Care without the wait

113 licensed therapists & providers in North Carolina—8 in Winston-Salem. Available as soon as today, in person and online

Therapy for every life stage

Our providers work with individuals, couples, families, & teens for anxiety, depression, grief, & more

#1 for in-network coverage †

We accept UnitedHealthcare, Cigna, BCBS Plans, Humana, Aetna, & many more. Self-pay options available, no membership fees

Patients who get better

94% of patients feel truly understood by their provider. 3 out of 4 see improvement in depression & anxiety symptoms within 3 months

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3,822 people sought dialectical behavior therapy (DBT) help in North Carolina in the last year

Discover how starting dialectical behavior therapy (DBT) therapy can support your own journey toward a happier, more fulfilling life.

Start DBT with a licensed therapist as soon as this week

Winston-Salem, NC

As a queer woman of color, I bring both lived experience and clinical expertise to creating a safe, affirming, and culturally resp...

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Winston-Salem, NC

I understand the various issues of individuals and families who are living with mental health and/or substance use disorders....

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Winston-Salem, NC

As a person-centered therapist, I strive to provide a welcoming environment for all my clients based on unconditional positive reg...

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We don’t have any providers with availability. Our schedules change daily. We’ll reach out as soon as a spot opens up.

Hear from our clinicians

What is your go-to approach for dialectical behavior therapy?

Danielle: Some helpful approaches in dialectical behavior therapy include mindfulness techniques, distress tolerance, interpersonal effectiveness, and emotional regulation. Clients can use these tools to identify their emotions and practice healthy coping skills.

Betsy: My go-to approach for helping people in dialectical behavior therapy is to teach clients what it is and how we use it, because it is a skills-based therapy. I prefer using DBT because it deals with emotional regulation, helping the client feel better about themselves, and reinforcing good life skills.

What tools do you teach in dialectical behavior therapy?

Danielle: Usually, when therapists teach dialectical behavior therapy, they incorporate these tools:

  • Problem-solving
  • Self-validation
  • Distress tolerance
  • Emotional regulation
  • Mindfulness
  • Final thoughts

Betsy: "I teach the following in DBT:

  • The What, How, and Why skill (mindfulness techniques)
  • Validation
  • Mindfulness skills
  • Emotional regulation
  • Distress tolerance
"

How do you know when a client is making meaningful progress in dialectical behavior therapy?

Danielle: When my client makes meaningful progress in dialectical behavior therapy, they have achieved some short-term goals, like communicating with their support system, continuing to be open and honest in therapy, and being able to identify their emotions.

Betsy: I see progress when the client is able to endure small amounts of disappointment without being overly upset.

What can clients do in their personal time to supplement dialectical behavior therapy?

Danielle: Clients can supplement their time in dialectical behavior therapy by tracking their mood, journaling, identifying triggers, and using positive self-talk.

Betsy: Clients can supplement their time in dialectical behavior therapy by learning the skills taught in therapy and reviewing the skills for their session.

What should someone do to prepare for starting dialectical behavior therapy?

Danielle: To prepare for dialectical behavior therapy sessions, an individual can prepare their schedule for regular therapy attendance, actively listen in sessions, and commit to practicing skills outside of therapy.

Betsy: To prepare for their first session, clients can read up on what DBT is and what it entails.

Dialectical behavior therapy (DBT) FAQs

What is dialectical behavior therapy (DBT)?

At Thriveworks, Dialectical behavior therapy (DBT) primarily concentrates on assisting individuals in emotion regulation, enhancing interpersonal relationships, and acquiring effective coping strategies for managing stress and emotional difficulties.

How does DBT work?

Dialectical behavior therapy (DBT) targets your personal challenges. You may work with your DBT therapist to maintain diary cards to monitor progress, emphasizing validation and support in the therapeutic relationship. DBT follows a stage-based approach, prioritizing crisis reduction initially and life satisfaction.

What is DBT best used for?

