Therapists that accept Cash Pay in Missouri

Choosing a cash pay option for mental health care can provide flexibility and access to quality support without the constraints of insurance networks. With 182 verified therapists in Missouri who accept cash pay, you can explore therapeutic approaches such as cognitive behavioral therapy, solution-focused therapy, and supportive counseling to address a range of concerns, including anxiety, depression, and ADHD. Each Grow Therapy-verified therapist that has a cash pay option listed below is currently welcoming new clients and has availability soon, offering you a straightforward path to compassionate, accessible care on your terms.

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St. LouisSpringfieldKansas CityClayton

Availability updated: 10/9/2026

$150/session

Warm
Authentic
Solution oriented
Specialties
Anxiety
Self Esteem
Trauma and PTSD
My name is Nikki, I’m a therapist with seven years of experience, specializing in helping clients address anxiety, depression, and trauma. Using EMDR and a personalized approach, I guide clients in overcoming limiting beliefs and building resilience for a more empowered, fulfilling life. Together, we can navigate life's obstacles, build resilience, and rediscover your inner strength. Taking that first step toward healing is an act of courage, and I’m here to provide the empathy and support you need along the way.
VirtualAvailable
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$70/session

Authentic
Open-minded
Specialties
Addiction
Anxiety
Depression
+10
Hi there, I'm Lexie! I believe that asking for help is a sign of strength, not weakness, and I am passionate about creating a safe, non-judgmental space where you can express your thoughts and feelings as well as heal and grow. I enjoy working with people of all ages. I specialize in helping individuals navigate anxiety, depression, and life transitions. My style is warm, empathetic, and down to earth. I often combine evidence-based techniques, such as CBT with genuine conversation to help you build practical tools for lasting change
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$120/session

Warm
Holistic
Specialties
Chronic Illness
LGBTQ
Life Transitions
+8
My name is Maya (they/them) and I specialize in understanding the overlapping worlds of queer, neurodivergent, and disabled folks. My approach to treatment involves the use of direct, solution-focused, and strengths-based therapies. This allows you to prioritize your most pressing issues, and stabilize your life. I am sex-positive, poly-affirming, and kink-informed. Currently accepting new clients as of 6/10. Please note that I can only provide therapy at this time, I do not offer medication management or testing services. Outside of work, I enjoy spending time with my rescue pit bull/chow mix. I love crafting, scrolling through memes, and adding treasures to my doom pile. I have flexible availability so please reach out if you are unable to find a time that works for you on my booking site. I look forward to meeting you!
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$150/session

Authentic
Solution oriented
Specialties
Anxiety
Couples Counseling
Sex Addiction
+8
Having 20 + years of experience in the counseling field, I enjoy helping people improve marriage and family relationships, and I am passionate about working alongside individuals to overcome anxiety, depression, ADHD, and sexual addiction. Often, this can happen in a short-term time frame. I work with individuals to overcome everyday and complex challenges. From a therapeutic perspective, I bring in both Christian principles and psychology into my practice and help identify personal strengths and solutions for creating treatment goals.
VirtualAvailable
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$150/session

Warm
Authentic
Solution oriented
Specialties
Anxiety
Depression
Trauma and PTSD
+4
I’m a Licensed Professional Counselor passionate about helping people heal from anxiety, depression, trauma, and life transitions. I specialize in working with women, children, and BIPOC clients seeking emotional balance, confidence, and clarity. Using EMDR, mindfulness, CBT, and trauma-informed care, I guide clients to break free from stuck patterns and create lasting, meaningful change. I am a client-centered therapist that encourages clients to find the strength within by going on a journey of self discovery.
VirtualAvailable
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New to Grow

$200/session

Specialties
Anxiety
Trauma and PTSD
Women's Issues
+9
I am a licensed professional counselor, teacher, and trauma therapist with more than 25 years of experience helping people navigate difficult life experiences and create meaningful change. I specialize in trauma, PTSD, anxiety, depression, relationships, and life transitions. My approach combines evidence-based, trauma-informed therapy with a deep appreciation for creativity and the expressive arts. I believe therapy should honor the whole person and provide a safe place for healing, growth, and rediscovering your strengths.
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$100/session

Challenging
Empowering
Humorous
Specialties
LGBTQ
Sex Therapy
Life Transitions
+9
I am focused on sex therapy, working with people who have gender or identity questioning issues, issues with partners, kink/fetish/swinging related issues, or problems or issues with sex and sexuality. I see individuals, couples, and polycules. I have both book learning and practical, lived experience in many sex/gender/sexuality issues. I am a member of the American Association of Sex Educators, Counselors, and Therapists. I believe there is no single “right” way to experience desire, identity, or relationships. Therapy with me is an affirming, open-minded space where clients can explore who they are, what they want, and how to move forward with greater confidence, clarity, and self-acceptance. Outside of therapy, I enjoy spending time in the wilderness, thrifting or browsing rummage sales, and sharing life with partners and five and a half cats.
VirtualAvailable
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$60/session

