Therapists that accept Cash Pay in North Carolina

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.

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.

Do you feel persistently overwhelmed, as if you're fighting an uphill battle with your mental health? Is it becoming increasingly difficult to navigate life's ups and downs with serenity? Are you striving for a harmonious balance between personal life, career, and self-care? Have you ever felt like "something's wrong" but can't quite ever identify what it is, or where that feeling is coming from? I am dedicated to helping people from all walks of life better cope with stress and anxiety without compromising their drive for success. I believe in the importance of holistic wellness and integrate various therapeutic techniques such as cognitive-behavioral therapy, EMDR, psychodynamic therapy, and hypnosis to help you find a path to inner peace while staying productive and motivated. Whether you're grappling with stress, anxiety, grief, or unprocessed trauma, remember it's brave to reach out for help. Our collaboration will offer a safe and non-judgmental space for you to explore your feelings, identify your triggers, and cultivate effective coping mechanisms. Together, we will navigate the ebb and flow of your life, aiming for personal growth, tranquility, and a balanced lifestyle.

As a licensed clinical mental health counselor with eight years of dedicated experience in the mental health field, I bring a wealth of expertise and a compassionate approach to every counseling session. With three years of professional counseling experience, I am committed to providing effective and personalized care to individuals seeking support. At the core of my counseling philosophy lies a strong belief in the power of the person-centered approach. I recognize that each client is unique, with their own set of experiences, challenges, and strengths. Therefore, I strive to create a safe, non-judgmental space where clients feel heard, valued, and empowered to explore their thoughts, emotions, and concerns at their own pace. Central to my therapeutic framework is the conviction that clients are the experts of their own lives. I view my role as that of a guide and facilitator, working collaboratively with clients to identify their goals, strengths, and solutions. By fostering a trusting and supportive therapeutic alliance, I aim to empower clients to tap into their innate resilience and capacity for healing. With specialized training and expertise in trauma, depression, anxiety, mood disorders, and relationship issues, I am equipped to address a wide range of mental health concerns. Whether clients are struggling with past traumas, navigating life transitions, or facing challenges in their relationships, I offer evidence-based interventions tailored to meet their unique needs and goals. Through a combination of empathic listening, skillful questioning, and evidence-based techniques, I support clients in developing coping strategies, enhancing self-awareness, and fostering meaningful change in their lives. My ultimate goal is to facilitate healing, promote personal growth, and empower clients to live more fulfilling and authentic lives. If you're seeking support on your journey towards mental and emotional well-being, I am here to walk alongside you every step of the way.

Good day to you and welcome. I have worked for hospice and Project Aids Care and with Veterans in Home-Based Primary Care in the capacity of supporting people in identifying their health goals and end-of-life plans. For all those years I was going into peoples homes to figure out what choices they wanted to make and goals they wanted to achieve in the future that was ahead. We can identify options and resources that will help you through it. You will hopefully leave each session with a better understanding of what you're facing medically and personally and then begin to develop a plan and an evolution in perspective moving forward.

I am Todd Johnson a Licensed Clinical Social Worker and I believe that each person has value. As adults at some point in time we face obstacles and challenges that can interrupt the order of our lives. My journey as a therapist has been driven by a deep commitment to help individuals navigate the complexities of grief and loss, family dynamics, stress/anxiety, and life transitions.

Hi there, I’m Julissa. You may be used to being the person others depend on—managing responsibilities, showing up for everyone, and keeping things moving. But inside, you might feel overwhelmed, anxious, or disconnected from yourself. If that sounds familiar, I’m glad you’re here. You deserve a space where you can feel supported, too. I’m a licensed mental health therapist with 10 years of experience. I help adults navigate anxiety, burnout, self-doubt, and life transitions. My holistic approach combines clinical tools with mindfulness and attention to the connection between your thoughts, emotions, and body. For clients who find it meaningful, we can also explore spirituality as part of the healing process. Together, we’ll make room for what you’ve been carrying, understand patterns that leave you feeling stuck, and develop practical ways to feel more grounded, set healthier boundaries, and make decisions with greater confidence. I consider it a privilege to hear your story. If this approach feels like a good fit, I invite you to schedule a first session. We’ll start where you are and explore what support could look like for you.

