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’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.

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.

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.

Life, at times, can present us with extraordinary challenges and circumstances leaving us feeling anxious, overwhelmed, depressed, and even hopeless. Emotions from present or past experiences can become so burdensome that we develop unhealthy ways to cope. Symptoms may become so elevated that they affect our ability to function and interrupt family or social relationships. What I provide is an opportunity to process life's difficulties with someone who cares and has the clinical knowledge to assist you with gaining insight and understanding while developing new strategies and coping skills to manage your mental health day by day. I offer primarily CBT therapy with a person-centered trauma-informed focus.

Hi, I'm Emily! I am a Licensed Clinical Social Worker (LCSW) in North Carolina. My approach to therapy is grounded in authenticity, and I believe that healing starts with creating a space where you can show up as your full, unfiltered self. I believe that every person has the capacity for growth, and my role is to help you tap into that inner wisdom in order to move toward positive 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.

Dr. Natika McPherson is a Licensed Clinical Mental Health Counselor Supervisor (LCMHCS), educator, author, and nonprofit founder with more than 25 years of experience serving children, adolescents, and families. She specializes in helping clients navigate emotional, behavioral, relationship, and life challenges while building resilience, confidence, and healthy coping skills. Dr. McPherson utilizes evidence-based approaches, including Cognitive Behavioral Therapy and Solution-Focused Therapy, tailored to each client's unique needs. Her work is grounded in the belief that every individual has strengths that can be developed to create meaningful change, improve relationships, and achieve personal growth and long-term success.

Hello, there! I'm a licensed clinical social worker (LCSW) raised in the Piedmont region of North Carolina and have been supporting clients in the area since 2021. Outside of private practice I volunteer as a crisis counselor and victim's advocate. Outside of my work, I’m deeply committed to my own spiritual growth as a way to expand compassion, lessen suffering, and hold space for others on their path to peace. I find renewal in nature, often through hiking, camping, or simply being outdoors, and value time spent with loved ones and giving back to my community. This personal grounding helps me show up with presence and care, and I welcome those who feel drawn to reach out.

Hi there! I'm Elizabeth and I am now taking new clients in North Carolina. We can work together to make the changes you want to make in your life. Do you struggle with anxiety, depression, relationship or parenting issues? Do you need someone to walk beside you and assist you as you grow into a healthier version of yourself? You are not alone and I am here to help. I know it can be scary or uncomfortable to ask for help, but when we meet you will be met with understanding, acceptance and compassion. I provide a place where you can be yourself, where you can laugh, vent, curse and cry. I am client-focused and we will journey together at your pace! I use empathy and proven therapeutic techniques to help you reach your goals. I am looking forward to meeting you.

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 am what I would say a non traditional kind of clinician. I will engage with you in a way that works for you, I am not the expert on you and want to walk along side of you and help you in a way that works for you. I will also push and prod at those tough spots so that we can work on finding out what is happening for you and we can work together to make a difference with your needs.

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’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.

My name is Tammy Green, and I am a Licensed Clinical Social Worker (LCSW) in the states of Virginia and North Carolina. Throughout my career, I have focused on supporting those who face challenges such as anxiety, depression, family systems, and trauma. My approach to therapy is rooted in the belief that it should be centered around you, the client. I understand that what works for one person may not work for another, and that’s why I tailor my therapeutic approach to meet your unique needs. In our work together, you set the goals and direction of therapy, while I draw on my experience and training to implement techniques such as cognitive-behavioral therapy (CBT), motivational interviewing, dialectical behavioral therapy (DBT), Acceptance and Commitment (ACT), and solution-focused therapy. My aim is to support and empower you.

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! I'm an Licensed Clinical Social Worker (LCSW) based in North Carolina. I earned my Master of Social Work from the Ohio State University, and I have been practicing clinical social work for 4 years. I have wide range of experience including working with clients who are struggling with anxiety, depression, trauma symptoms, and life transitions and adjustment. I am passionate about helping clients learn effective coping skills to decrease their symptoms and get back to the life they enjoy!

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 Kiara Grier, a therapist dedicated to supporting individuals through life's most challenging moments. With six years of clinical experience, I work with clients navigating stress, anxiety, relationship difficulties, parenting concerns, and self-esteem struggles. I'm passionate about helping people build stronger communication skills, discover their life purpose, and work through feelings of guilt, shame, and the desire for forgiveness. My approach is grounded in understanding the complexities of human connection—whether that's attachment patterns, codependency, or blended family dynamics. I also specialize in supporting young adults facing questions about their purpose in life and individuals navigating major life transitions. I am especially passionate in helping individuals desiring to integrate their Christian faith with their healing journey and finding their life's purpose and calling. I believe in meeting you where you are with warmth, respect, and genuine care. My goal is to create a therapeutic space where you feel heard and supported as you work toward meaningful growth and healing. I'm honored to walk alongside you on your journey.

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.

Hello, I'm Justin. Have you ever felt overwhelmed by stress and life's complexities? Many do, and it's more common than you might think. Life's challenges can leave us feeling exhausted, anxious, and disconnected. But remember, you're not alone in this journey. As a Licensed Professional Counselor offering virtual therapy in Virginia and North Carolina, my role is to walk with you in creating a safe, empowering space. Together, we'll explore and employ a range of therapeutic techniques tailored to your unique needs. My goal? To help you navigating the intricacies of life and forge meaningful connections — with others and with yourself. In therapy, we uncover the roots of your stress, lighten your emotional load, and find strength in support and understanding. It's about building resilience and rediscovering your inner balance. If you're reading this, you've already taken a brave first step. You recognize the need for change and understand that carrying the burden alone isn't the only way. If you're ready to move forward, to cultivate lasting change and greater self-awareness, I'm here to guide you. Reach out, and let's start this transformative journey together.

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.

I love love, and I love helping people to heal. Understanding healing occurs on all levels, I've dedicated myself for the last 23 years to being a vessel to help people navigate those levels and find their peace. My calling is to help heal the minds and souls of people so they can manifest their greater and higher selves. Whether it was through the books I've written, my former vegan catering company, practicing as a doula or navigating spaces as a licensed clinical social worker, I've always understood the assignment of helping folks recognize they have the power within themselves to heal.