Therapists that accept Cash Pay in North Carolina

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.

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.

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 am a Licensed Clinical Social Worker (LCSW) based in North Carolina. I obtained my Masters Degree from the University of North Carolina at Greensboro and have been practicing for six years. I specialize in assisting adults who are grappling with life stressors that may result in burnout and uncertainties. My approach is centered on assuring my clients that they are not alone and that I am committed to supporting them throughout their journey.

Hello! My name is Hannah, and I am a Licensed Independent Social Worker, with a master's degree in social work. I graduated from the University of Alabama in 2022 before relocating back to Columbus, Ohio. Since returning, I have served as a therapist in a community-based agency. While in this role, I developed a specialty in navigating challenges related to trauma, anxiety, depression, and life transitions. I have a deep understanding of the systemic barriers impacting mental and physical health, serving as an advocate for increased access to quality care. My approach is holistic and client-centered. I am passionate about empowering individuals to build resilience and develop coping strategies that improve overall well-being. I am committed to creating a safe, inclusive space for clients from all backgrounds, as well as fostering trust to assist them in meeting personal goals.

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.

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 a licensed marriage and family therapist with 10 years of experience in treating anxiety, depression, as well as specializing in trauma and how it impacts the individual and family unit. I am highly experienced in working with active duty and retired military, as well as other first responders. In addition to military trauma I also am highly experienced in working with sexual trauma of many forms. Mental health concerns can present in many ways and impact our quality of life to various degrees. My goal as a therapist is to help you to overcome whatever challenges you may be facing in your life and help you feel like “you” again. It is an honor to work with people in the most vulnerable areas of their life, and this is a commitment I take seriously.

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.

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.

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.

As a Licensed Clinical Mental Health Counselor in both North Carolina and Arizona, and holding a Doctorate in Traumatology, I am dedicated to supporting individuals as they navigate the challenges of trauma, anxiety, depression, life transitions, and more. My work is guided by the belief that healing is possible and that no one should have to walk this path alone. I provide a safe, supportive space where clients can explore their experiences, rediscover their strengths, and create meaningful change. I utilize a variety of evidence-based approaches, including Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Dialectical Behavior Therapy (DBT) and other evidence-based treatments. By tailoring therapy to meet each client’s unique needs, I help individuals gain clarity, develop coping skills, and move toward a life that feels empowered and authentic. Clients often describe me as warm, approachable, and grounded. I bring patience, empathy, and curiosity into my sessions, while also providing gentle challenges that encourage growth and deeper self-awareness. I value authenticity and strive to create a collaborative therapeutic relationship built on trust, respect, and compassion. Beyond my clinical expertise, I am passionate about walking alongside clients in ways that honor their stories and identities. I deeply admire the resilience of those I work with and consider it a privilege to witness their courage and progress. Whether you are feeling overwhelmed, stuck, or simply ready for change, I invite you to reach out. Together, we can work toward healing, resilience, and connection. My goal is to not only help reduce distress but also to empower you to create a fulfilling life aligned with your values.

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 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.

Hi there! It's very nice to meet you. I am a Licensed Clinical Social Work Therapist Licensed in both New York and North Carolina with experience as a social work therapist, and as a in school/college/career counseling and as a life coach. I have experience in helping clients with anxiety, relationship issues, motivation, self esteem, women’s health, PTSD, depression, LGBTQ, and personal growth. I believe in treating everyone with respect, and compassion; after all we will be working together as a team. I utilize various treatment modalities to meet your unique and specific needs by building skills, tools, and enhancing self-esteem. I'm a very interactive therapist and I'm passionate about supporting my clients both within sessions and in between sessions; to help keep their motivation up in order to achieve their goals successfully. Everyone's needs are different; but the one goal is to be your ideal self. I will help provide you with the necessary tools and skills to get you there!

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.

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.

