Image of a therapist and client in a counseling session.

1,668 people sought cognitive behavioral therapy (CBT) help in South 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

Our therapists in Columbia are booked, but we have 32 other therapists in SC available for an online or in-person session.

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 take most major forms of insurance, meaning many of our clients only pay a small $0-$50 co-pay. However, we have self-pay options, too. For those out-of-network, our therapy and psychiatry services are around $200, depending on the service and location.

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's 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 Columbia, SC 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.

Need more help deciding?

If you could change something in your life, what would it be? Maybe you would like to reach a physical goal of running a Spartan race or quitting cigarettes. Maybe you would like to make a professional change, pursuing a new career or starting your own business. Maybe you would like to change a difficult relationship like a cold marriage or a dominating parent. Now, consider for a moment…what it would take to actually implement these changes? If most of us are being honest, to make these changes externally, we would have to do some work internally—on our own thoughts and perspectives. All too often, our own negative thinking holds us back more than anything else, but the truth is that these negative thought patterns can be changed. Many people are achieving life-long goals because they are changing their perspective on life. While changing one’s mindset is not as easy as flipping a switch, no one has to confront their negative thinking alone. Cognitive behavioral therapy (CBT) focuses upon changing people from the inside out, and many people are experiencing the power of a changed perspective.

“Once you replace negative thoughts with positive ones,
you’ll start having positive result.” —Willie Nelson

The goal of CBT is exactly what Willie Nelson describes: replacing negative thoughts with positive thoughts. It does not focus upon external change directly but upon changing people’s perspective about a particular situation. In this process, people often find that they…

  1. Have far more control over their own feelings, thoughts, and actions than they previously thought.
  2. Establish a healthy relationship with a counselor—working closely together. The counselor may be an expert upon changing one’s outlook, but each client is an expert on their own thoughts. Together, they can often achieve significant change.
  3. Can focus upon a specific obstacle in their lives and establish a strategy for overcoming it.
  4. Learn the emotional and cognitive skills they need to focus their thoughts and emotions upon what is true and positive. These skills often benefit clients long after CBT ends.

If you are ready to make a change and you are ready for help along the way, know that Thriveworks Columbia offers cognitive behavioral therapy. Our staff specializes in CBT, and we have seen lives change when negative thinking changes.

Cognitive Distortions: Untrue, Negative Thinking

The reason that negative thoughts have so much power in people’s lives is that thoughts, feelings, and actions all affect one another. Negative thoughts often lead to self-sabotaging actions. These untrue, negative thoughts are called cognitive distortions. The first step in interrupting cognitive distortions before they escalate is usually to simply recognize them. There are many ways people could allow negative thinking to take root in their mind, but a few common ways include:

  • Overgeneralization: when people draw a principle from one experience that they then apply indiscriminately and universally. When people struggle with insomnia, they may tell themselves after one restless night that I will never sleep again.
  • Emotional reasoning: when people equate what they are feeling about a situation with the external reality of that situation. Many people feel responsibility when they are in no way responsible, such when codependents feel responsibility for an addict’s choices.
  • Polarized thinking: when people put all of life into an all-or-nothing category. A situation is either black or white. Shades and grey are not allowed.
  • Blaming: when people look for fault in every situation, all the time. Blame, however, does not always need to be doled out.
  • Catastrophizing: when people just know the worst outcome possible will occur (despite evidence to the contrary). Life is always on the brink of disaster.
  • Control fallacy: when people take too much control or forgo their control. People may assign their own choices to luck, fate, or the universe. On the other side, people may think they caused something that they had no connection to (like when children think they caused their parents to divorce.
  • Filtering: when people negate any positive experience so that they only perceive the negative.
  • Fallacy of fairness: when people compare and contrast their circumstances with others, using an arbitrary measure of what is right and fair.

What Does Cognitive Behavioral Therapy Do?

Once these cognitive distortions are identified, they can be adjusted. One way that CBT therapists may help their clients change their perspective on a situation is through an exercise called “The Three-Column Technique.” In this exercise, clients make three columns on a blank paper.

  1. In the first column, clients will record a current scenario happening in their life. For example, they may write that they turned in an assignment late at work.
  2. In the middle column, clients will record how they are thinking about that scenario. They may say that they are feeling inadequate and incompetent.
  3. In the third column, they will record truth about the situation where they can focus their attention. They may write that as an employee, this is their first late assignment. Otherwise, they have done well and met their goals. Everyone makes mistakes at times, and one mistake does not make someone incompetent.

CBT at Thriveworks Columbia

If you are ready to meet with a therapist and pursue cognitive behavioral therapy, Thriveworks Columbia has appointments available. When you work with our office, know that we offer evening and weekend appointments. We also accept most forms of insurance.

