Therapists that accept Cash Pay in North Carolina

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'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.

I am a Licensed Clinical Social Worker and have been providing mental health therapy for 30 years. I offer a supportive, empathic ,safe environment for clients to explore issues they are dealing with. I am experienced in working with diverse populations including adults, adolescents, families, and couples. I find that helping people develop successful communication skills is a common theme across almost all client situations. Building on client strengths helps people address issues and create coping skills. My approach is individualized to the persons unique characteristics.

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 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.

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.

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.

I’m a licensed clinical social worker who believes therapy should feel grounding, human, and intentional. My work is rooted in the understanding that many people are not broken—they are overwhelmed, overextended, and disconnected from themselves after years of doing what was required to survive. I approach therapy with warmth, curiosity, and respect for each client’s lived experience. I don’t rush the process or impose quick fixes. Instead, I create space for reflection, emotional awareness, and nervous system regulation so clients can better understand themselves and make changes that feel sustainable and aligned. As a therapist, I value honesty, clarity, and compassion. I balance thoughtful insight with practical tools, helping clients not only gain awareness but also apply what they’re learning in real life. I’m especially mindful of how culture, identity, relationships, and systemic stressors shape the way people move through the world. At my core, I believe calm is not something you find—it’s something you practice. My role is to walk alongside you as you reconnect with yourself, strengthen your inner voice, and build a life that feels more grounded, intentional, and authentic.

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’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.

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!

Welcome! I have been a therapist for over 15 years, I work with adults 18+, and I specialize in chronic pain/illness, anxiety, and am trained in providing ERP for OCD. If the following sounds like you, lets chat: Having thoughts loop over and over again and running through worst case scenarios? Coping skills not working and struggling with mental or physical compulsions trying to ease that high fear and distress, only to find it's not really working? Suffering from chronic illness or pain and feeling depressed/anxious, and wondering how you’re going to adapt to your new life?

Let’s not sugar coat it! Starting therapy can feel like a HUGE, exciting and terrifying step forward. Let’s not focus on the mountain, let’s focus on what’s right in front of you! You don't have to have it all together, nor do you have to navigate life’s challenges alone. I’m Perleen Daroowalla and I aim to create a safe space where we can be straightforward and honest with each other while working through life’s challenges. I model the same honesty, accountability, and responsibility that I encourage in my clients. Therapy begins with where you are now, factors in where you have been, and builds a plan for where you want to go. You are the expert on your life! The therapeutic relationship is a collaborative process. Together, we will create an individualized plan based off where you want your life to be in a month, 6 months, and/or a year from now. I offer creative and realistic strategies to assist you in tackling life’s challenges. You'll leave sessions with skills you can actively use to accomplish your goals.

I'm Brenda Moore and I've been a licensed therapist in North Carolina for over 19 years and working in the mental health field for over 28 years. I love to help people find their inner struggles to build their own strength and find resilience in their lives. I'm here to guide and encourage you - I'm not here to solve problems for you, but rather to assist in finding the best way to solve the problems yourself. I meet with clients in a telehealth setting. It's a way for you to be in an environment that is comfortable for you and also to provide you more accessibility to mental health.

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.

Hello! I am so happy you are here. I am a Licensed Clinical Social Worker in the state of North Carolina and Licensed Independent Social Worker in the state of South Carolina with five years of experience in the mental health field. If you are struggling with chronic stress, anxiety, self-esteem, attachment issues, relationship challenges, or LGBTQ+ related issues, I am here to help you in your healing journey.

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.

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.

Hello and Welcome! My name is Cherrelle Barton and I am a therapist whom genuinely cares. I commend you in taking the first step toward self discovery. I believe that what's most important in the therapeutic process is choosing a therapist that is the right fit. So just a little about me, I have 13 years of experience in the behavioral field, I graduated with a Bachelor of Science in Psychology in 2008 and went on to obtain my Master of Social Work degree in 2011. Those closest to me would describe me as kind, compassionate and patient. These qualities catapulted me into the behavioral health field. When working with clients I prefer to utilize strengths based, solution focused methods. Joining with clients in problem solving and analyzing to find solutions for troublesome symptoms. I believe that you are your best healer; I am simply the catalyst to guide you along the pathway to finding what it is you are needing and longing for.

I’m a Licensed Counselor with several years of experience supporting late-teens, young adults, and adults experiencing anxiety, life transitions, interpersonal difficulties, and the lasting impact of past experiences. I work especially well with individuals who feel overwhelmed, stuck, or disconnected, even when they appear to be functioning well on the outside. Many of the people I work with are looking for greater clarity, confidence, and direction in their lives. My goal is to create a space where you can slow down, make sense of what you're carrying, and better understand yourself without judgment. Together, we'll explore the patterns, experiences, and relationships that have shaped you while working toward meaningful changes that help you feel more grounded, connected, and aligned in your daily life.

I’m pleased to share that I am now offering in-person sessions.... I’m a therapist passionate about supporting people through both emotional struggles and the real-life challenges they face. My work focuses on healing that’s not just psychological but also grounded in your everyday experiences. I offer a compassionate, down-to-earth approach that’s tailored to your needs. Together, we’ll explore what’s holding you back, build practical tools, and work toward helping you feel more understood, empowered, and ready to move forward.

I am a clinically seasoned therapist dedicated to helping people reclaim stability when life feels overwhelming, chaotic, or disconnected. My approach combines genuine empathy with objective feedback to address acute anxiety, trauma, and complex relationship dynamics. I focus on creating a reliable, conversational space where you can sort out your feelings, break unhelpful patterns, and move forward at a pace that works for you.

Hi, I’m Jonny. I’ve been practicing as a clinician in Western North Carolina since 2016, beginning in community mental health with children and families before transitioning to private practice with adults. That background shaped my core belief that mental healthcare should be accessible, humane, and deeply personal. In my practice, I offer a warm, collaborative space where we balance practical, incremental steps with your bigger-picture goals for meaningful growth. I’d love to connect and talk about what we can accomplish together.

Hi, I'm Sherman, a seasoned professional with over two decades of experience in psychology, having graduated from University at Albany (SUNY Albany) over 25 years ago. With a dedicated focus on anxiety, depression, anger management, ADHD, and relationship issues, I have cultivated expertise in addressing a diverse range of mental health challenges with compassion and effectiveness. I have sincere appreciation and respect for the clients in which I support and assist.