Welcome! I’m April, a Licensed Clinical Mental Health Counselor in North Carolina. Congratulations on taking the first step towards reaching your goals. Don’t discount the decision you’ve made to search for help, because many people never do so. I see counseling as a partnership between the therapist and the client; I have the mental health expertise while you’re the expert of you! For this reason I'll spend our earliest contacts getting to know you better. Choosing a therapist is a very personal decision and therefore, I want to give you information so you can choose for yourself if you’d like to work with me. I would describe my counseling style as warm, but professional. I love to use strength-based approaches as much as possible, also incorporating your values into our work. I find myself using an integrative approach, incorporating different theoretical frameworks and techniques that I will tailor to fit your needs. Two approaches I use most often are Person-Centered Therapy and Cognitive Behavioral Therapy (CBT). Person-Centered counseling uses a lot of reflection to help you process your thoughts and feelings, which is often the first step towards solving your problems. CBT helps us examine your thought patterns and whether they are helpful or harmful. If a particular thought is harmful that could trigger issues like a depressed mood, for example. We’ll work together to replace the harmful thoughts with more helpful ones. There are many other approaches to potentially integrate into our sessions, and I’d be happy to explain anything I believe may benefit you. I have recently earned a certification in perinatal mental health (PMH-C) through Postpartum Support International. You can learn more at https://postpartum.net/

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.

Hi, My name is Kristel. I am an LCSW who provides talk therapy via Telehealth. I am a multifaceted individual with diverse life experiences that inform my perspective. As a former military brat and spouse, I've intimately understood the complexities of life's transitions. My journey has taken me from being a young wife to mature single and dating, stay-at-home mom to working mom, anxious new parent to accepting mother of teens, rule follower to empowered, scarcity mindset to abundance mindset, employee to entrepreneur, stuck to the growth mindset, financially insecure to thriving, trauma victim to survivor, neuro-ambiguous to neurodivergent, granting me a unique appreciation for all the roles I have experienced in my life. I'm a devoted mother of two children, and my path has been marked by significant challenges, including the struggle with infertility and profound grief. I proudly identify as a feminist and supporter of the BIPOC and LGBTQ+ community. These aspects of my identity deeply influence my approach to life and work. With a background in working with families, individuals, and children, I bring a wealth of experience. My personal journey has shaped my empathetic, compassionate, and inclusive perspective, which I offer as a source of support and understanding to those I work with.

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.

I work especially well with action-oriented, goal-directed people who know something feels off but aren’t quite sure how to change it. Own a business or live the entrepreneurial lifestyle? I get the pressure that comes with keeping both your work and personal life functioning without running yourself into the ground. If you’re ready to level up your thinking, boundaries, relationships, or productivity, you’re in the right place. Think you may be dealing with narcissistic behavior at home or at work? We can sort through what’s happening, figure out what’s actually in your control, and build a strategy—whether that means navigating the situation more effectively or making a graceful exit. You have options. Real life usually needs more than a few social-media therapy tips and a catchy quote. Let’s get cooking. :)

The world can feel like it's moving incredibly fast at times, and it is easy to get swept up in that momentum only to realize you’ve been running on empty for a long time. Having lived through that kind of deep, exhausting stress firsthand, this therapist understands how heavy it can feel when the days start blurring together and you want a change but have no idea where to start. This practice is simply a non-judgmental, warm, and honest space to finally pause and slow down. The ultimate hope is that at the end of every session, the walk back out into the world feels just a little bit lighter

​ Do you struggle with feeling bad about yourself, developing and /or maintaining healthy relationships with others? Do you feel down, depressed, feeling you let yourself or others down? Do you experience feelings of anxiety, stress, or trauma? Are these concerns impacting you at home, work, or other places? Seeking therapy can be scary, however, you have made the right decision. I believe individuals are the "experts on themselves" and possess the ability to make the desired positive change in their lives. In the session, we will utilize a Person Center Approach consisting of meeting the individual were they are, actively listening, providing support, encouragement, and validation, as well as utilizing Evidence -Based Treatment Modalities ( such Cognitive Behavioral Therapy, Solution Focused Based Therapy, Motivational Interviewing, Mindfulness, Person Centered Approach, and Psychoeducation) Supportive Therapy, Stress Management, and Anger Management. Together, we will work collaboratively to treat the whole person and empower the person to find their way forward.