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Now in North Carolina (ages 7-24)

Real-World Anxiety or OCD Care That Changes Young Lives

  • Start treatment in a matter of weeks
  • Expert 3-person care team
  • Trusted by thousands of families
A woman holding hands and comforting a young girl sitting on a couch.
97
%
of graduates experienced overall clinical improvement*

Accessible Care That Works for You and Your Family

Start with a free clinical evaluation to understand your needs and create a personalized care plan. After you apply, our team reviews your information and reaches out to guide you through next steps and match you with the right care team.
9 in 10
patients with difficulty attending school at intake reported reduction in anxiety symptoms after treatment at InStride*
91%
of patients with difficulty attending school reported at intake they would recommend InStride Health to a friend*
97%
of caregivers of patients with difficulty attending school at intake reported they would recommend InStride Health to a friend*
50%+
(51% high school and 58% college age patients) had difficulty attending school due to anxiety or other emotional challenges*
86%
of caregivers (at graduation) reported reduced interference of their child’s anxiety with schoolwork or school attendance*

Insurance Accepted in North Carolina

Our team works with you to confirm coverage and make starting care as simple and affordable as possible. InStride is available to families across North Carolina and most start treatment within 1 to 4 weeks, depending on family availability.

Aetna
Aetna
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Cigna
Cigna
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Blue Cross Blue Shield of Massachusetts
Blue Cross Blue Shield of Massachusetts
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Blue Cross Blue Shield of Rhode Island
Blue Cross Blue Shield of Rhode Island
Commercial
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Blue Cross Blue Shield of Texas
Blue Cross Blue Shield of Texas
Commercial, excluding HMO
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Blue Cross Blue Shield of Illinois
Blue Cross Blue Shield of Illinois
Commercial
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Blue Cross Blue Shield of Montana
Blue Cross Blue Shield of Montana
***Commercial, based on plan design
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Blue Cross Blue Shield of New Mexico
Blue Cross Blue Shield of New Mexico
***Commercial, based on plan design
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Blue Cross Blue Shield of Oklahoma
Blue Cross Blue Shield of Oklahoma
***Commercial, based on plan design
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*Aetna: Some plans may require additional clinical review and approval by the health plan before enrollment. We'll set expectations during your application process.
**Cigna: Single case agreements considered for commercial plans.

***Available to certain members of BCBS of Illinois, Montana, New Mexico, Oklahoma, and Texas based on plan design. Please check with your plan for details.

How It Works

CBT & Exposure

Grounded in cognitive behavioral therapy (CBT)—the gold standard for treating anxiety and OCD—our evidence-based approach focuses on exposure therapy to help kids, teens, and young adults face their fears and build resilience that lasts a lifetime.

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Parents & Caregivers

We provide comprehensive support through individual and group sessions where parents and caregivers learn practical strategies to help create a supportive home environment. They also have the opportunity to connect with others facing similar challenges.

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Expert 3-Person Care Team

Throughout treatment, you’ll work with a highly trained care team of a licensed therapist, exposure coach, and a psychiatrist that has expertise not only in anxiety and OCD, but also in working specifically with young people. Our care team also collaborates with other people involved in your care, as appropriate.

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Real-Time Support

Traditional therapy for anxiety and OCD often leaves young people on their own between sessions, making it challenging to practice new skills consistently. At InStride, we provide real-time support during and between sessions – our care team helps young people as they practice exposures and learn skills in everyday moments.

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Our team will guide you every step — from your first evaluation to a personalized care plan designed for lasting progress.

Lasting Change for Young People Living with Anxiety and OCD

Hear from young people and families who came to InStride when worry was running daily life and built the skills to manage it.

“I was so lost before InStride.”

"It helped so much that I wanted to share my experience. You saved me. You helped me get a little bit of my life back that I didn't think was possible."

InStride Health graduate

“Our family life became MUCH more manageable.”

“When your child is spiralling and getting worse by the day, it’s heartbreaking to think that you’ll have to wait 6 months for help. Fortunately, I found InStride who started working with her right away. She didn’t need to take time away from her other activities to focus on therapy - instead treatment was flexible enough to fit into her lifestyle. She found comfort knowing that her coach was just a text away. I loved the chance to build my own skills during the caregiver group sessions program.”

Julie
Parent of InStride Health graduate

“Deep down, I knew I needed help, I just wouldn’t admit it. Then I found InStride.”

