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.

I'm Dana Tresca. I am a Licensed Clinical Mental Health Counselor and my passion is supporting people in all stages of life to work towards finding purpose and becoming the best versions of themselves. I love what I do and have always wanted to make a difference in people's everyday lives. I love working through client's symptoms, everyday life issues, and to help them reach their own personal goals. I graduated from Pennsylvania State University with a BA Degree in Psychology and Social Sciences, I then completed my Master's Degree with my MA in Clinical Mental Health Counseling from Immaculata University. I have been serving adolescents and adults as an Outpatient Therapist for many years now, seeing clients aged 13-83 with behavioral and mental health issues such as ODD, PTSD, ADHD, ASD, Bipolar Disorder, Depression, Anxiety, Personality Disorders, Trauma, Relationship Issues, Grief and Loss, Life Transitions, etc. I am also licensed in North Carolina, Michigan, and soon to be South Carolina as well, that way I can reach out to as many people as possible for help and support.

Do you feel persistently overwhelmed, as if you're fighting an uphill battle with your mental health? Is it becoming increasingly difficult to navigate life's ups and downs with serenity? Are you striving for a harmonious balance between personal life, career, and self-care? Have you ever felt like "something's wrong" but can't quite ever identify what it is, or where that feeling is coming from? I am dedicated to helping people from all walks of life better cope with stress and anxiety without compromising their drive for success. I believe in the importance of holistic wellness and integrate various therapeutic techniques such as cognitive-behavioral therapy, EMDR, psychodynamic therapy, and hypnosis to help you find a path to inner peace while staying productive and motivated. Whether you're grappling with stress, anxiety, grief, or unprocessed trauma, remember it's brave to reach out for help. Our collaboration will offer a safe and non-judgmental space for you to explore your feelings, identify your triggers, and cultivate effective coping mechanisms. Together, we will navigate the ebb and flow of your life, aiming for personal growth, tranquility, and a balanced lifestyle.

Hi, I am a Licensed Clinical Mental Health Counselor Supervisor (LCMHCS) and Licensed Clinical Addictions Specialist (LCAS) in the state of North Carolina. I received a master's degree in counseling, along with a graduate certificate in substance abuse counseling, from the University of North Carolina at Charlotte in 2010. While in graduate school, I decided to specialize in Motivational Interviewing (MI) when I discovered how well the “spirit of MI” (partnership, acceptance, compassion, and empowerment) fit with my perception of how we change and grow. Since then, I have had the opportunity to participate in several advanced MI training workshops facilitated by some of the originators of this powerful approach to facilitating change. By incorporating the components mentioned above into our counseling relationship, along with a wide variety of evidence-based approaches as needed, a collaboration is created where we work as a team to identify and build on your strengths, restructure any self-limiting beliefs, increase confidence, and progress towards the accomplishment of your goals. I started my private practice soon after graduation and have had the privilege of being part of the change process in countless lives over the past 14 years.

For more than two decades, Kim has walked alongside individuals healing from trauma and life’s deepest challenges. Her work is grounded, steady, and deeply compassionate. Kim finds meaning in helping clients rediscover their strength, rebuild trust, and move beyond pain toward purpose. Bearing witness to transformation—both quiet and profound—is what continues to inspire her work.

I am a Licensed Clinical Social Worker (LCSW), and ADHD Certified Clinical Services Provider (ADHD-CCSP) working with adults ages 18 and up throughout North Carolina, South Carolina, and Virginia. Using Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Motivational Interviewing, Narrative Therapy, or Eye Movement Desensitization and Reprocessing Therapy, I collaborate with you to determine the best approaches for you. We will work together as a team. I listen closely to your concerns, goals, and values and together we set goals and make adjustments as needed.

You may be the person everyone depends on; the one who handles problems, pushes through challenges, and keeps everything moving. But what happens when you're the one feeling overwhelmed, exhausted, disconnected, or unsure of what comes next? I'm Kumalo, a Licensed Clinical Social Worker (LCSW), Board Certified Diplomate in Clinical Social Work, and retired U.S. Army officer with more than 22 years of military service and behavioral health leadership. I help adults navigate anxiety, trauma, PTSD, stress, burnout, relationship challenges, and major life transitions. My approach is compassionate, straightforward, and focused on helping you make meaningful progress. I believe therapy should be more than a place to talk about what's wrong. It should also be a space where you feel understood, gain new perspectives, develop practical tools, and rediscover your confidence and sense of direction. Using evidence-based approaches such as Cognitive Behavioral Therapy (CBT), Cognitive Processing Therapy (CPT), and EMDR, I tailor treatment to your experiences, needs, and goals. Whether you're dealing with painful experiences from the past, pressure in the present, or uncertainty about the future, we'll work together to identify what's keeping you stuck and create a path forward. My experience includes supporting military service members, veterans, professionals, and individuals who carry significant responsibilities while quietly managing their own struggles. You don't have to be in crisis to benefit from therapy, and you don't need to have all the answers to get started. You've spent a lot of time showing up for others. It's okay to make yourself a priority, too. If you're ready to feel more grounded, strengthen your relationships, and move forward with greater clarity and confidence, I'd welcome the opportunity to work with you.

Hello, I'm Amanda. For over 20 years I've walked alongside people through every kind of mental health journey—from crisis moments in psychiatric hospitals to steady, hopeful growth in outpatient settings. My favorite thing is helping adults rediscover their strength, heal old wounds, and build lives that feel lighter and more joyful. I bring a calm, creative, down-to-earth energy to every conversation. I'm also a mom, grandma, and wife—balancing real life just like you do. Those experiences help me truly connect with people from every background and walk of life.

