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Harvest Moon Psychotherapy, PLLC

Harvest Moon Psychotherapy, PLLC recognizes that we each hold various social identities, which collectively play an integral role in how we each experience our relationships and the world around us. 

Understanding the impact of different forms of oppressions can bring healing to the parts of ourselves that have been denied and shamed. This new understanding can allow us to foster a new and more loving way of relating to ourselves.

We aim to serve people with identities that do not align with the dominant culture.These identities are usually in regard to gender, sexuality (including kink identities), race, body size, neurodiversity, ableness, and spirituality.  In addition to this, I support people who are in diverse partnerships such as polyamory, ethical non-monogamy, or alternative relationships informed by BDSM or Kink. We also support family members with loved ones of these identities or relationship structures. 

At this time, Harvest Moon Psychotherapy, PLLC is strictly telehealth and can only work with folks residing in North Carolina.

Home: About Therapy

Howdy y’all.

I’m Amber–a white, nonbinary, and queer licensed clinical social worker (LCSW), who uses they/them pronouns. 

My hope is to cultivate a nonjudgemental space that does not pathologize the human experience. My approaches aims to be anti-oppressive, person-centered, and trauma-informed.  Most of my clinical knowledge focuses on trauma, social identity, and sexual wellness/fulfillment. I believe we all possess the inner power to heal ourselves and utilize interventions that embody this belief such as EMDR and parts work. I also incorporate sex therapy, ACT, and relational psychodynamics when appropriate.

In therapy, I will support you as you learn how to relate to yourself and others in a more meaningful way rather than being led by anxiety, trauma responses, or shame. We will become curious explorers as you discover what leading an authentic life means to you. 

Get in Touch
Home: About Me




Kink & BDSM


ENM & Poly+

Home: List

Some of the ways I support clients include:

Home: List

Understanding the Self

  • Identity Exploration

  • Unlearning shame

  • Identifying your values

  • Finding balance between multiple cultures

  • Building comfort with feeling and expressing emotions

  • Soothing anxiety and depression

  • Managing ADHD

  • Alleviating intrusive thoughts

  • Strengthening your mind to body connection

  • Improving self-esteem

  • Family of origin dynamics

  • Identifying your boundaries and how to authentically assert them

  • Rediscovering pleasure, intimacy, and emotional connection

Healing From Trauma

Examples of experiences we can process together include:

  • Childhood Experiences

  • Emotional and/or physical abuse

  • Previous romantic relationships

  • Sexual Encounters (both consensual and non-consensual)

  • Discrimination, marginalization, and systemic oppression

  • Being fetishized for identities 

  • Bullying and harassment

  • Neglect

  • Community violence

  • The loss or absence of a parent

  • Witnessing someone else’s trauma

  • Events leading to negative beliefs and feelings of distrust toward oneself, others, and the world

Sexual Wellness

  • Redefining expectations of what sex “should” be like vs reality

  • Changes and/or challenges with sexual functioning

  • Arousal and desire difficulties

  • Pregnancy, postpartum, and infertility concerns

  • Sex education

  • Overcoming performance anxiety

  • Cultivating gender affirming sexual experiences 

  • Owning your asexuality

  • Deconstructing cultural expectations/norms that influence how you feel about your kink 

  • Processing feelings of fear, shame, or guilt regarding kink-related identities

  • Identifying signs of a healthy vs. unhealthy BDSM relationship

  • Out of control sexual behavior

  • Improving patterns of communication about sexual needs, preferences, desires, and soft/hard limits.


  • Processing changing relationship structures such as open relationships and blended families

  • Fostering a sense of safety and acceptance with one another 

  • Learning new communication skills

  • Finding a balance between autonomy and enmeshment

  • Deciding whether or not to have children

  • Rebuilding trust and working through betrayals

  • Rekindling emotional and physical intimacy

  • Navigating cultural differences

  • Cultivating a fulfilling sexual relationship

  • Coping with desire discrepancies

  • Breaking free from sexual scripts, roles, or expectations that are no longer working

  • Attuning to each other during times of conflict

  • Working through issues with money, sex, time, kids, chores & other common couple issues 

  • Deciding if you should leave or stay together 

What to Expect When Becoming a Client

Home: FAQ

Phone Consultation

Consultations are free and usually about 15-minutes. This is an opportunity for us to connect and discuss your unique needs and goals. During our call, you can ask any questions you might have about therapy, my approach, or practical matters like scheduling and fees. This is a chance for us to build trust and ensure that you feel comfortable working with me before committing to a full therapy session.

Assessment Phase

The assessment phase usually takes 3-4 sessions and serves as a preliminary period before both of us agree to work long-term with each other. This phase allows us time to make sure that our therapeutic alliance will be productive and conducive to your well-being. During this phase, you'll have the space to share your thoughts, emotions, and the challenges you're facing. We will also collaboratively determine an appropriate and personalized treatment plan for you. If at any point, it appears that another therapist or treatment approach may better serve you, I'll openly discuss alternatives.

Ongoing Care

After we both agree to move forward in our work together, we'll embark on a path towards self-discovery, growth, and healing. It's my standard procedure to hold weekly sessions for new clients, and in certain situations, we may consider meeting twice a week. You will have the choice between 60-minute or 90-minute sessions. Your therapy journey is open-ended, there is no fixed session cap; we will continue working together as long as it remains beneficial in reaching your personal goals.

Home: List


All sessions are self pay.  
You deserve therapy at a sustainable rate. Please reach out to learn more about sliding scale options.

I do not bill insurance, but I do provide a monthly superbill that you can submit to your insurance company for possible reimbursement (usually between 30-90% back). Please contact your insurance providers to verify your out-of-network coverage for mental health services before scheduling.

Individual Therapy

Initial Intake: Flat rate of $247.50 (~75-90 mins long)

45 minute session: $112.50

60 minute session: $150.00

90 minute session: $225.00

Relationship Therapy

Initial Intake: Choose between a 90  and 120 minute session

60 minute session: $175.00

90 minute session: 250.00

120 minute session: $325.00

Gender-Affirming Surgery Assessments & Letters of Support

90 minute session: Free of charge

(1-2 slots each month)
*Pledging member of GALAP

Learn more here.

Professional Consultation, 
Trainings, & Workshops

Price varies depending on the request

Schedule a free phone consult for more information


You have the right to receive a “Good Faith Estimate” explaining how much your mental health care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider for a Good Faith Estimate before you schedule a service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit or call (800) 985-3059. 

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