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 542 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: 10/21/2026

$200/session

Direct
Intelligent
Solution oriented
Specialties
Addiction
Anger Management
Grief
+5
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.
VirtualAvailable

$150/session

Authentic
Warm
Empowering
Specialties
Couples Counseling
Depression
Military/Veterans
+7
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.
VirtualAvailable

$150/session

Warm
Authentic
Empowering
Specialties
Anxiety
Depression
Trauma and PTSD
+1
*For those looking, I Do Not Provide Medication Management. I help Christian women unravel the confusion of emotionally and spiritually abusive marriages-whether you're still unsure, just beginning to question, or already walking away. There's space here for your story, your faith, and your healing. You don’t need another professional voice telling you how to heal. You need someone who knows—someone who has walked through the fire, crawled through the ashes, and fought to reclaim her own life. That’s why I’m here. I don’t offer band-aid solutions or quick fixes. I offer truth, courage, and a way forward. I will sit with you in the mess, wade through the lies that have kept you stuck, and help you rebuild what was stolen. If you’re exhausted from carrying the weight of expectations, fear, and silent suffering—I see you. And I’m not afraid to go with you where others have refused to go. You’re not just getting counseling—you’re getting a lifeline. A mirror to see yourself clearly again. A way out when everything in you says you’re stuck forever. Because you’ve been told you have to stay. That this is your burden to bear. That suffering in silence is somehow holy. But it’s not. And I know that agony—the cherished tears that come from realizing everything you fought for is crushing you instead of saving you. The grief of knowing you lost yourself somewhere along the way. But hear me: You are not too far gone. This space? It was made for you. A place where the raw, the sacred, the unspoken are all welcome. Where you can breathe again. Where you can break apart and break free. You don’t have to stay in the darkness. You were meant for so much more. If you’re ready to dig yourself out, let’s begin.
Available

New to Grow

$105/session

Specialties
Anxiety
Burnout
Life Transitions
+1
Maybe you are working through constant stress and anxiety, searching for deeper meaning, or simply needing someone to walk alongside you through life’s ups and downs. It’s important to me that every session feels like a safe space where you can share openly and know that your unique story matters. Together, we’ll honor where you’ve been, focus on where you are, and dream about where you want to go. I’m here to support you every step of the way.
Available

New to Grow

$65/session

Specialties
Chronic Illness / Medical Issues
Grief
Life Transitions
Good day to you and welcome. I have worked for hospice and Project Aids Care and with Veterans in Home-Based Primary Care in the capacity of supporting people in identifying their health goals and end-of-life plans. For all those years I was going into peoples homes to figure out what choices they wanted to make and goals they wanted to achieve in the future that was ahead. We can identify options and resources that will help you through it. You will hopefully leave each session with a better understanding of what you're facing medically and personally and then begin to develop a plan and an evolution in perspective moving forward.
Available

$150/session

Authentic
Empowering
Solution oriented
Specialties
Depression
LGBTQ
Life Transitions
+5
Welcome! Making the decision to better your mental health is an important step toward improving your quality of life and feeling healthier. I am a seasoned, Clinical Psychologist with 25 + years of extensive experience assisting clients identify problem areas that are contributing to distress and unhappiness in their lives and develop strategies to reduce symptoms and improve quality of life. I have a Ph.D. in Clinical Psychology from Columbia University and have worked in many different settings with individuals experiencing depression, anxiety, trauma and those dealing with life stressors or events that are interfering with life. I strive to create a safe, warm and welcoming environment that allows clients to feel at ease as they explore and work on obstacles /problems to lead to positive change. I look forward to working with you on your journey to better health and peace of mind.
VirtualAvailable

$125/session

Authentic
Empowering
Open-minded
Specialties
Anxiety
Depression
Emotional Regulation
+8
For 18 years, I have worked alongside children and adults navigating some of life's hardest moments: anxiety, depression, trauma, family conflict, and more. I believe that when you invest in your mental health, you gain more control over your own life, and that is something worth working toward together. I am dually licensed in both North Carolina and South Carolina, which means I bring a depth of clinical experience across many settings. Using a blend of Cognitive Behavioral Therapy (CBT), Person Centered, and Solution Focused Therapy, I meet you where you are and help you build toward where you want to be.
Available

$85/session

Authentic
Empowering
Solution oriented
Specialties
Crisis Intervention
Life Transitions
Trauma and PTSD
+7
Welcome! I’m Galadriel, and I'm glad you're here. Taking the first step into therapy can feel daunting, but you don't have to walk the path alone. I am a licensed clinical social worker with experience in crisis response, trauma counseling, and guiding clients through life’s many challenging transitions. I use a blend of therapeutic techniques to help you explore the deeper patterns that shape your current actions and experiences, while helping you build practical skills to address daily struggles and begin to build the life you desire. I believe therapy works best when we collaborate toward clear, meaningful goals. I am warm and compassionate, but I will ask the hard questions. I offer a safe space where you can explore what’s happening in your life, understand your internal world, and build tools that help you feel more stable, confident, and empowered. Whether you’re working through trauma, managing stress, or trying to make sense of a difficult transition, I’m here to support you and assist you along the journey.
Available

