For the latest information on coronavirus, or COVID-19, including service and program impacts in Chatham County, please visit the coronavirus webpage.

Mental Health

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 COVID-19 Update

Things may have changed during these past few months but help and support is still available. Many of the local providers listed below are now offering Telehealth therapy and counseling appointments that can be done through your phone or video-based services. Several new free resources have been recently created care of yourself, loved ones, coworkers, and neighbors during this challenging times. The Emotional Wellbeing Checklist During Coronavirus is a good place to start along with the following resources:

  • Know that you are not alone: National Suicide Prevention Lifeline Call 1-800-273-TALK/1-888-628-9454 (Ayuda en Espanol). Crisis Text Line: Text TALK to 741741 for free 24/7 crisis support through text messaging. TrevorLifeline offers a suicide prevention counseling service for LGBTQ+ teens. Call 1-866-488-7386 or text START to 678678.
  • Hope4NC Helpline: 1-855-587-3463 connects all North Carolinians with a real person for additional mental health and resilience support 24 hours per day, seven days a week.
  • The Hope Line: A toll-free Hope Line has been established for older adults experiencing isola­tion. Call 1-866-578-4673.
  • Counseling for health care professionals and essential workers: Hope4Healers Helpline Call 919-226-2002 24/7 for mental health and resilience support for front line workers and their families: Health care professionals, emergency medical specialists, first responders, child care, others who work in health care settings. A licensed mental health professional will follow-up.  


Mental health is important at every stage of a person’s life. Many people only begin to pay attention to mental health when someone has a recognizable problem or behavior that breaks the mold of being “normal.” It is often referred to in a negative light with common stereotypes of people being violent or out of control.

cardinal innovations

Mental health needs to be understood at a new level. This includes a person’s emotional, psychological, and social state of being. The way that a person thinks, behaves, and experiences emotion is affected by their mental health. In turn, mental health is also affected by body chemistry, life experiences, and family history. The way that we perceive mental health should be no different than physical health.

Just like physical health issues such as diabetes or hypertension, a person’s mental health can be managed and maintained with the right treatment with a trained and qualified professional. A well-balanced diet, exercise, and paying attention to what someone’s body and emotions are telling them are all important. There are different medicines to help manage emotional responses just as there are different medicines help to regulate glucose (sugar) levels and blood pressure. In addition, therapy and counseling, support groups, and education can also play a critical role.

Help is available for those who may be experiencing a mental health problem. Many national and local resources to help are listed are below. 

Primary Local Provider 

Daymark Recovery serves as the primary provider of Mental Health and Substance Abuse in the Chatham County community. They provide a full-service clinic located at 1105 E Cardinal Street, Siler City. See below for more information & how to contact. 

Daymark es el proveedor comunitario de Salud Mental y Abuso de Sustancias en la comunidad del Condado de Chatham. Ellos provean un servicio completo de clínica situado en 1105 E Cardinal Street, Siler City.

Local Resources

Providers serve all Chatham County residents unless otherwise stated. If you are experiencing a life-threatening emergency or crisis, call 911 immediately.

Download the Mental Health Resources Guide HERE. The resource guide can also be viewed in the chart below.

For more resources on local substance use providers in Chatham County, please visit

Additional Resources:

Children and Adolescents Mental Health Resources

Provider Mental Health Resource List

Spanish Language Mental Health Resources

Women and Families Mental Health Resources

24-hour crisis phone line for victims of sexual assault or domestic violence in Chatham County: Call 919-545-STOP

National Suicide Prevention Hotline: 1-800-273-TALK (8255)

Chatham Action on Resilience (CARS) is a local collaborative addressing adverse childhood conditions to build a resilient Chatham to face and cope with life's challenges. To learn more about their work, visit their website by clicking here.

Information on Fetal Alcohol Spectrum Disorder: Organization empowering individuals impacted by prenatal alcohol exposure. Available to assist in obtaining diagnosis and sharing intervention resources. Contact Kathy Hotelling, Ph.D, ABPP at 919-265-3390 or visit

UNC Center for Excellence in Community Mental Health Assertive Community Treatment (ACT) Provides transition support for individuals with severe mental illness as they move from a facility to living in the community. Serves Chatham, Orange, and Wake counties

For more resources on local substance use providers in Chatham County, please visit

VERIFY LISTINGS BELOW:  To verify the information provided in this list, please contact our local care management entity Cardinal Innovations toll-free at (800) 939-5911

Access and Crisis Line
24-hour, Toll-free Access Call Center (800) 939-5911

For deaf or hard of hearing, dial 711 for NC Relay.

