Therapists that accept Cash Pay in North Carolina

I'm going to go out on a limb and guess that something isn't OK right now. That something might be new, or it might have been around a long time. You might be able to describe it perfectly, or you might just feel off without knowing why. Either way — you're here, and that's the only thing that matters right now. I start from wherever you are. No assumptions, no judgments, no one-size-fits-all approach. Just a genuine desire to understand you — what's brought you here, what you're carrying, and what you're hoping for. Therapy with me — whether you're coming alone or with a partner — tends to be honest and occasionally even a little lighthearted. The human experience isn't black and white, and neither is the work we'll do together. What stays consistent is that you'll have a space that belongs to you, where nothing you say or feel changes how I show up for you. For couples, that space belongs to both of you equally. I don't take sides. What I do is help you see the pattern you're both caught in — because most of the time it's the cycle doing the damage, not each other. When that shifts, something else becomes possible. No matter what it is you are navigating — depression, relationships, identity, or the gap between how you show up and how you actually feel inside — you don't have to have it figured out to reach out.

Hi! I'm Wen. I am a licensed marriage and family therapist. I help adults who are struggling to deal with everyday stressors and burnout. I empathetically listen to what you have to share and want to fully understand your situation before working collaboratively on solutions. I consider myself a direct person and try to break down the concepts that I teach into easily understood ideas.

Hello! I am a Licensed Clinical Social Worker (LCSW) and Licensed Clinical Addiction Specialist (LCAS) based in North Carolina. I received my Masters from the University of North Carolina Wilmington, and have been practicing going on 9 years now. I love helping young adults discover and understand how their past experiences are continuing to impact their lives, and how they can move forward.

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.

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.

Hello, I am Michael A. Kirk, a Licensed Professional Counselor (LPC) dedicated to helping individuals navigate life's challenges with confidence and resilience. I believe that therapy should be safe, supportive, and a judgement free space where you feel heard, understood, and empowered to create real change. I work with adolescents and adult experiencing anxiety, depression, trauma, Grieg/loss, relationship issues, life transitions and more. My approach is collaborative. I utilize several evidenced based therapies such as Cognitive Behavioral Therapy (CBT), Reality Therapy, Motivational interviewing, Dialectical Behavioral Therapy (DBT) and Trauma Focused CBT.

I earned my master’s degree in counseling from the University of North Carolina Charlotte. I began my career at Hospice then went to private practice. I believe everyone deserves happiness and peace. With mutual respect, compassion, nonjudgemental curiosity, and motivation, counseling can build resilience, develop coping strategies, and propel the client into a happier, healthier life. The counselor/client relationship should be a collaborative effort. I am certified in women's mental health (including eating disorders), grief and loss and trauma I use evidence-based, trauma-informed modalities including CBT, DBT, CPT, EMDR, MI, Existentialism, Mindfulness, and other person centered modalities. I welcome adult clients of all genders, ethnicities, orientation and religions. I am passionate about partnering with my clients to identify issues, develop treatment plans, and move forward toward their goals. I will help you take meaningful steps toward finding your purpose, exposing your power and resilience and healing.

Hi, I'm Quinesha, a licensed clinical social worker in North Carolina. I work with adults navigating anxiety, depression, identity, and life's harder seasons. I believe healing starts with feeling heard, not just labeled. I like to start where you are, and I welcome open conversation on any topic. If you're ready to explore what therapy can look like for you, I'd love to connect.

I’m a compassionate, trauma-informed Licensed Clinical Social Worker who believes therapy should be a space where you feel heard, respected, and empowered to be yourself. My approach is warm, supportive, and strengths-based, with a focus on helping you understand your experiences while developing practical tools to navigate life’s challenges. I enjoy working with adults who may be experiencing anxiety, depression, relationship or family challenges, life transitions, trauma, or difficulties adjusting to major changes. I have a particular passion for supporting women during pregnancy and the postpartum period, including those navigating perinatal mood and anxiety concerns, identity changes, and the emotional demands of motherhood. My life and professional experiences have taught me the importance of meeting people where they are and recognizing that everyone’s journey is different. I believe you are the expert on your own life, and my role is to walk alongside you—not judge you or tell you who you should be. Together, we can explore what is getting in the way of the life and relationships you want while building on the strengths you already have.

Welcome in! I really appreciate you being here today. Life can get overwhelming—sometimes even unmanageable—so I want to congratulate you on taking this step and crossing one more thing off your list. I’m a Licensed Clinical Social Worker with years of experience providing compassionate, client-centered therapy. I use talk therapy and CBT as my primary modalities. I also integrate a strengths-based approach and Solution-Focused Brief Therapy. I specialize in supporting individuals facing anxiety, stress, depression, self-esteem challenges, poor coping skills, and self-harming behaviors. I also have experience in crisis intervention, helping people through moments of acute distress. My approach is always trauma-informed and culturally responsive, facilitating a safe space where we can work together to build resilience, empowerment, and lasting change. And if you’re not sure what your circumstances are, or if you’re feeling unsure where to start, that’s okay. You don’t have to have all the answers—we can figure it out together. If it matters to you, it matters to me. Let’s talk about it.