$120/session

Empowering
Authentic
Intelligent
Specialties
Anger Management
Career Counseling
Life Transitions
+4
I'm Lakeisha, a Licensed Clinical Social Worker and Military Veteran dedicated to supporting individuals as they navigate life's challenges. I aim to provide a safe nonjudgmental space where you can feel comfortable with exploring your thoughts, emotions and experiences at your own pace. My approach is collaborative, compassionate and tailored to your unique needs. Whether you are dealing with anger management, anxiety, depression, relationship issues, career challenges/transition or simply feeling stuck. I believe that with the right support, anyone has the capacity for growth, healing and change. I'm here to walk you through that process. I earned a Bachelor of Social Work from the Methodist University of North Carolina in 2005. Then I obtained a Master of Social Work with a focus on Individuals and Families/Clinical Mental Health from the University of South Carolina in 2007. I have been practicing Social Work for 17 years and have worked in several different sectors including Outpatient Therapy, Hospital, Medical, Psych Unit and discharge planning. Department of Social Services, Military, Group Homes, Community Services Boards, Community Mental Health Agencies, Jails, Collaboratively we will develop a treatment plan to help you better understand your thoughts and emotions, develop healthier coping strategies, and create meaningful changes in how you handle life's challenges while establishing tools to assist you with reaching your goals. Please feel free to contact me to see if we may be a good fit.
Available

Often rebooked

$199/session

Authentic
Empowering
Holistic
Specialties
Anxiety
Spirituality
Trauma and PTSD
+6
Hi there, I’m Julissa. You may be used to being the person others depend on—managing responsibilities, showing up for everyone, and keeping things moving. But inside, you might feel overwhelmed, anxious, or disconnected from yourself. If that sounds familiar, I’m glad you’re here. You deserve a space where you can feel supported, too. I’m a licensed mental health therapist with 10 years of experience. I help adults navigate anxiety, burnout, self-doubt, and life transitions. My holistic approach combines clinical tools with mindfulness and attention to the connection between your thoughts, emotions, and body. For clients who find it meaningful, we can also explore spirituality as part of the healing process. Together, we’ll make room for what you’ve been carrying, understand patterns that leave you feeling stuck, and develop practical ways to feel more grounded, set healthier boundaries, and make decisions with greater confidence. I consider it a privilege to hear your story. If this approach feels like a good fit, I invite you to schedule a first session. We’ll start where you are and explore what support could look like for you.
VirtualAvailable

$175/session

Authentic
Warm
Empowering
Specialties
Anxiety
Coping Skills
Obsessive-Compulsive (OCD)
+6
I believe recovery doesn't have to be grim. I bring playfulness and humor into the room where it fits, because healing often involves finding joy again. My approach is rooted in the belief that your brain is trying to protect you—even when it feels like it's working against you. I don't just treat symptoms; I help you rebuild trust in your system. Whether you are dealing with intrusive thoughts, people-pleasing, low self esteem, coping with difficult personalities, we move at a pace that respects your life's demands. • No "Resume" Talk: I skip the jargon. We focus on you and what you need to feel safe and get your agency back. • Playful & Practical: Recovery can be hard, but it doesn't have to be grim. I bring warmth, at times humor, and real-world tools to our sessions. • Trauma-Informed: I understand that your symptoms are trying to protect you. We work with your brain, not against it.
VirtualAvailable

$170/session

Warm
Authentic
Open-minded
Specialties
Domestic Violence
Life Transitions
Women's Issues
+9
I am a licensed clinical social worker providing individual and couples therapy for adults navigating relationship challenges, grief and loss, emotional overwhelm and major life transitions. My goal is to help clients identify patterns that keep them stuck, strengthen boundaries and build practical coping strategies that support meaningful, lasting change. My approach is structured, supportive and nonjudgmental, creating space where clients can process challenges and move toward healing and growth. For clients who wish to integrate faith into their counseling journey, I also offer Christian based counseling. In addition to my therapy work, I bring several years of experience as a medical social worker, serving in hospitals, hospices and long-term care settings. This background gives me a deeper understanding of the emotional, relational and practical challenges that often come with illness, caregiving, grief and significant life transitions. I am licensed to practice in IL, NC and OH.
VirtualAvailable

$90/session

Empowering
Authentic
Open-minded
Specialties
Anxiety
Depression
Perinatal / Postpartum
I’m a compassionate, down-to-earth therapist who believes therapy should feel like a safe place to exhale, be honest, and make sense of what you’re experiencing. With 20 years of experience in behavioral health and 16 years as a licensed clinician, along with a background in nursing, I bring a broad and integrative perspective to emotional and mental wellness. I work with women navigating anxiety, life transitions, relationships, motherhood, trauma, and the many responsibilities that can leave you feeling overwhelmed or disconnected from yourself. My approach is warm, collaborative, and practical. I want you to feel heard, not judged and supported as you develop insight, strengthen your coping skills, and reconnect with the parts of yourself that may have gotten lost along the way.
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

