Image of a therapist and client in a counseling session.

1,683 people sought anxiety & depression counseling help at Cary in the last year

Discover how starting therapy with a anxiety & depression counseling can support your own journey toward a happier, more fulfilling life.

Meet with a provider as soon as this week

ACCEPTING NEW CLIENTS

Aetna, Blue Cross and Blue Shield of North Carolina | BCBS, Blue Cross and Blue Shield of North Carolina | BCBS Medicare Advantage, +22 more
Coping Skills, Self Esteem, Stress, Life Transition, Anxiety, +1 more

ACCEPTING NEW CLIENTS

Aetna, Blue Cross and Blue Shield of North Carolina | BCBS, Blue Cross and Blue Shield of North Carolina | BCBS Medicare Advantage, +19 more
Anger, Behavioral Issues, Coping Skills, Infidelity, Self Esteem, +13 more

I have been privileged to have walked with people in the most difficult times in their lives for the last 14 years.

ACCEPTING NEW CLIENTS

Aetna, Carelon, Caresource, +19 more
Military / Veteran, Anger, Coping Skills, Self Esteem, Stress, +8 more

I am a Licensed Social Worker who primarily sees older adolescents and adults.

Hear from our clinicians

What is your go-to approach for anxiety therapy?

Laura: My main approach for addressing struggles with anxiety is cognitive behavioral therapy. I am skilled in recognizing when people are engaging in controlling or avoidant patterns related to their anxiety and helping them address their thoughts and feelings in a way that allows them to resolve their anxieties without relying on these other unhealthy patterns.

Turiya: My go-to approach for treating anxiety is cognitive behavioral therapy. I find the best benefit in identifying effective coping skills and restructuring thought processes because this provides effective ways to manage the symptoms and improve the way that we approach anxious thoughts and symptoms.

What tools do you teach in anxiety therapy?

Laura: I teach the following skills in anxiety therapy:

  • Distress tolerance - How to remain in difficult situations to allow skill building.
  • Soothing - How to reduce and manage physiological symptoms of stress and anxiety.
  • Distraction - How to reduce and manage negative thought patterns exacerbating anxiety.
  • Thought defusion - How to gain healthy detachment from thoughts and emotions.
  • Grounding - How to bring our awareness back to the here and now with a sense of safety.
  • Radical acceptance - How to accept reality and move forward when life is unfair.
  • Emotion regulation - How to become aware of and manage our internal reactions to match our values.
  • Opposite action - How to evoke alternate emotional responses when primary emotions are inaccurate or unhelpful.
  • Cope ahead - How to effectively plan a coping strategy ahead of a difficult event.
  • Cognitive challenging - How to create doubt in unhealthy thought patterns by finding flaws in our logic.
  • Cognitive reframing - How to create new thought patterns that are both true and helpful.

Turiya: I teach the following tools in anxiety therapy:

  • Grounding techniques: Utilizes one's environment and surroundings to gain control of racing thoughts.
  • Relaxation techniques: Activities such as deep breathing, imagery, progressive muscle relaxation, and mindfulness meditation are taught and practiced to build one's ability to stabilize their emotions and thoughts.

How do you know when a client is making meaningful progress in anxiety therapy?

Laura: I know a client has made progress in managing their anxiety based on their skill usage during stressful events, a reduction in symptoms (GAD-7 questionnaire), and the client's increased confidence in themselves.

Turiya: I know a client is making meaningful progress in anxiety therapy when the client is able to identify anxious thought processes that are occurring and begin to implement effective coping skills to better manage their symptoms.

What can clients do in their personal time to supplement anxiety therapy?

Laura: Clients can effectively work on their anxiety outside of therapy by becoming more aware of their thought patterns and actively practicing on their own to challenge and reframe these patterns. Clients can also take small opportunities to challenge themselves within reason to improve their current skill level. Think of it like a grade reading level: while it's inappropriate to try to jump 3 or more grade levels at a time, it's entirely appropriate and beneficial to challenge ourselves with 1 or 2 levels above our current skill level.

Turiya: Clients can supplement their time in anxiety therapy with enjoyable activities, time with a support system, meditation, exercise, hobbies, or any other activity that will promote healthy well-being.

What should someone do to prepare for starting anxiety therapy?

Laura: The most beneficial work you can do as a client before attending therapy for anxiety is to fully consider the limitations your anxiety is currently putting on your life and then consider how much better your life may feel if anxiety was no longer the barrier or energy drain that it is. This will help you build and maintain motivation to begin and continue the work to live a more fulfilling life.

