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 551 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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Charlotte

Availability updated: 1/2/2026

$70/session

Warm
Authentic

Specialties

Anxiety
Depression
Trauma and PTSD
+5
Welcome! I'm Stephanie Freeman,MSW, LCSW, LCAS. Take a moment to acknowledge you've taken the first step towards bettering your mental health because, let's be honest - starting therapy can be empowering, confusing, or scary, all at the same time. I strive to create a safe and welcoming environment that allows clients to explore obstacles with concerns related to anxiety, depression, and/or self-care. I focus on helping clients develop assertive communication & boundaries with themselves and those around them that can help improve their quality of life. Counseling can foster personal development in whatever way you may be seeking and help build the life you so deeply deserve. If that's what you're looking for, I'm here when you're ready to share.
VirtualAvailable
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New to Grow

$130/session

Specialties

Addiction
Anxiety
Depression
+10
I am Cindy Arrington, I received my Master's of Science in Rehabilitation Counseling in 2012 from Winston-Salem State University. I and am a Certified Rehabilitation Counselor, Licensed Clinical Mental Health Counselor, and Licensed Clinical Addictions Counselor - Associate. I have 5 years of experience working as a Vocational Rehabilitation Counselor to assist with job development, placement and follow-up. I have 4 years of experience working as a mental health and substance use counselor. I enjoy meeting my patients who are experiencing anxiety, depression, stress, grief, trauma, and substance use to help them heal and grow to become the best versions of themselves.
VirtualAvailable
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$120/session

Solution oriented
Open-minded

Specialties

Anxiety
Couples Counseling
Depression
+6
Welcome! My name is Kalyn and I am a Licensed Marriage and Family Therapist (LMFT) in North Carolina and South Carolina, with a Master of Science in Human Development from Virginia Tech. I have 6 years of experience working with individuals of various ages and diverse backgrounds on a range of issues, including relational problems, couples counseling, communication challenges, depression, anxiety, emotional regulation, and mood disorders. My approach is collaborative, person-centered, and strengths-based, always striving to understand and cater to the unique needs of each individual I work with. I use elements of Cognitive Behavioral Therapy (CBT), family/systems therapy, and supportive therapy to create a welcoming and open environment. It is a space where you can freely explore your emotions, build up your strength, and work towards making the positive changes you aspire to achieve—all without any judgment.
VirtualAvailable
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$150/session

Open-minded
Empowering
Authentic

Specialties

ADHD
Depression
Substance Misuse
+5
Hi! I'm a licensed clinical social worker (LCSW) and licensed clinical addiction counselor (LCAS.) I went to graduate school at the University of Vermont and have provided therapy services for more than 30 years in outpatient mental health settings as well as in inpatient psychiatric and addiction treatment settings. I'm in long-term recovery from alcohol and opiate dependence. Fun fact: I worked on an offshore lobster boat in the Gulf of Maine for 4 years.
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Frequently rebooked

$125/session

Authentic
Warm
Empowering

Specialties

Anxiety
Depression
Life Transitions
+5
Hi, I’m Ashley. I am a Licensed Clinical Mental Health Counselor and live in the beautiful mountains of Western North Carolina with my dog. My passion is supporting people in all stages of life work towards finding purpose and becoming the best versions of themselves. Maybe you can relate to some of my story. I became a therapist in 2019 to give back some of the hope that was given to me as I embarked on my own mental health journey. I remember thinking to myself, “Who am I?”, and “Am I good enough?”. I remember, and still know how that style of thinking can be overpowering, and become what I have learned to call “sticky thoughts”. These thoughts can lead to anxiety, depression, irritability, and can be the root cause of unhelpful coping skills and habits. Once we get into that negative cycle, it can feel impossible to get out. This occurred for many years, and consumed my entire being until I had support from family, therapists, sports coaches, and friends, and reached out for help. Let me tell you from experience, recovery is not easy. Working on yourself is one of the hardest things you can do, but the most rewarding, and I would be honored to walk alongside you as you do this meaningful work.
VirtualAvailable
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New to Grow

$160/session

Specialties

Addiction
Grief
Trauma and PTSD
+8
Hello, I’m Alaina, LCSW, LCASA, and I’m honored to have the opportunity to work with you. I hold a BA in Organizational Leadership and a Master’s in Social Work from Baylor University. I am trained in CBT, DBT, CPT, substance use, and grief treatment. I bring an evidence-based approach to care while providing a safe, supportive, and non-judgmental space for you to grow and heal.
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$140/session

