Therapists that accept Cash Pay in North Carolina

Choosing a cash pay option for mental health care can provide flexibility and access to quality support without the constraints of insurance networks. With 567 verified therapists in North Carolina 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.

Availability updated: 9/25/2026

$150/session

Solution oriented
Authentic
Direct
Specialties
Life Transitions
Self Esteem
Trauma and PTSD
+10
Hi, I’m Joe. I’ve worked in the mental health field for 27 years across substance use treatment, outpatient care, and hospital settings. I’ve supported individuals and families through crisis, transition, and long-term growth. I work well with young adults, adults, and families who are navigating stress, trauma, anxiety, depression, substance use, or major life changes. I also have extensive experience working with men who may struggle to express emotions directly and instead feel stuck in withdrawal, irritability, or self-doubt. As a veteran, I understand the mindset and pressures that can come with military life. Across all of my work, I aim to provide a grounded, steady presence where honesty, insight, and meaningful change can take place.
VirtualAvailable

$300/session

Authentic
Empowering
Warm
Specialties
Couples Counseling
Parenting
Sex Therapy
+10
I'm Dr. Ehsan Adib Shabahang, founder of AtReef Therapy PLLC and a Licensed Mental Health Counselor (LMHC) and National Certified Counselor based in Cambridge, Massachusetts. I hold a PhD in Psychology with a concentration in social psychology and a master's degree in Clinical Mental Health Counseling. My practice provides integrative, depth-oriented therapy for couples and individuals, conducted entirely through secure telehealth. I work most often with high-achieving adults and couples who function well professionally but find themselves facing patterns that intelligence, success, or effort alone have not resolved: recurring conflict, emotional distance, perfectionism, burnout, anxiety, and questions about identity, meaning, and direction. My clinical approach draws on relational and depth psychology, Jungian psychology, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Gottman Method Couples Therapy, integrated according to each client's needs rather than applied as a fixed protocol. I am also the developer of Self-Reflective Relationship Therapy (SRRT), a research-informed framework that emphasizes self-reflection, emotional responsibility, and translating insight into real behavioral change. Therapy with me is not only about understanding why a pattern exists. Insight matters, but it is not the goal on its own. I focus equally on what changes in your communication, boundaries, emotional regulation, and decisions once that understanding is in place. I see couples working through betrayal, disconnection, and recurring cycles of conflict, and I see individuals navigating anxiety, burnout, identity transitions, and the gap between a capable public self and a more uncertain private one. I also bring particular attention to intercultural relationships and cross-cultural identity, informed by my own doctoral research and background working across cultures. If you are looking for a therapist who will engage directly, take your patterns seriously, and hold you accountable to real change rather than surface-level coping strategies, I would be glad to work with you.
VirtualAvailable

New to Grow

$100/session

Empowering
Solution oriented
Specialties
Addiction / Substance Use
Anxiety
Personality Disorders
+10
Are you feeling overwhelmed by anxiety, struggling with your mood, or finding yourself relying on substances or unhealthy coping strategies just to get through the day? Maybe you’re navigating a difficult life transition, struggling with intense emotions or relationships, or simply feel stuck and unsure how to move forward. Whatever brought you here, you don’t have to figure it out alone. Hi, I’m Lauren Mintz, and I would be honored to be your therapist. My goal is to provide a space where you feel understood, accepted, and comfortable being yourself—without judgment. I have been a therapist for five years and previously worked as a social worker for five years. I have experience working with children, adolescents, and adults across a wide range of concerns, including anxiety, depression, mood disorders, substance use, trauma, emotional regulation, self-esteem, and life transitions. I am also a Licensed Clinical Addiction Specialist (LCAS), which allows me to support individuals navigating substance use and recovery, including when substance use and mental health concerns overlap. I especially enjoy working with people who feel like their emotions are difficult to manage, who struggle with patterns that seem hard to break, or who have been told they are “too emotional,” “too much,” or simply need to try harder. I believe there is usually a reason behind the ways we cope, and understanding those patterns can be the beginning of meaningful change.
Available

