
Skye Wilson
LCMHC-QS
LGBTQIA+ · identity · religious trauma · QTBIPOC
Read Skye’s backgroundPrism Wellness
Finding a therapist who gets it, who you do not have to explain yourself to, changes everything. Whether you are exploring your identity, coming out, moving through a transition, or just dealing with everyday life as an LGBTQIA+ person, you deserve care that affirms who you are from the first session.
At Prism Wellness in Cary, our therapists provide LGBTQIA+ affirming therapy in a safe, non judgmental space, for your identity and for whatever else you are carrying.
Affirming therapy starts from a simple place. Your identity is not the problem to be solved. Our therapists support you across the full range of gender identities, sexual orientations, and expressions, and we hold the reality that race, culture, and other parts of who you are all shape your experience. Sometimes the work is about identity directly. Just as often it is about anxiety, depression, relationships, or stress, approached by someone who sees you clearly.
Living in a world that is not always safe or accepting takes a toll, and that toll has a name, minority stress. The constant low hum of vigilance, rejection, or having to explain yourself can feed anxiety, depression, and burnout. Therapy gives you a place to set that weight down, process the experiences that come with it, and build resilience on your own terms. When minority stress shows up as constant worry, our anxiety therapy works alongside this care.
For clients exploring gender identity or moving through a transition, we offer steady, informed support, from questions about who you are to the practical and emotional parts of affirming your gender. If you need a letter for gender affirming medical care, ask us during your consultation and we will tell you honestly what we can and cannot provide.

Affirming is the starting point, not the method. Your identity is not the thing being treated, so the work goes after whatever actually brought you in, with a therapist who does not need it explained. Depending on what fits, your plan may draw on:
Chronic vigilance, concealment, and rejection do measurable damage over time, and naming that is not politics, it is the clinical picture. We treat the strain as real rather than asking you to prove it, then work on what it has cost you: sleep, trust, the sense of being braced.
Well researched for anxiety and depression, adapted here so it never asks you to reframe a real experience of discrimination as a thinking error. We separate what is genuinely dangerous from what your nervous system has learned to expect, and work on the second. Our anxiety therapy and depression therapy go deeper into both.
ACT builds room for difficult feelings without letting them decide what you do, and puts your own values back at the center. It is useful when you are living in a context you cannot fully change and still want a life that fits you.
Religious trauma, family rejection, and years of scanning a room register in the body, not just the memory. This work settles the alarm directly rather than only reasoning with it, and pairs with our trauma and PTSD therapy and EMDR when the history runs deeper.
If what is underneath is closer to self worth than to identity, our self-esteem therapy covers that ground, and mindfulness based therapy runs alongside any of the above.
At Prism Wellness, every single therapist is affirming, and every one of us works with clients in the LGBTQIA+ community. You will not be shuffled to the one designated affirming clinician. This is who the practice is, from the front desk to every therapy room.
Three of our therapists go a step further and consider LGBTQIA+ care a specialty, shaped in large part by their own lived experience.

LCMHC-QS
LGBTQIA+ · identity · religious trauma · QTBIPOC
Read Skye’s background
LCSW, LCAS
Gender and sexuality · identity · life transitions
Read Phillip’s background
LCMHCA, CTP
2S-LGBTQIA+ · identity · anxiety · neurodivergence
Read Colleen’s backgroundAnd whoever you sit with, you are met with affirming care. Meet the full team → Our Therapists
No. You share what you want, when you feel ready. You can name what brought you in at your own pace, and a good affirming therapist will follow your lead rather than push.
Ask us during your free consultation. We will tell you honestly whether we can provide a support letter for your situation, and if we are not the right fit for that specific need, we will point you toward someone who is.
Minority stress is the added strain of moving through a world that is not always accepting, the vigilance, the rejection, the constant explaining of yourself. Therapy helps you process those experiences, ease the anxiety and low mood they can feed, and build resilience that is yours.
Some of our therapists work with teens and young people navigating identity. Let our care coordinator know who the therapy is for, and we will match you with the right fit.
We accept Aetna, Blue Cross Blue Shield, Cigna, Tricare, and United. Tricare and United plans are seen by our fully licensed therapists only. You can see which networks each clinician takes on our team page, and we will confirm your coverage before your first session.
You deserve a space where you do not have to translate yourself. A free consultation is a low pressure way to meet a therapist, ask your questions, and see how it feels. When you are ready, we are here.