Asheboro, Liberty, and Ramseur are all in Randolph County, within an easy drive of the Shepherd's Heart office in Siler City. This page focuses on one of the practice's core areas: teens and the parents raising them. It covers how teen counseling starts, when to meet in person or by video, what parents hear, and how to fit sessions around the school day.
Shepherd's Heart has a single office, at 209 S 2nd Ave in Siler City; there is no Randolph County location. Families can come to that office or meet by secure telehealth from anywhere in North Carolina. The clinician, the fees, and the insurance relationships are the same either way.
For teens, the format choice matters. Younger teens usually do better in person, at least at first, because they read the room and the adult in front of them in ways that don't come through a screen. Older teens often prefer video from their own room, and for some it opens up more conversation. The right answer is whatever lets your teen actually engage, and it can change over time.
Teen counseling starts with everyone in the room. For the first part of the intake, your teen and one or both parents sit together while the ground rules are said out loud: what confidentiality means, what breaks it, and what will and won't be shared. Then parents step out and your teen has time alone. Doing it this way, openly and once, settles many of the trust questions that could otherwise stall the first few sessions.
What your teen says in session generally stays between them and John. Parents hear themes, direction, and how their teen is doing overall, usually through check-ins every four to six sessions. Safety issues, such as suicidal thinking, self-harm, someone hurting them, or plans to hurt someone else, are shared with parents every time. The guide to teen therapy and confidentiality explains why this balance matters.
Teen counseling can focus on anxiety, depression, self-esteem, school stress, family conflict, or the aftermath of a specific hard event. Sessions are direct and warm, without lectures or advice nobody asked for. For a defined issue, weekly sessions over a few months is a typical shape; work tied to trauma or more complex struggles usually runs longer. The teen anxiety page describes one of these concerns in more depth, including how anxiety can hide behind irritability.
Sometimes a teen is ready and sometimes they aren't. Either way, you can do your own work. The parents of teens page covers the shift from control to credibility that this stage asks of parents, and parent coaching or parent counseling can begin even if your teen won't come yet.
John's schedule is weighted toward the school day. The last appointment starts at 5:00pm Monday through Thursday and at 2:00pm on Friday, and the 4:00pm and 5:00pm slots are limited. If your teen can only come after school, ask early and be specific about which days work. A video session can make an after-school time easier to keep, since nobody has to make the trip.
Request a free 15-minute consultation through the contact page. Describe what's going on with your teen and at home, and John will tell you whether he's the right fit and how he'd suggest starting.
If you're ready to look at the format of the help, see teen counseling or parent counseling. Not sure where to start? Request a free 15-minute consultation and we'll figure it out together.
No. Shepherd's Heart has one office, in downtown Siler City. Families from Asheboro, Liberty, and Ramseur can come there or meet by telehealth from anywhere in North Carolina.
That's workable. Parent coaching or parent counseling can start with you alone, and changing how the household runs is often the first step. The guide on when your teen refuses therapy covers what to try next.
Shepherd's Heart is in-network with Aetna and Blue Cross Blue Shield of North Carolina, though not every plan from those carriers is in network, so benefits are verified before the first session. Medicaid and Medicare are not accepted.
A free 15-minute consultation. Send a request and John will get back to you with times that actually work — no pressure, no forms up front.
