Therapists that accept Cash Pay in North Carolina

I’m a warm, down-to-earth therapist who believes that feeling safe, understood, and genuinely supported is the foundation for meaningful change. With over 15 years of experience across schools, hospitals, crisis settings, and community-based care, I’ve had the privilege of working with people at many different stages of life—from teens navigating overwhelming emotions to adults facing complex life challenges. My background as both a counselor and school social worker has given me a deep understanding of how early experiences, family dynamics, and life transitions shape who we are. I’ve supported students and families through anxiety, emotional struggles, and difficult situations, and I carry that same patience, empathy, and advocacy into my work with all clients. I’ve also worked in high-intensity environments—including crisis settings, alongside law enforcement, in hospitals, and with veterans, survivors of trauma and domestic violence, and individuals in eating disorder treatment. Because of this, I’m comfortable supporting clients who feel overwhelmed, stuck, or unsure where to start. You don’t have to have everything figured out to begin. In our work together, I focus on creating a space where you can be yourself without fear of judgment. I balance practical tools and coping strategies with deeper exploration, helping you not only manage what you’re going through, but also understand it. My approach is collaborative, supportive, and tailored to you—whether you’re looking for structure, insight, or simply a place to feel heard. Reaching out for therapy can be hard, but you don’t have to do it alone. My goal is to help you feel more grounded, more confident, and more in control of your life.

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 am a Licensed Clinical Social Worker (LCSW) who works with adults and young adults seeking supportive space to better understand themselves and navigate life’s challenges. I work with anxiety, chronic stress, burnout, relationship difficulties, and periods of transition or uncertainty. Whether navigating college, early adulthood, career decisions, changing relationships, or the next chapter of life, therapy can help clients gain perspective, clarify what matters and move forward with confidence. I also draw on my past experience working with children and teens to help parents strengthen connection and communication. My approach is collaborative, compassionate, and engaged, while also being direct when helpful. I believe therapy can be meaningful and challenging without always feeling heavy and I often incorporate appropriate humor, warmth, and a genuine sense of humanity into our work. I use an integrative model that incorporates Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT). Our work often focuses on clarifying values, building coping strategies, improving relationships and making changes that feel realistic. I strive to provide a non-judgmental environment where clients feel understood and respected while developing tools they can use in their everyday lives. I offer teletherapy to adults located in North Carolina.

Hi, I'm Matthew, a Licensed Clinical Mental Health Counselor and the founder of Cardinal Counseling Connection. I'm trained in Emotionally Focused Therapy (EFT) and listed with ICEEFT, and most of my work centers on helping men build a stronger, more honest relationship with themselves and the people they love. Many of the men I work with came to therapy because something wasn't working,;maybe it's hard to put feelings into words, relationships feel harder than they should, or old coping strategies (working more, shutting down, numbing out) have started costing more than they help. My work is about helping you find your voice again: naming what you actually feel, understanding where old patterns come from, and learning to connect — with yourself first, then with the people around you. I come to this work personally as well as professionally. Some of my own early experiences left me feeling like I had to manage everything alone, and I know what it costs to carry that. That's part of why I care so much about helping men find a different way; one where connection, not control, is the goal. In session, I bring both structure and warmth. I'll ask real questions, name patterns you might not see on your own, and give you tools you can actually use. The work itself is collaborative, not clinical box-checking. My goal isn't just symptom relief; it's helping you build the kind of internal and relational life that feels sustainable and real. If you're a man who's tired of white-knuckling it alone and ready to actually understand yourself, I'd be glad to work with you.

I’m pleased to share that I am now offering in-person sessions.... I’m a therapist passionate about supporting people through both emotional struggles and the real-life challenges they face. My work focuses on healing that’s not just psychological but also grounded in your everyday experiences. I offer a compassionate, down-to-earth approach that’s tailored to your needs. Together, we’ll explore what’s holding you back, build practical tools, and work toward helping you feel more understood, empowered, and ready to move forward.

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.

Hello, and welcome! I'm a Licensed Clinical Mental Health Counselor (LCMHC) with six years of experience working with adults as they navigate life's challenges and transitions. I understand that reaching out for support can feel overwhelming, and my goal is to provide a safe, compassionate, and judgment-free space where you feel heard, valued, and empowered. I enjoy working with individuals who are experiencing life changes, whether it's starting a new career, navigating relationship changes, becoming a parent, or simply feeling stuck or uncertain about what's next. My approach is collaborative, person-centered, and tailored to your unique needs. I incorporate evidence-based approaches like Cognitive Behavioral Therapy (CBT) and Solution-Focused Brief Therapy (SFBT) to help you build practical coping skills, gain insight, and move toward your goals. For clients who request it, I also offer faith-based counseling by thoughtfully integrating spirituality into the therapeutic process. I believe therapy is a partnership, and I look forward to supporting you as you work toward healing, growth, and a more fulfilling life.

I am a Licensed Marriage and Family Therapist and completed my Master’s degree in Marriage and Family Therapy at Mercer University in Atlanta. Additionally, I received my Bachelor’s degree in Psychology from the University of North Carolina at Chapel Hill. With my extensive training and experience, I am committed to assisting couples, families, and individuals who may be grappling with a range of challenges and obstacles. In my practice, I aim to create a safe and nonjudgmental space where clients can freely express themselves and explore their emotions.

