http://Thriveworks%20Everyday%20Health%20Award%20Logo%20for%204%20best%20online%20CBT%20options%20in%202024
http://Thriveworks%20wins%20best%20online%20CBT%20services%20for%202025%20from%20verywell%20mind%20-%20services%20page

9,318 people sought cognitive behavioral therapy (CBT) help in Virginia 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, Anthem Blue Cross and Blue Shield Virginia | BCBS HMO, Anthem Blue Cross and Blue Shield Virginia | BCBS PPO, +22 more
LGBTQIA+, Anger, Coping Skills, Stress, Women’s Issues, +9 more

This world is not to be dealt with alone. Let me come alongside you and we can tackle it together!

Anthem Blue Cross and Blue Shield Virginia | BCBS HMO, Anthem Blue Cross and Blue Shield Virginia | BCBS PPO, Anthem Blue Cross and Blue Shield Virginia | Exchange, +6 more
Anger, Coping Skills, Self Esteem, Stress, Women’s Issues, +9 more

As an eclectic therapist, I understand that not one approach works for everyone, and I will help find a style that works for you.

Aetna, Anthem Blue Cross and Blue Shield Virginia | BCBS HMO, Anthem Blue Cross and Blue Shield Virginia | BCBS PPO, +23 more
Domestic Abuse, Anger, Behavioral Issues, Self Esteem, Stress, +10 more

I help children and teens and their families sort out issues and overcome challenges that arise from the effects of trauma on brain development.

Aetna, Anthem Blue Cross and Blue Shield Virginia | BCBS HMO, Anthem Blue Cross and Blue Shield Virginia | BCBS PPO, +6 more
Medical / Health Issues, Domestic Abuse, LGBTQIA+, Anger, Behavioral Issues, +14 more

I'm a therapist in rural southwest Virginia known for my ability to establish strong connections with clients, especially children and families, throu... I'm a therapist in rural southwest Virginia known for my ability to establish strong connections with clients, especially children and families, through active listening and empathetic understanding. Read more

Aetna, Anthem Blue Cross and Blue Shield Virginia | BCBS HMO, Anthem Blue Cross and Blue Shield Virginia | BCBS PPO, +6 more
Anger, Behavioral Issues, Coping Skills, Infidelity, Men’s Issues, +11 more

Aetna, Anthem Blue Cross and Blue Shield Virginia | BCBS HMO, Anthem Blue Cross and Blue Shield Virginia | BCBS PPO, +21 more
Coping Skills, Stress, Borderline Personality, Life Transition, Anxiety, +3 more

I strongly believe that every individual is different and has different needs in counseling and since the counselor/client relationship is at the cent... I strongly believe that every individual is different and has different needs in counseling and since the counselor/client relationship is at the center of effective therapy, finding a counselor who is a good fit for you is essential! Read more

Aetna, Anthem Blue Cross and Blue Shield Virginia | BCBS HMO, Anthem Blue Cross and Blue Shield Virginia | BCBS PPO, +21 more
LGBTQIA+, Anger, Behavioral Issues, Coping Skills, Self Esteem, +10 more

I am so proud of you for starting this healing journey.

Aetna, Anthem Blue Cross and Blue Shield Virginia | BCBS HMO, Anthem Blue Cross and Blue Shield Virginia | BCBS PPO, +21 more
Military / Veteran, LGBTQIA+, Anger, Behavioral Issues, Self Esteem, +8 more

As a woman of the LGBTQIA community, it is crucial to me to help others struggling with their identity.

Leeann Allagas

Hear from Leeann Allagas, Licensed Professional Counselor (LPC)

View Leeann Allagas's profile

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

As a licensed professional counselor (LPC), my go-to approach for helping people in cognitive behavioral therapy (CBT) is through defining their current thoughts, identifying negative dialogue, and learning about their CORE beliefs and how they are impacting the individual's emotions and behaviors overall. As a therapist, I find the best benefit to using specific negative dialogue that the client identifies for themselves and working with them to develop a reframe that can counter it effectively, because this process gives a real, tangible way for the client to practice between sessions and change the way they think over time.

What tools do you teach in cognitive behavioral therapy?

As an LPC, I teach the following tools in cognitive behavioral therapy (CBT): self-awareness; reframing and restructuring thoughts; thought-stopping and/or redirecting thoughts; tracking thoughts, emotions, and behaviors via journaling; identifying specific triggers; learning mindfulness techniques; incorporating the self-coaching model; etc.

