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.

Sydney Rosenberg is a Clinical Mental Health Counselor. Sydney graduated from Appalachian State University with a degree in clinical mental health counseling and concentration in Expressive Arts Therapy in May of 2021. Her experience has been working with children, adolescents, and adults in outpatient and community based mental health settings. She enjoys supporting clients with building self-esteem, managing life stressors and changes, and empowering clients to find their most authentic selves. She is neurodivergent affirming, LGBTQIA+ affirming, and trauma informed. When she is not working, she enjoys making art, spending time outdoors, and traveling.

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.

Hello, I'm Dr. Meagan Jones. Life can be so challenging at times, and I am here to help you navigate those challenging times, learn what you will, and help you grow. I have been doing counseling for over 17 years now, I am a counseling supervisor, and I am also a professor in a mental health counseling master's program. I specialize in trauma, sexual trauma, gender and sexuality counseling, and also have a lot of experience with depression and anxiety. I am trained in Eye Movement Desensitization Reprocessing (EMDR), Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Internal Family Systems (IFS), Sex Therapy, Narrative Therapy, and Creative Techniques. Each of these methods have been backed by research and proven to offer deep healing from trauma on a neurological, psychological, and emotional level. I am kink friendly, lifestyle and polyamory friendly, and an LGBTQIA ally. All are welcome here. I would love to help you learn and grow and become the best version of yourself, so if you are interested please schedule an introductory session or call and see if we are a good fit.

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!

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.

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 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.

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.

Stability can often be disrupted in life when you are going through a major transition. This instability can bring about all kids of symptoms, including anxiety, depression, and relationship challenges. Regardless of the challenges you are currently facing, getting input from a professional outside perspective can hep you make sense of things, creating a clearer path back to stability. If you are looking for help right now, it means you have already begun to take proactive steps towards more peace in your life. I'm a Licensed Marriage and Family therapist with over 20 years of experience helping people find their strength and gain perspective that helps pull them forward. Sometimes it only takes a few sessions to help you feel more grounded on your path.

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.

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 strive to create a supportive space where clients feel heard, understood, and empowered to make meaningful change in their lives. My style is tailored to each individual’s unique needs, and I draw from a variety of therapeutic modalities to help clients build practical skills and tools for lasting growth. I especially enjoy working with clients navigating anxiety, trauma, perfectionism, relationship wounds, stress, burnout, and self-esteem challenges. My goal is to help clients gain insight, strengthen coping strategies, improve boundaries and self-expression, and move toward a greater sense of confidence and balance.

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 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.

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.

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.

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.

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 am a licensed therapist in North Carolina with over 35 years of professional experience. I have extensive experience supporting clients through stress and anxiety, relationship challenges, trauma and abuse, and concerns related to motivation, self-esteem, and confidence. In addition to traditional therapeutic approaches, I also offer spiritual counseling, with a particular focus on Christian perspectives for those who desire it. I respect each client’s individual beliefs and integrate spiritual support only when it aligns with their values and goals. My approach centers on creating a safe, open, and nonjudgmental environment where you can explore your thoughts and emotions freely. It takes courage to seek a more fulfilling and joyful life, and I deeply honor that step. My role is to support and empower you as you move toward healing, growth, and a stronger sense of purpose. Together, we’ll work to uncover your strengths, build resilience, and help you move toward the life you envision.

I’m a Licensed Clinical Social Worker who specializes in helping anxious people feel a little less at war with their own brains. I know what it’s like to sit on the other side of the therapy room, and I work hard to create a space that feels human, supportive, and sometimes even a little fun. I’ve worked in college, community, and medical settings, and I use evidence‑based approaches like CBT, ACT, ERP, and mindfulness to offer practical tools you can actually use in real life. My goal is to help you feel more grounded, more understood, and a lot less like your anxiety is running the show.

I work especially well with action-oriented, goal-directed people who know something feels off but aren’t quite sure how to change it. Own a business or live the entrepreneurial lifestyle? I get the pressure that comes with keeping both your work and personal life functioning without running yourself into the ground. If you’re ready to level up your thinking, boundaries, relationships, or productivity, you’re in the right place. Think you may be dealing with narcissistic behavior at home or at work? We can sort through what’s happening, figure out what’s actually in your control, and build a strategy—whether that means navigating the situation more effectively or making a graceful exit. You have options. Real life usually needs more than a few social-media therapy tips and a catchy quote. Let’s get cooking. :)

Hi, I’m Anneka. I am a licensed therapist with a warm, down to earth style who believes in treating everyone with respect, sensitivity, and compassion without stigmatizing labels. My practice focuses on helping individuals navigate anxiety, depression, adjustment disorders, relationship difficulties, major life transitions, people pleasing, and self-worth challenges by increasing self-awareness, utilizing CBT and EFT techniques, and offering PREPARE-certified pre marital counseling.

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