Even the roughest waters flow home.

At Little River Psychological Services, PLLC, we believe healing begins in relationship with place, with lived experience, and with community. Our North Carolina practice brings this approach to the communities shaped by the Cape Fear and Neuse River basins, honoring the people, histories, and environments that hold them.

Welcome

We provide in-person care in central North Carolina and telehealth statewide for children, teens, adults, and families. Our care is steady, relational, and grounded in respect for culture, history, and the needs of local, rural, and historically underserved communities across North Carolina.

We work to reduce barriers to care by offering accessible, culturally responsive therapy and psychological services that honor individual strengths, family systems, and the communities people come from and remain connected to.

Honoring Place, Culture, and Community

Our North Carolina practice is led by Dr. Terrence D. Judd, a psychologist whose work is rooted in relationship, accountability, and respect for the communities he serves. He provides care not only as a clinician, but as someone shaped by the cultural, historical, and regional contexts of the people he works with. His approach honors lived experience, family systems, and the realities faced by individuals and communities navigating barriers to mental health care.

While services are open to everyone, our work is grounded in an understanding of how trauma, displacement, generational silence, and inequity shape mental health across Black, Indigenous, and rural communities in North Carolina. We provide care that listens carefully, respects cultural values, and avoids extractive or pathologizing approaches to story, identity, and healing.

Serving the Piedmont and Beyond

We welcome clients from Apex, Cary, Holly Springs, Fuquay-Varina, Angier, Pittsboro, Raleigh, and surrounding communities across Wake, Harnett, and Sampson Counties, as well as individuals and families throughout North Carolina via telehealth.

Whether you live in a growing town, a rural community, or elsewhere in the state, you deserve mental health care that feels steady, accessible, and close to home.

Psychological Testing

We currently offer focused psychological assessment services via telehealth, including:

  • ADHD evaluations for adolescents and adults
  • Learning concerns screening
  • Trauma-related assessment
  • Personality and behavioral assessment
  • Differential diagnostic evaluations (e.g., complex symptoms, unclear diagnoses)

These evaluations are designed to help clarify what you are experiencing, how it may be affecting daily functioning, and what types of treatment or support are most likely to be helpful.

Places to get started

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Rates

Rates range from $80-$165 per session depending on the length.

Payment

We accept cash, checks, and all major credit cards as forms of payment.

Insurance

It is possible for services to be covered in full or in part. 

Find Us

We're here to help you on your journey.