We work with high-achieving women, teens, and families who are navigating anxiety, perfectionism, eating disorders, or feeling stuck despite their success. Many of our clients are female professionals, executive women, and women in leadership roles who are balancing intense responsibilities with the desire to feel more grounded and fulfilled.

We also support:

If you’re unsure whether we’re the right fit, we’re happy to talk it through with you.

Most clients come to see us about anxiety, sport psychology, and eating disorders.

We can help when:

If this sounds like you, let's chat about how you can feel calm and capable.

If you're ready to start or just want to learn more about services, contact us using the form on the contact page. You can also call the office phone at (919) 892-9874 or book an appointment here. If we are a good match based on what you want help with, we will schedule an appointment.

Before we meet, you’ll complete some intake paperwork that we will review together in session.

Meeting someone for the first time - especially via telehealth - can feel a little nerve-wracking. We’ll spend the first session getting to know you, understanding your goals, reviewing clinic policies, and making sure you feel heard. From there, we’ll create a treatment plan based on what matters most to you - including what we’ll focus on and how often we’ll meet.

No topic is off-limits in our work together.

Want to know more about how I work?  Read my open letter to clients.

Therapy is an investment in yourself (or your child) and your well-being. Our practice is considered out-of-network, meaning payment is due at the time of service.

Choosing to remain out-of-network allows us to fiercely protect your privacy and keep care tailored to you, not paperwork. In-network insurance companies routinely require a formal psychiatric diagnosis, mandate treatment justifications, and retain the right to audit and review session notes.

Paired with our strict policy against clinical AI tools, operating outside the insurance system ensures your deeply personal records remain completely confidential and free from external algorithms, third-party databases, and insurance claim adjusters.

If your insurance plan includes out-of-network benefits, you may be reimbursed for a portion of the fee. We are happy to provide a monthly superbill that you can submit for potential reimbursement.

We also maintain a few reduced-cost sliding scale spots. If cost is a concern or your family is experiencing financial hardship, feel free to reach out to see if a sliding scale spot is available. You can also check out Open Path Collective for affordable therapy options.

Marina and Alexandra offer slightly different pricing.

MARINA
I offer a free 15-minute discovery call to see if we’re a good fit. This brief call allows you to ask questions and hear more about our approach.

All major credit cards are accepted, including HSA/FSA cards.

ALEXANDRA
I offer a free 15-minute discovery call to see if we’re a good fit. This brief call allows you to ask questions and hear more about our approach.

When we begin work with a new client, we wholeheartedly invest our time and energy into our work together, and we ask the same in return.

Cancellations require at least 24 hours’ notice. Late cancellations or no-shows will be charged the full session fee unless there’s a true medical emergency (at your provider's discretion).

Your appointment time is reserved just for you - late cancellations mean that another person waiting for services isn’t able to be seen.

We have a strict zero-AI policy for all clinical care. We do not use AI scribes, automated recording software, or machine-learning tools to listen to sessions, write progress notes, or summarize your care.

We believe therapy is one of the few remaining spaces built entirely on uninterrupted, genuine human connection. Your (or your child's) vulnerabilities, personal history, and session details are never fed into external tech platforms or algorithmic models. Every clinical note is written personally by your clinician and secured within our HIPAA-compliant system, keeping your care strictly between you and your therapist.

It is natural to wonder whether telehealth therapy can be as meaningful or impactful as sitting in an office, especially if you're seeking support for your teen.

The clinical research is clear: telehealth is just as effective as in-person therapy. Research consistently shows that virtual sessions produce the same therapeutic outcomes, skill acquisition, and relational depth as traditional in-office visits. In fact, many teens actually feel more comfortable opening up from their own rooms or cozy spaces, where they feel naturally secure and at-ease.

Telehealth also removes the logistical hurdles of modern family life. Between school days, sports practices, rehearsals, homework, and parents' work schedules, driving across town in Triangle traffic can turn therapy into an added stressor rather than a support. Telehealth allows your teen to log on seamlessly without anyone losing an hour to the commute.

Plus, because we are credentialed through PSYPACT and offer telehealth in 40+ states, including California and New Mexico, your teen can maintain consistent and uninterrupted care even if your family travels, goes on vacation, or transitions out-of-state for college.

If you still prefer in-person services, we are always happy to connect you with trusted local colleagues.

Clients choose Bloom Psychology Group because they want more than a place to vent - they want real support, real tools, and real change.

Here’s what sets this practice apart:

Not at all. You don't have to wait until you are in crisis or things feel unmanageable to start. Many clients come to us for proactive reasons: optimizing high performance, navigating life transitions, strengthening relationships, or building emotional resilience.

What matters isn't the severity of the issue, but your readiness to engage. Therapy is an active, collaborative partnership. It creates the biggest impact when you or your teen show up with openness, curiosity, and a genuine desire for growth.

Feeling hesitant is pretty normal. Starting therapy requires vulnerability, time, and emotional energy.

While you don't need to have everything figured out before reaching out, therapy works best when you (or your child) are invested in the process. Real change doesn't happen through passive attendance; it requires active participation in sessions and practicing tools in daily life. If you or your teen are on the fence, we can use our initial consultation to talk through hesitations, explore goals, and find your (or your teen's) "why" to help you commit to the process.

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We use evidence-based approaches including:

CBT (Cognitive Behavioral Therapy)
DBT (Dialectical Behavior Therapy)
ACT (Acceptance and Commitment Therapy)

These therapies are backed by research and tailored to your needs - helping you build self-awareness, emotional resilience, and actionable skills that translate into real life.