Cary Anxiety/Depression Counseling

Anxiety and Depression Therapy in Cary, NC

“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.

Thriveworks Counseling Cary

People Love Our Providers!

Overall Rating: 5★★★★★ based on 11 5 1 11 reviews. See all reviews
Thriveworks Counseling Cary

Dr. Bell is awesome!

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!
Thriveworks Counseling Cary


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!
Thriveworks Counseling Cary


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.
Thriveworks Counseling Cary

Grief Counseling

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
Thriveworks Counseling Cary

Awesome Service

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!!
Thriveworks Counseling Cary

Great Therapist

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.
Thriveworks Counseling Cary

Highly Recommend

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!
Thriveworks Counseling Cary

Review for Shahin Sabouri

I recommend Ms. Sabouri, she is empathetic, caring and knowledgeable about human psyche, she offers many useful skills which you can take away with you, into your daily life.
Thriveworks Counseling Cary

Review for Shahin Sabouri

In my experience with Shahin, I found her to be a caring, dedicated and thoughtful toward her clients and her clients’ wellbeing has top priority for her.
Thriveworks Counseling Cary

Trusting and compassionate

I have known Dr. Bell for 8 years and from her work with Soldiers and families at Fort Bragg. She is compassionate, nonjudgmental, and extremely skilled as a therapist. She is super friendly and always made me happy when I was around her.
Thriveworks Counseling Cary

Managing Principal/Consultant

I've had the pleasure of working with Dr. Debi Bell both in group and one on one settings for the past three years. I've found her to be an ardent and compassionate listener, one who is genuinely concerned about the growth and development of individuals. Dr. Bell's warm and inviting spirit is easily noticeable and carries throughout the counseling experience. The competencies she espouses allows her to effectively work with constituents across various backgrounds and experiences, including military backgrounds. Most noticeable in my interactions with Dr. Bell is that she is an indefatigable persister in helping clients achieve maximum results in the counseling experience.
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Thriveworks Counseling & Psychiatry Cary

Schedule your first appointment with a Thriveworks Counselor or Life Coach!

  • 119 SW Maynard Rd Suite 200,
    Cary, NC 27511

  • Mon-Fri:7AM-9:30PM

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