Therapists that accept Cash Pay in North Carolina

I am a Licensed Clinical Social Worker (LCSW) based in North Carolina. I obtained my Masters Degree from the University of North Carolina at Greensboro and have been practicing for six years. I specialize in assisting adults who are grappling with life stressors that may result in burnout and uncertainties. My approach is centered on assuring my clients that they are not alone and that I am committed to supporting them throughout their journey.

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.

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.

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.

Feeling overwhelmed, stressed, and exhausted constantly? Isolated and alone because you don’t want to burden your friends or family with your problems? Or maybe you don’t know quite how to name why you feel this way or how to talk about it. Well, there is good news - therapy is the place to explore these challenging thoughts and feelings. I’ve worked in mental health since 2016, helping people of all ages, backgrounds, and challenges. I approach mental health challenges with a holistic mindset to help identify what we can change, inside of our control, and increase resilience. Depression, anxiety, ADHD, and trauma are a few examples of mental health struggles that impact how we live and experience the world. However, the opposite is also true! Because our lifestyles can influence our ability to tolerate stress and feel good about ourselves. My job as a therapist is to help you identify what is working, and what isn't working, and what we can do about it. I believe in us working as a team and supporting you in achieving your goals, so you can reconnect with your inner strength, resilience, and confidence to manage life's challenging ebbs and flows. Why choose me? Well, to help me feel less like a stranger, here is more detail about my background: My M.A. in Clinical Mental Health Counseling is from Lenoir Rhyne University's Graduate Center of Asheville, NC in Dec. 2020. I hold a B.S. in Psychology from Longwood University in Farmville, VA. I'm a Qualified Mental Health Professional with 5.5 years of direct care experience with teens in residential treatment. My graduate internship was community & school-based outpatient therapy with Access Family Services. August 2021 to March 2024, I was an outpatient therapist, in-person and virtual, with the center for emotional health.

Hi, I’m Kendrick Burden, a Licensed Clinical Social Worker passionate about helping people reconnect with their truest selves. I work with individuals who are navigating trauma, anxiety, depression, and high-pressure transitions, especially when life feels heavy or unclear. Whether you're processing loss, healing from old wounds, or realigning with who you were created to be, therapy is a space to pause, reflect, and move forward with intention. My approach blends evidence-based tools such as EMDR, CBT, and ACT with compassionate, faith-based support when desired. Together, we’ll identify what’s been holding you back and chart a new path grounded in your values and strengths. My hope is to help you feel more anchored, more empowered, and more at peace with the life you’re creating.

What if you didn’t have to choose which version of yourself gets to be heard? The confident you. The worried you. The one who wants change. The one who wants things to stay familiar. They can all be there at the same time. And instead of trying to silence one over the other, therapy can help you understand what each one is bringing to the table.

Hello! I’m Elsie Henderson, a Licensed Marriage and Family Therapy Therapist and Licensed Clinical Addictions Specialist Associate. My practice is built on creating a warm, supportive, and judgment‑free space where clients can explore their experiences with honesty and confidence. I take an integrative approach that blends cognitive behavioral strategies with emotional and spiritual wellness, and I also offer Christian counseling for clients who prefer a faith‑based perspective. Whether working with individuals or couples, my focus is on helping people strengthen their relationships, deepen their sense of purpose, and move toward lasting, meaningful change.

I take a warm, down-to-earth approach and believe in seeing the whole person, not just the challenges they are facing. I value genuine connection, humor, and creating a space where clients feel comfortable being themselves. My goal is to help clients feel heard, understood, and supported while working together toward meaningful, lasting change.

I am a compassionate and approachable Licensed Clinical Social Worker with over seven years of experience helping women heal, grow, and thrive. I am passionate about supporting clients as they build resilience from trauma, overcome self-doubt, and develop a deeper sense of self-worth and confidence. Drawing from both professional expertise and personal experiences with trauma, relationship challenges, and self-esteem struggles, I strive to create a genuine and supportive therapeutic environment where clients feel seen, understood, and empowered. By integrating evidence-based practices with authentic connection, I help clients navigate obstacles, foster healing, and move toward meaningful and lasting change. My practice is firmly rooted in my Christian faith and guided by the values of compassion, accountability, and vulnerability. Traditional counseling is also available to those who do not prefer Christian/faith based therapy. I believe healing occurs within a safe and supportive relationship, and I consider it a privilege to walk alongside clients as they pursue restoration, growth, and the life they were created to live.

I was drawn into the counseling field from a very early age, always curious about people, their relationships, ideas people embrace, choices they make. How do we solve problems or sometimes find them beyond our wisdom and imagination to solve? Even when we do our very best, sometimes we can’t seem to get it right. That can feel overwhelming and finding a way out can seem impossible. A warm and listening heart can be a big help providing the support needed to find our way again. With over 40 years of experience, I have helped a wide variety of people with many concerns.