$185/session

Authentic
Solution oriented
Direct
Specialties
Couples Counseling
Military/Veterans
Parenting
+15
John Swails is an ordained minister, a Marriage and Family Therapist (LMFT), Certified DBT Therapist, and Marine Corp Veteran, with military mental-health practice experience addressing traumatic stress, separation, family grief, and relationship issues, and civilian experience addressing physical and sexual abuse, single-mothers with dual diagnosed children, and group therapy for middle-school and teens to develop resiliency. As a therapist, John utilizes proven DBT, Strategic, CBT-Family, Solution-Focused, and other systemic techniques to address individual, couple, and family issues. As a minister John is sensitive to the beliefs of the client and is ready to explore spiritual solutions to any issue.
VirtualAvailable

Often rebooked

$155/session

Warm
Solution oriented
Authentic
Specialties
Anxiety
Depression
Trauma and PTSD
+9
Life, at times, can present us with extraordinary challenges and circumstances leaving us feeling anxious, overwhelmed, depressed, and even hopeless. Emotions from present or past experiences can become so burdensome that we develop unhealthy ways to cope. Symptoms may become so elevated that they affect our ability to function and interrupt family or social relationships. What I provide is an opportunity to process life's difficulties with someone who cares and has the clinical knowledge to assist you with gaining insight and understanding while developing new strategies and coping skills to manage your mental health day by day. I offer primarily CBT therapy with a person-centered trauma-informed focus.
VirtualAvailable

New to Grow

$100/session

Specialties
Anxiety
Emotional Regulation
Self Esteem
I work best with clients struggling with anxiety and/or panic attacks, but have experience working with various issues ranging from depression, trauma, and general life struggles. I like to create an environment where you feel comfortable. I utilize mindfulness-based techniques through acceptance and commitment therapy (ACT) that aims to help clients find peace with their circumstances. These techniques frequently involve asking people to look at their thinking from a different perspective and giving tools to effectively change it.
Available

New to Grow

$120/session

Specialties
Anxiety
Depression
Life Transitions
+7
Hi! I am an LCSW with 4 years of experience. I received my Bachelor of Social Work degree from Mars Hill University in 2021. I earned my Master of Social Work degree with a focus in clinical social work from East Tennessee State University in 2022. I have worked in variety of settings including private practice and agencies.
Available

$90/session

Warm
Authentic
Empowering
Specialties
Anxiety
Depression
Family Conflict
+9
Hi there! I'm Elizabeth and I am now taking new clients in North Carolina. We can work together to make the changes you want to make in your life. Do you struggle with anxiety, depression, relationship or parenting issues? Do you need someone to walk beside you and assist you as you grow into a healthier version of yourself? You are not alone and I am here to help. I know it can be scary or uncomfortable to ask for help, but when we meet you will be met with understanding, acceptance and compassion. I provide a place where you can be yourself, where you can laugh, vent, curse and cry. I am client-focused and we will journey together at your pace! I use empathy and proven therapeutic techniques to help you reach your goals. I am looking forward to meeting you.
VirtualAvailable

New to Grow

$120/session

Specialties
Anxiety
Burnout
Life Transitions
+1
I have over 20 years of experience. My MA in Marriage and Family Therapy and a Certificate in Expressive Arts Therapy. I am a Licensed Clinical Marriage and Family Therapist (LCMFT) and a Board Certified-TeleMental Health Provider (BC-TMH). I provide online therapy thru live video conferencing to clinically appropriate residents of Maryland, North Carolina, Nevada, New Jersey, and District of Columbia.
Available

