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.

As a licensed clinical mental health counselor, I've spent years helping individuals find their way through life's ups and downs. Whether you're struggling with anxiety, navigating a difficult relationship, or simply need someone to talk to, I'm here to listen without judgment. I believe in the power of human connection and the ability to heal. Together, we'll explore your unique story and work towards a brighter future.

Are you feeling overwhelmed by anxiety, struggling with your mood, or finding yourself relying on substances or unhealthy coping strategies just to get through the day? Maybe you’re navigating a difficult life transition, struggling with intense emotions or relationships, or simply feel stuck and unsure how to move forward. Whatever brought you here, you don’t have to figure it out alone. Hi, I’m Lauren Mintz, and I would be honored to be your therapist. My goal is to provide a space where you feel understood, accepted, and comfortable being yourself—without judgment. I have been a therapist for five years and previously worked as a social worker for five years. I have experience working with children, adolescents, and adults across a wide range of concerns, including anxiety, depression, mood disorders, substance use, trauma, emotional regulation, self-esteem, and life transitions. I am also a Licensed Clinical Addiction Specialist (LCAS), which allows me to support individuals navigating substance use and recovery, including when substance use and mental health concerns overlap. I especially enjoy working with people who feel like their emotions are difficult to manage, who struggle with patterns that seem hard to break, or who have been told they are “too emotional,” “too much,” or simply need to try harder. I believe there is usually a reason behind the ways we cope, and understanding those patterns can be the beginning of meaningful change.

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.

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?

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.

I’m Kimberly Bryce, a Licensed Clinical Social Worker and founder of Bloom Therapy and Wellness. I have five years of experience in mental and behavioral health, providing therapy since 2023. I work with people who feel overwhelmed, disconnected, or caught in patterns they’re ready to change. My style is warm, direct, and collaborative. I ask thoughtful questions, help you connect the dots, and work with you to find practical ways forward. Cultural responsiveness is central to my approach, with space for your identity, background, and lived experiences throughout our work together.

Hi, I'm Felicia N. Holman-Reid! Thank you for considering sharing your journey with me. Starting counseling can be stressful, but hopefully we can start this process together, getting you to a better place mentally. I received a Bachelor of Science in Experimental Psychology from University of South Carolina-Spartanburg (Upstate)-2002 & Master of Arts in Counseling w/Mental Health emphasis from Webster University-2007. Also, I've received training in mediation & conflict resolution for about 11 years.

As a Licensed Clinical Social Worker (LCSW), I provide individual therapy sessions via telehealth. I obtained my Master’s Degree in 2017 from the University of North Carolina at Charlotte and have been practicing as a therapist for nine years. My areas of expertise include working with adolescents and adults who are experiencing anxiety, depression, trauma, and ADHD. Additionally, I assist clients who are grappling with relationship difficulties, academic and career pressures, insomnia, attachment issues, and other challenges. I am also an advocate who enjoys working with diverse populations and communities, including LGBTQ individuals, single parents, and minority groups.

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 a licensed clinical social worker offering virtual therapy for teens 16+ and adults who want to understand themselves more deeply and grow into their best selves. My practice is grounded in trauma‑informed care, emotional safety, and practical tools that help clients navigate anxiety, stress, relationship challenges, and major life transitions. I believe therapy should feel like a supportive conversation where you can slow down, breathe, and explore what’s happening beneath the surface without judgment or pressure. Many of my clients come to me during moments of change such as starting college, shifting relationships, navigating identity, or trying to break patterns or generational trauma. Together, we look at what’s working, what’s not, and what needs to be strengthened so you can move forward with clarity and confidence. I use a blend of evidence‑based approaches, creative strategies, and real‑world skill building to help you understand your emotions, communicate more effectively, and create healthier boundaries. My style is warm, collaborative, and down‑to‑earth. I’m not here to “fix” you!! I’m here to help you reconnect with the parts of yourself that already know how to grow. Therapy with me is a space where you can be honest, explore new perspectives, and learn tools that support long‑term change. Whether you’re dealing with anxiety, burnout, relationship concerns, trauma, or simply feeling stuck, we’ll work together to help you become the version of yourself you’ve been trying to reach.

Hi! I am an LCSW with 4 years of experience. I received my Bachelor of Social Work degree from Mars Hill University in 2021. I earned my Master of Social Work degree with a focus in clinical social work from East Tennessee State University in 2022. I have worked in variety of settings including private practice and agencies.

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.

I'm Dr. Kaytreona Wright, a Licensed Clinical Social Worker and Doctor of Social Work. I work with teens and adults navigating anxiety, depression, ADHD-related challenges, postpartum adjustment, school and work stress, relationship concerns, and life transitions. I provide a supportive space to process challenges, build practical skills, and create healthier patterns.

Hi there, I'm Zakiera. I’m a compassionate and down-to-earth Licensed Clinical Mental Health Counselor in North Carolina. I believe therapy works best as a collaborative partnership where you feel heard, understood, and respected. I enjoy working with high-achieving, over-functioning adults navigating anxiety, burnout, perfectionism, and the pressure to constantly do more. My goal is to provide a supportive, judgment-free space where you can slow down, explore what’s beneath the surface, and focus on your well-being without feeling the need to have everything figured out.

Hi, I’m Michelle. If you feel overwhelmed, disorganized, stuck in procrastination, or frustrated that everyday tasks seem harder than they should, you’re not alone, and you’re not lazy or broken. I specialize in helping adults with ADHD, including those who are newly diagnosed, have lived with ADHD for years, or are beginning to wonder whether ADHD may explain some of their struggles. Together, we explore how ADHD may affect the way you think, feel, function, relate to others, and navigate everyday life. My approach is warm, collaborative, practical, and strengths-based. I draw from Cognitive Behavioral Therapy (CBT), mindfulness-based therapy, psychoeducation, and executive-functioning support to help reduce shame, increase self-understanding, and build practical tools that fit your life and the way your brain works. When appropriate, I may also incorporate EMDR to address distressing experiences, chronic shame, or negative beliefs that have developed through years of criticism, rejection, or feeling misunderstood. My work is also shaped by personal experience with ADHD, which has provided additional perspective alongside my professional training. This combination allows me to approach clients with both clinical expertise and an appreciation for the nuanced ways ADHD can affect daily life. My goal is to help you feel more confident, capable, and supported in creating a life that works with your brain rather than against it. For clients who would like to incorporate their faith into therapy, I also offer Christian counseling in a supportive and natural way.

I have over 20 years of experience. My MA in Marriage and Family Therapy and a Certificate in Expressive Arts Therapy. I am a Licensed Clinical Marriage and Family Therapist (LCMFT) and a Board Certified-TeleMental Health Provider (BC-TMH). I provide online therapy thru live video conferencing to clinically appropriate residents of Maryland, North Carolina, Nevada, New Jersey, and District of Columbia.

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

I’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.

Hi there! My name is Erin Dey and I am a licensed clinical social worker located in Chapel Hill, North Carolina. I have a masters’ degree from Columbia University, and I specialize in helping clients successfully navigate challenging life transitions. I work with individuals both in person as well as online. My approach to counseling is solutions-focused, strengths-based, and relational.

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 Licensed Psychologist with nearly 15 years of experience. My specialty is providing compassionate and non-judgmental couples therapy and family therapy. I support to couples, families, children, adolescents, and young adults facing moderate to severe symptoms. I work particularly well with families and couples struggling when one member is dealing with or recovering from addiction - particularly adolescents and young adults. My approach is centered on fostering a safe environment for all clients where they can explore their challenges and work towards meaningful solutions. I utilize an integrative approach to therapy, with a more directive approach when working with couples and families.