Cardinal Innovations is able to help connect anyone in Chatham County with people and agencies who can help with mental health, substance abuse, and developmental disabilities needs. If someone is experiencing a mental health crisis, Cardinal Innovations can get someone to help any time of day.

Call **Ask (or star, star 275) to connect individuals who may be experiencing a mental health crisis to the right help. A representative will respond within seconds 24/7.

Cardinal Innovations Healthcare has a 24-hour, toll-free number. Use this number to get information, find someone who can help, or to get help or advice in a crisis. Professionals who can help answer the phone at the Access Call Center 24 hours a day, 7 days a week and 365 days a year for the following needs:

  • Telephone assessments and enrollment of individuals for mental health, intellectual and developmental disabilities, and substance use disorder services.
  • Information on community resources for mental health, intellectual and developmental disabilities and substance use disorder.
  • Crisis intervention by telephone or to arrange for an emergency face-to-face clinical assessment related to a crisis.
  • Referral for services to Cardinal Innovations Healthcare local network of providers.
Please visit this webpage for more information.

Chatham Recovery

1758 E. 11th Street, Suite E
Siler City, NC 27344

P (919) 663-3303

Chatham Recovery can help people with the side effects of stopping opioids (pain medicine, heroin). They can also help with recovering when stopping others drugs through counseling. They have drug counselors and doctors who are trained to help.

Chatham Recovery is an opioid (pain medicine, heroin) treatment program that provides medication assisted therapy and counseling to help people overcome addiction to heroin and opiates. Services for individuals over the age of 18 include opioid treatment, substance abuse counseling, and psychiatric services.

  • Methadone Treatment
  • Buprenorphine Treatment
  • Substance Abuse Counseling
  • Medication Management
  • Individual and group counseling
  • Urine drug screens
  • Referral Services

Medicaid (Cardinal and Sandhills) and private insurance accepted. Uninsured patients accepted.

Currently providing Telehealth therapy for clinical and medical appointments. Still open and operating normal business hours (weekday 6-11am, weekends 7-9am) for medication management.

Daymark Recovery Services

Siler City Office
1105 E Cardinal Street
Siler City, NC 27344

P (919) 663-2955

Please call to discuss any questions or concerns.

24-hour, Toll-free Access Call Center (800) 939-5911

As of July 3, 2017, Daymark serves as Chatham County's community mental health and substance abuse services provider.


Everyone living in Chatham County can walk-in to Daymark to get help with mental health and substance abuse needs. They have doctors and therapists available. If they are not able to help, they will get you connected with someone who can.

Services provided Monday-Friday 8am-5pm include:

  • Walk-in assessment/referral (includes emergency response via outpatient assessment or referral to MCM)-recommended to arrive prior to 3:00pm if possible to allow for paperwork and assessment on same date
  • Mental health evaluations
  • Mental health and substance abuse treatment for adults, teens, and children 3 years and older
  • Outpatient individual and group therapy for both mental health and substance abuse (children 3-18 years old)
  • Substance Abuse Intensive Outpatient Services (SAIOP)
  • Comprehensive clinical assessments
  • Group for adult child
  • Medication management (doctor services)
  • Intensive in-home services for children and families
  • Psychiatric evaluations

Interpreters available for Spanish speaking clients.

Most major private insurance and Medicaid/Medicare accepted. Sliding-scale fees based on household income is available for individuals without insurance (fees can be as low as $0). Clients meet with trained staff to review service fees prior to first appointment.

El Futuro, Inc.

401 N Ivey Avenue
Siler City, NC 27344

P (919) 688-7101 ext. 600
F (919) 688-7102

Serves Spanish speakers

El Futuro has a doctor and therapist who can work with individuals and families. They have classes that help with many different areas of need, like parenting and social skills, as well as some that are more specialized. They can also complete substance abuse evaluations, which include alcohol and drug assessments.

Bilingual mental health and substance abuse services are available on Mondays and Thursdays 10:00am-6:00pm and Wednesdays 10:00am-5:00pm in the Siler City office (with lunch hour 12:00pm-1:00pm). Services also available in Durham. Hours vary by location. Services provided include:

  • Mental Health Evaluations
  • Individual, Family, and Group Therapy
  • Psychiatric Treatment
  • Substance Abuse Evaluation and Treatment
  • Trauma Treatment (all ages)

Medicaid, Health Choice, and Medicare accepted. Uninsured patients accepted (based on county of residence). For further questions surrounding payment, clients are encouraged to call the clinic.