Empowering
Warm
Specialties
Anxiety
Depression
Foster Care/Adoption
I’ve had the privilege of working across the lifespan—supporting children and families in child welfare, working with adolescents, adults and older adults in psychiatric care, and guiding older adults and those with intellectual disabilities through life’s transitions. I meet you where you are, whether you need space to build trust or a structured plan to move forward. Clients come to me because I have a broad base of experience. I draw on that understanding to help you navigate your unique situation, guiding you toward clarity, resilience, and meaningful change.
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New to Grow

$150/session

Specialties
Domestic Violence
Sexual Abuse
Trauma and PTSD
+3
I take a no-nonsense approach to human issues, using the best science available. I find that my patients tend to want real solutions, not gimmicks. I work with adults exclusively, focusing on recovery from all forms of trauma, with an emphasis on restoring neurological damage, reversing emotional dysregulation, improving damaged relational dynamics, and creating an authored life.
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Often rebooked

$130/session

Warm
Empowering
Authentic
Specialties
Anxiety
LGBTQ
Trauma and PTSD
+10
Hey, I’m Amber. I’m so glad you’re here! I know sometimes it can be pretty scary searching for a therapist who helps you feel known and understood. That is the kind of therapist I strive to be. Let me share a little about myself. I’ve been working in the mental health field for over 11 years now. I worked in community mental health for 10 1/2 of those years before deciding to branch into my own private practice. I am now licensed in Illinois and Missouri. I grew up in a very conservative and religious family, even attending seminary, so I do know those beliefs well. It took me until I was 25 to be brave enough to live my authentic self as a gay individual, knowing it would cost me most of my family and friends. It hasn't been easy, but it has been worth it. It is now my desire to be the support for you that I never had as you live your own truth and tell your own story.
VirtualAvailable
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New to Grow

$155/session

Specialties
Anxiety
Depression
Trauma and PTSD
+10
Hello! I'm Leah, a Licensed Professional Counselor with 22 years of experience providing compassionate, supportive mental health care to adults, teens, and families. I’m licensed in both Missouri and Pennsylvania, and throughout my career, I’ve had the privilege of helping people navigate challenges such as anxiety, depression, trauma, family conflict, and personality disorders. My approach is warm, genuine, and collaborative. I believe that feeling heard and understood is an important part of the therapeutic process, and I strive to create a safe, nonjudgmental space where clients can be comfortable being themselves. Whether someone is working through a difficult transition, navigating relationships, healing from past experiences, or simply feeling stuck, I enjoy helping clients better understand themselves, build on their strengths, and develop practical tools to create meaningful and lasting change.
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$100/session

Specialties
Anxiety
Coping Skills
Depression
+10
I am a Licensed Clinical Social Worker who values honesty, connection, and practical support. I work with adults who may feel overwhelmed, stuck, or unsure of what needs to change. I try to create a space where clients can be open without feeling judged or pressured. Therapy with me is conversational, supportive, and focused on helping you better understand yourself and move forward in a way that feels realistic.
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$85/session

Authentic
Warm
Open-minded
Specialties
Anxiety
Depression
LGBTQ
+9
Have you found yourself wondering how your life has turned out this way? Do you feel stuck in your current circumstances? My practice is focused on providing support to adults from all walks of life who are facing challenges. My 9 years of experience in private practice, inpatient substance use facilities, and community mental health treatment centers allows me to recognize that therapy is not "one size fits all". You will leave our sessions feeling understood and with a plan for your future based on your personal goals and dreams.
VirtualAvailable
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$100/session

Warm
Empowering
Authentic
Specialties
Child or Adolescent
Life Transitions
Mood Disorders
+10
I am a therapist who supports adults, adolescents, and children as they navigate life’s challenges and work toward meaningful change. My approach is grounded in the belief that growth often begins in moments of discomfort, and learning to sit with that discomfort can open the door to deeper insight and transformation. I help clients explore new ways of thinking, understand their patterns, and take intentional steps toward the life they want a pace that honors their humanity. I view healing as a journey rather than a race, one that requires grace, patience, and a willingness to embrace the messy parts of forgiveness and self‑discovery. My role is to walk alongside you with compassion, curiosity, and a strengths‑based lens as you build resilience, purpose, and a more grounded sense of self.
VirtualAvailable
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$125/session