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

Hi, I’m Kelly! I am a Licensed Clinical Social worker in the state of NC. I am an LGBTQIA+ affirming therapist. I have been working as an outpatient child/adolescent therapist since 2021. My goal as a therapist is to create an environment that you feel comfortable growing in and allowing you the space to heal. I have experience with treating children/adolescents and young adults (18-25) with anxiety, depression, trauma, eating disorders, and self-harm. I also have experience working with young adults that are transitioning to/from college. My approach to therapy is warm, inviting, and I love to incorporate humor in sessions when appropriate. I am here to support you through healing and growth!

Hi, I'm a License Independent Clinician social worker (LICSW). I recieved my master degree from Simmons University and have been working primarly with women and children the majority of my career. I enjoy working with people through their transition and helping get to the otherside of difficult moments in life.

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

I’m a Licensed Clinical Social Worker (LCSW) with over 20 years of experience providing compassionate and effective support to individuals navigating life’s challenges. I specialize in working with adult women who are facing anxiety, depression, Post Traumatic Stress Disorder (PTSD). The women I serve are often navigating overwhelming emotions, difficult past experiences, or major life changes that have left them feeling stuck, anxious, or unsure of themselves. Through our work together, they learn to manage their symptoms, challenge negative thought patterns, set healthy boundaries, and reclaim their inner strength. Many of my clients report feeling more confident, grounded, and hopeful. They don't only experience peace but true transformation.

Hi, I am Licensed Clinical Mental Health Counselor in NC and received my Master's Degree from Western Carolina in May of 2019. I have worked with clients ranging from ages 4-65 years and have experience treating a wide range of mental health concerns to include Trauma, PTSD, Anxiety, Depression, Psychosis, Attachment Disorders, Mood Disorders, Eating Disorders, and Addiction. I use an intentional eclectic approach to counseling that is guided by the needs of my client’s and work to ensure treatment meets the needs of each individual client.

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, 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.

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.

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.

Hi, I'm glad you’re here. I’m Liz Sullivan, and I specialize in helping stressed out, busy achievers find their joy in life, and gain control over stress, anxiety and overthinking. When I meet them, my clients often say life feels like a grind. They are accomplished doers, always busy, but often feel stressed, frustrated and lonely. Everything is on their to-do list (except themselves), and they are realizing they want things to be different. It's possible to let go of your stressors, feel relaxed, enjoy your relationships, and have the energy to do what you love. My expertise is in teaching the tools that will help you break free from what feels like an endless stream of demands with no satisfying finish line. Using research proven mind and body techniques, we'll remove what’s blocking you from experiencing the joys of life. Together, we will find better ways to live your life so you can enjoy and put your energy towards what's important to you. You'll discover a balance that feels good and learn to actually relax and have fun again.

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.

Hello! I am a licensed therapist in both North Carolina and New York. I find great fulfillment in working with individuals needing assistance in better managing their mood stability, emotions, anxiety, relationships, codependency, and life adjustment stressors. Reaching out to a new therapist for the first time can feel overwhelming and very vulnerable. My main goal is always helping potential and established clients feel safe, respected, and heard. Feel free to reach out to discuss your needs and how I may be of assistance in your emotional journey.

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.

Hi! I'm Rebecca! I'm an AuDHD therapist. I specialize in supporting clients with trauma, autism, ADHD, and career transitions, particularly those fueled by burnout. I help clients regain their a sense of direction and safety in the world and (re)learn how to trust their own bodies and nervous systems. I also help my clients understand how to work with their brains' unique processing style. Using a trauma-informed approach, I believe in letting my clients set their own pace, whether that looks like jumping right into the hard work or taking a bit of time to feel comfortable and confident before making big changes or sharing details about the past. My therapeutic style is direct yet kind and compassionate. I make sure my clients feel heard and respected, but think it's equally important to challenge unhelpful behavioral and thought patterns. Research has found that the strength of therapeutic relationship is one of the most important factors in a client's success/healing, and I work hard to foster a professional yet authentic relationship built on mutual respect.

Hi! My name is Jay and through personalized treatment, I help individuals access authentic emotional awareness and guide them toward true healing, I am a licensed clinical social worker and therapist who has been providing mental health services directly to people for over 20 years. In addition, I was working in the mental health field for 3 years before earning my Masters's Degree in Social Work, making it 27 years in the profession of directly helping others. I have worked successfully with clients of all ages who presented with a wide range of challenges, including depression, anxiety, behavioral disorders, stress, ADHD, relationship issues, struggles with parenting, substance use and abuse, career and job issues as well as survivors of trauma such as abuse and neglect. My therapy style tends to be warm, supportive, flexible, relaxed and can easily be adaptable to whatever you feel is important to you. I treat everyone with the utmost respect and consider myself to be very compassionate towards others. My approach tends to be eclectic and is a blend of several styles, including cognitive behavioral therapy, motivational interviewing, humanism, strengths-based and mindfulness, with unconditional support serving as the common foundation. I know that it takes courage and strength to look inwards and consider making a shift in any part of your life and I appreciate your willingness to do so, and it's important to know that you do not have to do it alone. I would welcome and greatly appreciate the opportunity to help you meet your specific needs and improve your life experience. I look forward to meeting and working with you!