Warm
Open-minded

Specialties

Anxiety
Depression
Trauma and PTSD
+7
I am a licensed clinical social worker with over 20 years of experience in the profession, beginning my career as a medical social worker before moving into the mental health field 11 years ago. Over the course of those 11 years, I have worked in a community mental health setting. This has afforded me the opportunity to develop the skills needed to work with a wide range of ages, populations, and challenges as well as to develop specialties in the areas of anxiety, depression, adjustment, and trauma.
VirtualAvailable
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$150/session

Warm

Specialties

Anxiety
Life Transitions
Self Esteem
+8
Hi, I’m Megan! I’m a licensed therapist in New York, New Jersey, and North Carolina who helps people feeling burned out, anxious, or stuck in survival mode reconnect with balance and purpose. Many of my clients come to me after feeling overwhelmed by work, relationships, or the constant pressure to keep going — even when they’re running on empty. I create a warm, nonjudgmental space where you can slow down, make sense of what’s been weighing on you, and learn healthier ways to cope. My style is compassionate and collaborative — I meet you where you are and help you build practical tools for stress, boundaries, and self-care that actually fit your life. Before starting my private practice, I worked in behavioral health settings supporting individuals living with substance use, bipolar disorder, and other chronic mental health conditions. That experience taught me that healing isn’t one-size-fits-all — and that real change happens when therapy feels safe, personalized, and empowering. If you’re ready to move from burnout to balance, I’d love to help you take that next step.
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$115/session

Warm
Open-minded
Solution oriented

Specialties

Anxiety
Mood Disorders
Trauma and PTSD
+6
You are stressed and filled with anxiety. Your thoughts are negative and you lack self-confidence. You feel so overwhelmed by emotions that you no longer know what you feel. Or maybe you are emotionally shutdown and just feel numb. Past traumatic events cause you to react to life in unhealthy ways. Intrusive thoughts keep distracting you from what you need to do each day. And you don’t understand why or how to change it. If any of this sounds familiar, there is hope! It is possible to retrain your brain and to develop different ways of thinking about life. You can stop automatically reacting and learn to thoughtfully respond to stressors. I would love to work with you and help you better manage thoughts and stressful emotions.
VirtualAvailable
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$125/session

Warm
Authentic

Specialties

Anxiety
Coping Skills
Trauma and PTSD
+5
Hi, I am a Marriage and Family Therapist practicing in North Carolina. I received my degree from Saybrook University in California and have been practicing for the past 15 years. I have specialized training in Somatic Experiencing and Attachment Therapy. I work with adults to resolve symptoms of stress, shock, and trauma that accumulate in our bodies and nervous systems transforming patterns that get stuck and impact our daily life. I support clients in bringing their nervous systems back into balance getting out of fight, flight and freeze to strengthen one's sense of safety, resourcefulness and resilience in the world. Some of the techniques I use are helping clients slow down and attune to what is happening in their bodies. I also work with clients on "resourcing" or finding tools to help them self soothe when they are feeling emotionally overloaded.
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$110/session

Specialties

ADHD
Anxiety
Coping Skills
+9
I am a fully licensed clinical social worker with nearly 10 years of experience in the field. I am currently licensed in two states. My experience varies from therapeutic mentor, supervisor for other LCSW, and one on one with persons served as a therapist/clinician. My approach is strength-based and person-centered. I work with ages from 6 and up with a focus on adolescents, teens, and adults.
VirtualAvailable
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New to Grow

$120/session

Specialties

Mood Disorders
Self Esteem
Trauma and PTSD
+8
Que Sí. Hablamos Español para servirles bien, especialmente en esta epoca de locura ! I’m Bilingual/ Bi-cultural and have over 20 years of experience (15+ licensed). Grateful for my brilliant Smith College Social Work mentors, my learning via mission work in Central America, reciprocal mentoring of new Therapists, and ongoing bilingual volunteerism with the Red Cross. My evidence-based treatment honors intersections of identity and lived experiences unique to each client. Your healing and wellbeing are my priority, and the reason why I chose this second career. Are you ready to take the next step (to leave fear, pain, shame, etc, behind) ? It can be a little scary. AND . . . you are absolutely worth it. I am innovative and creative, committed to my personal growth, especially in areas aligned with my values. Culturally sensitive , inclusive , honoring the inherent dignity and worth of ALL humans (no exceptions), affirming and supporting disenfranchised communities, mindful use of language, and respectful engagement that embodies a healthy curiosity, and a willingness to learn from you, about you, ALL express who I strive to become on a daily basis.
VirtualAvailable
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$60/session