Let’s get started. Contact Thriveworks Columbia today.

Pricing & insurance

Our therapists accept most major insurances. We cover 180 million Americans – and offer self-pay options, too.
Learn more about pricing for therapy and counseling services at Thriveworks.

Our Columbia therapists and counselors accept 22 insurance plans

  • Aetna

  • Blue Cross and Blue of South Carolina Medicare Advantage

  • Blue Cross and Blue Shield of South Carolina | BCBS

  • Blue Cross Blue Shield | Anthem (Blue Card)

  • Carelon

  • Carolina Behavioral Health Alliance (CBHA)

  • Cigna | Evernorth

  • Cigna | Evernorth EAP

  • Cigna | Evernorth Medicare Advantage

  • Compsych

  • First Health Network

  • Humana Exchange

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Self-pay costs at Columbia
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

4.9 Thriveworks Columbia reviews are collected through Thriveworks.com.
★★★★
Everyone is very nice and are really easy to talk to!
Columbia, SC Sep 2020
Review left on Thriveworks.com
★★★★★
Debbie has helped me effectively manage the stress in my current work environment. She has also provided me with practical real-life applications to help me work toward my immediate and long-term goals. I am fortunate to have Debbie as a therapist!
Read more Debbie has helped me effectively manage the stress in my current work environment. She has also provided me with practical real-life applications to help me work toward my immediate and long-term goals. I am fortunate to have Debbie as a therapist!
Columbia, SC Sep 2020
Review left on Thriveworks.com
★★★★★
Debbie is such an amazing person to talk to and she helped me through so much in the past year. She has helped me to understand myself and work through my problems. Absolutely amazing :)
Read more Debbie is such an amazing person to talk to and she helped me through so much in the past year. She has helped me to understand myself and work through my problems. Absolutely amazing :)
Columbia, SC Sep 2020
Review left on Thriveworks.com
★★★★★
Mrs. Anna Gantt-Gordon has an exceptional personality and attitude in working with clients. She goes the extra mile to advocate and encourages others. Great to work with.
Read more Mrs. Anna Gantt-Gordon has an exceptional personality and attitude in working with clients. She goes the extra mile to advocate and encourages others. Great to work with.
Columbia, SC Aug 2020
Review left on Thriveworks.com
★★★★★
I highly recommend Thriveworks! The service from the faculty is surperb from the front office to the life coaches & counselors!! I have been going to Thriveworks for 3 years now and, I absolutely love it! They don't treat you like a number like the other places do! If you or someone you know needs couciling then call Thriveworks Mon-Sat! Yes, I said Saturday! They will help you in anyway they can to make you see the light at the end of the tunnel! Thank you Thriveworks for all of the services y'all have provided me with and still do! Without of all of you I don't know where I would be today!
Read more I highly recommend Thriveworks! The service from the faculty is surperb from the front office to the life coaches & counselors!! I have been going to Thriveworks for 3 years now and, I absolutely love it! They don't treat you like a number like the other places do! If you or someone you know needs couciling then call Thriveworks Mon-Sat! Yes, I said Saturday! They will help you in anyway they can to make you see the light at the end of the tunnel! Thank you Thriveworks for all of the services y'all have provided me with and still do! Without of all of you I don't know where I would be today!
Columbia, SC Mar 2019
Review left on Thriveworks.com
★★★★★
From the moment I first walked through the doors, I have been treated with respect, and care. I feel so at ease with all the people I have met there. I cannot recommend this team of mental health care providers enough!
Read more From the moment I first walked through the doors, I have been treated with respect, and care. I feel so at ease with all the people I have met there. I cannot recommend this team of mental health care providers enough!
Columbia, SC Nov 2018
Review left on Thriveworks.com
★★★★★
I was having a hard time with my partner and was ready to give up, but we took a chance after some research and found the help we really needed. Sometime you need someone to sit, listen, and guide you. Thank You!
Read more I was having a hard time with my partner and was ready to give up, but we took a chance after some research and found the help we really needed. Sometime you need someone to sit, listen, and guide you. Thank You!
Columbia, SC Mar 2017
Review left on Thriveworks.com
★★★★★
It was difficult asking for help, but the staff and therapist ensured that I was comfortable and made it the best decision. I plan to continue going again.
Read more It was difficult asking for help, but the staff and therapist ensured that I was comfortable and made it the best decision. I plan to continue going again.
Columbia, SC Mar 2017
Review left on Thriveworks.com

Where to find us

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Getting here

Thriveworks Counseling & Psychiatry Columbia is right next to Boyd Plaza, and in a shared office building with TD Bank. We are at the corner of Main and Hampton Street, across the street from Wells Fargo.

Phone number

(803) 882-3401

Languages spoken by SC providers

  • English
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