Therapists that accept Cash Pay in North Carolina

I am a Licensed Professional Counselor in SC, PA, TN, and NC. I specialize in helping clients and family members with addiction issues, Obsessive Compulsive Disorder, and PTSD. I also assist clients experiencing anxiety, depression, grief and loss, and can provide relationship and couples counseling as well. I have been practicing for over 10 years and have an empathetic and passionate approach. I love working with all ages however age 10 and above appears to work well for online therapy.

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.

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.

I bring humor into therapy when it fits, but what really drives my work is curiosity. I like helping people slow down, look at what is going on beneath the surface and understand why they keep running into the same problems. Together, we look at patterns, experiences and habits that may be shaping the problems that brought them in. I use evidence-based approaches to help clients build insight, make practical changes and move toward the life they want.

Dr. Natika McPherson is a Licensed Clinical Mental Health Counselor Supervisor (LCMHCS), educator, author, and nonprofit founder with more than 25 years of experience serving children, adolescents, and families. She specializes in helping clients navigate emotional, behavioral, relationship, and life challenges while building resilience, confidence, and healthy coping skills. Dr. McPherson utilizes evidence-based approaches, including Cognitive Behavioral Therapy and Solution-Focused Therapy, tailored to each client's unique needs. Her work is grounded in the belief that every individual has strengths that can be developed to create meaningful change, improve relationships, and achieve personal growth and long-term success.

Hi, I’m Myca, a licensed clinical social worker dedicated to helping individuals navigate life’s challenges and uncover their inner resilience. With years of experience in the mental health field, I specialize in creating a safe, compassionate, and nonjudgmental space where you can explore your thoughts, emotions, and experiences. My approach is collaborative and tailored to your unique needs, blending evidence-based techniques with genuine empathy to support your growth and healing. Whether you’re seeking clarity, coping strategies, or a deeper understanding of yourself, I’m here to guide you on your journey toward a more fulfilling and balanced life.

Feeling overwhelmed, stressed, and exhausted constantly? Isolated and alone because you don’t want to burden your friends or family with your problems? Or maybe you don’t know quite how to name why you feel this way or how to talk about it. Well, there is good news - therapy is the place to explore these challenging thoughts and feelings. I’ve worked in mental health since 2016, helping people of all ages, backgrounds, and challenges. I approach mental health challenges with a holistic mindset to help identify what we can change, inside of our control, and increase resilience. Depression, anxiety, ADHD, and trauma are a few examples of mental health struggles that impact how we live and experience the world. However, the opposite is also true! Because our lifestyles can influence our ability to tolerate stress and feel good about ourselves. My job as a therapist is to help you identify what is working, and what isn't working, and what we can do about it. I believe in us working as a team and supporting you in achieving your goals, so you can reconnect with your inner strength, resilience, and confidence to manage life's challenging ebbs and flows. Why choose me? Well, to help me feel less like a stranger, here is more detail about my background: My M.A. in Clinical Mental Health Counseling is from Lenoir Rhyne University's Graduate Center of Asheville, NC in Dec. 2020. I hold a B.S. in Psychology from Longwood University in Farmville, VA. I'm a Qualified Mental Health Professional with 5.5 years of direct care experience with teens in residential treatment. My graduate internship was community & school-based outpatient therapy with Access Family Services. August 2021 to March 2024, I was an outpatient therapist, in-person and virtual, with the center for emotional health.

Hi, I'm Victoria, I've been honing my specialties for 30 years. I specialize in releasing trauma and old beliefs, rewiring mental habits to result in improved confidence, self esteem, clarity to follow dreams and goals. Since training in the bilateral therapies (EMDR, A.R.T., and Brainspotting) I've witnessed healing on a whole new level. Changing beliefs, thoughts and feelings that have been lifelong takes more than talking about, in my opinion. It requires change in the deep sub conscious, a place easily entered and "edited" utilizing these therapies, works much better and faster than only talking. This is my experience, and the reason why I specialize in these deeper, more sub conscious therapies. In addition, there are times when people prefer to talk, gaining much needed insight (light bulb moments) and releasing thoughts they don't feel comfortable sharing with others. Or, you need to problem solve, work through something cognitively. I practice other therapies that utilize talking as a main modality, too. The main priority is that you're comfortable. We will explore and find just that right fit, regarding modalities that work and also feel in sync with your needs.