Authentic
Warm
Empowering
Specialties
Anxiety
Trauma and PTSD
Women's Issues
+10
I’m Heather Freed, LCSW, founder of Freed Minds. As a therapist, former executive, wife, and mom, I understand how easy it is for capable women to lose themselves in responsibility, relationships, and the pressure to keep it all together. I specialize in helping high-responsibility women move beyond burnout, overfunctioning, and self-neglect through holistic, trauma-informed therapy that supports healing of mind, body, and spirit. My goal is to help you build a life that feels more peaceful, grounded, and true to who you are.
VirtualAvailable
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New to Grow

$125/session

Intelligent
Open-minded
Specialties
Coping Skills
Grief
Health/Medical Issues
+6
I have been an LCSW for 6 years. I’ve worked in a variety of settings from child welfare to healthcare. My favorite areas of work include grief & loss, navigating medical diagnosis, and college aged individuals! I would describe my style as laid back but direct. I use a variety of modalities including CBT, DBT, motivational interviewing, solution focused, and EMDR if appropriate.
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$125/session

Warm
Authentic
Direct
Specialties
ADHD
Anxiety
Child or Adolescent
+9
Hi, I am Stephanie. I have 15 years experience counseling children, adolescents and adults. I am a warm and empathetic provider that believes that you are the expert in you what you need. I offer a supportive space for you to explore and process your thoughts and feelings. I aim to help you give space, understanding and compassion to yourself. Therapy looks different for everyone, and I believe the most important part of the process is creating a space where clients feel safe, understood, and accepted. My style is eclectic and collaborative. I tailor therapy to what each client needs in the moment — whether that means exploring deeper patterns and emotions or focusing on practical coping tools and solutions. I draw from Cognitive Behavioral Therapy (CBT) approaches while always leading with compassion, curiosity, and authenticity. My goal is to help clients build self-understanding, resilience, and confidence in a way that feels sustainable and individualized.
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$120/session

Solution oriented
Warm
Intelligent
Specialties
Anxiety
Depression
Coping Skills
+6
I help clients who feel overwhelmed by worry, racing thoughts, tension, fear, or the sense that they cannot fully relax. My goal is to help you recognize the strength already within you and learn practical ways to feel calmer and more in control. Because anxiety is shaped by each person’s upbringing, life experiences, thought patterns, and current circumstances, I take time to understand your unique story. Together, we can identify what is fueling your anxiety and create a path toward greater confidence, progress, and peace.
VirtualAvailable
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$115/session

Warm
Authentic
Open-minded
Specialties
Anxiety
Life Transitions
Self Esteem
+9
I offer a safe, supportive, and non-judgmental space for you to explore what you're going through. Therapy can be a place to rebuild, reflect, and heal. My approach is collaborative and compassionate. I listen closely to your needs and goals, and together we’ll work to shift patterns, manage challenging emotions, and develop tools that support lasting change. I believe you are the expert of your own life. My role is to walk alongside you as you navigate it.
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$150/session

Authentic
Solution oriented
Empowering
Specialties
Anxiety
Depression
Women's Issues
+6
With 17 years of experience in diverse therapeutic settings, I bring both depth and perspective to my work as a psychotherapist. My training is rooted in evidence-based practices, including Cognitive Behavioral Therapy (CBT), with additional expertise in Acceptance and Commitment Therapy (ACT) and Dialectical Behavior Therapy (DBT). Over the course of my career, I have had the privilege of helping individuals navigate depression, anxiety, stress, and the complexities of relationships. I have a particular interest in supporting women’s mental health, drawing on my clinical knowledge and life experience to create a therapeutic space that is both compassionate and effective. I offer a mature, steady presence—one that balances warmth with skill—to guide clients toward growth, resilience, and meaningful change.
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$105/session

Authentic
Warm
Intelligent
Specialties
Anxiety
Mood Disorders
Obsessive-Compulsive (OCD)
Hello! I am John Getchell, an experienced Licensed Clinical Social Worker with over 20 years of experience. My career has taken me from federal prisons, to military hospitals, the VA, and private practice, where I have worked with trauma, depression, grief, OCD, and very complex family dynamics. My goal is to walk alongside you as we face life's challenges, helping you to find clarity, strength, and healthier ways of living. Together, we will work on creating real change so you can experience peace and freedom.
VirtualAvailable
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$150/session

