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6,586 people sought addiction counseling help in North Carolina in the last year

Discover how starting addiction counseling can support your own journey toward a happier, more fulfilling life.

Meet with a provider as soon as this week

ACCEPTING NEW CLIENTS

Aetna, Blue Cross and Blue Shield of North Carolina | BCBS, Blue Cross and Blue Shield of North Carolina | BCBS Medicare Advantage, +21 more
Military / Veteran, Anger, Coping Skills, Self Esteem, Stress, +8 more

I am a Licensed Social Worker who primarily sees older adolescents and adults.

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Give us a call to schedule your next appointment, or browse through our full list of available providers.

Starting Addiction counseling

What is Addiction counseling?

Addiction counseling therapists at Thriveworks in Cary, NC can help people manage their urges to use the substance or engage in the activity they're addicted to. In addition, it can help people manage the challenges that stem from their addiction from relationship issues to problems at work as well as those that their addiction may stem from like trauma.

How does Addiction counseling work?

Addiction counseling at Thriveworks in Cary, NC works by helping one understand the underlying causes of their addiction, teaching them coping strategies, and recognizing their specific triggers. Long-term or ongoing addiction counseling can also help to prevent relapse.

Is Addiction counseling conducted in person or online?

Addiction counseling at Thriveworks is conducted both in person and online by video. We encourage you to choose the option that works best for you.

How long does Addiction counseling last?

The length of addiction counseling depends on the individual's needs as well as the extent and severity of their addiction as well as the problems that might stem from it. That said, people can make meaningful progress in addiction counseling in the first weeks to months.

Need more help deciding?

Ezra comes home from school and goes straight to his room to play video games. He plays until bedtime, when his parents make him turn them off. A year ago, he would text his friends to play basketball at the park or hang out at their houses after school. That has not happened in months. Ezra barely spends time with his friends. They have stopped texting if he wants to meet up, because they know his answer. Ezra’s parents are noticing too. They are concerned, and have put restrictions on how long he plays video games. Ezra did not take this well. He lied and found a way around the rules. Ezra’s parents even found him playing video games in the middle of the night. Ezra may be one of the 21 million Americans struggling with an addiction.

“Addiction isn’t about substance—you aren’t addicted to the substance,
you are addicted to the alteration of mood that the substance brings.”
—Susan Cheever

Many people associate addiction with a substance, but addictions can also be behavior based— Alcohol. Gambling. Prescription drugs. Internet. Cocaine. Video games. Marijuana. Sex…to name just a few. Addiction can strike the rich, the poor, men, women, the old, the young. Whatever form addiction takes and wherever it chooses to strike, the disease is the same. Addiction alters the way an individual’s brain functions. It is a serious illness, but there are treatments available.

That is why Thriveworks Counseling in Cary offers addiction counseling and therapy. Support, care, and healing are available here.

Red Flags for Addiction

Addiction rewires people’s brains so that they experience the pleasure hormones, dopamine, and endorphins when they are engaging in the activity or consuming the substance associated with the addiction. The changes in how the brain works show up in people’s behavior, emotions, and body.

Bodily Signs of Addiction

  • Weight loss
  • Being hyperactive or lethargic (depending upon the drug)
  • Red eyes, dilated pupils
  • Repetitive speech
  • Excessive sniffing while not ill
  • Being undernourished or pale
  • Body odor that is unpleasant or different

Behavioral Signs of Addiction

  • Missed work/school/personal engagements
  • Difficulty in school
  • Isolating oneself
  • Keeping secrets
  • Financial difficulties (particularly, needing money)
  • Relationship problems
  • Lying to loved ones (especially, to cover the addiction)

Emotional Signs of Addiction

  • Defensiveness
  • Being unable to handle stress
  • Irritability
  • Loss of interest in people/activities that were once valued
  • Lack of awareness about the problem: denial, rationalizations, minimizations, blame, diversions
  • Obnoxious, silly, easily confused

Addiction can overtake an individual’s life, taking risks and putting their well-being in jeopardy so that it can survive—like a parasite. Addiction will also put loved one’s well-being at risk. Addiction has three distinct markers. Mental health professionals sometimes call them the three C’s of addiction: consequences, craving, and control. Addiction takes over control of an individual’s life—driving their thinking, decisions, and actions. Addiction uses cravings as a way to control—either for a substance or an experience. Despite the negative consequences, people rarely leave the addiction.

Addiction Myths

Even though addiction is a common illness, there are many misunderstandings about what it is and how it functions. Shame fuels these myths. They can stigmatize people who suffer with addiction and may even keep them from seeking treatment. It is important to name these myths and explore the reality of addiction.

Myth #1: Addicts Are Weak People.
Shame is a hurtful weapon that addiction uses against people, and it often comes in this form: if only you were stronger, you would not have this addiction. The truth is, people who have addictions are some of the most resilient and strong people. Addiction has nothing to do with being strong or weak, however one might define these. Often, people are predisposed to addiction through things completely out of their control—family history and genetics. Just as cancer patients do not have cancer because they are weak, so addicts do not have an addiction because they are weak.

Myth #2: Addiction Is a Choice.
Another way addiction can use shame to derail people is through the myth: if you make different choices, you could be done with the addiction. The cure for addiction is not willpower. In fact, willpower is a false promise. Treatments are available, but they involve medication, therapy, and support networks. Addiction is not a choice and neither is its cure.

Myth #3: Addiction Is Rare.
Shame can also whisper, you are alone…no one else understands. Yet, the reality is that millions of people understand because they are struggling with an addiction. Millions more have struggled and are healing. Even more understand because they love someone who has an addiction. Organizations like Alcoholic Anonymous offer community and support and understanding. Therapists and counselors are empathic and can often connect their clients with treatment options. You are not alone. Help is available.

Setting Up an Appointment for Addiction Therapy at Thriveworks Counseling in Cary

Are you struggling? Do you feel like you are fighting a compulsion alone? We are ready to help. Thriveworks Counseling in Cary has appointments available for addiction therapy. When you contact our office, know that you may be meeting with your therapist within 24 hours. You will never reach a voicemail or be put on a waitlist. Instead, we have evening and weekend appointments available. We also work with many insurance companies and accept many forms of insurance.

Let us fight the battle of addiction with you. Contact us for addiction counseling today.

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 25 insurance plans

  • Aetna

  • Blue Cross and Blue Shield of North Carolina | BCBS

  • Blue Cross and Blue Shield of North Carolina | BCBS Medicare Advantage

  • Blue Cross Blue Shield | Anthem (Blue Card)

  • 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

  • ASL
  • English
  • Spanish
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
Thursday 8:00am - 9:00pm

Shown in ET

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
Thursday 7:00am - 9:30pm

Shown in ET

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