$175/session

Warm
Authentic
Solution oriented
Specialties
Anxiety
Couples Counseling
Parenting
+5
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.
VirtualAvailable

$150/session

Warm
Authentic
Empowering
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

$70/session

Authentic
Direct
Specialties
Loneliness / Isolation
Obsessive-Compulsive (OCD)
Trauma and PTSD
+10
I’m a warm, down-to-earth therapist who believes therapy doesn’t have to feel stiff or overly clinical. My style is informal, conversational, and collaborative, creating a space where you can show up as yourself without worrying about saying the “right” thing. I have no expectations for you to present yourself in a certain way, change anything about yourself, or hide anything. Each thing that you share will only help our work together, and guide me to the best understanding of you and your needs, so that we can navigate your challenges as a team, and take all factors into consideration. My goal for my sessions is to create an environment where the people that I meet with understand that they will never be met with judgement, unreasonable expectations, or negativity. Together, we can create a map of what you’re going through, identify and build on your strengths, and find practical ways to grow toward the life you want.
Available

Often rebooked

New to Grow

$200/session

Empowering
Authentic
Open-minded
Specialties
Addiction
Anxiety
Depression
+8
Hello, I'm Lisa, a Licensed Clinical Social Worker (LCSW) and Licensed Clinical Addictions Specialist (LCAS) with nearly two decades of experience in private practice. I provide a compassionate, supportive, and nonjudgmental space where adults can feel heard, understood, and empowered to navigate life's challenges. My approach is collaborative and client-centered, helping individuals build on their strengths, develop effective coping skills, and create meaningful, lasting change. Whether you're facing anxiety, depression, stress, relationship concerns, or a major life transition, I look forward to partnering with you on your journey toward healing and personal growth.
Available

$103/session

Authentic
Warm
Solution oriented
Specialties
Crisis Intervention
Depression
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.
VirtualAvailable

Often rebooked

$125/session

Intelligent
Warm
Authentic
Specialties
Anxiety
Depression
Trauma and PTSD
+8
Hi, my name is Rebecca! I am a Licensed Clinical Mental Health Counselor (LCMHC) who works with adults, teens, and couples navigating anxiety, depression, trauma, life transitions, and relationship challenges. I have 4 years of experience and completed my Masters in Clinical Mental Health Counseling at the University of San Diego. I am passionate about helping individuals navigate life's challenges and discover their own strengths and resilience. I believe that therapy can be a powerful space for healing, growth, and self-discovery, and I feel honored to walk alongside clients as they work toward meaningful change. My approach is to create a safe and supportive environment through integrative therapy where clients can feel comfortable being themselves, process life's challenges, and build on their strengths to create meaningful, lasting change. Together, we will work toward developing the tools and insight needed to support your personal growth and well-being. Taking the first step toward therapy can feel overwhelming, and reaching out to a therapist for the first time may bring up many questions. I am here to provide support, answer any questions you may have about the therapy process, and help you feel comfortable as you begin your journey toward healing and growth.
Available

$175/session

Authentic
Solution oriented
Direct
Specialties
Anxiety
Coping Skills
Men's Issues
+6
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.
VirtualAvailable

Often rebooked

$150/session

Warm
Authentic
Empowering
Specialties
Coping Skills
Life Transitions
Trauma and PTSD
+10
Hi! I am a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina. I have been practicing for 16 years and have a wide range of therapeutic tools in my toolbox to work with clients of various ages and developmental stages. I consider it a privilege to work alongside clients who are experiencing life changes, relationship challenges, healing from past hurts, and who are wanting to grow personally. I enjoy being a part of the healing process and journey for my clients.
VirtualAvailable

$120/session

Authentic
Warm
Empowering
Specialties
Anxiety
Couples Counseling
Women's Issues
+10
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.
Available

$150/session

Authentic
Intelligent
Open-minded
Specialties
Anxiety
Coping Skills
Life Transitions
+3
I am a Licensed Clinical Social Worker with more than 25 years of experience helping adults navigate stress, transitions, and emotional overwhelm. Since 2011, I’ve worked in private practice supporting clients through the complexities of personal and professional life—with empathy, clarity, and a practical, solution-focused approach. I specialize in working with busy professionals who are juggling demanding careers, life changes, and the weight of high expectations. Whether you’re navigating workplace burnout, relationship stress, anxiety, or grief, I’m here to help you find steadier ground and move forward with more balance and confidence.
VirtualAvailable

$125/session

Specialties
Anxiety
Depression
Trauma and PTSD
I am a licensed clinical social worker providing client centered, solution focused therapy for over 25 years with an established private practice since 2005. In my practice, my goal is to provide a supportive environment which allows clients to identify and achieve their goals. In addition to my work as a therapist, I provide training and consultation services regionally and nationally on trauma informed care, adverse childhood experiences (ACEs), sexually harmful behavior, vicarious trauma and self-care.
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.