Fathom Counseling

Welcome To A Different Kind of Therapy

Real help for real people—no judgment, no pretense, just progress.

We’re therapists who believe good mental health care shouldn’t feel clinical, cold, or out of touch. Whether you're dealing with anxiety, relationship challenges, or just feeling stuck, our job isn’t to "fix" you—it’s to give you the tools, perspective, and support to move forward on your own terms.

What makes us different?

  • No cookie-cutter therapy. Our clinicians bring diverse expertise, but all prioritize authenticity over textbook answers.

  • Evidence-based, but not rigid. We use proven methods while staying flexible to what actually works for you.

  • Inclusive by design. LGBTQ+ affirming, celebrating neurodiversity, and committed to cultural humility.

Therapy here isn’t about passive listening—it’s collaborative, challenging when it needs to be, and always focused on your growth.

The Logistics (Because Adulting is Hard Enough)

We take insurance: Aetna, BCBS, and United. (Let’s make therapy as easy on your wallet as possible.) We don’t take Medicaid, but offer a $60/session cash rate for Medicaid members. We also offer reduced rates for people experiencing financial hardship.

📍 Where? We have offices in both Boone, NC and Wilkesboro, NC. We offer virtual services for residents of North Carolina, and Nik Ruthless offers virtual services for California residents.

💻 Virtual therapy? Yep! Perfect for when leaving the house feels like too much or your schedule’s packed.

Ready to Start?

If you’re tired of feeling stuck, overwhelmed, or just… blah, let’s talk. No pressure, no weird sales pitch—just real help. (P.S. If you’re nervous about therapy, that’s normal. I got you.)

Trusting Your Loved Ones to Transition With You

Hear Nik on the podcast “You Did That!” discussing transitioning and trust.