2,399 people sought marriage counseling help at Cary in the last year

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

Meet with a provider as soon as this week

Good news! We have 74 therapists in North Carolina available for an online or in-person session.

Starting Marriage counseling

What is marriage counseling?

Marriage counseling, also known as couples therapy and relationship counseling, helps couples work through their specific relationship issues. Thriveworks marriage counseling in Cary, NC is led by licensed professionals — often licensed marriage and family therapists (LMFTs) — who are experts in their field and best-equipped to help couples. Some examples of common focuses within Marriage counseling include:

  • Jealousy
  • Trust issues
  • Infidelity
  • Opposing values
  • Different visions for the future
  • Disagreements in parenting
  • Lack of trust
  • Financial distress
  • Sex issues

How does marriage counseling work?

Marriage counseling works by helping couples identify and better navigate their unique challenges. Following an initial assessment of the couple in terms of strengths and needs, the therapist would then discuss their therapeutic goals and any possible approaches or ways of working together as therapist and couple.
Couples attend sessions together, whether they meet in person or by video. In addition to regular marriage counseling sessions, each partner may also be asked to attend a few individual sessions to supplement their progress. This will allow their counselor to get to know each individual better, assess each of their personal needs, and develop the very best treatment plan moving forward.

Is marriage counseling conducted in person or online?

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

How long does marriage counseling last?

On average, couples attend marriage counseling for 12 weeks. However, marriage counseling may last longer or shorter, dependent on the couples’ needs, the challenges they’d like to work through, and the pace of their progress. Marriage counselors and therapists at Thriveworks in Cary, NC work with their clients to create goals, decide on ideal timelines, and establish treatment plans.

Need more help deciding?

Marriage Counseling in Cary, NC—Marriage Counselors and Relationship Experts

Without a doubt, every marriage has good times and bad. That is why most people include these promises in their marriage vows—for better or worse, in sickness and health, for richer or poorer. Difficulties are a guarantee. While there is no way to bypass marital conflict, there is a way to make it more bearable: ask for help. Skilled marriage therapists can often pinpoint the relational issues that are plaguing the marriage and equip each partner with the skills to course-correct.

The marriage counselors and therapists at Thriveworks Counseling in Cary have helped many people work through the conflict and recover love within their marriage. There are never guarantees, but many marriages become stronger through marriage counseling. Reach out today for help.

Common Relationship Problems

The famous psychologist Dr. John Gottman has studied marriages for decades, and he has identified four problems that can plague marriages. He has dubbed them “The Four Horsemen” because if these behaviors continue without intervention, they can end a marriage. They are especially toxic, but they can also be recognized and corrected. The Four Horsemen are stonewalling, defensiveness, criticism, and contempt. This is a picture of what they may look like within a marriage:

  • Stonewalling — When partners turn away from each other in conflict instead of toward each other, this may be stonewalling. It is characterized by withdrawal, minimization, and denial. Problems are swept under the rug instead of resolved. Needs are ignored instead of honored.
  • Defensiveness — When critique is met with excuses, then defensiveness has taken a foothold. Healthy marriages involve two spouses two accept responsibility for their own feelings, thoughts, actions, and choices. Defensiveness deflects responsibility toward other people or toward circumstances.
  • Criticism — Within a healthy marriage, respectful critiques and complaints should be normal. No one is perfect. Everyone can improve. Criticism, however, attacks the person instead of the problem, and it is not a healthy response. For example, after one spouse forgets to run an errand, the other may offer a critique, “I am frustrated because I needed those groceries for tonight’s dinner.” Or the other spouse may offer criticism, “You always forget. Why are you so irresponsible?” Criticism tears down the other people. Critique addresses one’s own feelings and the issue.
  • Contempt — When spouses see each other as less than, it is a sign of contempt. Practically, contempt looks like eye-rolls, mocking, sarcasm, and put-downs. Contempt is based in shame. Dr. Gottman contends that contempt is the most harmful of the four horsemen.

How Does Marriage Counseling Work?

According to Cindy Goulding, a Licensed Behavioral Counselor at Thiveworks in Cary, marriage counseling is a collaborative approach between you and your partner and your therapist. “Marriage counseling addresses important qualities in a healthy relationship, including getting emotional needs met, actions matching words, trust, open and honest communication. We discuss healthy ways to communicate and express feelings in a safe setting and learn ways to feel vulnerable with each other to improve intimacy and trust in the marriage. Setting healthy boundaries and having realistic expectations of each other is also processed in the counseling sessions.”

The first step toward a healthier relationship may be recognizing these four horsemen, and the second step may be learning new habits. When spouses are willing, these toxic patterns can be replaced with healthy connection. How? Marriage therapists have a number of exercises that can help spouses, but a few may include…

  • Self-Care — When spouses stonewall, they may genuinely need a break. Whereas stonewalling removes themselves from a conflict, never to return, self-care allows people to remove themselves from a conflict in order to rest and then return, ready to solve the problem.
  • Accepting Personal Responsibility — Strong marriages consist of strong spouses who are each willing to accept responsibility for their own actions, feelings, attitudes, and choices.
  • Use “I” Statements — Instead of focusing upon a spouse’s flaws, each spouse can learn to advocate for their own feelings and point of view through using “I” statements like, “I need… I felt… I prefer…” Of course, this goes hand-in-hand with avoiding “you” statements.
  • Building Appreciation — Each spouse is unique, and the other spouse can learn to see them for who they are, not for what they lack.

Scheduling Marriage Counseling at Thriveworks Counseling in Cary, NC

If your marriage is hitting some rocky roads, know that help is available. We offer marriage counseling. Our staff is ready to offer support and guidance. When you contact Thriveworks Counseling in Cary, you may have your first appointment the same week. We offer weekend and evening sessions. We also work with many insurance companies.

Let’s work together for a better marriage. Call us to make an appointment for marriage counseling.

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

  • English
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
Saturday 8:00am - 9:00pm
Sunday 8:00am - 9:00pm

Shown in ET

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
Saturday 7:00am - 6:00pm
Sunday 8:00am - 5:00pm

Shown in ET

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