Turiya: To prepare for your first anxiety therapy session, you can tell yourself “I am doing this to help myself!” It may, and probably will, cause your anxiety to elevate, but it's okay. Just take a deep breath and say “I am doing this to help myself.”

Starting Anxiety & depression counseling

What is anxiety & depression counseling?

Anxiety & depression counseling from our therapists at Thriveworks in Cary, NC can help people better understand and manage their symptoms. If you are struggling with regular anxious and/or depressive thoughts and feelings that are affecting your day-to-day life or you suspect that you have an anxiety or depressive disorder, you should seek professional help. The therapists at Thriveworks can develop a treatment plan that will help you better manage your anxiety and/or depression.

How does anxiety & depression counseling work?

Anxiety & depression counseling from our therapists in Cary involves talking to a therapist about symptoms, potential causes, and more. Your therapist will then work with you to determine where your anxiety and/or depression might stem from and teach you effective coping mechanisms.

Is anxiety & depression counseling conducted in person or online?

Anxiety & depression counseling at Thriveworks is conducted both in person and online by video. We encourage you to choose the option that works best for you.

How long does anxiety & depression counseling last?

Anxiety & depression counseling from Thriveworks Cary therapists can last for a few weeks, months, or longer, dependent on the severity of one’s anxiety or depression as well as their needs and preferences.

Need more help deciding?

“It tastes like ashes,” Justine reacts to her bite of meatloaf. Claire, Justine’s sister, has prepared what was once Justine’s favorite foods, but Justine is clinically depressed. What was once a source of delight is now disgusting. Depression often turns people’s world upside down. Justine sobs uncontrollably. Like many other loved ones, Claire is trying her best to cheer up her sister, but depression is not a simple mood swing—it is a serious mental illness. Justine’s struggle, portrayed by Kirsten Dunst in the movie, Melancholia, is a glimpse into many people’s reality as they struggle with depression and anxiety.

Depression is more than passing sadness. Anxiety is more than the jitters. The longevity and severity of symptoms characterize anxiety disorders and depression. These mental illnesses disrupt people’s ability to function within daily life, and they can make focusing upon important tasks more difficult, even impossible. There are effective treatments for anxiety and depression, and skilled therapists and counselors can often formulate a treatment plans that offers their clients relief.

If you or a loved one is experiencing depression and/or anxiety, you do not have to fight this battle alone. Thriveworks Counseling in Cary, NC offers anxiety therapy and depression therapy. Our professionals have walked step-by-step with many clients as prioritize treatment and experience relief.

More than Sadness: What Are the Symptoms of Depression and Anxiety?

Depression and anxiety are two of the most common mental illnesses. Over 15 percent of adults in the United States will experience depression at some point in their lives, and approximately 25 percent of adults will be diagnosed with an anxiety disorder. Panic disorder, social anxiety disorder, and post-traumatic stress syndrome are examples of common anxiety disorders. Anxiety disorders and depression are separate diagnoses, but they are often co-occurring. About half of people who are diagnosed with depression will also experience an anxiety disorder. What does it look like to have depression, anxiety, or both?

“Depression is like a bruise that never goes away. A bruise in your mind. You just got to be careful not to touch it where it hurts. It’s always there, though.”
– Jeffrey Eugenides, The Marriage Plot

Well-meaning but misinformed loved ones may describe depression as the blues, but anxiety and depression are so much more. They disrupt everyday life, and their symptoms are far-reaching. Such symptoms may include….

  • Lack of interest in once enjoyable activities
  • Inescapable and persistent emotions such as emptiness, sadness, and hopelessness
  • Emotional pain that is felt as physical pain
  • Suicidal attempts and/or thoughts of death

If you recognize these symptoms in your own life or in the life of a loved one, it may be time to reach out for help from a mental health professional. Cindy Goulding, Licensed Behavioral Counselor at our Cary office, explains that while anxiety is one of the most common challenges, it is one of the most treatable, “Therapy can help address the symptoms of anxiety as well as the underlying causes. Because anxiety is often triggered by the ‘what ifs’, practicing being in the present moment is an effective way to manage anxiety. Techniques such as deep breathing, exercise, and meditation can keep anxiety at bay.” When people receive a difficult diagnosis about their physical health, working closely with their physician is imperative for treatment. The same holds true for mental health. When people struggle with anxiety and depression, they have many treatment options, and a skilled therapist or counselor can help them find the options that are right for them. Finding good treatment is worth the effort, because depression and anxiety exact a toll.