Offices are temporarily closed but still providing Telehealth therapy. Appointments now available by video or TeleFuturo (cell phone, tablet or computer) or by phone call. Currently accepting new patients and referrals for therapy, psychiatry, substance use treatment, and DWI services.


220 Chatham Business Drive
Pittsboro, NC 27312

Marie Jost
P (919) 644-6590

Serves Spanish Speakers

Services provided include:

  • Bilingual Child and Family Therapist (in home and office)
  • Children 0-5 years old services

Bilingual services available. Medicaid, United, and BCBS accepted.

English and Spanish speaking telehealth currently available.

New Beginnings Counseling Services, PLLC

Pittsboro Office
288 East St., Suite 1007
Pittsboro, NC 27312

P (919) 542-0047

Siler City Office
1756-A 11th St
Siler City, NC 27344

P (919) 663-3332

Please call the Sanford office at 919-718-1597 to schedule an appointment at either location.

Services for children, adolescents, and adults include:

  • Comprehensive diagnostic assessment
  • Individual, family, and group therapy
  • Substance Abuse Counseling, including individual and group therapy
  • Substance Abuse Programs
  • Parenting Workshops
  • Trauma Counseling
  • Medication Management (provided by a licensed medical doctor who specializes in child/adult psychiatry)

Most major private insurance, Medicaid, and Medicare are accepted. Sliding-scale fees based on household income is available for individuals without insurance.

Peak Professional Group
Counseling for Growth, Transformation & Inspiration

Pittsboro Office
200 Sanford Road, Suite 2
Pittsboro, NC 27312

P (919) 335-3105
P Spanish Speakers (919) 412-5685
C (919) 412-5685

Peak Professional Group has many therapists who are able to meet many different mental health needs. They can meet in their office or in schools where a child in need attends. If you want them to meet you at a school, you can call your or your child’s school counselor.

Services provided include:

  • Individual Counseling
  • Couples Counseling
  • Family Therapy
  • Group Therapy
  • Y.E.S. Program- Youth: Empowered & Supported- A school-based Mental Health Counseling Program

Bilingual counseling available. Medicaid accepted.

Currently providing Telehealth therapy.

Pinnacle Family Services

Asheboro Office
P (888) 867-8979

Raleigh Office
P (919) 790-8580
F (919) 790-8065

Pinnacle Family Services provides many services to children and families. They give counseling, intensive in-home treatment, and therapy to individuals, which can be done at school or in your home. You can’t see Pinnacle’s doctors unless you are receiving intensive in-home. They also provide support for ADHD, domestic violence, depression, family conflict, and school challenges. 

Provides home and community-based programs for at-risk youth and their families including:

  • Therapeutic and medically complex foster care
  • Family preservation services
  • School-based services
  • Juvenile offender programs
  • Early intervention
  • Adoption services

Services include individual counseling, day treatment programs, and therapeutic support (may be provided in school or at home). Pinnacle can also support families experiencing challenges with: behavior; domestic violence; ADHD; substance abuse; depression/anxiety; divorce; family conflict; and school challenges.

Medicaid accepted.

UNC Center for Women’s Mood Disorders

101 Manning Drive
Department of Psychiatry
First Floor, Neurosciences Hospital

P (984)-974-5217 (with confidential voicemail)

UNC Center for Women’s Mood Disorders helps women and girls who have mental health needs because of their periods, pregnancy, hormone changes, or menopause and are really hard to deal with. They have doctors and psychologists who can help.


Private Practice

Renaissance Wellness Services, LLC
Dr. Karen Barbee, LPC, LCASA, NCC

288 East Street Suite 1001-F7
Pittsboro, NC 27312

P (919) 259-5308

Services include: Individual counseling, couples counseling, group counseling, school-based counseling, and substance abuse counseling for youth and adults.

Bilingual therapists are available for Spanish speaking clients.

Medicaid and private insurance accepted (BCBS, Cigna, Aetna, and United). Uninsured patients accepted. A sliding-scale fee based on household income is available. Clients may meet with trained staff to determine service fees prior to their first appointment.