Solution oriented
Warm

Specialties

ADHD
Mood Disorders
Perinatal Mental Health
+8
Welcome! I’m April, a Licensed Clinical Mental Health Counselor in North Carolina. Congratulations on taking the first step towards reaching your goals. Don’t discount the decision you’ve made to search for help, because many people never do so. I see counseling as a partnership between the therapist and the client; I have the mental health expertise while you’re the expert of you! For this reason I'll spend our earliest contacts getting to know you better. Choosing a therapist is a very personal decision and therefore, I want to give you information so you can choose for yourself if you’d like to work with me. I would describe my counseling style as warm, but professional. I love to use strength-based approaches as much as possible, also incorporating your values into our work. I find myself using an integrative approach, incorporating different theoretical frameworks and techniques that I will tailor to fit your needs. Two approaches I use most often are Person-Centered Therapy and Cognitive Behavioral Therapy (CBT). Person-Centered counseling uses a lot of reflection to help you process your thoughts and feelings, which is often the first step towards solving your problems. CBT helps us examine your thought patterns and whether they are helpful or harmful. If a particular thought is harmful that could trigger issues like a depressed mood, for example. We’ll work together to replace the harmful thoughts with more helpful ones. There are many other approaches to potentially integrate into our sessions, and I’d be happy to explain anything I believe may benefit you. I once read a quote online (source unknown) that rings true for me: “A counselor isn’t someone you pay to pretend they care about you. A counselor is someone you pay to teach you how to care for yourself.”
VirtualAvailable
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$100/session

Authentic
Humorous

Specialties

Anxiety
Life Transitions
Trauma and PTSD
+3
My name is Mark Lattimore Jr., and I am a Licensed Clinical Mental Health Counselor and Licensed Clinical Addiction Specialist. I serve youth, adults, and families who are navigating trauma, grief, life transitions, and emotional challenges. My goal is to provide a safe space where clients can heal, discover their strengths, and move forward with greater hope, clarity, and resilience.
VirtualAvailable
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$115/session

Specialties

Child or Adolescent
Grief
Trauma and PTSD
+4
Minds are designed for thinking and it is human nature to make connections with others. I am dedicated to helping a client slow down to contemplate, explore, and become self-aware of their own needs, personal well-being, interests, strengths and how to relate to others. I will help clients create spaces and opportunities to practice emotional regulation, explore difficult situations, provide therapy for previous history of trauma and loss, and begin or continue a healing journey.
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New to Grow

$150/session

Specialties

Anxiety
Couples Counseling
Family Therapy
Relationships play a central role in emotional and psychological well-being. They can be sources of resilience and growth, or significant contributors to distress. My work focuses on helping individuals and couples identify relational patterns, process past and present challenges, and move toward repair and healthier connection. I am trained in emotionally focused therapy and work with individuals seeking to improve relationships with themselves, family members, coworkers, romantic partners, and friends. I also provide couples therapy and specialize in working with military individuals and families, as well as clients navigating trauma, depression, and anxiety. Treatment is collaborative and tailored to each person's unique goals and needs.
VirtualAvailable
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New to Grow

$135/session

Specialties

Anxiety
Military/Veterans
Trauma and PTSD
+4
I am a therapist who enjoys building a relationship with my clients by finding how to best understand each other. We may not share a background, but practicing curiosity from a position of genuine interest helps me better understand the people around me and form rapid connections. I believe knowledge and language have power so that the way we think and the information we use to think help us view what we think as changeable and adjust it to be more helpful.
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$90/session

Open-minded
Intelligent

Specialties

Mood Disorders
School Issues
Serious Mental Illness
+8
Are you feeling overwhelmed, stuck, or unsure of where to turn next? You don’t have to figure it out alone. I am a compassionate, client-centered therapist who believes that healing happens when you feel truly seen, heard, and supported. My approach is warm, non-judgmental, and collaborative—meaning we work together at a pace that feels safe and empowering for you. I specialize in helping individuals manage anxiety, depression, stress, life transitions, relationship challenges, and emotional overwhelm. Whether you’re navigating a difficult season, healing from past experiences, or simply wanting to grow into your best self, I provide a calm and supportive space where you can explore your thoughts, feelings, and goals without fear of judgment.
VirtualAvailable
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$150/session

