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 546 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: 10/16/2026

$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

$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

Often rebooked

$85/session

Authentic
Warm
Empowering
Specialties
Anxiety
Eating Disorders
Women's Issues
+10
I’m an experienced therapist who values building strong therapeutic relationships. My approach takes the whole person into account, focusing on both physical and emotional well-being. I primarily use Cognitive Behavioral Therapy (CBT), Polyvagal Theory (PVT), Attachment Theory and Acceptance and Mindfulness practices. I also incorporate Integrative Health Coaching to address any physical factors that may influence mental health. My work focuses on areas such as depression, anxiety, life transitions, co-dependency, weight management, and disordered eating.
VirtualAvailable

New to Grow

$125/session

Specialties
Anxiety
Depression
Trauma and PTSD
+10
Hi! I’m Taylor, a licensed clinical social worker and trauma-informed therapist who provides virtual therapy. I work with adolescents and adults experiencing anxiety, depression, stress, trauma, relationship challenges, and life transitions. My approach is warm, laid-back, and collaborative, incorporating DBT, ACT, and person-centered therapy to help clients feel supported while building practical skills for meaningful change.
Available

$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

$120/session

Specialties
Addiction / Substance Use
Depression
Self Esteem
I’m a warm, down‑to‑earth therapist who shows up as a real human in the room — honest, engaging, and not afraid to bring humor into the process when it helps someone breathe a little easier. I’ve been through my own hard seasons and know what it’s like to rebuild, to feel unheard, and to carry things quietly. Those experiences shape the way I sit with people now. I’ve spent years working closely with individuals facing addiction, shame, and stigma, and I’ve learned how healing it can be to have a space where you don’t have to perform or filter yourself. My practice is built around authenticity, compassion, and depth. You can show up messy, passionate, uncertain, hopeful, or anything in between — all of you is welcome here.
Available

New to Grow

$120/session

Specialties
Addiction / Substance Use
Anxiety
Trauma and PTSD
+9
Hi, I'm Lindsay Fodor, a Licensed Clinical Mental Health Counselor and Licensed Clinical Addictions Specialist in North Carolina. I have been practicing for 6 years. I completed my undergraduate degree at Ramapo College of New Jersey and earned a double bachelor's in Psychology and Law and Society. I attended the University of North Carolina at Pembroke, earning an M.A.Ed. in Licensed Clinical Mental Health Counseling and a Graduate Certification in Addictions Counseling. I have worked in various settings, including Medication Assisted Therapy for Addiction, facilitated Substance Abuse Intensive Outpatient Programs, inpatient for adults, a DWI clinic, the county jail, and outpatient mental health counseling. I enjoy working with clients from various backgrounds and have a good amount of experience working with active duty service members, spouses, and veterans.
Available

$150/session

Warm
Authentic
Empowering
Specialties
Anxiety
Depression
Life Transitions
+7
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.
VirtualAvailable

$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

$165/session

Authentic
Solution oriented
Direct
Specialties
Anxiety
Couples Counseling
Grief
+7
Hello-My name is Richard (Rick) Lally. I graduated with a master's degree in clinical psychology from Connecticut College and have been working in behavioral health for 25 years. I also have been a Licensed Clinical Mental Health Counselor in North Carolina for the past 20 years. I have been able to help individuals from diverse backgrounds with a wide array of issues; depression, grief/loss, stress, anger, relationship distress to name a few. Regardless of whether your need for seeking counseling is one of these matters or something else, please reach out to me and give me the chance to see if I can offer some relief. I welcome the opportunity to meet you.
VirtualAvailable

New to Grow

$100/session

Specialties
Anxiety
Emotional Regulation
Self Esteem
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.
Available

$100/session

Warm
Authentic
Open-minded
Specialties
Anxiety
Depression
Life Transitions
+10
As a Licensed Professional Counselor, I am passionate about supporting children, adolescents, adults, couples, and families as they navigate life’s challenges. I specialize in working with individuals experiencing anxiety, depression, behavioral concerns, trauma, communication difficulties, and everyday stressors, using a collaborative, compassionate, and evidence-based approach. My approach is warm, collaborative, and tailored to your unique needs and I'm ready to assist you on your journey to BETTER.
Available