I’m a warm, down-to-earth therapist who believes therapy doesn’t have to feel stiff or overly clinical. My style is informal, conversational, and collaborative, creating a space where you can show up as yourself without worrying about saying the “right” thing. I have no expectations for you to present yourself in a certain way, change anything about yourself, or hide anything. Each thing that you share will only help our work together, and guide me to the best understanding of you and your needs, so that we can navigate your challenges as a team, and take all factors into consideration. My goal for my sessions is to create an environment where the people that I meet with understand that they will never be met with judgement, unreasonable expectations, or negativity. Together, we can create a map of what you’re going through, identify and build on your strengths, and find practical ways to grow toward the life you want.

My name is Maggie Carswell, Licensed Clinical Social Worker. I have been in the therapeutic field since 2018. With a passion for promoting realistic goals and achievements, I am looking forward to working with clients to assist them in progressing towards positive change in their life while creating a transparent space that is free from judgement. We will work together to create trust, empowerment, build self confidence, and learn practical tools that can be used to assist in navigating the complexities of life.

As a Caribbean-born woman, I value family, resilience, community, and a safe space where you feel heard, understood, and supported. My passion for social work comes from a genuine desire to help people navigate life’s challenges, recognize their inner strength, and discover that they don’t have to face everything alone. I am a Licensed Clinical Social Worker (LCSW) with over 17 years of experience supporting individuals and families through various life experiences. I understand that life can sometimes feel overwhelming, whether you’re managing anxiety, navigating relationship challenges, adjusting to life transitions, or trying to rediscover yourself. I believe therapy is a collaborative journey where you can feel comfortable showing up as your authentic self without fear of judgment. My approach is warm, compassionate, and solution-focused. I draw from Cognitive Behavioral Therapy (CBT), Motivational Interviewing, and client-centered approaches to help you build coping skills, strengthen self-awareness, and work toward meaningful change. My goal is to meet you where you are, honor your unique experiences, and walk alongside you as you work toward greater emotional well-being, confidence, and personal growth. You deserve to feel supported, valued, and empowered to create a life that feels fulfilling to you.

If you are a mother drowning in the intersection of ADHD, anxiety, and neurodivergence, I see you—not through rose-colored glasses, but as a fellow ADHDer raising neurodivergent kids. My practice is built on real, lived experience, allowing me to partner deeply with moms and a broad range of adults who are ready to stop letting life just happen to them. Together, we will cut through the paralysis, take ownership of your life, and develop the exact strategies needed to dust off your identity and feel joy again.

I'm Lakeisha, a Licensed Clinical Social Worker and Military Veteran dedicated to supporting individuals as they navigate life's challenges. I aim to provide a safe nonjudgmental space where you can feel comfortable with exploring your thoughts, emotions and experiences at your own pace. My approach is collaborative, compassionate and tailored to your unique needs. Whether you are dealing with anger management, anxiety, depression, relationship issues, career challenges/transition or simply feeling stuck. I believe that with the right support, anyone has the capacity for growth, healing and change. I'm here to walk you through that process. I earned a Bachelor of Social Work from the Methodist University of North Carolina in 2005. Then I obtained a Master of Social Work with a focus on Individuals and Families/Clinical Mental Health from the University of South Carolina in 2007. I have been practicing Social Work for 17 years and have worked in several different sectors including Outpatient Therapy, Hospital, Medical, Psych Unit and discharge planning. Department of Social Services, Military, Group Homes, Community Services Boards, Community Mental Health Agencies, Jails, Collaboratively we will develop a treatment plan to help you better understand your thoughts and emotions, develop healthier coping strategies, and create meaningful changes in how you handle life's challenges while establishing tools to assist you with reaching your goals. Please feel free to contact me to see if we may be a good fit.

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.

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.

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.

Hello, welcome to the beginning of this new therapy journey. Whether it's your first time or you've been here before - I am happy to support you in whatever you need! I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs, therapy is not one-size fits all! Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process. I am licensed in North Carolina with seven years of professional work experience. I graduated from Appalachian State University with my Bachelors and Masters of Social Work, and have held a clinical license (LCSW) since 2019. I have experience in helping clients with relationship issues, family conflicts, parenting issues, life changes, anxiety, depression, motivation, self-esteem, career difficulties, school issues, financial struggles, and more. I work with any and all age groups, especially with teens and young adults. Some of my more focused expertise are life changes regarding the growing pains of adolescence, personal relationships, career changes and loss as well as relationship issues including trust, infidelity, STDs, jealousy, commitment issues, attachment issues, codependency, and more. I have worked in-home with families with kids on juvenile probation, and am trained in Functional Family Therapy - which looks closely at the functions of the family and each member's role and behaviors and how to find solutions to the presenting problems. My therapy style is very solution-focused and relatively fast paced. I typically meet with clients who need brief therapy for life changes and adjustment, or support with parenting, relationships, etc. but am able to do more long-term if desired!

