiety, depression, or behavioral challenges — and replace them with healthier ways of thinking and responding. Highly effective in online formats.

Trauma-Informed Therapy

A sensitive, safety-first approach for children who have experienced trauma — ensuring they always feel in control and supported. We adapt trauma work thoughtfully for the telehealth environment.

Strength-Based Therapy

Focuses on identifying and amplifying each child’s natural strengths and resilience — helping them see themselves as capable, valued, and worthy of good things.

Mindfulness & Coping Skills

Practical, age-appropriate strategies for managing stress, regulating emotions, and building calm — tools children can use immediately at home, school, and beyond.

Parent Coaching & Involvement

Parents are a vital part of the process. We offer virtual guidance to help you reinforce your child’s progress at home and strengthen your parent-child connection between sessions.

What to Expect When You Reach Out

1

Free 15-Min Parent Consultation

A no-pressure phone call to discuss your child’s needs and match them with the right online therapist.

2

Simple Online Intake

We handle paperwork digitally — all consent forms and intake documents are completed securely online before the first session.

3

First Video Session

Your child’s first session is relaxed and exploratory — the therapist focuses on building trust and getting to know your child’s world.

4

Collaborative Treatment Plan

We develop a clear plan with you, outlining goals and the therapeutic approach best suited to your child’s needs.

5

Regular Sessions & Parent Check-Ins

Weekly or bi-weekly telehealth sessions — plus regular parent updates to keep you informed, involved, and supported.

Online Child Therapy — Simple, Secure & Effective

Getting started with telehealth child therapy in North Carolina is easier than you think. All you need is a device, a private space, and an internet connection.

1

Book Your Free Consultation

Call us at (919) 300-6717 or fill out our online form. We’ll match your child with the right licensed therapist for their age, needs, and goals.

2

Complete Intake Paperwork Online

Consent forms, insurance verification, and intake documents are all handled digitally — no fax machines, no office visits required.

3

Receive Your Secure Video Link

Before each session you’ll receive a HIPAA-compliant video link. Click it on any smartphone, tablet, or computer — no app download required.

4

Find a Private, Comfortable Space

Your child joins from their bedroom, living room, or any quiet spot at home. Familiar surroundings often help children feel more relaxed and open.

5

Ongoing Sessions & Progress Updates

Sessions are scheduled weekly or bi-weekly at times that work for your family. We provide regular progress check-ins so you’re always in the loop.

What You’ll Need for Online Sessions

A device — any smartphone, tablet, laptop, or desktop computer with a camera and microphone works perfectly.

A stable internet connection — a standard home Wi-Fi connection is more than sufficient for high-quality video sessions.

A private space — a bedroom or quiet room where your child can speak freely without being overheard by others in the home.

No special software — our HIPAA-compliant video platform works in any browser. No downloads, no logins, no tech headaches.

A North Carolina address — our therapists are licensed in NC and can provide telehealth services to any client located in the state.

Why NC Families Choose Us for Online Child Therapy

01

Statewide Coverage

We serve children and teens throughout all of North Carolina — from major metros like Raleigh, Charlotte, and Greensboro to smaller communities where in-person specialists may not be available.

02

Child-Centered Online Care

We meet every child where they are — using age-appropriate activities, therapeutic styles, and engagement strategies specifically designed to work effectively in a telehealth format.

03

Insurance Accepted

We accept most major insurance plans for telehealth sessions, making quality child therapy accessible across the state. Call us to verify your coverage. Note: we do not currently accept Medicare.

04

No Commute — Less Stress

Skip the drive, the waiting room, and the scheduling gymnastics. Online therapy fits into your family’s routine — and many children are more relaxed and open when they’re at home.

05

Quick Access to Care

We know that when a child is struggling, waiting is not an option. Online scheduling expands our availability — we work to offer same-week appointments whenever possible.

06

Whole-Family Approach

We don’t just treat the child — we partner with parents, provide virtual coaching, and when appropriate coordinate with schools to create a consistent support system around your child.

Serving Children & Families Across All of North Carolina Online

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Frequently Asked Questions

Is online child therapy as effective as in-person therapy?
Research consistently shows that telehealth therapy is highly effective for most children and adolescents — particularly for anxiety, behavioral issues, ADHD, and depression. Many children are actually more relaxed and open when they’re in a familiar home environment. Our therapists are experienced in adapting evidence-based techniques specifically for online sessions. For very young children (ages 4–6), in-person sessions are sometimes more effective, and we can discuss what’s best for your child during a free consultation.
What technology do we need for online child therapy?
All you need is a device (smartphone, tablet, laptop, or desktop), a standard internet connection, and a quiet private space. We use a HIPAA-compliant video platform that works in any web browser — no downloads or special software required. We’ll send you a secure link before each session. Our team is happy to walk you through the setup process before your child’s first appointment.
Does insurance cover online child therapy in North Carolina?
Yes — most major insurance plans cover telehealth therapy sessions at the same rate as in-person visits. We accept most major insurance plans, though we do not currently accept Medicare. We recommend calling us at (919) 300-6717 to verify your specific coverage and any co-pay amounts before your child’s first session. We also offer self-pay options if needed.
Can you provide online therapy to any child in North Carolina?
Yes — our therapists are licensed in North Carolina and can provide telehealth services to any child or teen located within the state, regardless of their city or county. We regularly serve families in rural areas, military communities, and towns where specialized child therapy is not readily available in person. As long as your child is physically present in NC during sessions, we can work together.
How do you ensure online sessions are private and secure?
We use a fully HIPAA-compliant video platform with end-to-end encryption for all sessions. No session is ever recorded without explicit written consent. On your end, we recommend having your child join from a private room with the door closed — and using headphones if there are other people nearby in the home. Your child’s privacy and confidentiality are our top priority.
What age groups do you work with online?
We work with children and adolescents from ages 4 through 17 via telehealth. Online sessions tend to work best for children 7 and older, though we assess each child individually. For younger children ages 4–6, we may recommend a combination of telehealth and in-person sessions. Our therapists adapt their methods based on the child’s developmental stage to ensure every session is as effective as possible.

Give Your Child the Support They Deserve — From Anywhere in NC

Quality child therapy shouldn’t be limited by geography. Our licensed North Carolina therapists are ready to support your child via secure, easy telehealth sessions — wherever you are in the state. Start with a free 15-minute consultation — no commitment required.

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Reach out to us today!

Use the form below to send us a message. You may also call, text or email anytime. For referring providers please fax client information to: 360 530 9343

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