The Price of Anxiety and Depression: Physical and Mental Effects

What affects one’s mind inevitably affects their body because they are interconnected. As people struggle with anxiety or depression, they often find themselves also struggling with physical effects from these illnesses. Such physical problems may include…

  • Irregular Sleep: Some people may have difficulty sleeping (insomnia). Others may desire to sleep all the time. In either case, anxiety and depression often affect people’s rest cycle.
  • Listlessness: Whether people experience irregular sleep patterns or not, anxiety and depression often induces lethargy. Lack of energy can make accomplishing everyday tasks more difficulty, and people may have slowed reaction responses.
  • Difficulty Focusing: Distraction, especially by negative thinking, can plague people fighting anxiety and depression. Simple tasks often feel far more complicated when people cannot think clearly.
  • Disrupted Eating Habits: Whether it is eating too much or barely eating anything, people often experience a disturbed appetite. People may even swing between extremes.
  • Indecisiveness: Anxiety and depression can make decisions more difficult. Instead of processing information, making a decision, and moving forward, people may become stuck in indecisiveness.

Treatment can often ward off these effects, and many people are reaching out for help. There is no silver bullet when it comes to fighting anxiety and depression, but when people commit to treatment, they often experience relief they never imagined possible. Therapy often gives people options and hope that they need.

Depression and Anxiety Therapy at Thriveworks in Cary, NC

Often, the best way to counter depression and anxiety is through multiple forms of treatment—usually a form of medication and a form of talk-therapy. Medications may reduce anxiety’s and depression’s symptoms so that clients have the energy and focus on healing and coping skills. Medications may be selective serotonin reuptake inhibitors (SSRI) or serotonin norepinephrine reuptake inhibitors (SNRI). An example of talk-therapy is Cognitive Behavior Therapy (CBT). Therapists and clients explore negative, untrue thoughts in CBT, and they work to replace them with positive, true thinking. CBT is a proven method for treating anxiety and depression.

If you are ready to meet with a professional about the symptoms of anxiety or depression that you have experienced, know that Thriveworks Counseling in Cary, NC has appointments available. When you contact our office, you may have your first appointment within 24 hours. We also accept multiple forms of insurance.

Let’s get started. Contact us today.

Pricing & insurance

Our therapists accept most major insurances. We accept 585+ insurance plans, and offer self-pay options, too.
Learn more about pricing for therapy and counseling services at Thriveworks.

Our Cary therapists and counselors accept 26 insurance plans

  • Aetna

  • Blue Cross Blue Shield | Anthem (Blue Card)

  • Blue Cross and Blue Shield of North Carolina | BCBS

  • Blue Cross and Blue Shield of North Carolina | BCBS Medicare Advantage

  • Carelon

  • Caresource

  • Carolina Behavioral Health Alliance (CBHA)

  • Cigna | Evernorth

  • Cigna | Evernorth EAP

  • Cigna | Evernorth Medicare Advantage

  • Compsych

  • First Health Network

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Self-pay costs at Cary
Talk therapy