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

As a therapist, I know a client is making meaningful progress in cognitive behavioral therapy when they are verbalizing specific changes they have noticed about themselves, meeting their own goals for therapy, able to reframe thoughts in real-time, having noticeable changes in their behaviors, developing more emotional regulation, etc.

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

Clients can supplement their time in cognitive behavioral therapy (CBT) by practicing some of the techniques learned during sessions, completing homework/assignments/projects that have been agreed upon, etc.

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

To prepare for their first cognitive behavioral therapy (CBT) session, an individual can write some goals they may have for counseling, identify the reason they are seeking therapy, write out a list of current medications along with dosages, etc.

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 Roanoke, VA 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 Roanoke therapists and counselors accept 24 insurance plans

  • Aetna

  • Anthem Blue Cross and Blue Shield Virginia Medicare Advantage

  • Anthem Blue Cross and Blue Shield Virginia | BCBS HMO

  • Anthem Blue Cross and Blue Shield Virginia | BCBS PPO

  • Anthem Blue Cross and Blue Shield Virginia | Exchange

  • CareFirst Blue Cross and Blue Shield of Virginia | BCBS HMO

  • CareFirst Blue Cross and Blue Shield of Virginia | BCBS PPO

  • Carelon

  • Carelon | Medicare Advantage

  • Cigna | Evernorth

  • Cigna | Evernorth Medicare Advantage

  • Compsych

Show more
Self-pay costs at Roanoke
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 have recommended Thriveworks to friends and family. I appreciate how easy it was to find my provider and schedule with her. I also like the reminders and assessments before my session.
Tikira Mar 2025
Thriveworks.com verified review
★★★★★
So far, my experience has been wonderful in identifying the issues in my life to find solutions too, and take appropriate action on in understanding my own mental health and how to improve my quality of life significantly. Shannon has been instrumental in helping me heal and progress towards a healthier life and relationships. Highly recommend her to anyone who may be needing her services.
Read more So far, my experience has been wonderful in identifying the issues in my life to find solutions too, and take appropriate action on in understanding my own mental health and how to improve my quality of life significantly. Shannon has been instrumental in helping me heal and progress towards a healthier life and relationships. Highly recommend her to anyone who may be needing her services.
Loren Mar 2025
Thriveworks.com verified review
★★★★★
Holly is amazing! She's as easy to talk to as an old friend and as honest with me as one, too. I have learned so much from her. Without her guidance, patience, and understanding I honestly don't know where I mentally would be right now. She saved me before I realized how badly I needed to be saved! Had I known therapy would have helped this much, I would have gotten into it years ago. I suspect I would have made some healthier choices in my life.
Read more Holly is amazing! She's as easy to talk to as an old friend and as honest with me as one, too. I have learned so much from her. Without her guidance, patience, and understanding I honestly don't know where I mentally would be right now. She saved me before I realized how badly I needed to be saved! Had I known therapy would have helped this much, I would have gotten into it years ago. I suspect I would have made some healthier choices in my life.
Sheila Mar 2025
Thriveworks.com verified review
★★★★★
The mobile version of the depression assessment needs to be redesigned. I can't submit the assessment from my phone when it is vertical (I can if I switch my phone to horizontal)
Meredith Mar 2025
Thriveworks.com verified review
★★★★★
My experience with Thriveworks as a whole and Kyle specifically has been great. I was placed with the best therapist that was needed for my journey.
Wayne Mar 2025
Thriveworks.com verified review
★★★★★
I love the provider I work with. She is incredible and I have received excellent care.
Hannah Mar 2025
Thriveworks.com verified review
★★★★★
Focused, empathic, comfortable, good sense of humor. A very useful session.
Carol Mar 2025
Thriveworks.com verified review
★★★★★
QuoVadis is an amazing therapist and I would recommend her to everyone going through anxiety like me.
Ashley Mar 2025
Thriveworks.com verified review

Where to find us

Getting here

We share a building with Roanoke Forest Products Co, Physiotherapy Associates, Kevin Thompson LPC, and Free Motion Physical Therapy. In the same parking lot is a Truist Bank, Edward Jones Financial Advisor office, Vector Marketing, Atlantic Coast Neurosurgery, and Martin Music Services. Across from us on Electric Rd is Blooming Lotus Oriental Massage, Divine Dance Center, and Bank of Botetourt-Roanoke. Across from us on Brambleton Ave is Roanoke County Cave Spring Fire Station 3.

Phone number

(540) 210-1379

Languages spoken by VA providers

  • German
  • English
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
Monday 8:00am - 9:00pm

Shown in ET

Tuesday 8:00am - 9:30pm
Wednesday 8:00am - 9:30pm
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

Shown in ET

14 photos

Find a provider ...