2,399 people sought couples therapy help at Cary in the last year

Discover how starting therapy with a couples can support your own journey toward a happier, more fulfilling life.

Meet with a provider as soon as this week

Good news! We have 42 therapists in North Carolina available for an online or in-person session.
Laura  Pond

Hear from Laura Pond, Licensed Clinical Mental Health Counselor (LCMHC)

View Laura Pond's profile

What is your go-to approach for couples/marriage counseling?

In working with couples, my favored approach is the Gottman Method because it allows us to work on areas of conflict (Four Horsemen of Relationship Apocalypse) and build on our strengths (Sound Relationship House).

What tools do you teach in couples/marriage counseling?

I teach the following tools in couples counseling:

  • Interpersonal effectiveness skills (all aspects of communicating with one another).
  • Bids for attention/affection - Do we turn toward, away from, or against one another during bids?
  • Love maps - Knowing our partner's inner psychological world.
  • Building intimacy - Helping partners learn how to build emotional intimacy through a sense of emotional safety and vulnerable sharing.
  • Challenging narratives/patterns - How to become aware of and dismantle unhelpful narratives partners hold about one another.

How do you know when a client is making meaningful progress in couples/marriage counseling?

I know couples are making meaningful progress when they are experiencing argument reduction in frequency, intensity, or duration. For those who struggle to communicate their wants and needs, they may struggle more with distance-prone relationships rather than conflict-prone relationships. Progress for distance couples is seen in their willingness to express needs and vulnerabilities and in their partner's affirmations and reinforcement of emotional safety. In discernment couples, one partner is seen as leaning in and wanting to work on the relationship, while the other is leaning out and unsure if they want to continue. The focus for these couples is to bring clarity as far as their choices and provide emotional support for each partner, the objective being healthy people, together or apart.

What can clients do in their personal time to supplement couples/marriage counseling?

My best advice for couples to continue the work outside of therapy sessions is to make sure that they are making and responding to bids for affection and attention. We don't have to eliminate every negative to find balance; we can also generate more positives to do so. Developing awareness without judgment will also be beneficial in helping to identify and address issues without engaging in personalization (hurting yourself) or blaming (attacking your partner).

What should someone do to prepare for starting couples/marriage counseling?

If you're considering couples counseling, let me reassure you that many healthy couples come in seeking help with their communication, life stressors, or simply awareness of how their individual issues might impact their relationship. To prepare for your first session, it can help to express encouragement to one another about wanting to better understand each other and the life you're building together. It's not a court of law and I'm not the jury or the judge. You're here to heal and/or grow and that will be the focus. As a side note, be mindful of social media algorithms, as they can greatly exacerbate our insecurities and anxieties about ourselves, our partners, and our relationships.

Starting Couples therapy

What is couples therapy?

Thriveworks Couples therapy helps couples work through their specific relationship issues. It is led by licensed professionals — often licensed marriage and family therapists (LMFTs) — who are experts in their field and best-equipped to help couples. Some examples of common focuses within couples therapy include:

  • Jealousy
  • Trust issues
  • Infidelity
  • Opposing values
  • Different visions for the future
  • Disagreements in parenting
  • Lack of trust
  • Financial distress
  • Sex issues

How does couples therapy work?

Couples therapy works by helping couples identify and better navigate their unique challenges. Following an initial assessment of the couple in terms of strengths and needs, the therapist would then discuss their therapeutic goals and any possible approaches or ways of working together as therapist and couple.
Couples attend sessions together, whether they meet in person or by video. In addition to regular couples therapy sessions, each partner may also be asked to attend a few individual sessions to supplement their progress. This will allow their counselor to get to know each individual better, assess each of their personal needs, and develop the very best treatment plan moving forward.

Is couples therapy conducted in person or online?

Couples therapy at Thriveworks is conducted both in person and via Online therapy. We encourage you to choose the option that works best for you and your partner.

How long does couples therapy last?

On average, couples attend couples therapy for 12 weeks. However, couples therapy may last longer or shorter, dependent on the couples’ needs, the challenges they’d like to work through, and the pace of their progress.

Need more help deciding?

Couples Therapy in Cary, NC—Relationship Help from a Caring Counselor

The couples therapists and counselors at Thriveworks in Cary, NC, are dedicated to helping partners navigate the complexities of their relationships. Whether you have been together for a short time or many years, it’s natural to face challenges, and seeking professional help can make a significant difference.

If you’re looking for help with your relationship’s challenges, call our office in Cary, NC at (919) 822-8286 today.

Understanding Couples Therapy

Couples therapy provides a safe and neutral space for partners to explore their relationship, work through conflicts, and grow both individually and together. Our therapists are skilled in addressing common relationship issues and guiding couples toward healthier communication and deeper connection.

Common Relationship Problems Addressed in Therapy

Many couples face similar issues, which means there are effective strategies for overcoming them. Some common relationship problems include:

  • Differing Goals: Partners may have different ideas about their future, leading to conflict.
  • Difficulty with Intimacy: Intimacy involves emotional, social, and spiritual connection, not just physical.
  • Distrust: Trust can be broken by significant breaches or small, repeated actions.
  • Communication Difficulties: Good communication involves empathy, sharing, and vulnerability.
  • Disagreements about Family: Issues may arise regarding extended family interactions, marriage, children, and more.

Benefits of Couples Therapy

Challenges can be opportunities for growth and improvement. Couples therapy can offer:

  • A Reasonable Timeline for Change: Helping partners know when to be patient and when to act.
  • Neutral Space for Dialogue: Keeping the focus on problems rather than personal attacks.
  • Conflict Resolution Skills: Teaching partners to listen, respond with empathy, and advocate for their needs healthily.