Talk therapy

Includes individual, couples, child/ teen, & family therapy

First session

$1

Ongoing sessions

$1

Talk therapy

Psychiatry

Includes reducing symptoms with medication & management

First session

$1

Ongoing sessions

$1

Hear from our clients

5.0 Learn about verified reviews
★★★★★
I highly recommend Dr. Deborah Bell if you need an empathetic and experienced therapist for trauma and/or bereavement issues.
Read more I highly recommend Dr. Deborah Bell if you need an empathetic and experienced therapist for trauma and/or bereavement issues.
Jeanne Jan 2024
Thriveworks.com verified review
★★★★★
My husband and I saw Dr. Bell for marital counseling. She helped us work through things that I thought were impossible! Her style and methods of communicating helped us to examine ourselves and reestablish our relationship. Truly a God-send!
Read more My husband and I saw Dr. Bell for marital counseling. She helped us work through things that I thought were impossible! Her style and methods of communicating helped us to examine ourselves and reestablish our relationship. Truly a God-send!
Cary Mar 2022
Review left on Thriveworks.com
★★★★★
I have worked with Brittney Peiffer and cannot recommend her enough! She is attentive and and knowledgable, and genuinely cares for people and their well-being. She is able to provide guidance without judgement - and she has a special talent for building rapport with her clients. I would recommend Brittney to family and friends without hesitation.  She is an incredible asset to the Thriveworks Team!
Read more I have worked with Brittney Peiffer and cannot recommend her enough! She is attentive and and knowledgable, and genuinely cares for people and their well-being. She is able to provide guidance without judgement - and she has a special talent for building rapport with her clients. I would recommend Brittney to family and friends without hesitation.  She is an incredible asset to the Thriveworks Team!
Cary Mar 2021
Review left on Thriveworks.com
★★★★★
Nicole Kilpatrick is a veryy warm straight fowarded person who has a heart to help others. She is very passionate about the services she provides. She is warm, friendly, private and loyalty is outstanding. She is a giver in many ways and it comes from her heart.
Read more Nicole Kilpatrick is a veryy warm straight fowarded person who has a heart to help others. She is very passionate about the services she provides. She is warm, friendly, private and loyalty is outstanding. She is a giver in many ways and it comes from her heart.
Cary Jan 2021
Review left on Thriveworks.com
★★★★★
Nicole Kilpatrick is amazing! She actually listens to what you say and helps YOU figure out what steps need to be taken. A good counselor does not judge or makes you feel less than....this is Nicole
Read more Nicole Kilpatrick is amazing! She actually listens to what you say and helps YOU figure out what steps need to be taken. A good counselor does not judge or makes you feel less than....this is Nicole
Cary Jan 2021
Review left on Thriveworks.com
★★★★★
Nicole Kilpatrick is a phenomenal therapist that is all about making sure her clients needs are met. She is very personable, professional and just a great listener. She wants to know you as a "whole" person and challenges you to be your best person. She is all about staying motivated while moving through the healing process. Anyone can benefit from her expertise and her stellar tips and strategies!!! She is so intuitive and knowledgeable. I give her the highest rating!!
Read more Nicole Kilpatrick is a phenomenal therapist that is all about making sure her clients needs are met. She is very personable, professional and just a great listener. She wants to know you as a "whole" person and challenges you to be your best person. She is all about staying motivated while moving through the healing process. Anyone can benefit from her expertise and her stellar tips and strategies!!! She is so intuitive and knowledgeable. I give her the highest rating!!
Cary Jan 2021
Review left on Thriveworks.com
★★★★★
My family has had the pleasure of working with Nicole at this company. She is a great therapist and easy to talk to to. She was attentive to our needs and helped us to work through our issues during a very difficult time. Nicole is friendly and experienced in her treatment modalities. We would definitely continue to see her and recommend her to families that are experiencing hardships and need someone to provide support and assurance.
Read more My family has had the pleasure of working with Nicole at this company. She is a great therapist and easy to talk to to. She was attentive to our needs and helped us to work through our issues during a very difficult time. Nicole is friendly and experienced in her treatment modalities. We would definitely continue to see her and recommend her to families that are experiencing hardships and need someone to provide support and assurance.
Cary Nov 2020
Review left on Thriveworks.com
★★★★★
I highly recommend V. Nicole. She is so compassionate, easy to talk to, and has very practical information to provide about how to manage the stress of life. I highly recommend!
Read more I highly recommend V. Nicole. She is so compassionate, easy to talk to, and has very practical information to provide about how to manage the stress of life. I highly recommend!
Cary Nov 2020
Review left on Thriveworks.com

Where to find us

Getting here

Thriveworks Counseling & Psychiatry is located off of SW Maynard Rd, near the intersection of Maynard and Kildaire Farm Rd and just north of Big Lots. We're next to Pit Stop Express Lube & Inspection, Vapor Max, and Village Cleaners, and across the street from May Laundromat and La Michoacana Bakery. The closest bus stop is Kildaire Farm Rd at SE Maynard Rd.

Phone number

(919) 822-8286

Languages spoken by NC providers

  • ASL
  • English
  • Spanish
Saturday 8:00am - 9:00pm
Sunday 8:00am - 9:00pm
Monday 8:00am - 9:00pm
Tuesday 8:00am - 9:00pm
Wednesday 8:00am - 9:00pm
Thursday 8:00am - 9:00pm
Friday 8:00am - 9:00pm

Shown in ET

Saturday 7:00am - 6:00pm
Sunday 8:00am - 5:00pm
Monday 7:00am - 9:30pm
Tuesday 7:00am - 9:30pm
Wednesday 7:00am - 9:30pm
Thursday 7:00am - 9:30pm
Friday 7:00am - 9:30pm

Shown in ET

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