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.

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

Hello! I am a licensed therapist in both North Carolina and New York. I find great fulfillment in working with individuals needing assistance in better managing their mood stability, emotions, anxiety, relationships, codependency, and life adjustment stressors. Reaching out to a new therapist for the first time can feel overwhelming and very vulnerable. My main goal is always helping potential and established clients feel safe, respected, and heard. Feel free to reach out to discuss your needs and how I may be of assistance in your emotional journey.

Hiya. My name is Sejal Patel, and I am currently licensed in North and South Carolina, as a LMFT. As a therapist, I show curiosity when my client(s), families, and couples ask me for guidance. Majority of my clients', share the assumption, because I am a therapist, I experience minimal challenges in life and relationships. I wish that was true. My professional education and knowledge has been helpful and useful. Truthfully, the lessons I learned by experiencing failures, challenges, and struggles of life are the true heroes to how I find my solutions. I welcome your curiosity to a collaborative process that combines my professional expertise, your life experience knowledge, and the power of creative solutions.

I'm so happy that you reached out for help. I am Charlene Jones, a Licensed Clinical Social Worker with over 14 years of clinical experience providing therapy in an online and office setting providing counseling to adults, children, adolescents and families in office, school and community-based environment. I have sound experience working with diverse populations, including military, homeless, victims of sexual abuse, substance abuse and personality disorders. I am confident that I can be very useful in assisting and processing you through these difficult life challenges. I generally check messages here a few times per day Thurs-Sun and respond as quickly as I can. I do appreciate your patience when it takes a bit longer at times, as I may be tending to other clients or professional/personal responsibilities. As you can read in my profile, my therapy style combines empathy with various evidence-based approaches, including CBT, DBT and solution focus modalities. Taking steps to reach out for help is not easy and I commend you for your courage. I am confident that I can be very useful in assisting and processing you through these difficult life challenges. I am confident that I can be very useful with assisting and processing with you through difficult life challenges that you're facing.

I believe recovery doesn't have to be grim. I bring playfulness and humor into the room where it fits, because healing often involves finding joy again. My approach is rooted in the belief that your brain is trying to protect you—even when it feels like it's working against you. I don't just treat symptoms; I help you rebuild trust in your system. Whether you are dealing with intrusive thoughts, people-pleasing, low self esteem, coping with difficult personalities, we move at a pace that respects your life's demands. • No "Resume" Talk: I skip the jargon. We focus on you and what you need to feel safe and get your agency back. • Playful & Practical: Recovery can be hard, but it doesn't have to be grim. I bring warmth, at times humor, and real-world tools to our sessions. • Trauma-Informed: I understand that your symptoms are trying to protect you. We work with your brain, not against it.

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.

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.

Are you feeling overwhelmed by your thoughts and emotions or grappling with uncertainty about how to manage them? It’s entirely understandable to notice patterns in your thoughts and behaviors that no longer serve you. If you’re ready to embark on a journey of meaningful change, I’m here to walk alongside you and offer my support at every step. As a Licensed Clinical Social Worker (LCSW), a Licensed Clinical Addiction Specialist (LCAS), and a Registered Electroneurodiagnostic Technician, I bring a wealth of experience from diverse clinical settings, including crisis response, detox facilities, and both individual and group therapy. My approach is compassionate and integrative, drawing from Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and Solution-Focused Therapy (SFT). Together, we will work to understand how your thoughts and emotions influence your actions. With CBT, we can gently identify and challenge unhelpful thinking patterns that may be holding you back. MI will provide a space for you to explore and address any ambivalence about change, helping you uncover your motivation for growth. Through SFT, we will focus on your unique strengths and practical solutions that resonate with your goals. In our work together, we will explore both current challenges and past experiences to gain insight into how they shape your life today. I am deeply committed to supporting the holistic healing of your mind, body, and spirit, tailoring my approach to honor your unique journey. You don’t have to navigate anxiety, depression, trauma, substance use, or everyday stress alone. Wherever you find yourself on this path—whether you’re seeking help for the first time or returning for deeper work—you are taking a brave and vital step.