New to Grow

$150/session

Specialties
Anxiety
Attachment Issues
Childhood / Intergenerational Trauma
+10
I am a first generation native Spanish-speaker. I am passionate about mental health awareness, the impacts of generational trauma, and social/cultural conditioning. I utilize various trauma-informed therapeutic modalities including IFS. My approach to therapy is simple: We must face the discomfort and learn to sit with the parts of us that are hurting in order to begin the journey of self-discovery, begin healing, and lead a more authentic life in alignment with our true north. All the answers we are searching for are within. Let me support you as you develop a deeper and more understanding relationship with yourself.
Available

$150/session

Empowering
Open-minded
Warm
Specialties
Coping Skills
Life Transitions
Self Esteem
+3
Hello! I’m a Licensed Clinical Mental Health Counselor (LCMHC). I received my Masters from North Carolina Central University. I am not only passionate about mental health, but overall wellness. I work from a holistic perspective while also utilizing interventions from cognitive behavioral therapy and expressive arts therapy. I believe in a collaborative approach and that clients are the experts of their lives.
VirtualAvailable

New to Grow

$75/session

Specialties
Anxiety
Couples Counseling
Depression
+10
I'm a licensed clinical social worker with over 25 years of experience in the field of mental health. I use an ecclectic style of therapy based on the person, situation, and needed level of care. I believe in working with the whole person; not just the mental health aspect but spiritual, physical, and emotional aspects of each person. Meeting where you are and helping you move forward to where you want to be,
Available

$120/session

Authentic
Direct
Open-minded
Specialties
Anxiety
LGBTQ
Personality Disorders
+10
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.
VirtualAvailable

$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

$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

$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

$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

$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

$100/session

Authentic
Humorous
Open-minded
Specialties
ADHD
Anxiety
Depression
+10
Hi, my name is Jonathon Payne and I am a practicing Licensed Clinical Mental Health Clinician, LCMHC, with the State of North Carolina with over 18 years of experience. Most of my work experience has come from working with individuals in crisis settings and or situations. The work has always been challenging, humbling, and rewarding. It has taught me the value of true genuineness and the importance of being able to connect with people and build working relationships. I love therapy. I respect the therapeutic process and value the hard work and introspection it requires. Therapy is something that I am passionate about. Everyday it provides me an opportunity to help others and learn from others. I am proud of the things I have learned, but even more humbled and optimistic of things that I continue to learn. One thing I would tell you is that a have a real passion and commitment to counseling and the therapeutic process. It is and has been what I love to do. I put tremendous value on the importance communication, language, and building a good therapeutic relationship or rapport. Its important to me that you, the patient feel safe, heard, and valued. My counseling style is very laid back and supportive, with a very non-judgmental stance. However, I am not afraid to roll my sleeves up and work hard. I believe in being supportive, motivating, and challenging. Its important that you have the opportunity to work hard, learn, grow, while developing realistic attainable and measurable goals.
VirtualAvailable

$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

$150/session

Warm
Solution oriented
Empowering
Specialties
Anxiety
Sexual Abuse
Trauma and PTSD
+10
I’m a Licensed Clinical Social Worker who specializes in helping adults heal from trauma, chronic stress, and long-standing survival patterns. Many of the people I work with grew up navigating environments where safety, emotional support, or stability were inconsistent, and those experiences can continue to affect relationships, self-worth, and the nervous system well into adulthood. My approach is compassionate, grounded, and practical. I integrate trauma-informed methods such as EMDR, somatic awareness, and nervous system regulation to help clients move beyond survival mode and reconnect with a stronger sense of self. Therapy with me is a collaborative process. Together we work at a pace that feels safe while building the insight, resilience, and self-trust needed for lasting change. If you’re feeling stuck, overwhelmed, or ready to understand yourself more deeply, therapy can be a powerful place to begin.
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.