New to Grow

$175/session

Specialties
Burnout
Self Esteem
Trauma and PTSD
+9
I am licensed in three states (NY, NC, and SC) and have 8 years total of clinical experience. My career started in North Carolina when I got my Master's in Clinical Mental Health Counseling from Western Carolina University and completed my internship serving as a counselor in an inpatient substance use treatment facility. After that, most of my career was spent serving diverse populations in New York City, in multiple settings of care including substance use treatment and community mental health treatment facilities, and private practice settings. I worked with a heavily diverse, international, and multicultural population from many backgrounds. Over time I had immersive experience building a niche working with LGBTQ+ clients, with a particularly strong following of gay men navigating complexities in their identity, sexuality, and interpersonal relationships. I also worked with clients from all walks of life navigating concerns around trauma, addiction, mood disorders, major life transitions, and concerns regarding intimate relationships. I consider my counseling approach to be ecletic. I incorperate concepts from many different modalities and adapt them to the unique needs and personalities of my clients. Some of the major counseling theories I draw from include Person-centered therapy, Motivational Interviewing, Cognative Behavioral Therapy, Dialectal Behavioral Therapy, Positive Psychology, and many others.
Available

New to Grow

$150/session

Specialties
Anxiety
Attachment Issues
Childhood / Intergenerational Trauma
+10
I am a first generation native Spanish-speaker. I am passionate about mental health awareness, the impacts of generational trauma, and social/cultural conditioning. I utilize various trauma-informed therapeutic modalities including IFS. My approach to therapy is simple: We must face the discomfort and learn to sit with the parts of us that are hurting in order to begin the journey of self-discovery, begin healing, and lead a more authentic life in alignment with our true north. All the answers we are searching for are within. Let me support you as you develop a deeper and more understanding relationship with yourself.
Available

$120/session

Warm
Authentic
Open-minded
Specialties
ADHD
Life Transitions
Trauma and PTSD
+10
I’m a warm, down-to-earth therapist with more than 15 years of experience helping people navigate anxiety, trauma, relationship challenges, major life transitions, grief, burnout, emotional overwhelm, and the seasons of life when everything simply feels like a lot. My background is a little different from the traditional therapy path. I’ve worked in schools, community mental health, and crisis intervention settings. I’ve supported veterans, first responders, survivors of trauma and abuse, neurodivergent individuals, parents, professionals, and people facing some of life’s hardest moments. These experiences have taught me how to stay grounded when things feel chaotic and why it’s so important to see the whole person - not simply a diagnosis or list of symptoms. My style is conversational, collaborative, and practical. I’ll give you space to process, but I’m not a therapist who simply nods and asks, “How does that make you feel?” We’ll get curious about patterns, relationships, boundaries, past experiences, and the things that keep showing up in your life. We’ll explore where those patterns came from, how they affect you now, and what you may want to change. I believe insight is only part of the work. Together, we’ll develop practical strategies you can use outside of therapy to manage anxiety, regulate emotions, improve communication, strengthen relationships, establish boundaries, and navigate difficult seasons. You don’t need to know exactly what you need from therapy before you begin. Sometimes it starts with simply recognizing that something isn’t working anymore. My role isn’t to tell you how to live your life - it’s to help you understand yourself more clearly, build skills and confidence, and create meaningful change.
VirtualAvailable

$235/session

Warm
Direct
Open-minded
Specialties
Coping Skills
Family Conflict
Family Therapy
Hi, I'm Felicia N. Holman-Reid! Thank you for considering sharing your journey with me. Starting counseling can be stressful, but hopefully we can start this process together, getting you to a better place mentally. I received a Bachelor of Science in Experimental Psychology from University of South Carolina-Spartanburg (Upstate)-2002 & Master of Arts in Counseling w/Mental Health emphasis from Webster University-2007. Also, I've received training in mediation & conflict resolution for about 11 years.
Available

