Psychotherapist Positions in
North Carolina

Owned and Operated by Clinicians for Clinicians & Their Clients

Join a practice that cares about you

We are a clinician owned-and-operated multi-specialty psychotherapy group practice administratively located in Durham, NC, but employing therapists and serving clients throughout the state of North Carolina.  Our mission is two-fold:
1. to provide top-notch psychotherapy services to anyone located in North Carolina, and
2. to provide a top-notch employment experience for NC-based-and-licensed psychotherapists wishing to provide healing, humanistic, relationally-focused therapies. 
We exist to facilitate self-determination, secure relationships, and healing and growth for anyone making contact with our Company.  

We serve and affirm persons of all identities and social locations.  We treat any issue or problem deemed effectively treatable by psychotherapy.  We provide any psychotherapy demonstrated to be effective in ways that privilege client and clinician strengths and healing, and the therapeutic relationship.  We employ clinicians who are interested in becoming experts in serving adults of all ages, children and adolescents, groups, couples & relationships, and/or families.  We aim to create healthy families and communities through the power of therapeutic relationships and applied therapeutic skills.

Growing together

We are continually interested in hiring multiculturally affirming North Carolina-licensed-and-based psychotherapists to deliver treatments that are rooted in humanism & relationality, and are scientifically supported. Our psychotherapists should be comfortable holding an emotionally accessible, responsive and engaged relational stance with each patient/client (i.e. no neutral blank screens and no authoritarian “experts”), in support of each patient’s needs for autonomy, competency, and relatedness. We especially appreciate clinicians who are informed by attachment theory and self determination theory, and are oriented to emotion-focused, experiential and systemic methods such as EFT (Sue Johnson) and AEDP (Diana Fosha), but we are inclusive of therapists outside of these models.

Additionally, we emphasize practitioner expertise through ongoing study, training, expert consultation and deliberate practice in approaches that capture the variety of art and science of effective psychotherapy.  Ultimately, psychotherapists with us do best when they exhibit an interest in being helpful to clients by simply being with clients in the processing of their experiences of life even when these are not immediately or apparently the target of their interventions (i.e. “being with” rather than “doing to”).  In other words, our therapists follow clients to meet them where they are, and then collaboratively lead them to where they want to be.

Even though we encourage our practitioners to have 1 or 2 preferred models of psychotherapy practice to gain expertise in, as a group practice we do not specify which approaches/models of psychotherapy our therapists utilize, nor are we a dogmatic church of certain therapy tribes despite how certain models capture our ethos, or the expertise and certifications many of our practitioners possess in particular models.  Rather, we want our clinicians to be focused on doing what works for each therapy flexibly and adaptively (aka “client/patient-therapist working relationship” or the "working alliance)), and as such we emphasize client-directed, outcome-informed practice with the deliberate practice of scientifically supported therapeutic relationship skills and support for learning models of psychotherapy that inspire client-therapist dyads and have scientific support.  We provide financial support for study, training and deliberate practice of these therapeutic relationship skills, and financial support for therapists to seek outside study, training, and consultation from certified experts in specific models.  Additionally, as our group develops critical masses of clinicians practicing specific models we encourage internal groupings for peer learning support and fellowship.  

Some models that our therapists focus on and integrate include (but are not limited to):

Accelerated Experiential Dynamic Psychotherapy (AEDP)

Emotionally Focused Therapy (EFCT, EFIT, EFFT)

Acceptance and Commitment Therapy (ACT), Dialectic Behavioral Therapy (DBT), Integrative Behavioral Couple Therapy (IBCT), and other “3rd Wave” approaches

Internal Family Systems (IFS)

Eye Movement Desensitization and Reprocessing (EMDR)

The Gottman Method to Couple Therapy (GMCT)

A modern approach

We believe that in addition to ongoing training, study and consultation, our therapists do their best work when open to using and improving their therapeutic use of Self.  To this end, we provide in-house supportive supervision groups to develop and support our therapists’ use of Self in clinical encounters, and to remain responsive and accountable to our clients’ needs. Our clinical culture is one of inclusivity, accessibility, responsiveness, transformation and emergence, and rigor without shame or blame.  With the Company’s support, we want our clinicians to feel and function as well as we hope our clients to feel and function as a result of their services.

The Nuts & Bolts

Psychotherapist Clinical Responsibilities

  • Treat clients on a “full time” basis (recommended 20-25 clinical hours per week for 46 weeks per year) in psychotherapy from a humanistic, relational, self determined, and attachment-informed stance to psychotherapeutic work

  • Follow NC reporting requirements for suspected Child Abuse/Neglect & client dangerousness to self or others

  • If required to be under professional licensure and ethics supervision (i.e. provisional or revisional licensure), must secure a supervisor in the practice or else an external supervisor needs approval by the practice.

Psychotherapist Administrative Responsibilities

  • Willingness to engage in weekly virtual clinical consultation group focused on humanistic and relational psychotherapy concepts and skills and support for empathy and compassion towards Self and Others.

  • Meet virtually for weekly work review

  • Maintain adequate psychotherapy treatment records (we’ll help you!)

  • Willingness to engage in efforts that promote one’s professional reputation in accordance with therapist-to-client (“direct”) marketing and outreach goals beyond the indirect marketing the practice invests in (we help build caseloads as much as we can with our investments in B2B and B2C marketing and advertising, but need an employee’s collaboration to establish and amplify their reputation!)

