
Supporting LGBTQIA+ and Neurodiverse Youth in North Carolina, Virginia, and South Carolina
Every teen deserves to feel seen, safe, and supported as they navigate adolescence. For LGBTQIA+ youth and neurodivergent teens (such as Autistic or ADHD adolescents), that journey can come with added challenges. Whether coping with questions about identity, dealing with pressure from peers, or seeking to feel understood by family and teachers, having access to the right kind of affirming mental health support can make all the difference.
Families looking for care that affirms and celebrates their teen’s identity, not just “tolerates” it, are searching for services that promote confidence, connection, and wellbeing. The needs of each teen are unique, and so are the types of support that can help. Maybe your child works best in one-on-one sessions, or maybe they could thrive in a group setting alongside affirming peers. Some teens may benefit from a neuroaffirming psychological or psychoeducational sl evaluations, especially in situations involving courts or schools.
At Be BOLD Psychology and Consulting, we specialize in LGBTQIA+ celebratory therapy and neuroaffirming therapy for youth. With both in-person sessions in Durham, NC and virtual therapy across North Carolina, Virginia, and South Carolina, we make it easier for families to find care that truly fits their needs.
Therapy Options for Adolescents and Teens
There isn’t a one-size-fits-all approach when it comes to therapy for teens. It’s all about finding the right structure based on the individual andwhat helps them feel comfortable, what challenges they’re facing, and how they prefer to process those emotions and challenges.
Here are some of the most common therapeutic approaches for adolescents and teens:
1. Individual Therapy
These one-on-one therapy sessions offer a private setting where teens can connect with a licensed therapist or psychologist. It’s a space to talk openly without judgment. Individual therapy can be especially helpful when teens are managing anxiety, dealing with changes at home or school, processing identity, or simply need a consistent place to be heard.
2. Group Therapy
Some teens gain comfort in knowing they aren’t alone. In group therapy, they can connect with peers who understand their experiences. These group environments are structured and supportive, helping participants learn coping strategies while building community and resilience.
3. Family Therapy
Sometimes the best progress happens when families engage in therapy together. Family sessions can improve communication, help set healthy boundaries, and bring better understanding to the everyday dynamics between teens and their caregivers.
At our Durham office, we provide in-person therapy for adolescents and teens with flexible scheduling, including evenings to accommodate busy school and extracurricular calendars. For families outside the Triangle area, we offer telehealth therapy across NC, VA, and SC, ensuring care is accessible no matter where you live.
We also offer evening options for teens with active school or after-school schedules. This kind of schedule flexibility helps make therapy accessible without disrupting essential parts of a teen’s life, like academics or extracurriculars.
Therapy isn’t just a tool for crisis. It’s also a proactive space where teens can develop emotional awareness, confidence, and a greater sense of who they are becoming.
Neuroaffirming Therapy for Adolescents and Teens
Neuroaffirming therapy is a strengths-based therapeutic approach, focusing on validating the teen’s unique neurotype and the way that they t think, feel, communicate, and experience the world. This kind of care is especially helpful for Autistic teens, teens with ADHD, and other neurodivergent youth.
Unlike outdated models that frame neurodivergence as something to “fix,” neuroaffirming therapy celebrates different ways of being in the world. It’s about honoring strengths, respecting communication preferences, and addressing barriers without erasing identity.
We typically use identity-first language, as that is how the vast majority of neurodivergent clients identify themselves.
Our neurodivergent-affirming therapy can include:
- Building self-advocacy skills and confidence
- Exploring routines and supports for sensory needs
- Talking through challenges with school expectations and friendships
- Respecting a teen’s preferred communication style
We also provide comprehensive psychological evaluations rooted in neuroaffirming care. Whether you’re seeking a new diagnosis or want a better understanding of what your teen is struggling with, these evaluations offer insight in a way that values who your teen is,not just what’s written in a manual or a medicalized diagnostic handbook
Every neurodivergent teen deserves support that fits them without demanding they change their authentic selves. Neuroaffirming care in NC, VA, and SC ensures your child feels seen, respected, and celebrated.