$120/session

Authentic
Direct
Empowering
Specialties
Addiction
Anxiety
Men's Issues
+10
My name is Dr. Brandon Lowe and I'm a licensed mental health and addictions therapist. I have a doctoral degree (2024) in Christian counseling and a master's degree in Rehabilition and Mental Health counseling (2013). I've been in the counseling field since 2006. I've worked myself up from a behavioral health specialist to doctoral status within my 19 years in the behavioral health field. Over the years, not only did I acquire higher education but most importantly experience.
VirtualAvailable

Often rebooked

$125/session

Warm
Authentic
Solution oriented
Specialties
Anxiety
Depression
Grief
+10
I’m Laura Massey, a Licensed Clinical Mental Health Counselor, Certified Clinical Supervisor, and Licensed Clinical Addiction Specialist in North Carolina. I work with adults 18 and older who are navigating life transitions, anxiety, depression, trauma, women’s concerns, and the everyday stressors that can sometimes feel overwhelming. My practice provides a calm, supportive space where you can feel truly heard, understood, and empowered to grow in ways that are meaningful to you. I believe that lasting change is built on authentic connection, honest reflection, and the willingness to show up for yourself. I also support individuals facing the challenges of addiction, meeting each person with empathy, respect, and a steadfast belief in their ability to heal and rebuild. If you’re ready to take the next step, I warmly invite you to reach out. It would be my honor to support you as you move forward on your journey toward healing and growth.
VirtualAvailable

New to Grow

$110/session

Specialties
Anxiety
Attachment Issues
Depression
I’m Kimberly Bryce, a Licensed Clinical Social Worker and founder of Bloom Therapy and Wellness. I have five years of experience in mental and behavioral health, providing therapy since 2023. I work with people who feel overwhelmed, disconnected, or caught in patterns they’re ready to change. My style is warm, direct, and collaborative. I ask thoughtful questions, help you connect the dots, and work with you to find practical ways forward. Cultural responsiveness is central to my approach, with space for your identity, background, and lived experiences throughout our work together.
Available

$125/session

Warm
Authentic
Humorous
Specialties
Anxiety
Coping Skills
Life Transitions
+10
Hi! I'm an Licensed Clinical Social Worker (LCSW) based in North Carolina. I earned my Master of Social Work from the Ohio State University, and I have been practicing clinical social work for 4 years. I have wide range of experience including working with clients who are struggling with anxiety, depression, trauma symptoms, and life transitions and adjustment. I am passionate about helping clients learn effective coping skills to decrease their symptoms and get back to the life they enjoy!
VirtualAvailable

$100/session

Authentic
Open-minded
Warm
Specialties
Addiction
Depression
Men's Issues
+10
I am a clinically seasoned therapist dedicated to helping people reclaim stability when life feels overwhelming, chaotic, or disconnected. My approach combines genuine empathy with objective feedback to address acute anxiety, trauma, and complex relationship dynamics. I focus on creating a reliable, conversational space where you can sort out your feelings, break unhelpful patterns, and move forward at a pace that works for you.
Available

$90/session

Warm
Authentic
Solution oriented
Specialties
Addiction
Anxiety
Depression
+7
I am a Licensed Clinical Social Worker in North Carolina with 10 years of counseling experience. I received my Master's Degree in Social Work from the University of North Carolina at Chapel Hill and have spent many years working in community behavioral health. My training and my work have shaped me into a clinician that understands a person's environment is as important as their mindset. You will find me to be supportive and an advocate for my clients complete health.
VirtualAvailable

New to Grow

$150/session

Specialties
Anxiety
Depression
Trauma and PTSD
+5
I love love, and I love helping people to heal. Understanding healing occurs on all levels, I've dedicated myself for the last 23 years to being a vessel to help people navigate those levels and find their peace. My calling is to help heal the minds and souls of people so they can manifest their greater and higher selves. Whether it was through the books I've written, my former vegan catering company, practicing as a doula or navigating spaces as a licensed clinical social worker, I've always understood the assignment of helping folks recognize they have the power within themselves to heal.
Available

