NC State Counseling Center with free short-term therapy, psychiatric consultations, crisis intervention, and wellness programming for students. Walk-in crisis consultations during business hours. Let's Talk drop-in services available. Embedded counselors in select academic colleges.

Duke Psychiatry operates multiple outpatient clinics in Durham open to the general public. Provides psychiatric evaluation, medication management, psychotherapy, ECT, TMS, and clinical trial access. Ranked among top US psychiatric departments. Specialties include mood disorders, psychosis, and anxiety.

Duke student mental health center with free short-term individual therapy, group counseling, psychiatric medication management, and 24/7 crisis consultation. DukeReach provides outreach and wellness education. Embedded counselors in several academic departments.

UNC academic center providing intensive community-based services for adults with serious mental illness. STEP is specialized for first-episode psychosis. ACT teams provide wraparound support including medication, housing, employment, and social skills in community settings.

UNC Dept. of Psychiatry outpatient clinics open to the general public, staffed by internationally recognized faculty. Specialty programs include eating disorders, women's mood disorders, OCD, anxiety, and child/adolescent psychiatry. Access to clinical trials and cutting-edge treatments.

UNC primary mental health center offering free or low-cost individual counseling, group therapy, crisis intervention, and psychiatric services for students. Walk-in crisis services available during business hours. Let's Talk informal drop-in consultations and wellness workshops also offered.

AA hosts dozens of meetings daily across Raleigh, Durham, and Chapel Hill in in-person and online formats. Meeting types include open, closed, speaker, step study, and Big Book discussions. Free, confidential, and continuously accessible with no formal enrollment.

Statewide peer warmline staffed by peers with lived mental health and SUD experience. Safe, confidential space to talk before situations become a full crisis. NOT a crisis line; law enforcement will NOT be contacted unless specifically requested.

Faith-based nonprofit offering free peer support groups at Triangle churches. Open to people of all faiths and none. Provides spiritually informed but non-denominational mental health peer support and family education. Online resource guide also available.

Clubhouse program in Carrboro for adults with severe mental illness. Members participate in daily operations building practical skills and confidence. Also assists with competitive employment placement, education goals, and stable housing. Free to all members; Medicaid and other funding accepted.

Nationally accredited nonprofit providing a supportive community for adults with severe and persistent mental illness in Orange County. Services include peer support, employment assistance, transitional housing, and independent living skills training. No insurance required; fees are income-based.

Local chapter of the Depression and Bipolar Support Alliance providing free peer support groups for people with depression or bipolar disorder. Facilitated by people with lived experience. Confidential, non-judgmental space for sharing coping strategies. 100% peer-led.

MHA Triangle serves the Research Triangle as part of the nationwide Mental Health America network. Free online mental health screenings, public education events, peer support programs, and advocacy to reduce stigma. Collaborates with UNC, Duke, and community organizations.

Orange County NAMI affiliate covering Chapel Hill, Carrboro, and Hillsborough. Hosts peer and family support groups at local community venues. Offers Family-to-Family education, peer mentoring, and community outreach. All programs are free of charge.

Durham County NAMI affiliate providing free mental health education, peer and family support groups, and advocacy. No-cost Family-to-Family and Peer-to-Peer education courses (6-8 weeks). Actively engages with Durham County CIT for first responders. All programs open to the public at no charge.

Statewide NAMI affiliate coordinating advocacy, education, and support programs across all 100 NC counties. Runs Family-to-Family, Peer-to-Peer, and NAMI Connection programs. Routes callers to county affiliates. Engages in mental health legislative advocacy. HelpLine: 800-950-6264.

State-operated long-term residential SUD treatment center in Butner near the Triangle. Provides residential treatment including individual/group counseling, medical care, vocational services, and aftercare planning. Primarily serves publicly funded adults. Referrals through Alliance Health.

Structured SUD programming alongside psychiatric services. PHP and IOP provide step-down care for those transitioning from inpatient. Dual diagnosis care integrates psychiatric and addiction treatment. Dedicated Help for Heroes track for military, veterans, and first responders.

UNC program for adolescent SUD offering inpatient and outpatient levels of care. Integrates mental health assessment, family therapy, and school re-integration planning. Connected to UNC child and adolescent psychiatry for co-occurring disorder treatment.

Specialized Duke program for adolescents and young adults with SUD. Full continuum from outpatient to IOP, PHP, and medically supervised detox. Addresses co-occurring depression, anxiety, and ADHD. Structured family therapy is central to treatment.

Part of UNC Health providing medically comprehensive SUD treatment. Offers MOUD, inpatient medical detox, intensive outpatient, and outpatient counseling. Accepts Medicaid and Medicare. Integrates psychiatric and medical care for complex dual-diagnosis cases.

Specialized UNC program integrating obstetric care, pediatric care, mental health services, and SUD treatment. Children may reside with their mothers during treatment. One of very few NC programs addressing the unique needs of mothers in recovery alongside their children.

Raleigh outpatient provider offering intensive and standard outpatient services for adults with substance use and co-occurring psychiatric disorders. Provides counseling, relapse prevention, and MAT referrals. Strong dual-diagnosis approach integrating mental health treatment with SUD recovery.

Raleigh IOP and recovery housing program specializing in substance use and co-occurring mental health disorders. Provides structured outpatient treatment alongside supportive sober living housing. Strong peer support component complementing clinical services.

