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.

As a Gottman Couples Therapist located in Cambridge, Massachusetts, I am focused on helping partners rebuild trust, improve communication, and strengthen emotional and physical connection. My work centers on a Marriage Positive approach, grounded in research and compassion, and shaped by over a decade of experience with couples and individuals navigating relationship challenges, conflict, intimacy concerns, and emotional distance. I'm Ehsan Adib Shabahang and I integrates Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Gottman Therapy. These evidence-based approaches help clients identify unhelpful patterns, regulate emotions, and create meaningful change lasting beyond therapy. Using structured and collaborative sessions, with a focus on practical skills and deeper understanding of self and partner. I am also the founder of the Self-Reflective Relationship Therapy (SRRT) framework, a model designed to help partners look inward with honesty and compassion. SRRT combines structured exercises with guided reflection to increase self-awareness, empathy, and accountability—the foundation for lasting relational repair. This approach grew from years of clinical work and research into what helps couples not only resolve conflict but transform how they relate to one another. In addition to my work, I am the author of Always and Forever: Goals for a Healthy Relationship, offering couples practical tools for communication, trust, and growth. To build relationships that feels safe, balanced, and emotionally fulfilling. I specialize in couples therapy, sex, premarital counseling, affair recovery, trauma, and individuals seeking to understand their emotions or strengthen their relationship readiness. Clients often describe my style as calm, thoughtful, and engaged. I listen deeply, help clarify the emotions beneath conflict, and guide clients toward connection and repair. If you are looking for a couples therapist in Cambridge, MA, I welcome you to reach out and begin the process of rebuilding trust, deepening intimacy and finding your way back to one another.

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.

My name is Sara Bell. I am a therapist with a sense of humor. I work with many different diagnoses and traumas. I utilize cognitive behavioral therapy and focused-mindfulness to address symptoms and process through traumas. I have been practicing in my own practice since 2024. I have and continue to work with children, teens, and adults (men and women). If you do not see a time/day on the schedule that works for you, please reach out to see if I have any additional availability.

Hi there, I'm Schenika Silver, a Licensed Clinical Mental Health Counselor (LCMHC). I received my counseling degree from Liberty University and been in practice for seven years. I love working with people and assisting them in finding their purpose, healing from past hurts and wounds, and becoming their whole selves for themselves, their families, and their greater community. My clients often share that I am direct in a compassionate way, I provide insight and wisdom, and they feel heard in my presence. Counseling is not just a job for me, it's a part of my purpose.

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.

Have you tried everything to manage anxiety that affects your day-to-day life? Do you feel overwhelmed by just getting through the day? Do you wonder if you will ever feel better? Many people are finding themselves feeling overwhelmed now more than ever. I am a Licensed Clinical Mental Health Counselor in North Carolina. I have been a Mental Health Professional for over 20 years. I have been practicing as a LCMHC for 18 years.

I am a licensed therapist with over 17 years of experience supporting individuals across a wide range of settings, including schools, correctional facilities, in-home programs, inpatient care, community based mental health, wilderness therapy, and early childhood environments. My approach is grounded, compassionate, and tailored to meet you exactly where you are. I specialize in working with women navigating life transitions, parenting, perinatal mental health, stress, trauma, and relationship challenges. As a mother of three, I bring both professional expertise and lived experience into the therapy space, especially when supporting parents through the complexities of caregiving, identity, and emotional wellbeing. My work integrates evidence-based practices like Cognitive Behavioral Therapy (CBT) with holistic and experiential approaches, including nervous system regulation informed by polyvagal theory, yoga-based techniques, sand tray therapy, and nature-based mindfulness. My office is located on 10 acres of peaceful land, offering a unique opportunity for grounding and connection with nature as part of the healing process. Clients often describe me as down-to-earth, creative, and easy to talk to. I value authenticity, humor, and building a genuine therapeutic relationship where you can feel safe, understood, and supported. Whether you’re feeling stuck, overwhelmed, or simply ready for change, I’m here to walk alongside you.

Hi, My name is Melissa Pelletier. I have been a Licensed Independent Clinical Social Worker for over 27 years. I'm trained in a variety of evidence-based approaches to treat your underlying symptoms by empowering you to recognize and respond to them in more adaptive ways. I provide a healthy dose of education to help you understand your symptoms, the process of why they are occurring and how your responses such as avoidance can keep you stuck. I will teach you skills to learn how to interrupt patterns of unhelpful, dysfunctional thinking, skills on how to manage powerful emotions, and work with you to develop the courage to change how you respond to painful thoughts and emotions.