  • Willingness to attend 1 required online all-staff meeting per month, and 1 annual in-person meeting per year

Psychotherapist Operating Requirements

  • Possession of North Carolina license to practice psychotherapy in any eligible profession (Clinical Social Work, Psychology, Clinical Mental Health Counseling, Marriage and Family Therapy, Medicine, Psychiatric Nursing, and Pastoral Counseling).  License must be in good standing with no outstanding investigations of ethical misconduct

  • If in provisional, associate or pre-autonomous licensure status, must have appropriate licensure supervision arrangements in accordance with North Carolina state law.  As part of our compensation package we reimburse for these supervision costs for W2 employees.  Supervision agreements must be secured and provided before beginning employment. The supervisor must either be employed at the practice or if external be approved by the practice.

  • For providing telehealth (online counseling or online therapy) services, to operate in a private location that maintains client-practitioner confidentiality.  For W2 employees, we reimburse technology expenses while employed with us.

  • If providing in-person services, to secure a physical office location located in North Carolina.  For W2 employees, we reimburse office expenses while employed with us

Compensation & Benefits

In addition to a competitive and progressive earnings plan (Base Salary plus Bonus), we offer competitive benefits including:

  • Group health insurance

  • Optional Vision and Dental insurance

  • Employee-directed scheduling and flexible time off

  • Retirement plan with company matching benefits

  • Term Life Insurance (company paid)

  • Optional Short-Term Disability Insurance

  • Professional development reimbursement (for Trainings/CE, Consultations/Supervision, Books/Journals, and/or Personal Therapy)

  • Unique, clinician-support-&-growth-focused weekly group consultations

  • Belonging and support with a non-dogmatic, pluralistic, compassionate, and respectful group of psychotherapists committed to providing excellent services and supporting each other doing the same

  • Flexibility and autonomy support for staff individuality

  • No clinician non-compete or non-solicitation agreements ever (leave when you want without complications)

  • And much more! We aim to treat our clinicians as well as they would want to treat themselves if they were in their own solo practice

  • Long-term opportunities to promote into administration/management of the practice with profit sharing arrangements

Some Considerations

  • If you want to open your own private practice or group practice in the next 2 years, that’s awesome! But please don’t apply or join us. We want therapists to commit being with us for 2 years unless absolutely unavoidable.

  • Group practices are valuable to employees who aren’t yet ready for solo practice, who want a more communal experience than what solo practice offers, and/or who are willing to give a portion of their clinical revenues to the business to take care of business and administrative activities (compared to doing the work themselves in solo practice).

  • Employees who do well in group practices are okay with the group managing their indirect marketing/advertising, billing, credentialing, claims filing, health record reviews, human resources, IT auditing, and they are wanting regular contact with like-minded others along with salary and benefits.

  • We aim for the stability and adaptability of a manager-owned business with the autonomous and communal feel of a workers’ co-op. We exist for impact to people, and not profits.

Are We A Good Fit?

Please read the below statements fully and carefully. If you disagree with any of the statements below we are likely not a good fit as a practice:

  • We think that more than any technique or model of therapy, good therapy is made of therapeutic relationships that feature therapists having and demonstrating humility, curiosity, empathy, transparency and flexibility with their clients.  The skills we think that matter most to practice include: Privileging Health, Growth & Self Determination of the Client, Collaborative Client Engagement and Stance, and Keeping an Alliance Focus.  

  • We think that good therapy emphasizes client choice as much as possible in their lives and in therapy, and building from competencies and mastery while also cultivating a sense of belonging. 

  • We think that people are born with the need for safe and secure attachment relationships with emotionally accessible, responsive and engaged others, and maintain these attachment needs from cradle to grave.  We also think that insecure attachment strategies, characterized by anxious and avoidant defenses against closeness and vulnerable emotional experiences, are previously adaptive strategies that are now maladaptive, but still deserving of empathy, by the time clients reach therapy.  We believe the therapist is a surrogate attachment figure for clients, offering corrective emotional experiences in the therapeutic relationship, and that close significant others in clients’ contemporary lives can become healthy and therapeutic in their own way.  

  • We believe that people are born good and healthy inside, meant to grow and meant to heal after being hurt.  We believe that reactions and defenses are adaptations to life experiences, and by the time clients reach therapy they need support to grow and heal in the context of therapeutic relationships that hold unconditional positive regard towards the client.  

  • We believe the here-and-now aspects of the therapeutic relationship, therapeutic self-disclosures, and relational rupture identification and repair facilitated by the therapist are essential elements of good therapy. 

  • We believe that good therapy invites and affirms the identities, backgrounds and experiences of all clients, including when different from the therapist.  We believe that good therapy involves the therapist being culturally humble, working on awareness of systemic oppression and privilege, and being responsive to these aspects of clients’ lived experience.  This includes race, ethnicity, sexual orientation, sex, gender, age, socioeconomic class, national origin, and faith affiliation (including atheism).  

  • We believe that individual and group therapy is a qualitatively different practice than relationship therapy for couples and families, requiring specific training and consultation in order to provide good relationship therapy that doesn’t inadvertently or unnecessarily cause separation, divorce or estrangement.  We also believe that while individual therapy is a good format to get clarity on inner experiences of relationships, it is not the best format for resolving relationship distress or making decisions about relationships.  When these concerns present in individual therapy, we recommend referral to couple and family relationship counseling specialists inside or outside the practice for discernment counseling and/or relationship therapy. 

Are We Still A Good Fit? Scroll Down!

We Are Currently Fully Staffed, but We Would Be Happy to Put You on Our List for When We Have Openings!

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