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5,114 people sought cognitive behavioral therapy (CBT) help in North Carolina in the last year

Discover how starting cognitive behavioral therapy (CBT) therapy can support your own journey toward a happier, more fulfilling life.

Meet with a provider as soon as this week

Aetna, Blue Cross and Blue Shield of North Carolina | BCBS, Blue Cross and Blue Shield of North Carolina | BCBS Medicare Advantage, +22 more
LGBTQIA+, Anger, Coping Skills, Stress, Addiction, +5 more

As a queer identified woman who has struggled with depression in the past, I understand the challenges of working to live a balanced and joyful life.

Aetna, Blue Cross and Blue Shield of North Carolina | BCBS, Blue Cross Blue Shield | Anthem (Blue Card), +5 more
Anger, Behavioral Issues, Coping Skills, Self Esteem, Stress, +9 more

As a first generation immigrant woman of color, I understand the unique challenges of minority stress and intersectionality as well as identity-based ... As a first generation immigrant woman of color, I understand the unique challenges of minority stress and intersectionality as well as identity-based stressors. Read more

Aetna, Blue Cross and Blue Shield of North Carolina | BCBS, Blue Cross and Blue Shield of North Carolina | BCBS Medicare Advantage, +21 more
Coping Skills, Self Esteem, Stress, Women’s Issues, ADHD, +4 more

As a woman of color, I recognize the need for support with life's daily stressors.

Maxine Guthrie

Hear from Maxine Guthrie, Licensed Clinical Mental Health Counselor - Associate (LCMHCA)

View Maxine Guthrie's profile

What is your go-to approach for cognitive behavioral therapy?

My go-to approach for helping people in cognitive behavioral therapy is helping them identify and change unhelpful thoughts and behaviors. The best benefit of cognitive behavior therapy is that it involves many different strategies that address thought patterns as well as coping and calming techniques. This may also include learning to recognize one's negative thinking patterns that are creating problems and change them to positive ones.

What tools do you teach in cognitive behavioral therapy?

When I use CBT, there are five central steps I take the client through:

  • The first step in cognitive behavior therapy is to identify negative thoughts.
  • The second step is to challenge negative thoughts.
  • The third step is to replace negative thoughts with positive ones.
  • The fourth step is to change maladaptive behaviours.
  • The fifth step is to maintain progress by praticing CBT skills.

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

I know a client is making meaningful progress in cognitive behavioral therapy when the individual makes consistent progress and expresses confidence in their ability to manage challenges.

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

Clients can supplement their time in cognitive behavioral therapy by keeping logs or journals to track their thoughts, feelings, and behaviors.

What should someone do to prepare for starting cognitive behavioral therapy?

To prepare for starting CBT, I suggest that clients ask questions, be open to sharing their experience, thoughts, and feelings, and agree to actively engage with an open mind and willingness to learn, because cognitive behavior therapy is a collaborative process.

Starting Cognitive behavioral therapy (CBT)

What is cognitive behavioral therapy (CBT)?

At Thriveworks, Cognitive behavioral therapy (CBT) is a widely recognized and evidence-based form of psychotherapy or talk therapy. It focuses on identifying and changing negative thought patterns, emotions, and behaviors that can contribute to various mental health issues or challenges that people are struggling with.

What does a cognitive behavioral therapist do?

Cognitive behavioral therapists specialize in Cognitive behavioral therapy (CBT) and can help you to identify and comprehend your thought patterns, which often encompass automatic negative thoughts, cognitive distortions, and self-defeating beliefs. Once these negative thought patterns are pinpointed, cognitive behavioral therapists aim to challenge and replace them with the objective of fostering more constructive and logical thinking. In addition, these therapists place significant emphasis on implementing positive behavioral changes based on the newly established, healthier thought patterns.

What is CBT best for?

Cognitive behavioral therapy (CBT) is particularly effective for addressing conditions like anxiety disorders, depression, phobias, and obsessive-compulsive disorders. It focuses on identifying and modifying negative thought patterns and behaviors, making it well-suited for issues related to distorted thinking and emotional regulation.

How much does a CBT session cost?

At Thriveworks, we accept most major insurance plans, allowing many clients to pay as little as $0–$50 per session with their co-pay. We also offer self-pay options for those out-of-network or without insurance. Self-pay rates for talk therapy range from $160 to $240 for intake sessions and $135 to $195 for follow-ups, depending on your state. For psychiatry services, self-pay intake sessions are $255–$375, with follow-ups ranging from $175–$300, also varying by state. More information on current self-pay costs is available on our pricing page.

What is the success rate of CBT?

The success rate of CBT varies depending on the intentions of the client and their condition(s).

What is better: CBT or DBT?

The selection between cognitive behavioral therapy (CBT) and Dialectical behavior therapy (DBT) is based on an individual’s unique needs and challenges. CBT is commonly chosen for addressing conditions such as anxiety and depression, whereas DBT is especially beneficial for individuals dealing with borderline personality disorder, emotional regulation issues, and difficulties in interpersonal relationships.

Is CBT conducted in person or online?

Cognitive behavioral therapy (CBT) with our Thriveworks therapists in Chapel Hill, NC is conducted both in person and online by video. We encourage you to choose the option that works best for you.

How many sessions is CBT?

Generally, CBT is considered a short-term therapy, typically lasting for about 12 to 20 weekly sessions. In some cases, it might extend to around 16 to 20 sessions for more complex issues.

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 Chapel Hill therapists and counselors accept 23 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 Medicare Advantage

  • Compsych

  • Devoted Health | Medicare Advantage

  • Firefly Health Plan | Cigna PPO Network

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Self-pay costs at Chapel Hill
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 like someone who will listen even when I interrupt. I can't think of anything that can improve the experience.
Alfred Apr 2025
Thriveworks.com verified review
★★★★★
So far everyone has been patient and pleasant. I can tell they are actively listening as well.
Kineshia Apr 2025
Thriveworks.com verified review
★★★★★
Ashley always listens and does not judge. She always makes me feel welcome and well cared for. It's not easy for me to talk one on one, but--somehow--she makes it easy. So very thankful.
Marie Apr 2025
Thriveworks.com verified review
★★★★★
Alex is incredibly respectful, insightful, and kind. I've made a lot of progress since coming to her.
Nicole Apr 2025
Thriveworks.com verified review
★★★★★
My therapist has a way of explaining things to me that I haven't noticed. She gives me assignments and resources to help me through this difficult period. I truly appreciate her immensely!!
Natalie Apr 2025
Thriveworks.com verified review
★★★★★
When I started seeing Ashley, I felt emotionally broken. Now almost 1 1/2 years later, I'm able to handle the challenges in my life and use our sessions as touchstones. I'm extremely grateful!
Melissa Apr 2025
Thriveworks.com verified review
★★★★★
Dr Brooks is amazing. Great listener and definitely gives great advice and guidance.
Michael Mar 2025
Thriveworks.com verified review
★★★★★
Alex bounds has been a beneficial asset to me for the past year and is phenomenal at what she does. . Honestly the best therapist I have ever worked with.
Adam Mar 2025
Thriveworks.com verified review

Where to find us

Getting here

Thriveworks Counseling & Psychiatry Chapel Hill is located near the corner of Franklin Street and Estes Drive. We currently share a building with Select Physical Therapy, Child Trends, and Grupo Gransolar, among other businesses. When you turn off of Franklin Street, to get to our office, you will pass Avance Care Chapel Hill.

Phone number

(919) 642-1031

Languages spoken by NC providers

  • English
Thursday 8:00am - 9:00pm
Friday 8:00am - 9:00pm
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

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

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