Marlo Sell is a therapist in North and South Carolina. She provides holistic therapeutic services to clients in their late teens through adulthood. Marlo enjoys working with clients who struggle with anxiety, depression, work/life balance, life transitions, relationship issues/boundaries, domestic violence/sexual assault, self-love/esteem issues, self-harm, and those who want to build a better life and future for themselves. Marlo’s treatment approach involves changing thoughts, behaviors, and emotions, as well as working on areas such as emotion regulation, distress tolerance, mindfulness, and interpersonal effectiveness. Marlo adds in different holistic approaches to therapy such as mediation, EFT, breathwork, shadow work, and self-care.

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

Hi, I'm Lindsay. I have been working as a therapist for over 10 years, but when I take my therapist hat off, I am a daughter, a sister, a friend, an aunt, and a momma to fur babies. Needless to say, I am a major animal lover. I am also a proud Harry Potter adult. I love reading, last year I read 122 books, and my favorite genres are mystery/suspense and fantasy. I also love running, I’ve run five half marathons and would love to run a full marathon one day. My favorite thing in the world is taking my puppies, Nola and Frank, on puppy runs with me (she’s 9, he's 1). If I’m not working, reading, running, or playing with dogs, you will find me fully invested in true crime.

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.

Hi, I'm Dr. Shamanda Burston, a Licensed Clinical Mental Health Counselor and Licensed Clinical Addictions Specialist with more than 15 years of experience helping people navigate life's challenges. I work with teens (13+), adolescents, and adults experiencing anxiety, stress, burnout, life transitions, career concerns, relationship challenges, and financial stress. Life can feel overwhelming when you're trying to meet expectations at school, work, or home while carrying the weight of anxiety, self-doubt, or constant pressure to "hold it all together." Whether you're a teenager navigating school and identity, a college student adjusting to adulthood, or a professional feeling burned out by work and life's responsibilities, therapy can provide a space to slow down, gain perspective, and develop practical strategies for lasting change. My approach is warm, collaborative, and goal-oriented. I strive to create an environment where clients feel comfortable being honest about what they're experiencing while also leaving sessions with tools they can begin applying in everyday life.

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

I am a Licensed Professional Counselor (LPC) in Missouri and a licensed clinical mental health counselor (LCMHC) in North Carolina who specializes in supporting trauma survivors and individuals who are in life transitions to navigate emotional healing, identity transitions, and relationships. In my work, I use Cognitive Behavioral Therapy and Person-Centered Therapy to help you connect with your inner self, challenge negative self-talk, and reframe thoughts that keep you questioning yourself. I offer a warm, safe, and collaborative space where you are seen and heard.

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 have recently earned a certification in perinatal mental health (PMH-C) through Postpartum Support International. You can learn more at https://postpartum.net/

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.

I am a compassionate, collaborative therapist who supports individuals and couples in achieving their therapy goals using evidence-based approaches such as Cognitive Behavioral Therapy (CBT) and Emotion-Focused Therapy, along with integrative techniques tailored to each client’s needs. I focus on helping clients develop healthier coping skills, improve communication, strengthen emotional awareness, establish balanced routines, and cultivate more fulfilling relationships. My work also emphasizes fostering self-compassion, assertiveness, confidence, and positive perspectives on life circumstances. My approach is direct yet supportive, solution-focused, and grounded in practical tools and guidance, empowering clients to feel confident and supported throughout their therapeutic journey. I bring my genuine self, professional knowledge, and years of experience to create a trusting, collaborative relationship where both client and therapist can feel confident in working together.

I’m a Licensed Counselor with several years of experience supporting late-teens, young adults, and adults experiencing anxiety, life transitions, interpersonal difficulties, and the lasting impact of past experiences. I work especially well with individuals who feel overwhelmed, stuck, or disconnected, even when they appear to be functioning well on the outside. Many of the people I work with are looking for greater clarity, confidence, and direction in their lives. My goal is to create a space where you can slow down, make sense of what you're carrying, and better understand yourself without judgment. Together, we'll explore the patterns, experiences, and relationships that have shaped you while working toward meaningful changes that help you feel more grounded, connected, and aligned in your daily life.

I am a a licensed marriage and family therapist with 10 years of experience in treating anxiety, depression, as well as specializing in trauma and how it impacts the individual and family unit. I am highly experienced in working with active duty and retired military, as well as other first responders. In addition to military trauma I also am highly experienced in working with sexual trauma of many forms. Mental health concerns can present in many ways and impact our quality of life to various degrees. My goal as a therapist is to help you to overcome whatever challenges you may be facing in your life and help you feel like “you” again. It is an honor to work with people in the most vulnerable areas of their life, and this is a commitment I take seriously.

I am a Licensed Clinical Social Worker in North Carolina with 10 years of counseling experience. I received my Master's Degree in Social Work from the University of North Carolina at Chapel Hill and have spent many years working in community behavioral health. My training and my work have shaped me into a clinician that understands a person's environment is as important as their mindset. You will find me to be supportive and an advocate for my clients complete health.

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