Hi, I’m Michelle. If you feel overwhelmed, disorganized, stuck in procrastination, or frustrated that everyday tasks seem harder than they should, you’re not alone, and you’re not lazy or broken. I specialize in helping adults with ADHD, including those who are newly diagnosed, have lived with ADHD for years, or are beginning to wonder whether ADHD may explain some of their struggles. Together, we explore how ADHD may affect the way you think, feel, function, relate to others, and navigate everyday life. My approach is warm, collaborative, practical, and strengths-based. I draw from Cognitive Behavioral Therapy (CBT), mindfulness-based therapy, psychoeducation, and executive-functioning support to help reduce shame, increase self-understanding, and build practical tools that fit your life and the way your brain works. When appropriate, I may also incorporate EMDR to address distressing experiences, chronic shame, or negative beliefs that have developed through years of criticism, rejection, or feeling misunderstood. My work is also shaped by personal experience with ADHD, which has provided additional perspective alongside my professional training. This combination allows me to approach clients with both clinical expertise and an appreciation for the nuanced ways ADHD can affect daily life. My goal is to help you feel more confident, capable, and supported in creating a life that works with your brain rather than against it. For clients who would like to incorporate their faith into therapy, I also offer Christian counseling in a supportive and natural way.

Hi, I’m Raven Patten, LCSW. I work with adults navigating anxiety, stress, burnout, life transitions, relationship challenges, and self-esteem concerns. My approach is warm, collaborative, and practical. I believe therapy should be a space where you feel heard, supported, and challenged to grow. Together, we’ll explore patterns that may be keeping you stuck while developing realistic strategies that help you move toward the life you want to create.

I am a Licensed Clinical Mental Health Counselor supporting adults experiencing anxiety, stress, emotional overwhelm, and overthinking. Many of my clients feel exhausted, stuck, or weighed down by daily demands and are looking for clarity and relief. I offer a supportive, collaborative space to understand emotional patterns, reduce anxiety, and build practical tools for grounding and emotional regulation. My goal is to help you feel more steady, self-aware, and able to move through life with greater clarity and confidence.

My name is Dr. Brandon Lowe and I'm a licensed mental health and addictions therapist. I have a doctoral degree (2024) in Christian counseling and a master's degree in Rehabilition and Mental Health counseling (2013). I've been in the counseling field since 2006. I've worked myself up from a behavioral health specialist to doctoral status within my 19 years in the behavioral health field. Over the years, not only did I acquire higher education but most importantly experience.

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.

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.

I am a clinically seasoned therapist dedicated to helping people reclaim stability when life feels overwhelming, chaotic, or disconnected. My approach combines genuine empathy with objective feedback to address acute anxiety, trauma, and complex relationship dynamics. I focus on creating a reliable, conversational space where you can sort out your feelings, break unhelpful patterns, and move forward at a pace that works for you.

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.

I am a native of North Carolina and started my professional journey by obtaining her BSW (Bachelor of Social Work) and BA in Psychology from UNC-Charlotte and a MSW in 2009 at The University of Georgia. I have worked in a variety or social work, mental health and public education settings and opened my own private practice in 2023. As a therapist, I see my role as guide and partner- not the ultimate authority. Clients can expect honest conversation without judgement, thoughtful questions, laughter, and gentle challenges that encourage growth. The truth is we are all learning and growing, evolving into the best versions of ourselves as we navigate life. I'll meet you on the journey with compassion, curiosity, and accountability.

I believe that the stories we tell ourselves shape everything about how we navigate the world. So often, trauma, neurodivergence, or societal expectations convince us that we are to blame for how we react or feel. My heart in this practice is to create a welcoming and gentle space where we can have real, honest conversations about who you are, unspooling those old stories so you can reclaim a narrative and life that actually feels true to you. My view of the world and my approach to therapy are deeply shaped by my own life experiences. I grew up in a family of clam diggers, was raised by a disabled mother who struggled with mental illness, and was later adopted at age 20 by my father, a self-identified gay hippie and social worker. Today, I am a neurodivergent father of four, and my partner is legally blind. I share these aspects because they have all taught me one thing: the world is unique, you are unique, and I love creating space for a uniquely broad, lived understanding of human diversity. Having walked through so many different paths, I know firsthand that the world is never black and white. It is filled with nuance, gray areas, and profound beauty.

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.

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.

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.

Trauma has haunted you for years. It’s left you with nightmares and flashbacks. It’s caused you to distrust others and push them away. It’s made you feel broken and hopeless. You’ve tried everything you can think of to shed the weight of the past. You’ve read the books, tried the life hacks… You may have even talked to a therapist. But now, you’re out of options. Nothing has helped you transition from being a survivor to someone who’s truly alive. And you’re all talked out. No matter how many times you tell your story, nothing changes. The search for relief is exhausting. This might be your last shot at getting help.

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.

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.

Welcome! I'm Clarence Leon Spruill, MS, LCMHC, LCAS, CRC, Founder and Psychotherapist of HeartMind Counseling PLLC. I provide compassionate, evidence-based therapy for adolescents, adults, couples, veterans, and families navigating anxiety, depression, trauma, addiction, grief, relationship challenges, and life transitions. Together, we'll build resilience, practical coping skills, greater self-awareness, and meaningful, lasting change through collaborative, personalized care that honors your unique goals, strengths, and experiences.