Online Therapy in Winston-Salem, NC
Do you live in Winston-Salem, NC? Are you searching for a skilled and compassionate counselor near you? You don’t have to drive to Greensboro to get good therapy.
If you’re in Winston-Salem and you’ve been thinking about counseling for anxiety, depression, trauma, ADHD, or just the weight of a life that feels heavier than it should, we are here to support you. As an interesting fact, Dr. Santos attended WSSU for his master’s degree. Winston-Salem, NC truly is a special place full of wonderful memories for Santos Counseling.
All of our counselors are licensed in North Carolina. We offer in-person counseling and secure, private telehealth sessions for kids and adults across the entire state, including right here in Winston-Salem and throughout Forsyth County. You bring yourself. We handle the rest.
📞 Call or Text 336-663-6570 to Get Started Schedule My Appointment →
Insurance Accepted for Online Therapy in Winston-Salem
Most of our Winston-Salem clients have insurance through their employer, and most of those insurance plans cover in-person counseling and telehealth therapy at the same rate as in-person sessions.
We accept the following insurance plans:
- Blue Cross Blue Shield of NC
- Aetna ✅ Medcost
- UnitedHealthcare / Optum / UMR
- Carolina Behavioral Health Alliance (CBHA)
- And more
We do not accept Medicaid or Medicare.
Not sure if your plan is covered? Call or text 336-663-6570, and our intake team will verify your specific benefits before you commit to anything. No surprises, no confusion.
Why Santos Counseling and Not a National Telehealth Platform
I want to be honest with you about something.
You’ve probably seen the ads for BetterHelp, Talkspace, and the major telehealth platforms. I do believe that they offer support and that they’re convenient. They have big marketing budgets and, like many platforms, are doing their best to help. And for some people, they work.
But here’s what I strongly believe that we offer: a practice with roots. A team that has been serving North Carolina since 2014. A team that is built from people who actively live in the community, invest in the community, and are part of the fabric of the community.
Our counselors are professionals who are part of a practice with a real community identity and a real stake in your outcomes. At Santos Counseling, you work with one counselor, consistently, over time. The relationship is the work. You’re not a case number in a system. You’re a person, and we treat you that way.


What We Treat At Santos Counseling: In-Person and Virtual Therapy for Winston-Salem Kids and Adults
Our in-person and online therapy services for Winston-Salem clients cover a wide range of mental health concerns. The most common reasons adults in the Triad reach out to us include:
Anxiety: This can show up as generalized anxiety, social anxiety, panic disorder, performance anxiety, health anxiety, and anxiety that’s connected to work difficulties, stress, or major life transitions. If worry has become the background noise of your daily life, we can help you change that.
Depression: High-functioning depression is an ongoing low mood that just doesn’t go away, lack of motivation, emotional flatness, and depression that coexists with anxiety or ADHD. Many of our Winston-Salem clients describe functioning well on the outside while feeling a deep struggle and emptiness on the inside. That experience is real, and it’s treatable.
Trauma and PTSD: Counselors at Santos Counseling hold extensive training in trauma. Whether the trauma is recent or something you’ve been carrying for years, our mental health counselors use evidence-based approaches, including EMDR, CBT, and somatic all focused to help you process what happened and move forward. You don’t have to relive it to heal it.
ADHD: Adult ADHD is common and can certainly make life more challenging. We see this especially in working professionals who were never diagnosed growing up. ADHD is one of the most underrecognized presentations we see. If you’ve always felt scattered, behind, or like you have to work twice as hard as everyone else just to keep up, there’s a reason for that. And there’s real support available.
Mood Disorders: Our counseling office treats bipolar disorder, cyclothymia, dysthymia, and other mood-related diagnoses that require consistent, knowledgeable support over time.
Life Transitions: We actively work with high performers, overachievers, and individuals seeking career-related support. We provide treatment for divorce, loss, relocation, retirement, parenting challenges, and the kind of mid-life restlessness that doesn’t have a clean name but is very real. Life transitions are one of the most common triggers for anxiety and depression — and one of the most overlooked reasons to start therapy.
Relationship Challenges: Individual therapy for people navigating difficult relationships, communication breakdowns, codependency, boundary issues, or recovering from relational trauma.
Grief and Loss: The death of a loved one, the end of a marriage, the loss of a career or identity. Grief doesn’t follow a timeline, and you don’t have to process it alone.
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Why Winston-Salem Residents Choose Santos Counseling
I always find that when I’m in Winston-Salem, the city itself does a wonderful job of showing real character. I love the art scene and many of the clients that we serve at Santos Counseling are connected to the city. Some hold positions in local Forsyth County schools, some are in the medical community anchored by Wake Forest Baptist, some work with the universities in the area, and many are working families.
Santos Counseling has served Winston-Salem, NC since 2014 when we first opened our doors. And the honest truth about mental health access in Winston-Salem right now is that demand is growing. Our practice actively works with students from campus counseling centers at Wake Forest, Winston-Salem State, and Salem College.
Our counseling office has over licensed counselors currently accepting new clients. We offer in-person counseling and virtual sessions via secure telehealth. We are available evenings, on Saturdays, and offer flexible scheduling. We are in-network with the major insurance plans most Winston-Salem professionals carry.
You don’t have to wait months for your counseling appointment. You don’t have to settle for whoever happens to have an opening.
Who We Work With in Winston-Salem
Most of our in-person and virtual clients in Winston-Salem are working adults between 25 and 55. They’re professionals in healthcare, education, business, and the trades who are managing real-life pressure.
They’re often people who have thought about working with a counselor for a while. Maybe years. They’ve told themselves they don’t have time, or it’s not bad enough yet, or they should be able to handle it on their own.
Then something shifts. The anxiety gets louder. The depression gets heavier. A relationship hits a wall. And they finally Google “online therapist Winston-Salem NC.”

Typical clients that Santos Counseling works with
- Healthcare professionals and first responders from Wake Forest Baptist Medical Center and surrounding facilities who are dealing with compassion fatigue, burnout, and secondary trauma. These are often firefighters, police officers, doctors, nurses, EMT workers, and other professionals in the field who are exposed to trauma.
- College students and young adults from Winston-Salem State University, Wake Forest University, Salem College, and Forsyth Tech who are on long campus counseling waitlists or need more consistent support than campus services can provide. College students typically reach out to our office for support with ADHD, anxiety, depression, stress, burnout, academic pressure, time management, relationship concerns, homesickness, trauma, self-esteem, and life transitions. Whether you’re adjusting to your first year of college, balancing coursework with work or athletics, navigating friendships or romantic relationships, or preparing for graduation and your next chapter, our counselors are here to help.
- Adults in life transition. A difficult life change is often a key reason that a person may start counseling. Life can shift quickly, even when the change is something you chose. Kids, families, couples, and adults experiencing major life transitions often seek counseling after a recent divorce, separation, relocation, career change, retirement, becoming a parent, becoming an empty nester, or the loss of a loved one. While these transitions are a normal part of life, they can also bring uncertainty, grief, anxiety, loneliness, and questions about identity and purpose.
- High achievers and executives. Many of the people who reach out to our counseling office are high achievers, business owners, healthcare professionals, educators, executives, and leaders who appear successful and confident on the outside while quietly carrying stress behind the scenes. These are often professionals whose roles may push excellence. You may be meeting deadlines, leading teams, caring for others, and achieving your goals, yet feeling emotionally exhausted, disconnected, overwhelmed, or like you’re constantly “on.”

