After-Hours Care Appointments

At Avance Care, we’re interested in much more than the absence of illness. Our Behavioral Wellness providers will engage you in an active therapeutic process that will help you grow in self-awareness, make healthy choices and achieve appropriate balance in all areas of your life.  Avance Care therapists use a strength-based approach that helps you achieve your full potential and greatest degree of life satisfaction. We coordinate with your medical treatment team to help you draw on your capabilities and overcome the limitations imposed by illness and injury. We work with you to change negative behavioral patterns that perpetuate unhealthy habits, revise perspectives interfering with meaningful relationships in your life, and more.

What We Offer:

  • Routine screenings for mental health conditions
  • Comprehensive clinical assesment
  • One-on-one sessions with therapist to evaluate treatment needs
  • Working phase counseling sessions

Routine Screening Services

Research demonstrates that depression and many other common psychological health conditions frequently develop along with common chronic illnesses like heart disease, diabetes and irritable bowel syndrome. Routine screenings for mental health conditions lead to both dramatically increased rates of correctly identifying and treating these conditions, as well as significant increases in positive outcomes from treatments directed at chronic physical illnesses. Frequent and robust screening is an integral element of our Behavioral Wellness program. We continually review literature and update our protocols to identify which screenings will help us maximize the quality of our health care. These screenings are kept as brief as possible and are administered online for your convenience. You can answer the screening questions through our web-based portal prior to your appointment or through a tablet or terminal at one of our offices. Online administration and scoring allow your healthcare provider to review the results with you in a timely manner and assist in guiding treatment decisions.

How the Therapeutic Process Works


Small changes can make a big difference

All of our services are provided by appropriately licensed mental health specialists (clinical psychologists, licensed marriage and therapy therapists, licensed clinical social workers and licensed professional counselors). Your provider will assist you in developing an individualized treatment plan that may involve individual, couple, family or group therapy counseling sessions. You may be connected to community support groups and other resources as well. Our therapists are trained and experienced in dealing with a wide variety of behavioral health conditions and situations, including but not limited to the following: depression, anxiety, grieving and loss, stress management, ADD and ADHD, chronic illness, substance abuse, work and career issues, parenting support, stress management, dementia management and caregiver support, preparation for and recovery from surgery, and adjusting to major life transitions such as relocation, retirement, divorce and childbirth. Furthermore, we offer robust psychological testing and screening services to assist in clarifying diagnoses in complex and uncertain cases.

Overview of Behavioral Wellness Sessions 

Initial Session: Intake/Assessment

The first session includes a comprehensive clinical assessment of each patient. The therapist will identify key areas in which additional information is needed, assist in articulating your symptoms, determine a working diagnosis and develop initial recommendations for your treatment.

Sessions Two to Four: Early Phase/Evaluation 

The next few sessions involve the therapist fully understanding your history, further confirming your diagnosis, evaluation your treatment needs and formulating a treatment plan with your input.

Working Phase Sessions

Implementation of the treatment plan begins. During the treatment phase, the therapist engages you in working toward growth. This can be a challenging time for both patient and provider, as this mode of treatment is often less structured and less directive than most medical interventions you may have previously experienced. 

Getting Started

  1. Request a referral during a medical appointment with your Avance Care provider, or directly request services by contacting Avance Behavioral Wellness at (919) 237-1337 Contact Us or LiveChat
  2. Before beginning therapy, our Behavioral Wellness Coordinator helps you understand your insurance coverage. Behavioral Wellness services are covered ONLY by Blue Cross Blue Shield at this time.

How Much Will This Cost?


Behavioral Wellness services are available only to Blue Cross Blue Shield members at this time. Authorization may be required before they will cover psychotherapy fees. Our intake coordinator will assist you in contacting your insurance to confirm your coverage prior to your first visit. As a courtesy, our billing service will assist you in filing claims. You are ultimately responsible for knowing your coverage and alerting us to any changes to your coverage.

Self Pay Fees

Initial Assessment:  $135

Subsequent Visit: $125

Purchase Subsequent Visit Bundle and Save: 4 Subsequent Visits for $320 (2 Installments of $160 Each to be Paid During First Two Visits)