Z. Hamilton Avery
LCSW, BC-TMH, TIYT
he/him, they/them
Therapy with Z, LLC
Accepting new clients
Contact provider
Licensed states
FloridaIdahoOklahomaSouth Carolina
At a glance
Services Provided
Group Therapy
Individual Therapy
Individual Therapy
Ages Served
Adults (18+)
Older Adults (65+)
Teens (13-17)
Young Adults (18-25)
Older Adults (65+)
Teens (13-17)
Young Adults (18-25)
Languages Spoken
English
Gender Identity
Gender fluid
Non-binary
Non-binary
Faith Communities Served
Agnostic
Buddhist
Secular and Non-Religious
Spiritual
Taoist
Unitarian Universalist
Wicca/Paganism
Buddhist
Secular and Non-Religious
Spiritual
Taoist
Unitarian Universalist
Wicca/Paganism
About this provider
Clients I Work With
I work with adolescents (13+) and adults who may be anxious, depressed, overwhelmed, hurting, questioning, grieving, burned out, or trying to make sense of experiences that continue to affect them. Many of my clients are navigating trauma, chronic illness or pain, suicidal thoughts, identity, or major changes in life. Others cannot easily name what is wrong; they simply know something is not working. I especially enjoy working with people who are curious about themselves and open to exploring new ways of understanding or responding to what they are experiencing. You do not need to arrive with a perfectly defined goal. Figuring out what you need can be part of the work.
Approach
I believe therapy can be both deeply supportive and actively useful. Some days you may need space to talk, feel, laugh, cry, vent, or simply be understood. Other days we may examine a pattern, practice a skill, work with a difficult thought, explore what matters to you, or notice what is happening in your body. I draw from person-centered therapy, CBT, DBT, ACT, compassion-focused and mindfulness-based approaches, adapting them rather than following a formula. I value curiosity over judgment, compassion over shame, and collaboration over telling you how to live. We regularly check whether therapy is helping and change course when something is not working.
Beliefs & Lived Experience
I believe people deserve care that respects their humanity, autonomy, identities, bodies, relationships, and ways of making meaning. I also believe there is rarely one "right" way to heal. My perspective is shaped by lived experience and years spent working across mental health, healthcare, crisis services, hospice, and mind-body practices. I value inclusion, harm reduction, curiosity, authenticity, humor, and compassion. I try to bring those values into the room by meeting people where they are, remaining open to experiences different from my own, and creating space where you do not have to hide parts of yourself to be taken seriously.
More About My Practice
Therapy with Z is a fully online practice offering individual psychotherapy for teens and adults who are physically located in states where I am authorized to practice. Beyond individual therapy, my broader work includes coaching, group therapy, classes, workshops, trainings, and retreats. I also have extensive training in mindfulness, complementary approaches, massage therapy, and yoga, including trauma-informed yoga, which informs my understanding of the relationship between emotional and physical well-being. Mind-body practices can be incorporated into therapy when they are clinically appropriate, meaningful to you, and something you want to explore.
Additional Credentials & Training
Board-Certified Telemental Health (BC-TMH) Provider
Professional Development Certificate in Trauma-Informed Care
Trauma-Informed Yoga Teacher (TIYT)
Certified Health Coach
Certified Reiki Master
Specialties & approaches
Specialties
AnxietyBipolar DisorderBurnoutCaregiver SupportChronic Pain and IllnessDepressionEnd-of-LifeGender IdentityGriefHighly Sensitive People (HSP)Insomnia & Sleep DisordersLife TransitionsMen’s Mental HealthMood DisordersOlder Adults & AgingPanicReligious Trauma & Spiritual AbuseSelf EsteemSelf-HarmingSerious Mental IllnessSpiritualitySuicidal IdeationTrauma & PTSD
Therapy approaches
Acceptance and Commitment (ACT)Behavioral Activation (BA)BrainspottingBuddhist PsychologyCognitive Behavioral (CBT)Cognitive Behavioral Therapy for Insomnia (CBT-I)Cognitive Behavioral Therapy for Nightmares (CBT-N)Compassion Focused TherapyCulturally Responsive TherapyDialectical Behavior (DBT)EMDREmotional Freedom Techniques (EFT Tapping)Energy PsychologyExistential TherapyExposure Response Prevention (ERP)Expressive Arts TherapyFeminist TherapyFlash TechniqueGestalt TherapyHakomi MethodHumanistic TherapyIntegrative TherapyMindful Self CompassionMindfulnessMindfulness-Based Cognitive Therapy (MBCT)Motivational InterviewingNarrative TherapyParts WorkPerson-Centered TherapyPositive PsychologySandtraySolution-Focused Brief Therapy (SFBT)
Specialized Experience
12-step friendlyArtists & Creative ProfessionalsBIPOC clientsBody-positive / Health at Every SizeCaregiversDisability-informed careEducatorsEntrepreneurs & ExecutivesFirst Responders & Medical ProfessionalsLGBTQ+ AffirmingNative American / Indigenous clientsNeurodiversity-affirmingOpen relationships / non-monogamySelf-Employed & Freelance ProfessionalsSex work-affirmingSex-positive / kink friendlyTherapists & Mental Health ProfessionalsTrans-affirming care
Fees & insurance
Session Fees
$100
$150
Payment Accepted
Credit
Out of Network (Superbills Provided)
Sliding Scale
Insurance Notes
Insurance participation varies by state, plan, network, and practice platform. Inclusion of an insurance company or network does not mean that Therapy with Z is in-network with every plan offered by that company or in every state where services are available. If you plan to use insurance, please contact Therapy with Z before scheduling to confirm whether your plan can be accepted for services in the state where you will be located at the time of your appointment.
Insurance Accepted
AetnaAllegianceAllied Benefit SystemsBlue Cross Blue Shield (BCBS)CignaFirst HealthHumanaMedicareMeritain Health