Setting Up an Appointment at Thriveworks Cary for Couples Therapy

Are you and your partner facing difficulties? Consider setting up an appointment for couples counseling. The therapists at Thriveworks Cary are ready to help.

Call Thriveworks Cary today at (919) 822-8286 to start working toward a healthier, happier relationship.

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 Cary therapists and counselors accept 26 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

  • Caresource

  • Carolina Behavioral Health Alliance (CBHA)

  • Cigna | Evernorth

  • Cigna | Evernorth EAP

  • Cigna | Evernorth Medicare Advantage

  • Compsych

  • First Health Network

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Self-pay costs at Cary
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 highly recommend Dr. Deborah Bell if you need an empathetic and experienced therapist for trauma and/or bereavement issues.
Read more I highly recommend Dr. Deborah Bell if you need an empathetic and experienced therapist for trauma and/or bereavement issues.
Jeanne Jan 2024
Thriveworks.com verified review
★★★★★
My husband and I saw Dr. Bell for marital counseling. She helped us work through things that I thought were impossible! Her style and methods of communicating helped us to examine ourselves and reestablish our relationship. Truly a God-send!
Read more My husband and I saw Dr. Bell for marital counseling. She helped us work through things that I thought were impossible! Her style and methods of communicating helped us to examine ourselves and reestablish our relationship. Truly a God-send!
Cary Mar 2022
Review left on Thriveworks.com
★★★★★
I have worked with Brittney Peiffer and cannot recommend her enough! She is attentive and and knowledgable, and genuinely cares for people and their well-being. She is able to provide guidance without judgement - and she has a special talent for building rapport with her clients. I would recommend Brittney to family and friends without hesitation.  She is an incredible asset to the Thriveworks Team!
Read more I have worked with Brittney Peiffer and cannot recommend her enough! She is attentive and and knowledgable, and genuinely cares for people and their well-being. She is able to provide guidance without judgement - and she has a special talent for building rapport with her clients. I would recommend Brittney to family and friends without hesitation.  She is an incredible asset to the Thriveworks Team!
Cary Mar 2021
Review left on Thriveworks.com
★★★★★
Nicole Kilpatrick is a veryy warm straight fowarded person who has a heart to help others. She is very passionate about the services she provides. She is warm, friendly, private and loyalty is outstanding. She is a giver in many ways and it comes from her heart.
Read more Nicole Kilpatrick is a veryy warm straight fowarded person who has a heart to help others. She is very passionate about the services she provides. She is warm, friendly, private and loyalty is outstanding. She is a giver in many ways and it comes from her heart.
Cary Jan 2021
Review left on Thriveworks.com
★★★★★
Nicole Kilpatrick is amazing! She actually listens to what you say and helps YOU figure out what steps need to be taken. A good counselor does not judge or makes you feel less than....this is Nicole
Read more Nicole Kilpatrick is amazing! She actually listens to what you say and helps YOU figure out what steps need to be taken. A good counselor does not judge or makes you feel less than....this is Nicole
Cary Jan 2021
Review left on Thriveworks.com
★★★★★
Nicole Kilpatrick is a phenomenal therapist that is all about making sure her clients needs are met. She is very personable, professional and just a great listener. She wants to know you as a "whole" person and challenges you to be your best person. She is all about staying motivated while moving through the healing process. Anyone can benefit from her expertise and her stellar tips and strategies!!! She is so intuitive and knowledgeable. I give her the highest rating!!
Read more Nicole Kilpatrick is a phenomenal therapist that is all about making sure her clients needs are met. She is very personable, professional and just a great listener. She wants to know you as a "whole" person and challenges you to be your best person. She is all about staying motivated while moving through the healing process. Anyone can benefit from her expertise and her stellar tips and strategies!!! She is so intuitive and knowledgeable. I give her the highest rating!!
Cary Jan 2021
Review left on Thriveworks.com
★★★★★
My family has had the pleasure of working with Nicole at this company. She is a great therapist and easy to talk to to. She was attentive to our needs and helped us to work through our issues during a very difficult time. Nicole is friendly and experienced in her treatment modalities. We would definitely continue to see her and recommend her to families that are experiencing hardships and need someone to provide support and assurance.
Read more My family has had the pleasure of working with Nicole at this company. She is a great therapist and easy to talk to to. She was attentive to our needs and helped us to work through our issues during a very difficult time. Nicole is friendly and experienced in her treatment modalities. We would definitely continue to see her and recommend her to families that are experiencing hardships and need someone to provide support and assurance.
Cary Nov 2020
Review left on Thriveworks.com
★★★★★
I highly recommend V. Nicole. She is so compassionate, easy to talk to, and has very practical information to provide about how to manage the stress of life. I highly recommend!
Read more I highly recommend V. Nicole. She is so compassionate, easy to talk to, and has very practical information to provide about how to manage the stress of life. I highly recommend!
Cary Nov 2020
Review left on Thriveworks.com

Where to find us

Getting here

Thriveworks Counseling & Psychiatry is located off of SW Maynard Rd, near the intersection of Maynard and Kildaire Farm Rd and just north of Big Lots. We're next to Pit Stop Express Lube & Inspection, Vapor Max, and Village Cleaners, and across the street from May Laundromat and La Michoacana Bakery. The closest bus stop is Kildaire Farm Rd at SE Maynard Rd.

Phone number

(919) 822-8286

Languages spoken by NC providers

  • English
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
Tuesday 8:00am - 9:00pm
Wednesday 8:00am - 9:00pm

Shown in ET

Thursday 7:00am - 9:30pm
Friday 7:00am - 9:30pm
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

Shown in ET

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