Online Therapy for Teens, Adults, and Older Adults in Oklahoma, Florida, and South Carolina

Individual Therapy • Group Therapy • Telehealth Appointments

Anxiety and Depression

Trauma and PTSD

Chronic Illness and Pain

Suicidal Ideation

Mindfulness and Self-Compassion

2SLGBTQIA+ Affirming Care

Therapy for the Human Experience

Life can be complicated. You may be navigating anxiety, depression, trauma, chronic stress, difficult past experiences, physical health challenges, questions about who you are, or the exhaustion that comes from trying to hold everything together. Sometimes you know exactly what is wrong but do not know what to do with it. Other times, you may not have words for what you are experiencing at all.

Therapy offers a place to slow down, understand what is happening, and explore ways of responding differently. You do not have to fit neatly into a diagnosis or arrive with everything figured out. We can start with where you are.

Therapy That Meets You Where You Are

There is no single way to be human, and there is no single way to do therapy. My approach is collaborative and individualized, grounded in the understanding that mental health does not exist separately from the rest of your life. Your experiences, relationships, physical health, environment, identities, values, strengths, challenges, and the systems around you can all shape how you feel and how you move through the world.

Rather than applying the same formula to everyone, we will work together to understand what is happening, identify what matters to you, and determine what may actually be useful. Therapy may involve developing practical skills, understanding patterns, processing difficult experiences, exploring emotions, strengthening self-compassion, or reconnecting with your values. Our work can evolve as you do, making room for what you need now while remaining responsive to what matters to you over time.

An Integrative Approach to Mental Health

No single therapeutic approach has all the answers. My work is informed by psychotherapy and behavioral science alongside positive psychology, expressive approaches, mindfulness and meditation, yoga, spirituality, relaxation and regulation practices, and somatic and mind-body traditions.

Depending on your needs, preferences, and goals, our work may draw from approaches such as person-centered therapy, CBT, DBT, ACT, EMDR, self-compassion practices, and other evidence-based and integrative interventions. Rather than fitting you into a particular model, I draw selectively from this broader foundation and adapt how we work over time based on what is useful, meaningful, and effective.

What You Can Expect

Therapy with me is active, collaborative, and human. You do not have to perform therapy correctly or tell me what you think I want to hear. You are encouraged to ask questions, disagree with me, tell me when something does not fit, and participate actively in deciding what our work together looks like.

Progress can take many forms. Sometimes it means healing or changing something that is causing pain. Sometimes it means accepting what cannot be changed, understanding yourself differently, or learning how to carry a difficult experience in a way that leaves more room for the rest of your life.

Meet Z

I am Z. Hamilton Avery, a licensed clinical social worker and therapist with an interdisciplinary background in mental health, healthcare, crisis intervention, and integrative health. My education and training span psychology, social work, integrative health, mindfulness, meditation, yoga, and other mind-body practices. My clinical experience has included primary care, hospice, outpatient and community mental health, schools, crisis services, and emergency response.

Working across these settings has taught me to remain curious about people rather than assuming I already understand them. I bring curiosity, compassion, humor, and practicality into the therapy room. I create space for you to be honest, ask difficult questions, learn useful things, challenge old patterns, and explore what it means to live well on your own terms.

Learn more about Z

Services & Fees

Therapy with Z offers individual therapy, group therapy, coaching, classes, workshops, trainings, and retreats. Individual therapy is currently $150 per 60-minute session. Rates for other services and programs vary by offering.

Therapy with Z is currently working to become in-network with a variety of insurance plans. In the meantime, individual therapy is available on a private-pay basis. For clients with out-of-network benefits, superbills are available upon request for possible reimbursement through your insurance plan.

Therapy with Z is committed to making services and programs as accessible as possible. Limited sliding-scale rates and scholarships may be available for select offerings based on individual circumstances and available resources. Some services, programs, and community offerings are also provided at no cost.

Explore Services & Fees

Community Commitment

Therapy with Z believes that care extends beyond the therapy room. As part of this commitment, a portion of practice income supports organizations, initiatives, and causes that contribute to the well-being of individuals and communities.