Leigh McKay
LCMHC, LMFT
I was raised in Central Illinois and have called North Carolina home for the past 20 years. I earned my Bachelor of Science in Marketing and a Master of Science in College Student Personnel Administration from Illinois State University, followed by a Master of Counseling with a focus on Marriage and Family Therapy from Messiah University.
My professional background includes working with students in university settings and serving as a community homeschool educator for seven years, where I provided both educational and emotional support to families. Since transitioning into private practice, I have focused on supporting individuals, couples, teenagers (14+), and families as they navigate life’s challenges with greater clarity and confidence.
Areas of Focus
Teens (14+) and families: I support teens and their families as they navigate the often overwhelming challenges of adolescence, including social pressures, school-related stress, emotional regulation, and family dynamics. My approach helps teens feel understood while also equipping parents with tools to support growth and connection at home.
Adults: I work with adults facing life transitions, career changes, stress, grief, and identity development. Together, we focus on building coping strategies, increasing self-awareness, and creating a more balanced and fulfilling daily life.
Marriage/Couples: I help couples strengthen communication, rebuild connection, and navigate conflict in a healthier way. Whether you’re working through ongoing challenges or seeking to deepen your relationship, therapy provides a structured space to grow together.
Women’s Health and Life Transitions: I provide support for women navigating life transitions, including perimenopause, identity shifts, and changing family or career roles, with a focus on both emotional well-being and practical coping strategies.
Clinical Expertise & Support
I am qualified to treat a variety of mental health conditions and help individuals navigate complex life challenges, including:
Anxiety and Adjustment Disorders
Depression and Mood Disorders
ADHD and Executive Functioning Challenges
Autism Spectrum Disorder
Stress Management and Self-Esteem
Relationship Difficulties and Women’s Issues
Life and Career Transitions
Grief and Loss
Social Skills Development and Emotion Regulation
Therapeutic Approach
I believe in creating a strong therapeutic relationship that is safe, open-minded, and non-judgmental. My work is grounded in a systemic approach, acknowledging that every person and family is unique. I collaborate closely with my clients to ensure the therapeutic process fits their specific needs and goals.
I frequently integrate the following evidence-based modalities:
Cognitive Behavioral Therapy (CBT)
Narrative Therapy
Solution-Focused Brief Therapy (SFBT)
Strengths-Based and Systems-Oriented Approaches
Starting therapy can feel like a big step. I show up as myself—honest, direct, and fully in your corner. Together, we’ll get clear on what’s not working, build practical tools, and create real, meaningful change.

Aetna
• All commercial Aetna plans
• NC State Health Plan Preferred Provider — $10–$15 copays
Blue Cross Blue Shield (BCBS)
• Excludes BlueHome, BlueLocal, Healthy Blue & Blue Value
Cigna
• Includes Duke Select for Duke employees
MedCost
UnitedHealthcare • Optum • UMR
Additional In-Network Plans
Contigo • CareBridge • CareSource • HealthPartners of Minnesota • Meritain • Firefly Health
Self-Pay
Reasonable self-pay rates are available.
Insurance coverage and benefits vary by plan. Please contact your insurance company to confirm your individual benefits.

