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 543 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.

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Availability updated:

$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
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$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
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$120/session

Authentic
Intelligent
Challenging
Specialties
Addiction
Anxiety
Coping Skills
+5
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.
VirtualAvailable
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$90/session

Open-minded
Direct
Empowering
Specialties
Anxiety
Coping Skills
Life Transitions
+3
Hi, I’m Taylor. I’m a therapist who works with adults navigating anxiety, life transitions, and periods of self-discovery. Many of the clients I work with feel overwhelmed, stuck, or unsure of their next steps — and are looking for a space where they can slow down and make sense of what they’re experiencing. My approach is warm, collaborative, and grounded in genuine curiosity about each person’s story. I believe meaningful change begins with feeling heard and understood, so I prioritize creating a supportive environment where clients can explore patterns, build insight, and reconnect with their strengths. I don’t offer quick fixes, but I do offer steady guidance and thoughtful partnership. The impact I hope to have in my clients’ lives is helping them feel more confident, self-aware, and empowered in their choices. Whether that means managing anxiety more effectively, navigating a major transition with greater clarity, or developing a stronger sense of identity, my goal is to support lasting growth that feels authentic and sustainable.
VirtualAvailable
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$90/session

Authentic
Empowering
Intelligent
Specialties
Anxiety
Depression
Perinatal / Postpartum
I’m a compassionate, down-to-earth therapist who believes therapy should feel like a safe place to exhale, be honest, and make sense of what you’re experiencing. With 20 years of experience in behavioral health and 16 years as a licensed clinician, along with a background in nursing, I bring a broad and integrative perspective to emotional and mental wellness. I work with women navigating anxiety, life transitions, relationships, motherhood, trauma, and the many responsibilities that can leave you feeling overwhelmed or disconnected from yourself. My approach is warm, collaborative, and practical. I want you to feel heard, not judged and supported as you develop insight, strengthen your coping skills, and reconnect with the parts of yourself that may have gotten lost along the way.
Available
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$150/session

Holistic
Intelligent
Open-minded
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
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$120/session

Specialties
Anxiety
Depression
Trauma and PTSD
+1
I believe that in order for counseling to be successful we must work equally as a team with forming goals, implementing interventions, and assessing progress. In my view, to make sense of overwhelming issues it is best to break them down. Feelings and thoughts affect our behaviors and how we make sense of the world. Therefore, we must address the impact those feelings and thoughts are having on our symptoms and actions. While also diving into the root of those thoughts and feelings.
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$110/session

Humorous
Warm
Authentic
Specialties
Anxiety
Child or Adolescent
Eating Disorders
+7
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 want to work as a team to develop healthy patterns in your life! 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!
VirtualAvailable
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$100/session

Authentic
Direct
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
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$125/session

Specialties
Anxiety
Depression
Perinatal / Postpartum
+9
I’m a compassionate, trauma-informed Licensed Clinical Social Worker who believes therapy should be a space where you feel heard, respected, and empowered to be yourself. My approach is warm, supportive, and strengths-based, with a focus on helping you understand your experiences while developing practical tools to navigate life’s challenges. I enjoy working with adults who may be experiencing anxiety, depression, relationship or family challenges, life transitions, trauma, or difficulties adjusting to major changes. I have a particular passion for supporting women during pregnancy and the postpartum period, including those navigating perinatal mood and anxiety concerns, identity changes, and the emotional demands of motherhood. My life and professional experiences have taught me the importance of meeting people where they are and recognizing that everyone’s journey is different. I believe you are the expert on your own life, and my role is to walk alongside you—not judge you or tell you who you should be. Together, we can explore what is getting in the way of the life and relationships you want while building on the strengths you already have.
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New to Grow

$150/session

Specialties
Anxiety
Life Transitions
Women's Issues
+5
Hi, I'm Ashley, a Licensed Clinical Social Worker and Licensed Clinical Addictions Specialist. I enjoy supporting adults, particularly women and young adults, who are navigating anxiety, life transitions, difficult experiences, and the emotional demands of everyday life. I recognize that it's possible to show up for everyone else while feeling overwhelmed, disconnected, or unsure of what you need for yourself. I create space for you to explore your experiences, better understand yourself, and work toward meaningful change at a pace that feels right for you.
Available
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Often rebooked

$120/session

Authentic
Warm
Empowering
Specialties
ADHD
Anxiety
Women's Issues
+9
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.
VirtualAvailable
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$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
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$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
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Often rebooked