Currently providing Telehealth therapy, as well as in-office or in-home if it is deemed necessary and essential for the client

Private Practice

Heather Brewis-Scheffler
Psychologist, PhD, HSP-P

310 West Street
Pittsboro, NC 27312

P (919) 794-8856

Child and Adolescent Psychology (Assessment and Therapy) and Assessments for ADHD, Learning Disorders, IQ, and Adaptive Functioning FOR ALL AGES.

Cash, Check, Health Savings Account, Mastercard, Visa, Medicaid, and private insurance accepted. 

Private Practice

Julie Daul, LCSW

35 Thompson Street
Pittsboro, NC 27312

P (919) 542-6183

Parent Child Interactive Therapy, Trauma Focused-Cognitive Behavioral Therapy, EMDR. Bilingual – English/Spanish.

Medicaid accepted.

Private Practice

Christian Fisher, LCSW

35 Thompson Street, Suite 202
Pittsboro, NC 27312

P (919) 883-7771
F (919) 695-0079

Office and school based individual and family therapy.

Medicaid, Health Check, and private insurance accepted.

Currently providing Telehealth therapy.

Private Practice

Jackie Petty, MA, LPC

PO Box 1336
Pittsboro, NC  27312

P (919) 770-4588

Office and home based individual and family therapy.

Medicaid, Health Check, and private insurance accepted.

Private Practice

Krippa Fammily Pyschological and Wellness Services

21 Hillsboro Street
Pittsboro, NC  27312

P (919) 893-9444


Currently providing free video conferencing to parent groups, to help parents navigate the challenges of quarantine and social isolation with children and teens.

Private Practice

Susanne Saunders, LCSW

35 Thompson Street, Suite 201
Pittsboro, NC 27312

P (919) 444-1779
F (919) 542-6184

Provides psychotherapy to individuals and families across the lifespan.

Clinical issues include: anxiety, depression, phobias, ADHD, trauma, abuse, grief, relationship issues, life transitions, domestic violence, anger management, separation and divorce, blended families, parenting issues, parent/child conflict, family conflict, adoption, peer conflict, bullying, and separation anxiety in children.

Cash, Check, Health Savings Account, Mastercard, Visa, Medicaid, and private insurance accepted.

Private Practice

Sandra Wickham, LCSW

110 B Village Lake Road
Siler Business Park Building #1, Suite B
Siler City, NC 27344

P (919) 542-4952

Specializes in working with children ages 4 to 11 by providing play therapy, art therapy, and other projective techniques. This helps children to deal with behavior issues, traumatic events, adoption/ foster care, and other childhood concerns. Works in close partnership with parents, foster parents, schools, and medical providers to maintain a uniform and comprehensive course of treatment. Individual and couple sessions can be arranged as needed. Ages 5 to adult. School-based in Chatham.

Medicaid, Health Check, and private insurance accepted.

Private Practice

Kelly Jerome, LPCA, NCC, CRC
Fresh Air Counseling
288 East Street, Suite 1001-F4
Pittsboro, NC 27312
P (919) 533-9377

Office and nature-based rehabilitation and mental health counseling and psychotherapy services to individuals across the adult life span, specializing in needs of older adults. Clinical issues include: anxiety, depression, complex trauma, disordered eating/body image, relationship conflicts, adjustment to life transitions.

Cash, Check, Health Savings Account, credit and debit cards, and private insurance accepted (BCBSNC). Income-based sliding scale for uninsured individuals. Reduced rates for Open Path Collective members.

Currently providing Telehealth therapy. Change of hours: Monday and Tuesday 1pm -7pm, Wednesday and Thursday 10am-4pm



List Created by Chatham Health Alliance Mental Health Subcommittee. Send updates/changes to Anna Stormzand at  Changes are reviewed on a quarterly basis.


National Resources

Crisis Text Line: Get free help now: Text CONNECT to 741741

National Suicide Prevention Hotline: 1-800-273-TALK (8255)

SAMHSA Treatment Locator: 1‑877‑SAMHSA7 (1‑877‑726‑4727)

Psychology Today:

National Alliance on Mental Illness (NAMI):

U.S Department of Health and Human Services (DHHS):

Centers for Disease Control and Prevention (CDC):

National Institute on Mental Health (NIMH):

National Council on Aging:

NC Agromedicine Institute can help farmers identify their stressors and signs of depression and anxiety, as well as provide tips to reduce stress