Warm
Authentic
Empowering
Specialties
Trauma and PTSD
Anxiety
Depression
+7
Hi, I'm Lindsay. I am here to help you on your healing journey. I believe that each and every person holds all of the wisdom they need to overcome life’s traumas directly within themselves. My job as a therapist is to help shine a light on your own inner wisdom, and guide you through the healing process in a safe, nonjudgmental space. I believe that when we approach life’s challenges with curiosity rather than criticism we are better able to reach a sense of peace and acceptance to some of lives most complex circumstances and hardships. I am passionate about helping my clients navigate their journey to their most authentic, free, and true selves. I believe that when we have the tools to attune ourselves to our mind, body and spirit we come home to ourselves. And when we are at home within ourselves, we are free. Whether you are seeking to recover from narcissistic abuse, intimate partner violence, or family or childhood trauma, or you are struggling with a difficult life transition or depression, or anxiety. I will meet you exactly where you are. I believe that each individual is the expert on their own lives. My sole purpose as your therapist is to guide you with compassion and care to help you unlock your innate inner wisdom and equip you with the tools you need to overcome the trauma of your past. I am dedicated to liberation therapy and I reject all systems of oppression including but not limited to white supremacy, racism, and sexism.
VirtualAvailable
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$125/session

Warm
Authentic
Open-minded
Specialties
Anxiety
Child or Adolescent
Depression
+8
As a Licensed Clinical Social Worker, I have dedicated my career to supporting teens and adolescents since 2014. I find it incredibly rewarding to help young people navigate the complexities of their lives and overcome the challenges they face. My therapeutic approach is rooted in empathy, collaboration, and evidence-based practices. I am committed to helping my clients discover their strengths and create meaningful change in their lives.
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$55/session

Authentic
Solution oriented
Direct
Specialties
Anxiety
Child or Adolescent
Couples Counseling
+4
Hello, my name is Bruce Miller and I'm a licensed clinical social worker and was registered play therapist. I've been providing mental health services to clients of all ages for over several decades. I'm open to helping all clients of all problems, issues, and temperaments. I tend to prioritize by engaging and building rapport. I utilized a great deal of listening, reflecting and understanding a person's issues and problems. From there we collaborate in exploring and identifying the problem(s) that are creating the stress, anxiety, sadness depression and other emotions.
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$125/session

Authentic
Intelligent
Warm
Specialties
Anger Management
Anxiety
Life Transitions
+5
I help people who feel overwhelmed by anger, anxiety, intrusive thoughts, shame, grief, or difficult seasons of life. Many of my clients come to therapy feeling stuck in patterns they do not like: saying things they regret, replaying conversations, avoiding people, feeling like they are failing, or carrying pain that they have tried hard to keep hidden. Before opening my private practice, I founded Coyote Hill and spent more than 33 years working with foster children, families, and people in crisis. That experience shaped the way I work now: calm, practical, honest, and compassionate. I do not believe therapy should feel mysterious or judgmental. My goal is to help you understand what is happening, why it keeps happening, and what you can begin doing differently. One line that has stayed with me is, “We are all just walking each other home.” To me, that is part of what therapy can be: a steady place where you do not have to carry everything alone, and where we move toward clarity, healing, and the next right step. We cannot change the past, but we can work on how you respond in the present and how you move forward with more steadiness, self-respect, and hope.
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Frequently asked questions

When looking for online therapy, you can see anyone that is credentialed in Missouri. We want you to find the best fit, therefore, Grow Therapy shows available therapists across Missouri from Saint Louis to Springfield! If you’d rather see someone in-person, you can change the filter from virtual and find a therapist near you in Missouri.

When booking you’ll be asked to verify with your Member ID. However, if you don’t have any of the insurances available you can select cash. Our therapists will have their cost of appointment on their profile. Individual session costs will vary.

The specialty filter is optional. You don’t need to check any boxes to see a provider. However, fit is very important when selecting an online therapist. If you have knowledge or experience to recognize what specialties you may need.

Finding a provider with a similar life experience can be beneficial because it can be easier to establish rapport and potentially be understood quicker and clearer.

Your first therapy session is for you and your therapist to meet each other and to ask any questions that you have about the counseling process. This is where you can expect your therapist to do the same as they will ask questions to gain insight into your specific situation. In this first session the therapist is doing their part to gather as much information so they can better assess if they are able to meet your therapeutic needs. Depending upon your provider's specialty, you may also discuss the methods the therapist will use. For additional information on therapy methods, please visit the Grow Therapy Help Center.Some people feel nervous before their first appointment, and that is totally normal! Coming prepared with a list of questions for your therapist may help. Remember, you're taking a brave step by seeking therapy, and it is okay to be nervous as you try something new.