Orange County nonprofit providing outpatient SUD treatment, group therapy, and gender-specific halfway houses (Meadowbrook for women, Sunrise for men). Sliding-scale and low-cost services available; Medicaid and uninsured patients accepted. Serving the Chapel Hill community since 1974.

State-licensed multi-year residential SUD program in Durham, founded in 1994. Combines evidence-based treatment with vocational training, education, peer mentoring, and leadership development. Average daily population of 400+ residents across Durham and Winston-Salem campuses.

Nonprofit providing free, peer-driven long-term recovery services in Raleigh. Overnight emergency shelter, non-medical detox, residential recovery housing, family services, and employment support - all at no cost. One of the Triangle's most accessible no-cost recovery programs.

One of the Triangle's largest outpatient SUD and mental health providers. Offers office-based opioid treatment (MOUD), SUD IOP, mental health therapy, medication management, and peer support. Walk-in hours at hub sites. Accepts Medicaid, Medicare, and most commercial plans.

Orange County nonprofit since 1974. Full continuum from walk-in crisis services and detox to residential treatment and outpatient programs for mental health and SUD. Sliding-scale fees; serves uninsured and Medicaid patients without turning anyone away.

Residential crisis stabilization for children and adolescents (ages 4-20) and their families, operated by WakeMed. Provides short-term psychiatric stabilization (up to 15 days), family therapy, and transition planning.

Same-day psychiatric urgent care in Durham with no appointment required. Services include safety assessments, emergency medication refills, crisis counseling, and referrals for ages 4+. Part of Carolina Outreach comprehensive behavioral health system serving the Triangle since 2004.

Walk-in behavioral health urgent care requiring no appointment. Same-day psychiatric evaluation, crisis stabilization, medication bridge prescriptions, and referrals for all ages. Operated by Monarch, a large NC nonprofit.

Academic medical center with inpatient psychiatric care including specialty units for eating disorders, women's mood disorders, and complex psychiatric conditions. Access to research treatments. Accepts Medicaid and Medicare.

Community hospital serving north Durham with acute inpatient psychiatric stabilization. Connected to Duke's broader behavioral health outpatient network for seamless step-down care after discharge.

Duke flagship hospital with full-spectrum inpatient psychiatric services accessed via the ED. Nationally ranked and provides highly specialized care for treatment-resistant depression, psychosis, and complex co-occurring disorders. Academic setting offers access to the latest evidence-based treatments.

Behavioral health hospital with inpatient, PHP, and IOP programs for mental health and addiction. Includes specialized Help for Heroes track for military, veterans, first responders. Accepts walk-ins 24/7 and most major insurance. Medically supervised detox also available on-site.

WakeMed 28-bed inpatient psychiatric facility providing physician-supervised care, medication management, and group therapy for adults with mental health and dual-diagnosis conditions. Inpatient admission requires a physician or counselor referral.

One of NC's largest private psychiatric hospitals with nearly 40 years of service. Inpatient and addictive disease programs for all ages. PHP/IOP at The Pines outpatient site. Walk-ins welcome; no-cost telehealth assessments available. Treats anxiety, depression, psychosis, PTSD, and addiction.

Free, confidential 24/7 text-based crisis support. Connect with a trained Crisis Counselor from anywhere in the US. Particularly helpful for teens and young adults who may be uncomfortable calling a hotline.

Crisis hotline run by and for transgender people. All operators have personal trans experience. No mandatory reporting to law enforcement - callers retain full control.

Staffed by trained NAMI volunteers providing info on mental health conditions, treatment options, local resources, and support group referrals. Not a crisis line but ideal for those newly navigating a diagnosis. Free and confidential.

State-operated helpline managed by NCDHHS providing general mental health support, crisis counseling, and community resource referrals.

Run by Promise Resource Network, staffed by peers with lived mental health and SUD experience. NOT a crisis line - designed for emotional support and resource navigation before situations escalate.

Walk-in crisis stabilization unit. No appointment needed. Provides short-term stabilization, psychiatric evaluation, peer support, and connections to community care.

Walk-in behavioral health crisis center. Adults 18+ can walk in without an appointment for crisis evaluation, stabilization, and referral. No cost to access.

Wake County mobile crisis team responding in-person to mental health and substance use emergencies. Also operates a Spanish-language crisis line. Operated in partnership with Alliance Health.

Mobile crisis response for Orange County residents experiencing behavioral health emergencies. Teams offer on-site psychiatric assessment and can arrange placement in higher levels of care. Covers Chapel Hill, Carrboro, and Hillsborough.

Dispatches mobile mental health teams to individuals in crisis in Durham County. Teams provide on-site assessment, de-escalation, and connections to inpatient or outpatient care.

Raleigh-based nonprofit providing free, confidential crisis support by phone and text. Staffed by trained volunteers and professionals serving the Triangle area. Focus on suicide prevention.

Alliance Health 24/7 crisis line covering Wake, Durham, Orange, Johnston, Cumberland, and Harnett counties. Provides telephone assessment, crisis counseling, and coordination of mobile crisis or walk-in services. Bilingual services available.

Free, confidential mental health crisis support 24/7 by call or text. Connects callers to a trained local crisis counselor. Online chat also available. Designed for people in suicidal crisis or any mental health emergency across the US.