I am a Licensed Clinical Mental Health Counselor with 30 years of experience in the mental health field and 14 years of experience operating my private practice. I support adults and couples experiencing anxiety, relationship distress, communication difficulties, parenting concerns, life transitions, diminished self-esteem, trauma-related concerns, and patterns that may be interfering with emotional well-being and healthier relationships. In couples counseling, I provide a balanced and respectful environment where each partner has an opportunity to feel heard. I help couples recognize recurring patterns, improve communication, navigate conflict more constructively, rebuild emotional safety and trust, and strengthen their connection. My role is not to take sides, but to help both partners understand the relationship dynamic and take meaningful responsibility for the changes within their control. I use Cognitive Behavioral Therapy to help clients understand the connections among their thoughts, emotions, and behaviors. Together, we identify beliefs and thinking patterns that may contribute to anxiety, depressed mood, diminished self-esteem, relationship distress, or ineffective coping. Depending on the client’s needs, we may use guided reflection, thought records, structured exercises, role-playing, and between-session practice. With couples, CBT-informed strategies can also help partners examine assumptions, interpretations, expectations, and behavioral responses that contribute to recurring conflict. The goal is to develop greater awareness and practice healthier, more intentional responses. My therapeutic approach integrates evidence-based practices with carefully selected holistic strategies to support insight, emotional regulation, personal growth, and sustainable behavioral change. I meet each client with compassion, curiosity, and respect, helping them identify the underlying beliefs and patterns connected to their current concerns.

Hey there! I’m Tashina — a Licensed Clinical Social Worker in North Carolina and a Licensed Independent Social Worker in South Carolina. I’m a proud graduate of North Carolina A&T (Aggie Pride!) and have spent over 10 years helping people find healing, peace, and purpose in their lives. I work with adults and teens who are dealing with anxiety, depression, or PTSD and sometimes just feeling stuck or unsure of what’s next. My style is real, relaxed, and rooted in compassion. You won’t find any stuffy therapy vibes here, just honest conversations, practical tools, and maybe a few laughs as we work toward helping you feel more grounded and confident. Let’s team up to clear out the mental clutter and make room for the life you actually want to live.

Hi, I’m Stephanie, a Licensed Clinical Social Worker and a Certified Clinical Anxiety Treatment Professional (CCATP) who helps individuals struggling with anxiety, low self-esteem, and the constant pressure to please others. My work focuses on creating a safe, supportive space where you can explore what’s behind the stress, self-doubt, and overwhelm you’re feeling. I’ll help you build healthier boundaries, quiet your inner critic, and start showing up more confidently in your life and relationships. Whether you’re feeling stuck or just ready for a change, I’m here to guide you through it with empathy and evidence-based tools.

I’m a Licensed Clinical Social Worker with a deep respect for the complexity of a client’s histories, identities, nervous system and family dynamics. I work from a psychodynamic and trauma-informed lens, integrating skills and ideas associated with various evidence-based practices such as CBT, acceptance-based, and emotion-focused work to help you process what’s happened to you while also building skills for the present. I specialize in working with adults including LGBTQ+, and neurodivergent clients. I pay close attention to creating space that feels actively affirming – not just “tolerant”. You’ll find that I’m transparent about the therapy process, that I name what I see with care, and that I hold your pain and resilience in mind at the same time.

Hi, my name is Jonathon Payne and I am a practicing Licensed Clinical Mental Health Clinician, LCMHC, with the State of North Carolina with over 18 years of experience. Most of my work experience has come from working with individuals in crisis settings and or situations. The work has always been challenging, humbling, and rewarding. It has taught me the value of true genuineness and the importance of being able to connect with people and build working relationships. I love therapy. I respect the therapeutic process and value the hard work and introspection it requires. Therapy is something that I am passionate about. Everyday it provides me an opportunity to help others and learn from others. I am proud of the things I have learned, but even more humbled and optimistic of things that I continue to learn. One thing I would tell you is that a have a real passion and commitment to counseling and the therapeutic process. It is and has been what I love to do. I put tremendous value on the importance communication, language, and building a good therapeutic relationship or rapport. Its important to me that you, the patient feel safe, heard, and valued. My counseling style is very laid back and supportive, with a very non-judgmental stance. However, I am not afraid to roll my sleeves up and work hard. I believe in being supportive, motivating, and challenging. Its important that you have the opportunity to work hard, learn, grow, while developing realistic attainable and measurable goals.

Hello, my name is Stephen Pleasant, and I'm a psychotherapist for men. Why therapy for men? Well, because sometimes a man just needs a pork shoulder to cry on. That being said, I will also work with women as well. It’s a recognized human tendency for men to get “stuck” in their lives and to end up “settling” for the status quo when deep down they know they are capable of a great deal more. Here’s the truth; You are never “stuck” with your present circumstances. The Game of Life is a psychological and spiritual journey and winning at this game requires you to change your play and learn to think differently and do things in a new way. I help men break out from being “stuck” in life, resigned to producing results that are disappointing to them and others. My goal is to see transformative progress in men’s confidence, clarity, and self-expression, so that they may gain the fuller personal and work life they thought was beyond them.