I am a CBT-based therapy practice with over 9 years of experience supporting clients through anxiety, depression, stress, and other emotional challenges. My approach is structured, collaborative, and focused on helping you understand the connection between your thoughts, feelings, and behaviors so you can make meaningful, lasting changes. In our work together, I use Cognitive Behavioral Therapy techniques to help you identify unhelpful thinking patterns, build healthier coping strategies, and develop practical tools you can use in everyday life. Sessions are goal-oriented but tailored to your individual needs, pace, and circumstances. With nearly a decade of clinical experience, I focus on creating a supportive and professional space where you can work through difficulties while building confidence, resilience, and long-term emotional wellbeing.

Do you struggle with anxiety, depression, bipolar disorder, PTSD, mood disorders, gender identity issues, relationship challenges, or any other mental health concerns? If so, you are not alone. I offer a diverse range of evidence-based therapies that have been scientifically proven to alleviate symptoms associated with mental health disorders. My therapeutic interventions include Person-Centered Therapy, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Behavioral Therapy, and Solution-Focused Therapy. I empower those lacking motivation, encourage those who feel helpless and hopeless, and guide individuals who believe they have no purpose. I also teach coping skills to help navigate daily challenges. Let's start today on the path to regaining control of your life. I look forward to hearing from you.

For over 13 years, I have dedicated my practice to supporting women as they navigate the many demands of modern life. I understand firsthand what it means to move between worlds. Growing up in Brooklyn as the daughter of immigrant parents, and now living in South Florida, I have been shaped by diverse cultures, communities, and perspectives. My love of travel has deepened that curiosity about the human experience. In the therapy room, this translates into a genuine ability to meet you where you are regardless of your background, your story, or how far from yourself you may feel right now.

My name is Aesha Page. I am a licensed mental health counselor (LMHC) in South Florida, North Carolina, and South Carolina. I am a graduate of Nova Southeastern University and I have been practicing for 10 years. I have extensive training and experience working with adolescents and adults, including those who struggle with depression, anxiety, trauma, substance use disorders, suicidality, other mental health diagnoses, and co-occurring disorders. My therapeutic approach aims to identify and address the underlying causes of coping difficulties and mental health concerns.

Arlicia Hall is a dually licensed mental health counselor and clinical addictions specialist with a proven record of leadership in behavioral health, substance abuse treatment, and care management. Over her extensive career, she has held pivotal roles including Program Director, Care Manager Supervisor, and Regional Manager, where she has guided multidisciplinary teams, ensured regulatory compliance, and developed innovative, patient-centered care models. Arlicia’s clinical approach is eclectic, integrating techniques from Cognitive Behavioral Therapy, Motivational Interviewing, and other evidence-based practices to meet the unique needs of each client. She believes that flexibility, cultural sensitivity, and collaboration are essential to effective treatment, allowing her to create interventions that are both clinically sound and personally meaningful. Her expertise spans clinical oversight, program development, and quality improvement, with a deep commitment to integrating behavioral health interventions into comprehensive care systems. She has successfully led organizations through audits, accreditation processes, and performance turnarounds, always keeping the needs of patients and staff at the forefront. Her work has touched diverse populations—from individuals navigating co-occurring disorders to communities in need of tailored care management—ensuring equitable access to effective treatment and support. In addition to her leadership roles, Arlicia has maintained a thriving private practice, providing therapy, clinical supervision, and professional mentorship for emerging substance abuse counselors. She is a strong advocate for collaboration across health systems, criminal justice agencies, and community resources to achieve sustainable recovery outcomes. Known for her engaging speaking style and practical insights, Arlicia regularly shares her expertise at industry and community events. She inspires audiences with her vision for integrated, compassionate, and adaptable care that not only addresses immediate clinical needs but also builds pathways for long-term wellness.

Hello! My name is Zoee Byrd and I am a Licensed Clinical Mental Health Counselor. I am based out of North Carolina and completed my Masters degree in Clinical Mental Health through Wake Forest University. I have experience with and enjoy working with teenagers and adults of all ages through life transitions, general stressors, mood regulation, and overall gaining better insight into who they are. I have been striving to help others create their life worth living for the past 3 years.

Hi, I'm a Licensed Clinical Social Worker with more than 20 years of experience working with children, teens, adults, and families providing counseling. If you're reading my profile, you're here for a reason. Maybe you're feeling stressed, anxious, overwhelmed, stuck, grieving, struggling in a relationship, adjusting to a major life change, or simply trying to make sense of something that's happening in your life right now. Whatever brought you here, I bring both clinical experience and real world understanding to help you sort through it. My style is warm, conversational, and practical. Therapy with me is not about being analyzed or judged. It's about having a real conversation with someone who wants to understand your experience, help you identify what's getting in the way, and support you in creating meaningful, lasting change. I work with adults, teens, and children, tailoring my approach to each person's needs, personality, and goals. Whether you're seeking support for yourself, your child, or your family, my goal is to create a space where you feel understood and supported.