$250/session

Warm
Empowering
Authentic
Specialties
Anxiety
Depression
Life Transitions
+9
As an Adlerian therapist, my goal is to help individuals who feel "stuck" in life move toward personal growth and greater fulfillment. I believe that everyone has unique strengths, and my approach is to help you identify and reconnect with these strengths, empowering you to find joy in everyday life. I focus on creating a safe, trusting relationship where we work together to explore your past experiences, beliefs, and life goals, while fostering a deeper awareness of the mind-body connection. Through this collaborative process, I aim to support you in embracing who you are, building self-acceptance, and moving forward with a sense of purpose and direction. By emphasizing rapport and understanding, I strive to ensure that your overall therapy experience is meaningful, impactful, and transformative. Together, we'll work to create a life where you feel more confident, connected, and capable of overcoming challenges with resilience and joy.
VirtualAvailable
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$150/session

Humorous
Authentic
Empowering
Specialties
Anxiety
Child or Adolescent
School Issues
+10
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.
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$120/session

Warm
Authentic
Empowering
Specialties
Anxiety
Depression
Trauma and PTSD
+6
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 15 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 EMDR, CBT and other 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.
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$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.
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$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
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$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.
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Often rebooked

$250/session

Warm
Authentic
Open-minded
Specialties
ADHD
Autism
Trauma and PTSD
+8
Hi! I'm Rebecca! I specialize in supporting clients with trauma, autism, ADHD, and career transitions, particularly those fueled by burnout. My goal is to 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 brain's 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.
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$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
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$120/session

Warm
Intelligent
Direct
Specialties
Attachment Issues
Emotional Regulation
Women's Issues
+10
The world can feel like it's moving incredibly fast at times, and it is easy to get swept up in that momentum only to realize you’ve been running on empty for a long time. Having lived through that kind of deep, exhausting stress firsthand, this therapist understands how heavy it can feel when the days start blurring together and you want a change but have no idea where to start. This practice is simply a non-judgmental, warm, and honest space to finally pause and slow down. The ultimate hope is that at the end of every session, the walk back out into the world feels just a little bit lighter
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$125/session

Authentic
Warm
Empowering
Specialties
Anxiety
Trauma and PTSD
Women's Issues
+3
Hey, I’m Mariah! I work with women who look like they have it together on the outside but internally feel exhausted, anxious, overwhelmed, and stuck in patterns they can’t seem to break. A lot of my clients are the ones everyone depends on. They’re successful, self-aware, high-achieving, and used to pushing through. But underneath that, they’re overthinking everything, emotionally drained, struggling in relationships, and wondering why they still feel so stuck despite years of trying to “work on themselves.” Many have done therapy before and left frustrated because they gained insight but nothing actually changed. My approach is honest, direct, and focused on getting to the root of what’s keeping you stuck — not just helping you manage symptoms. I help clients understand the deeper patterns behind their anxiety, perfectionism, people-pleasing, emotional burnout, and relationship struggles so they can stop surviving life on autopilot. I’m not the therapist who just sits quietly and nods for 50 minutes. I’ll challenge you, connect the dots, and help you make real shifts in the way you relate to yourself and others. I also offer private pay therapy for clients looking for more personalized care without the limitations insurance can place on treatment. Clients are able to use HSA/FSA funds to pay for services and are able to receive partial reimbursement through out-of-network benefits.
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$150/session

Warm
Authentic
Empowering
Specialties
Family Conflict
Grief
Women's Issues
+10
AVAILABLE EVENINGS & WEEKENDS Now accepting clients with late evening and weekend availability. As we step into a new year, many people find themselves reflecting on what they want to release, restore, and rebuild in their lives. If you are feeling ready for meaningful change—but unsure where to begin—you don’t have to do it alone. I am a Licensed Professional Counselor in North Carolina with 21 years of experience supporting individuals and families through life’s challenges. I specialize in helping clients manage stress and anxiety, navigate relationship challenges, work through family conflict, and strengthen motivation, self-esteem, and confidence. My therapeutic approach is compassionate, collaborative, and grounded in creating a safe, non-judgmental space where you can openly explore your thoughts, emotions, and lived experiences. Together, we work to identify patterns, develop healthier coping strategies, and build the clarity and confidence needed to move forward with intention. The beginning of a new year often brings a desire for alignment, healing, and growth. Choosing to invest in yourself—your emotional well-being, your relationships, and your future—takes courage. Whether you are feeling overwhelmed, stuck, or simply ready to prioritize yourself in a new way, therapy can be a powerful place to start. I am committed to walking alongside you as you work toward a more balanced, fulfilling, and authentic life—at a pace that honors your needs and your schedule. Late evening and weekend appointments available to support busy professionals, parents, and individuals seeking flexible care.
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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.