DBT was initially developed to address the needs of individuals with borderline personality disorder (BPD). However, its versatile approach has enabled its application to a wide range of mental health conditions, including but not limited to, anxiety, depression, stress, and anger issues.

What are the 4 pillars of DBT?

The 4 pillars of DBT are mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance.

Is DBT better than EMDR?

Dialectical behavior therapy (DBT) and eye movement desensitization and reprocessing (EMDR) have distinct purposes and aren’t inherently superior or inferior to one another. DBT is most effective for managing emotional regulation, personality disorders, and interpersonal challenges, while EMDR is specifically tailored for individuals with trauma-related conditions like post-traumatic stress disorder (PTSD).

Is DBT conducted in person or online?

Dialectical behavior therapy (DBT) with therapists at Thriveworks 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 months is DBT?

The duration of a standard DBT program is typically around 24 weeks, which is roughly six months. The actual number of sessions will vary depending on the issues you wish to address.

Pricing & insurance

Our therapists accept most major insurance and we offer self-pay options too.
Learn more about pricing for therapy and counseling at Thriveworks.

Our therapists and counselors in Winston-Salem accept 29 insurance plans

  • Adventist Health Associates | Employee Health Plan

  • Adventist Health Associates | Non-Employee Health Plan

  • 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

  • Compsych

  • Devoted Health | Medicare Advantage

  • Firefly Health Plan | Cigna PPO Network

  • First Health Network

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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

5.0 Learn about verified reviews
★★★★★
Danielle is amazing. She’s caring, supportive and is a great listener.
Lily Aug 2026Thriveworks.com verified review
★★★★★
My sessions with Danielle are absolutely wonderful ! My sessions are now every other week ! Danielle is so supportive,always knowledgeable,and always gives me the support to work through my experiences to work through my problems . I would definitely recommend Danielle to anyone because she definitely lets you feel that you can speak to her about anything,and feel comfortable!
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Araceli Aug 2026Thriveworks.com verified review
★★★★★
I've work with Ms. Kluttz for many years, which means it is difficult to single out one reason for my appreciation of her person and practice.
Zaria Aug 2026Thriveworks.com verified review
★★★★★
My therapist understands all the struggles in my life. I am learning to eliminate those who are family that do not need to be in my life and how I should accept that. Family is a struggle.
Gianna Aug 2026Thriveworks.com verified review
★★★★★
Judgement free zone. Encouraging, reassurance. Left feeling relieved and that I am going to be ok.
Aiden Aug 2026Thriveworks.com verified review
★★★★★
I saw Danielle. She is fantastic. She listens but also gives me ideas on how to improve my mental health and my life. I highly recommend Danielle!
Simone Aug 2026Thriveworks.com verified review
★★★★★
As with every session I have had with my Therapist, today’s session was very enlightening and engaging. My connection with her continues to strengthen with each visit. The techniques that she shares with me to manage my anxiety has made a difference in my life.
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Akemi Aug 2026Thriveworks.com verified review
★★★★★
I love the fact that my therapy sessions don’t feel like a chore. It feels like talking to a friend.
Kevin Aug 2026Thriveworks.com verified review
8 of 93 reviews

Where to find us

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Address

2150 Country Club Rd Suite 228
Winston-Salem, NC 27104

Getting here

Thriveworks Counseling & Psychiatry Winston-Salem is located near Country Club Rd and Miller St, off Silas Creek Pkwy. It is right by Forsyth Country Club and near the Miller Park Recreation Center.

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Phone number

(336) 203-8853
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Languages spoken by NC providers

  • English
  • Spanish
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Hours

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

Shown in ET

Tuesday 8:00am - 11:00pm
Wednesday 8:00am - 11:00pm
Thursday 8:00am - 11:00pm
Friday 8:00am - 11:00pm
Saturday 8:00am - 6:00pm
Sunday 8:00am - 6:00pm
Monday 8:00am - 11:00pm

Shown in ET

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