Cognitive Behavioral (CBT) Therapists in North Carolina

CBT is an evidence-based therapy that helps identify and change unhelpful thoughts, beliefs, and behaviors that contribute to emotional distress. By learning to recognize negative thinking patterns and develop healthier ways of responding, clients can reduce symptoms of anxiety, depression, stress, and low self-esteem. CBT provides practical tools that help improve emotional regulation, problem-solving, and overall well-being.

I am a Licensed Professional Counselor serving clients in North Carolina, New Jersey, New York, and Virginia. With over five years of experience and more than 7,000 clinical hours, I specialize in helping individuals—particularly women—heal from trauma, anxiety, depression, grief, low self-esteem, overthinking, and relationship challenges. My approach is warm, practical, and trauma-informed, utilizing EMDR and other evidence-based techniques to uncover and address the root causes of emotional distress. I strive to create a supportive space where clients feel heard, understood, and empowered to build healthier patterns, strengthen confidence, and create lasting change.

Cognitive behavioral therapy (CBT) is an evidence-based approach that explores the connection between thoughts, emotions, behaviors, and patterns that may be contributing to distress. Sessions are collaborative and practical, with a focus on understanding what is happening, identifying helpful changes, and developing strategies you can apply in everyday life. Depending on your needs, CBT may be incorporated alongside medication management or coordinated with your therapist as part of a broader treatment plan. My role is to help you understand your options, connect treatment to your goals, and make changes that support lasting improvement in daily functioning.

I am a board-certified psychiatric mental health nurse practitioner and the founder of Ash & Bloom Wellness, an integrative psychiatry practice serving adults across North Carolina by telehealth and in person in Raleigh. My work blends careful diagnostic assessment, evidence-based medication management, and practical lifestyle, sleep, and stress interventions so treatment fits the whole person rather than a single symptom list. Clinically, I focus on depression, anxiety, bipolar spectrum disorders, ADHD, trauma-related conditions, and co-occurring mental health and substance use concerns. I provide buprenorphine (Suboxone) treatment for opioid use disorder and harm-reduction informed care for alcohol and other substance use, and I work comfortably alongside therapists and primary care clinicians as the medication management partner in a client's care team. I am doctorally prepared, hold national certification in psychiatric mental health care, and teach in graduate psychiatric nursing education, which keeps my practice current and grounded in the evidence. Visits are unhurried, collaborative, and free of judgment. You can expect clear explanations of your options, honest discussion of risks and benefits, and a plan you help build. New clients can start with a brief consultation to see whether we are a good fit. Private pay and insurance options are both available, and prescriptions are managed responsibly with attention to long-term function, not just short-term relief.

Cognitive Behavioral Therapy (CBT) focuses on understanding the connection between your thoughts, emotions, and behaviors. In sessions, we work together to identify unhelpful thought patterns and develop practical strategies to manage them. Sessions are collaborative and supportive, giving you a safe space to explore challenges while building healthier ways of thinking, coping, and responding. Progress may look like feeling more in control of your thoughts and emotions, developing healthier coping skills, and becoming better able to navigate everyday challenges. My goal is to help you apply what you learn in therapy to both your personal and professional life.

Francesca Esdaile is a Psychiatric Nurse Practitioner providing telehealth care to clients in New York, Florida, and North Carolina. She offers compassionate, individualized care through a combination of psychotherapy and medication management, supporting busy professionals navigating depression, anxiety, bipolar disorders, PTSD, and ADHD. Her goal is to create a safe, supportive, and nonjudgmental space where clients feel comfortable expressing themselves openly. Through meaningful connection and collaborative care, Francesca helps clients improve their focus, mood, and overall well-being so they can feel more grounded, present, and fulfilled in both their personal and professional lives.