I am a Licensed Clinical Mental Health Counselor and Christian therapist, prophetic voice,Mentor, and ministry leader called to help people heal, rebuild, and step fully into their God-given identity. I carry both clinical wisdom and spiritual discernment, which allows me to guide people beyond surface-level coping into deep emotional and spiritual restoration. I am a safe place for the strong ones—the pastors, ministry leaders, women of faith, and those who are rebuilding after life has tried to break them. My assignment is to help them confront what has wounded them, heal at the root, and rise again with clarity, boundaries, and renewed purpose. I am also a builder and reformer. I don’t just comfort people, I help them rebuild their lives, their identity, and their leadership from a healthier foundation. Through my therapy, teaching, and ministry, I create environments where people can be honest, go deeper, and experience transformation that impacts both their personal life and their calling. This is not just Therapist this is a transformational experience.

I am a NC Licensed Clinical Mental Health Counselor and NC Licensed Clinical Addictions Specialist who is passionate about helping individuals and families experience meaningful, lasting growth. I provide a warm, supportive environment where clients feel heard, respected, and understood. My approach is compassionate yet direct, blending faith-based principles with evidence-based practices such as CBT and Solution-Focused Therapy. In addition I hold a license in SC as Telehealth Registered Professional Counselor Provider #2806. Clients often describe me as empathetic, grounded, trustworthy, and easy to talk to. I value authenticity, integrity, and creating a space where healing feels both safe and empowering.

Hi! I'm Rebecca! I specialize in trauma, autism, ADHD, and career transitions, particularly those fueled by burnout. I help clients regain their a sense of directuon 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 brains' 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.

I am a woman in her second half of life. I have raised three children,I have six grandchildren and four great-grandchildren. I have dogs and cats as pets and live in the country. I grew up in a military town and am an Army brat. I was also a Military Family Life Counselor in public schools working with children of military parents. I have a child currently serving in the US Navy. I also have a small garden. I have many different hobbies that I enjoy. I am 30 plus years sober and value my sobriety on a daily basis. I have exercised many of my own demons which helps me recognize the struggle in others. I make an effort to not be judgemental of anyone's choices. I listen, I provide a safe space.

Welcome! I am Quarda- Licensed Clinical Social Worker, professional listener, and occasional over-user of sticky notes. I help people untangle the messy parts of life, whether it's anxiety, relationship hiccups, burnout, or just that nagging feeling that something's "off". My style is supportive, down- to-earth, and sprinkled with humor-- because sometimes laughter really is the best medicine (right after actual therapy of course). I use evidence -based techniques and empathy to assist you in making sense of your story and editing it as you may, build resilience, and move forward with purpose. Therapy doesn't have to be stiff or scary-- and if you're ready to do the work (and maybe laugh a little along the way), I'm here for it.

​ Do you struggle with feeling bad about yourself, developing and /or maintaining healthy relationships with others? Do you feel down, depressed, feeling you let yourself or others down? Do you experience feelings of anxiety, stress, or trauma? Are these concerns impacting you at home, work, or other places? Seeking therapy can be scary, however, you have made the right decision. I believe individuals are the "experts on themselves" and possess the ability to make the desired positive change in their lives. In the session, we will utilize a Person Center Approach consisting of meeting the individual were they are, actively listening, providing support, encouragement, and validation, as well as utilizing Evidence -Based Treatment Modalities ( such Cognitive Behavioral Therapy, Solution Focused Based Therapy, Motivational Interviewing, Mindfulness, Person Centered Approach, and Psychoeducation) Supportive Therapy, Stress Management, and Anger Management. Together, we will work collaboratively to treat the whole person and empower the person to find their way forward.

Hello, my name is Stephen Pleasant, and I'm a psychotherapist for men. Why therapy for men? Well, because sometimes a man just needs a pork shoulder to cry on. That being said, I will also work with women as well. It’s a recognized human tendency for men to get “stuck” in their lives and to end up “settling” for the status quo when deep down they know they are capable of a great deal more. Here’s the truth; You are never “stuck” with your present circumstances. The Game of Life is a psychological and spiritual journey and winning at this game requires you to change your play and learn to think differently and do things in a new way. I help men break out from being “stuck” in life, resigned to producing results that are disappointing to them and others. My goal is to see transformative progress in men’s confidence, clarity, and self-expression, so that they may gain the fuller personal and work life they thought was beyond them.

The world can feel like it's moving incredibly fast at times in life, 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

I’m Britanie Walker, LCSW, founder of A Touch of Hope LLC. With over 15 years of experience in mental health and substance use treatment, I bring a warm, compassionate, and down-to-earth approach to therapy. I believe in creating a safe, judgment-free space where adults can show up exactly as they are and feel truly heard and supported. My style is collaborative and grounded in respect, meeting clients where they are in their journey. Together, we work to explore challenges, build on strengths, and develop tools for healing, growth, and lasting change. My goal is to help you rediscover hope at your own pace.