Empowering
Solution oriented

Specialties

Addiction
Anxiety
Depression
+6
I am a compassionate, client-centered therapist who primarily works from a Cognitive Behavioral Therapy (CBT) approach. I believe that our thoughts, emotions, and behaviors are deeply connected, and that by increasing awareness of these patterns, meaningful and lasting change is possible. I strive to create a supportive, nonjudgmental space where clients feel safe exploring challenges, gaining insight, and learning practical skills to improve their emotional well-being. I understand that reaching out for therapy can feel intimidating, and I work collaboratively with clients to help them feel empowered, understood, and supported throughout the therapeutic process.
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Frequently rebooked

$140/session

Solution oriented
Empowering
Open-minded

Specialties

Addiction
Grief
Trauma and PTSD
+3
I'm a down-to-earth therapist with a generally upbeat personality. I've been practicing clinically since 2016 and love what I do. As a military spouse and daughter of a veteran, I also understand military culture. I worked with active-duty service members for four years. The military has led to several moves and many opportunities in my career. I've treated people struggling with addictions, trauma, grief, loss, relationship issues, and unbelievable stress. As a wife and mother, I have also found joy in helping families with young children during my work with the birth-to-three population. Everything changes when people have children. Postpartum depression and anxiety deserve to be met with love and support. I believe therapy should be individualized and trauma-informed. All of my clients are met with the same energy and care. This is about you. I keep it real and don't pass judgment no matter the issue.
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$175/session

Empowering
Solution oriented
Authentic

Specialties

ADHD
Coping Skills
Trauma and PTSD
+10
My name is Aesha Lomas. 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 9 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.
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$150/session

Empowering
Direct

Specialties

ADHD
Anxiety
Depression
+10
Hi! I'm a Licensed Clinical Social Worker based in Florida and NC. I received my Master of Social Work from Our Lady of the Lake University in San Antonio, TX., and have been practicing in North Carolina and Florida for since 2018. I help children, adolescents, adults, and the elderly set boundaries, learn coping skills, and foster positive communication to overcome challenges they have faced throughout life. I am also certified in Trauma Focused - Cognitive Behavioral Therapy, ADHD certified, and Parent Instructor certified.
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New to Grow

$150/session

Open-minded
Authentic

Specialties

Anxiety
Life Transitions
Trauma and PTSD
+10
I am a culturally competent, nonjudgmental Asian therapist with several years of clinical experience. As a military spouse, I understand the unique stressors that come with transitions, uncertainty, and resilience. My work primarily focuses on trauma, and I draw from evidence-based approaches to support meaningful, lasting change. I previously worked with children and adolescents and, over the past years, have shifted my focus to adults and couples, while continuing to see teen clients. I genuinely value this work and find deep meaning in supporting clients through healing and growth.
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$100/session

Authentic
Empowering
Challenging

Specialties

Anxiety
Military/Veterans
Trauma and PTSD
I am an Licensed Clinical Social Worker with 10 years experience who specializes in treating mental health conditions, trauma and emotional difficulties. I help people manage mental health issues like depression, anxiety, stress, trauma and more. I am trained in CBT and certified in EMDR and DBT. Through knowledge and experience, reasonable goals will be established and identify a treatment plan that provides the steps to a life worth living.
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$130/session

Warm
Solution oriented

Specialties

Anxiety
Coping Skills
Depression
+1
I provide a non-judgmental, genuine, and warm atmosphere that helps clients feel at ease from the start. My passion is supporting people through a wide range of challenges — whether it’s everyday stress related to relationships, work, or school, or deeper, long-standing issues rooted in childhood or past trauma. No matter where you’re starting from, my goal is to help you develop a stronger, more grounded, and content sense of self.
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Frequently asked questions

Why filter by North Carolina rather than a city like Charlotte?

When looking for online therapy, you can see anyone that is credentialed in the state. 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.

Will my therapist take insurance?

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.

How does the Specialty Filter work? Can I find a therapist that focuses on a specific issue?

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.

Why use Gender, Age, and Identities filters?

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.

What to expect during your first session?

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.