LGBTQIA+ Celebratory Therapy for Adolescents and Teens
Understanding identity, gender, and sexuality is part of the growth process for many teens. But for LGBTQIA+ adolescents, the stakes are often higher. Too many teens encounter rejection, bullying, or even unsafe environments.
Many teens don’t want a space that “tolerates” or analyzes them. I mean, who would? That sounds awful. They want a space where they can be respected and supported, no matter where they’re at in their journey. Our LGBTQIA+ celebratory therapy does just that. It means honoring pronouns without question, supporting chosen names, welcoming and exploring fluidity, and affirming expression in all its forms.
We focus on helping LGBTQIA+ teens with:
- Exploring identity, gender, and sexuality in a safe setting
- Building confidence and setting healthy boundaries
- Coping with rejection, bullying, or isolation
- Navigating mental health challenges such as anxiety or depression
- Approaching coming out with care and support, both personally and socially
Identity-affirming therapy can help teens trust their voice, feel grounded in who they are, and manage moments of doubt or pushback with more ease. No one’s identity should be the source of pain in therapy. Instead,it should be something worthy of celebration and care.
For families in less affirming areas, or areas with less access to therapy spaces, online LGBTQIA+ therapy across NC, VA, and SC provides a safe entry point into care. Teens can connect with therapists from the comfort of home, avoiding the risk of being misunderstood or stigmatized locally.
Mental Health Evaluations in the Context of Court
Some families may encounter situations where a teen’s mental health evaluation becomes part of a legal process. That may include custody discussions, juvenile legal matters, or school-related concerns that escalate to court involvement.
Navigating these systems can be stressful on top of everything else. It’s even more important during these times that evaluations are \ trauma-aware, affirming, and utilize best practices. We approach every evaluation with curiosity, objectivity, and care, working to understand the full context of a teen’s lived experience.
Our court-related mental health evaluations may be used for:
- Custody cases looking to understand emotional or behavioral needs
- Juvenile court programs or probation requirements
- School conflicts requiring professional mental health input
- Court-mandated assessments for treatment recommendations
Our evaluation process is thorough and trauma-informed, focused on providing professional insight in a way that respects both teens and their caregivers. These evaluations are more than documents – they provide meaningful context that supports more informed decisions.
We also provide neuroaffirming psychological assessments to clarify DSM-5-TR diagnoses like ADHD or Autism, helping families and schools put the right supports in place that are identity-affirming and supportive of the kid or teen.
Why Families Trust Us to Support Their Teens
Finding the right mental health provider for your teen isn’t easy. You want someone who can speak their language, respect their identity, and offer support that makes a real difference. You’re looking for someone who truly gets it.
At Be BOLD Psychology and Consulting, we’ve built our practice around LGBTQIA+ affirming therapy and neurodivergent-affirming care. We know how to meet teens where they are – with warmth, honesty, and respect. Whether your child needs support with identity exploration, school stress, or deeper mental health challenges, we provide more than therapy sessions. We create spaces where young people feel safe becoming who they are.
Start Therapy That Celebrates Your Teen
Your child deserves therapy that affirms their whole self.
If you are ready to help your teen thrive with support that’s affirming and empowering, reach out to us! At Be BOLD Psychology and Consulting, we offer an approach that truly celebrates identity with LGBTQIA+ celebratory therapy for adolescents and teens. Our sessions, available both in our Durham, NC office and virtually across North Carolina, Virginia, and South Carolina, make it easy to find care that fits into your life.
We’re taking appointments now, including nights and weekends, to offer you the flexibility you need. Find space where your teen’s unique self is honored. Ready to start? Schedule a free 20-minute consultation to explore how our team can support your family’s next steps.
Contact us!
Phone: 919-525-1873
Email: info@beboldpsychnc.com