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8,352 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.

Start CBT with a licensed therapist as soon as this week

4  therapists available in Winston-Salem

Every person deserves an individualized counseling experience....

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I seek to guide, encourage and assist individuals through difficult or uncertain times in their lives....

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Esteban Minsk is a licensed clinical mental health counselor (LCMHC) in North Carolina with over 9 years of experience working as ...

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I’ve personally struggled with mental health challenges, so I truly understand the journey of growth and transformation....

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Look for a confirmation email in your inbox shortly. We'll help find you a provider and guide you through everything you should know about starting care at Thriveworks.

Hear from our clinicians

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

Suzanne: My go-to approach for helping people in cognitive behavioral therapy is using Choice Theory by William Glasser, M.D. Dr. Glasser's work on how we can choose positive, adaptive, and functional thoughts and actions, in effect “driving our own bus in the direction we want to go,” to experience more positive, adaptive, and functional emotions is simple and easy to understand. He ties this in with meeting essential needs and improving relationships so that an individual achieves the personal freedom to design their best world with the people they need.

Danielle: An approach for helping people in cognitive behavioral therapy is identifying and processing their emotions. I find the best benefit of changing the automatic negative thoughts is being able to see a situation from a different perspective you may not have considered. You get an opportunity to try different behaviors and figure out who you are as a person again.

What tools do you teach in cognitive behavioral therapy?

Suzanne: I teach about essential needs and their relationship to wants. I teach the relationship between thoughts/actions/emotions/physical state and building our life and connecting with our relationships. I teach the habits that cause disconnect in relationships and the habits that build connection in relationships. I teach how to challenge one's cognitions and reframe or replace them with more positive, adaptive, and functional cognitions. I teach how to evaluate thoughts and actions to see if other choices are available. I teach about cognitive distortions and how to address them. And I teach communication skills for communicating thoughts to others.

Danielle: I teach some of the following tools in cognitive behavioral therapy:

  • Healthy coping skills: Positive practices such as talking to your therapist, going outside, frequent hygiene, and more.
  • Identify and process your emotions: Understanding that all emotions are accepted, but your reaction in situations matters.
  • Understanding what a trigger is and your specific triggers: This can be a person, place, object, etc.
  • Communication skills: Appropriate techniques in different situations, such as using a level tone of voice, recognizing body language, advocacy, active listening, etc.

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

Suzanne: I know a client is making meaningful progress when the client can distinguish the difference between their thoughts and emotions, are saying they feel more in control of their thinking, and are realizing they can make different choices when they tell me their relationships have improved or they are setting appropriate boundaries without guilt.

Danielle: Clients are making meaningful progress in cognitive behavioral therapy when they are having less intense and less frequent symptoms, redirecting their thoughts more naturally, and engaging in healthy coping skills purposefully.

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

Suzanne: Clients can supplement their time in cognitive behavioral therapy by reading Dr. Glasser's book, Choice Theory.

Danielle: Clients can supplement their time in cognitive behavioral therapy with healthy coping skills such as communicating with their support system, engaging in positive hobbies, practicing mindfulness techniques, eating balanced meals, and getting into a good sleep routine.

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

Suzanne: To prepare for their first cognitive behavioral therapy, an individual can jot down some notes on what their predominant thoughts have been about themselves or their situation and what actions they've tried to take.

Danielle: To prepare for their first cognitive behavioral therapy session, an individual can make a list of things they would like to work on in therapy, so you and your therapist can discuss individualized goals without you feeling overwhelmed. It would be beneficial for clients to have information on their current medications and any side effects that have been impacting them as well. Lastly, remembering a therapist is there to help and support you, not judge or shame, can be a healthy reminder to help you feel comfortable.

Starting Cognitive behavioral therapy (CBT) in Winston-Salem

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 Winston-Salem, 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 360+ insurance plans, and offer self-pay options, too.
Learn more about pricing for therapy and counseling services at Thriveworks.

Our therapists and counselors in Winston-Salem accept 25 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

  • Cigna | Evernorth

  • Cigna | Evernorth Medicare Advantage

  • Compsych

  • Devoted Health | Medicare Advantage

  • Firefly Health Plan | Cigna PPO Network

  • First Health Network

  • Humana Medicare Advantage

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Self-pay costs at Winston-Salem
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 Learn about verified reviews
★★★★★
Danielle is absolutely amazing! She listens so well and offers great feedback. She is a keeper!
Andrea Sep 2025
Thriveworks.com verified review
★★★★★
The virtual appointments are easy to book and therapist has been able to help me get off medication
Solani Sep 2025
Thriveworks.com verified review
★★★★★
Listens well, caring, and helpful! . Easy to be yourself with Aquita! . . Don't like having to fill questionnaire out each time, plus notices for appts are usually incorrect.
Donna Sep 2025
Thriveworks.com verified review
★★★★★
Maleah Koppa is the kindest, most helpful therapist imaginable. I have made great strides with my phobia and fears.
Maria Sep 2025
Thriveworks.com verified review
★★★★★
My provider, Aquita Burrus is excellent
Susan Sep 2025
Thriveworks.com verified review
★★★★★
The mechanics of getting to my appointment were easy and simple.
Llewellyn Sep 2025
Thriveworks.com verified review
★★★★★
Danielle is absolutely amazing! She has always been very understanding and professional and so very sympathetic to my all my experiences! I feel so comfortable speaking to her and she has always made me feel there is nothing I can't speak to her about ! I will always recommend Danielle and Thriveworks to my family and friends!
Read more Danielle is absolutely amazing! She has always been very understanding and professional and so very sympathetic to my all my experiences! I feel so comfortable speaking to her and she has always made me feel there is nothing I can't speak to her about ! I will always recommend Danielle and Thriveworks to my family and friends!
Sharon Sep 2025
Thriveworks.com verified review
★★★★★
I love being able to schedule and reschedule appointments online and not having to wait too long to get an appointment
Carol Sep 2025
Thriveworks.com verified review

Where to find us

Getting here

Thriveworks Counseling & Psychiatry Winston-Salem is located off Country Club Rd between Greenwich Road and S Stratford Rd, in the Highland Plaza building. Across the street you will see the Winston-Salem Fire Station and we currently share the building with PNC Bank.

Phone number

(336) 203-8853

Languages spoken by NC providers

  • English
  • Spanish
Friday 8:00am - 9:30pm
Saturday 8:00am - 9:30pm
Sunday 8:00am - 9:30pm
Monday 8:00am - 9:30pm
Tuesday 8:00am - 9:30pm
Wednesday 8:00am - 9:30pm
Thursday 8:00am - 9:30pm

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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
Thursday 8:00am - 9:30pm

Shown in ET

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