What if you didn’t have to choose which version of yourself gets to be heard? The confident you. The worried you. The one who wants change. The one who wants things to stay familiar. They can all be there at the same time. And instead of trying to silence one over the other, therapy can help you understand what each one is bringing to the table.

Hi, my name is Tiffany, I love helping others and seeing growth. I bring years of experience working with teens, adults, individuals navigating substance‑related challenges, people connected to military culture, and older adults adjusting to major life transitions. These diverse experiences have shaped my ability to hold space for complex emotions, trauma, resilience, and the unique challenges that come with each stage of life. I see therapy as a partnership. You bring your courage and your lived experience; I bring my presence, training, and commitment to helping you grow. Together, we create a space where healing feels possible and meaningful change can take root.

As an African American Licensed Therapist Male, I am particularly drawn to helping all persons (Children, Teens & Adults) overcome mental, physical and emotional issues. I believe in using therapy as a means to be helping people find the tools within themselves to move towards a positive and meaningful mental health. As a social worker, I consider "the whole person" and the systems impacting them to offer a positive therapeutic experience. I support clients of all backgrounds to address various issues including depression, anxiety, stress, trauma, substance abuse, relationship and family conflicts. I specialize in working with children and teens ages 6-17 years old. I utilize play therapy and mindfulness techniques to help children communicate their feelings, explore their world and resolve conflicts. I also specialize in working with adults in trauma treatment using CBT, DBT, Solution Focused, Acceptance and Commitment & Skills Development. My biggest passion is helping empower individuals to find their own greatness. Do you want to discover the best ways to manage your emotions and cultivate self-control for yourself, your family, your community? If you seek support and guidance, interested in thriving, I invite you to reach out for consultation. I am a good support for those who need it.

Hello! I’m Elsie Henderson, a Licensed Marriage and Family Therapy Therapist and Licensed Clinical Addictions Specialist Associate. My practice is built on creating a warm, supportive, and judgment‑free space where clients can explore their experiences with honesty and confidence. I take an integrative approach that blends cognitive behavioral strategies with emotional and spiritual wellness, and I also offer Christian counseling for clients who prefer a faith‑based perspective. Whether working with individuals or couples, my focus is on helping people strengthen their relationships, deepen their sense of purpose, and move toward lasting, meaningful change.

I take a warm, down-to-earth approach and believe in seeing the whole person, not just the challenges they are facing. I value genuine connection, humor, and creating a space where clients feel comfortable being themselves. My goal is to help clients feel heard, understood, and supported while working together toward meaningful, lasting change.

I am a compassionate and approachable Licensed Clinical Social Worker with over seven years of experience helping women heal, grow, and thrive. I am passionate about supporting clients as they build resilience from trauma, overcome self-doubt, and develop a deeper sense of self-worth and confidence. Drawing from both professional expertise and personal experiences with trauma, relationship challenges, and self-esteem struggles, I strive to create a genuine and supportive therapeutic environment where clients feel seen, understood, and empowered. By integrating evidence-based practices with authentic connection, I help clients navigate obstacles, foster healing, and move toward meaningful and lasting change. My practice is firmly rooted in my Christian faith and guided by the values of compassion, accountability, and vulnerability. Traditional counseling is also available to those who do not prefer Christian/faith based therapy. I believe healing occurs within a safe and supportive relationship, and I consider it a privilege to walk alongside clients as they pursue restoration, growth, and the life they were created to live.

I was drawn into the counseling field from a very early age, always curious about people, their relationships, ideas people embrace, choices they make. How do we solve problems or sometimes find them beyond our wisdom and imagination to solve? Even when we do our very best, sometimes we can’t seem to get it right. That can feel overwhelming and finding a way out can seem impossible. A warm and listening heart can be a big help providing the support needed to find our way again. With over 40 years of experience, I have helped a wide variety of people with many concerns.