“What really made my mom want to get me help was when I was about to go to overnight camp, and I was just too anxious and I wouldn't get out of the car. I had three different people that I was working with, a coach, a psychiatrist, and my favorite, my therapist. She was someone that I could fully trust, and I looked forward to the sessions every week. My favorite metaphor was, you're in the driver's seat, anxiety's in the passenger seat. This summer, I went to overnight camp for eight days, and I think that was like the finish line for me. I felt like I just won.”

Avery
InStride Health graduate
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Frequently Asked Questions

Do you offer in-person or only telehealth?
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We engage patients and families in a fully virtual care journey that research has shown to be as effective as in-person treatment for youth with anxiety and OCD. The treatment plan is personalized to fit into the patient’s life, rather than the other way around. While we offer regularly scheduled therapy sessions, we also have real-time coaching and check-ins via phone and text to help engage kids in treatment and increase accountability, as well as opportunities to be supported by the therapist/coach virtually while doing exposure exercises out in the community (using portable devices and headphones).

What is exposure therapy?
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Exposure therapy is a key component of CBT that involves purposely confronting the situations, objects, and places that trigger your anxiety and/or OCD symptoms to break the cycle of fear and avoidance.

Your InStride therapist will work with you to develop a roadmap for exposure practice. Your therapist and exposure coach will then support you in practicing your exposures out in the real world—at school, in stores, in restaurants, in your home, and in your neighborhood—wherever you need it most. We do this at a pace that feels right for you, and we’ll never ask you to do something that is unsafe or dangerous or that we, as the care team, wouldn’t do ourselves.

If I/my child attends school in another state, can I/we still apply?
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Yes! Our only location requirement is that the child must be physically located in a state we serve while treatment is going on.

Is AI involved in my treatment, and how does it work?
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At InStride, care is human-centered and led by expert therapists, psychiatrists, and coaches. Technology is used behind the scenes to enable efficiency and enhance consistency in care delivery. Used responsibly and with clear ethical safeguards and oversight, our AI tools streamline documentation and strengthen operations—allowing providers to focus on what matters most: delivering specialized, compassionate, and personalized treatment.

Can the InStride Health team psychiatrist prescribe medication?
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Yes, your dedicated psychiatrist can prescribe medications. However, since we meet virtually, we cannot prescribe controlled substances, such as stimulants and benzodiazepines.

My child has refused to engage in virtual therapy in the past – so what makes InStride different?
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Our InStride care teams are not only experts in treating anxiety and OCD, but also in engaging young people and finding ways to make care meaningful to them. We’ve successfully treated many youth who were initially hesitant about virtual therapy, and the virtual element has made care much more accessible to them.

Care at InStride is so much more than just sitting at a computer for a traditional telehealth appointment. Our therapists design individualized exposure plans that are tailored to specific needs with exposures that may take place at home, in the community (e.g., in school, stores, restaurants, etc.), and in the neighborhood. Our coaches work hard to ensure that sessions are fun and active and incorporate the young person’s interests – this could look like having a mini dance party, playing a game, or going on a scavenger hunt as rewards for doing exposures and practicing skills. We want the young person to be fully engaged in treatment so that they can get back to doing what matters most to them.

Our care team is well versed in managing the avoidance that comes with anxiety, so rest assured that we know how to work with kids, teens, and young adults who don’t want to be onscreen. In fact, there are times when we frame getting and staying on screen during a session as an exposure in and of itself.

Expert Guidance

Anxiety
Back to School
School Avoidance
Academic Avoidance: Understanding & Breaking the Procrastination Cycle
Back to School
Back to School and Beyond: Navigating Nerves and New Beginnings with Confidence
Anxiety
Back to School
School Avoidance
Understanding and Addressing School Avoidance in Young People
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“If you’re feeling worried about your child, I think reaching out to InStride is a good place to start.”

“It’s so hard to watch a child struggle with anxiety or OCD. That’s why I admire what InStride is doing. Their team really gets it, and they help kids and families develop the tools they need to thrive. If you’re feeling worried about your child, I think reaching out to InStride is a good place to start.”
Mindy Kaling
Accessible care in North Carolina

Support Is Just a Step Away

Apply today to see if our evidence-based therapy program is the right fit. No cost, no obligation. Take the first step toward getting back to school, friends, and everyday life.

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