$100/session

Authentic
Empowering
Warm
Specialties
Anxiety
Coping Skills
Depression
+7
Hiya. My name is Sejal Patel, and I am currently licensed in North and South Carolina, as a LMFT. As a therapist, I show curiosity when my client(s), families, and couples ask me for guidance. Majority of my clients', share the assumption, because I am a therapist, I experience minimal challenges in life and relationships. I wish that was true. My professional education and knowledge has been helpful and useful. Truthfully, the lessons I learned by experiencing failures, challenges, and struggles of life are the true heroes to how I find my solutions. I welcome your curiosity to a collaborative process that combines my professional expertise, your life experience knowledge, and the power of creative solutions.
VirtualAvailable

$225/session

Intelligent
Solution oriented
Direct
Specialties
Couples Counseling
Family Conflict
Family Therapy
+10
I am a Licensed Psychologist with nearly 15 years of experience. My specialty is providing compassionate and non-judgmental couples therapy and family therapy. I support to couples, families, children, adolescents, and young adults facing moderate to severe symptoms. I work particularly well with families and couples struggling when one member is dealing with or recovering from addiction - particularly adolescents and young adults. My approach is centered on fostering a safe environment for all clients where they can explore their challenges and work towards meaningful solutions. I utilize an integrative approach to therapy, with a more directive approach when working with couples and families.
VirtualAvailable

New to Grow

$130/session

Authentic
Humorous
Solution oriented
Specialties
Anxiety
Life Transitions
Spirituality
+8
I'm Kiara Grier, a therapist dedicated to supporting individuals through life's most challenging moments. With six years of clinical experience, I work with clients navigating stress, anxiety, relationship difficulties, parenting concerns, and self-esteem struggles. I'm passionate about helping people build stronger communication skills, discover their life purpose, and work through feelings of guilt, shame, and the desire for forgiveness. My approach is grounded in understanding the complexities of human connection—whether that's attachment patterns, codependency, or blended family dynamics. I also specialize in supporting young adults facing questions about their purpose in life and individuals navigating major life transitions. I am especially passionate in helping individuals desiring to integrate their Christian faith with their healing journey and finding their life's purpose and calling. I believe in meeting you where you are with warmth, respect, and genuine care. My goal is to create a therapeutic space where you feel heard and supported as you work toward meaningful growth and healing. I'm honored to walk alongside you on your journey.
Available

$200/session

Authentic
Empowering
Solution oriented
Specialties
Anxiety
Depression
Self Esteem
+8
I'm so glad to be connected. I use a collaborative approach, meaning we build your goals together. We track progress and celebrate wins! There’s no pressure to share everything right away—this is a space for you to feel safe, supported, and heard. It’s the first step in building a path forward, together. My goal is create safe and non judgmental space to foster personal growth and healing.
VirtualAvailable

$175/session

Authentic
Solution oriented
Warm
Specialties
Anxiety
Depression
Parenting
+6
Hello, I'm Justin. Have you ever felt overwhelmed by stress and life's complexities? Many do, and it's more common than you might think. Life's challenges can leave us feeling exhausted, anxious, and disconnected. But remember, you're not alone in this journey. As a Licensed Professional Counselor offering virtual therapy in Virginia and North Carolina, my role is to walk with you in creating a safe, empowering space. Together, we'll explore and employ a range of therapeutic techniques tailored to your unique needs. My goal? To help you navigating the intricacies of life and forge meaningful connections — with others and with yourself. In therapy, we uncover the roots of your stress, lighten your emotional load, and find strength in support and understanding. It's about building resilience and rediscovering your inner balance. If you're reading this, you've already taken a brave first step. You recognize the need for change and understand that carrying the burden alone isn't the only way. If you're ready to move forward, to cultivate lasting change and greater self-awareness, I'm here to guide you. Reach out, and let's start this transformative journey together.
VirtualAvailable
Frequently asked questions

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

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.