I am a doctoral-level licensed clinical social worker with over a decade of experience supporting women through life's harder moments. I work with adults navigating anxiety, depression, identity, and the weight of expectations that rarely let up. My approach is direct, grounded, and free of judgment. I believe good therapy meets you where you are. I practice in North Carolina, South Carolina, and Delaware via telehealth.

I am a Licensed Clinical Social Worker and the owner of Seaside Legacy Counseling, PLLC. I received an undergraduate degree in Psychology, as well as a Masters of Social Work from the University of North Carolina at Wilmington. I have been licensed for over ten years and have experience in a variety of settings including residential treatment, clinical mental health and several schools. I have worked with both children and adult clients experiencing a variety of challenges including anxiety, depression, grief, relationship conflicts, low motivation and difficulty concentrating. I have a wealth of experience partnering with high school aged children, young adults attending college and/or professional careers as well as older adults. I welcome LGBTQIA2S+ clients, and I am a proud and active ally.

Hi! I am Kim Allen. I am excited to meet with you! I have been working with individuals of all ages for over 15 years. I have always been passionate about helping others and would love to support you whether you are simply going through some tough times, needs some motivation in making a change in your life or are struggling with some more difficult challenges. I have worked with a variety of populations including victims of trauma; parents, adolescents and children struggling with mental health or other neurodivergent individuals (ADHD, autism, etc). and individuals working to make lifestyle changes such as diet and nutritional changes. I have also worked with couples on improving their communication and relationship skills. I am particularly passionate about helping others find ways to make changes using natural means including things such as meditation, dietary changes, nutritional supplementation and behavior modification. Whether you are new to therapy or just seeking someone new to work with, I understand that taking the step to meet with someone new can be overwhelming. You have taken the first step toward making change. I hope you will let me help you take the next step!

Hey there, I'm Jessica! I'm here to help you sort through the things that are difficult right now, and offer you a safe place to be open and honest without fear of judgement. I specialize in working with adults who are feeling stuck or overwhelmed. I believe everyone has the inner strengths needed to live their best life. But, it can be hard to recognize those strengths through the fog our stress response triggers. If you are looking for how to build confidence, inner peace and stability, you have come to the right place. Overwhelming anxious thoughts, relationship issues, work avoidance, irritable mood, low self esteem, trouble concentrating, problems sleeping; These are some of the more common complaints clients have when first coming to therapy. Together we will work to identify the strategies and support you need to overcome whatever challenges you face. Many people struggle a long time before seeking mental health care. But mental health is health! Just like in other specialties, preventative mental health care can be so effective in avoiding crisis and more serious illness. You do not have to suffer to deserve support! No matter the level of stress you are going through, you are worth taking care of.

I am a licensed therapist in North Carolina with over 35 years of professional experience. I have extensive experience supporting clients through stress and anxiety, relationship challenges, trauma and abuse, and concerns related to motivation, self-esteem, and confidence. In addition to traditional therapeutic approaches, I also offer spiritual counseling, with a particular focus on Christian perspectives for those who desire it. I respect each client’s individual beliefs and integrate spiritual support only when it aligns with their values and goals. My approach centers on creating a safe, open, and nonjudgmental environment where you can explore your thoughts and emotions freely. It takes courage to seek a more fulfilling and joyful life, and I deeply honor that step. My role is to support and empower you as you move toward healing, growth, and a stronger sense of purpose. Together, we’ll work to uncover your strengths, build resilience, and help you move toward the life you envision.

Hello, I'm Carrie, an LCSW therapist based in North Carolina. I received my Bachelors from Winston Salem State University and my Master's from the University of North Carolina-Chapel Hill with over ten years of experience as a therapist in many settings with various age groups. I practice therapy to assist others with achieving their goals in the most effective and in a timely manner.

I genuinely love what I do and feel grateful for the opportunity to support others as they explore their stories, their strengths, and the direction they want their lives to take. I believe everyone deserves to feel seen, supported, and at peace with who they are and where they are going. If you are feeling unsure or nervous about starting therapy, you don’t have to have it all figured out—I will meet you exactly where you are, and we will walk this journey together with care, compassion, and intention.

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.

Hello-My name is Richard (Rick) Lally. I graduated with a master's degree in clinical psychology from Connecticut College and have been working in behavioral health for 25 years. I also have been a Licensed Clinical Mental Health Counselor in North Carolina for the past 20 years. I have been able to help individuals from diverse backgrounds with a wide array of issues; depression, grief/loss, stress, anger, relationship distress to name a few. Regardless of whether your need for seeking counseling is one of these matters or something else, please reach out to me and give me the chance to see if I can offer some relief. I welcome the opportunity to meet you.