Marlo Sell is a therapist in North and South Carolina. She provides holistic therapeutic services to clients in their late teens through adulthood. Marlo enjoys working with clients who struggle with anxiety, depression, work/life balance, life transitions, relationship issues/boundaries, domestic violence/sexual assault, self-love/esteem issues, self-harm, and those who want to build a better life and future for themselves. Marlo’s treatment approach involves changing thoughts, behaviors, and emotions, as well as working on areas such as emotion regulation, distress tolerance, mindfulness, and interpersonal effectiveness. Marlo adds in different holistic approaches to therapy such as mediation, EFT, breathwork, shadow work, and self-care.

Hi, I’m Anneka. I am a licensed therapist with a warm, down to earth style who believes in treating everyone with respect, sensitivity, and compassion without stigmatizing labels. My practice focuses on helping individuals navigate anxiety, depression, adjustment disorders, relationship difficulties, major life transitions, people pleasing, and self-worth challenges by increasing self-awareness, utilizing CBT and EFT techniques, and offering PREPARE-certified pre marital counseling.

Hi, I'm Lindsay. I have been working as a therapist for over 10 years, but when I take my therapist hat off, I am a daughter, a sister, a friend, an aunt, and a momma to fur babies. Needless to say, I am a major animal lover. I am also a proud Harry Potter adult. I love reading, last year I read 122 books, and my favorite genres are mystery/suspense and fantasy. I also love running, I’ve run five half marathons and would love to run a full marathon one day. My favorite thing in the world is taking my puppies, Nola and Frank, on puppy runs with me (she’s 9, he's 1). If I’m not working, reading, running, or playing with dogs, you will find me fully invested in true crime.

Hi, I'm William. I am a licensed clinical social worker (LCSW) trained to help people find solutions to their problems and concerns. I received my Masters in Social Work from East Carolina University and I have experience working with all ages. Do you feel the pressure of career, family, children and a world full of tremendous change? I am here to help you maneuver what can seem like a complex maze. Each of us has the power to grow and face challenges and sometimes we just need someone to listen and help us find the right direction. As a Licensed Clinical Social Worker I love to work with all types of people to help them live and achieve their best life. Seeking and receiving therapy can be scary for some people. But it doesn't have to be scary. Therapy should be your time to enter a place where you will feel safe and respected to share your deepest thoughts and desires. Together we will work to help you achieve your goals.

I am a Licensed Professional Counselor (LPC) in Missouri and a licensed clinical mental health counselor (LCMHC) in North Carolina who specializes in supporting trauma survivors and individuals who are in life transitions to navigate emotional healing, identity transitions, and relationships. In my work, I use Cognitive Behavioral Therapy and Person-Centered Therapy to help you connect with your inner self, challenge negative self-talk, and reframe thoughts that keep you questioning yourself. I offer a warm, safe, and collaborative space where you are seen and heard.

I am a compassionate, collaborative therapist who supports individuals and couples in achieving their therapy goals using evidence-based approaches such as Cognitive Behavioral Therapy (CBT) and Emotion-Focused Therapy, along with integrative techniques tailored to each client’s needs. I focus on helping clients develop healthier coping skills, improve communication, strengthen emotional awareness, establish balanced routines, and cultivate more fulfilling relationships. My work also emphasizes fostering self-compassion, assertiveness, confidence, and positive perspectives on life circumstances. My approach is direct yet supportive, solution-focused, and grounded in practical tools and guidance, empowering clients to feel confident and supported throughout their therapeutic journey. I bring my genuine self, professional knowledge, and years of experience to create a trusting, collaborative relationship where both client and therapist can feel confident in working together.

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.

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.

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.

Hi, I'm Dr. Shamanda Burston, a Licensed Clinical Mental Health Counselor and Licensed Clinical Addictions Specialist with more than 15 years of experience helping people navigate life's challenges. I work with teens (13+), adolescents, and adults experiencing anxiety, stress, burnout, life transitions, career concerns, relationship challenges, and financial stress. Life can feel overwhelming when you're trying to meet expectations at school, work, or home while carrying the weight of anxiety, self-doubt, or constant pressure to "hold it all together." Whether you're a teenager navigating school and identity, a college student adjusting to adulthood, or a professional feeling burned out by work and life's responsibilities, therapy can provide a space to slow down, gain perspective, and develop practical strategies for lasting change. My approach is warm, collaborative, and goal-oriented. I strive to create an environment where clients feel comfortable being honest about what they're experiencing while also leaving sessions with tools they can begin applying in everyday life.