Care without the wait

92 licensed therapists & providers in North Carolina—4 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

Raleigh

As a human being, I understand how challenging life can be!...

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Durham

As a person who has experienced trauma and loss, I truly understand how deeply life's challenges can shake us. I also know firstha...

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Raleigh

As a young woman in today's society, I understand life’s unique issues. I have personal experience with grief and loss and can und...

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Cornelius

As a Black millennial therapist, I help individuals and couples of color who are exhausted from carrying the weight of everything ...

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Durham

Laura Harris, MS, LCMHC, is a licensed therapist with over 10 years of experience supporting people who are used to performing und...

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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 28 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
★★★★★
I have complete faith in my therapist. She listens and is not afraid to tell me when she thinks I need to improve something or change a tactic.
Ruby Mar 2026
Thriveworks.com verified review
★★★★★
I just love my therapist as a person, she’s so supportive and sweet and I look forward to my sessions with her. I never had that before with other therapists
Vanesa Mar 2026
Thriveworks.com verified review
★★★★★
My therapist is amazing! Not only is it easy to communicate with her, she listens and provides valuable insight and feedback. I highly recommend this provider!!!
Mikail Mar 2026
Thriveworks.com verified review
★★★★★
I appreciated that she’s been actively helping me with my EMDR therapy, with helping me overcome to phobias and past traumas, and other methods to manage my anxiety as well.
Lashonda Mar 2026
Thriveworks.com verified review
★★★★★
Jenifer is a good listener with practical feedback.
Mylo Mar 2026
Thriveworks.com verified review
★★★★★
My Therapist is amazing. After having to cancel my sessions due to losing my insurance. Almost 2 years later, I requested to pick back up with him. He gave me the tools I needed to change my life and I couldn’t be more thankful.
Desirae Mar 2026
Thriveworks.com verified review
★★★★★
Maleah is caring, thoughtful and honest. She’s been crucial in helping me navigate difficult times.
Emilia Mar 2026
Thriveworks.com verified review
★★★★★
Dr Kluttz is very supportive but does not mince words. She tells me truths and doesn't just say what is the easiest thing for me to hear and uses real life experiences to help me with coping skills. The scheduling is always very easy with Thriveworks as well if I need to change from in person to zoom or reschedule/cancel.
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Annabela Mar 2026
Thriveworks.com verified review
8 of 67 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

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

Shown in ET

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
Tuesday 8:00am - 11:00pm
Wednesday 8:00am - 11:00pm

Shown in ET

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