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 545 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.

Availability updated: 10/18/2026

$150/session

Authentic
Warm
Empowering
Specialties
Couples Counseling
Depression
Military/Veterans
+7
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.
VirtualAvailable

$200/session

Direct
Intelligent
Solution oriented
Specialties
Addiction
Anger Management
Grief
+5
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.
VirtualAvailable

$120/session

Empowering
Intelligent
Specialties
Anger Management
Career Counseling
Life Transitions
+4
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.
Available

$120/session

Authentic
Warm
Solution oriented
Specialties
Anxiety
Depression
Self Esteem
+6
Do you get overwhelmed by feelings of anxiety, depression, and low self-worth? Do you feel like no matter how hard you try, you will never be good enough? Are you struggling to find satisfaction in your life? I help women in all stages of life to discover their strengths and resources to become the version of themselves that they want to be. Together we will identify maladaptive thoughts and habits that create barriers to meeting outcomes and replace these with more balanced thinking and behaviors. I use a mix of Cognitive-Behavioral and Solution-Focused modalities to get to the root of core beliefs that get individuals stuck in daily living, while also engaging in resource talk that instills hope for a preferred future. Whether you are dealing with anxiety, depression, or just the difficult changes that come with life, I’m here to help you. Therapy can be a process that feels uncomfortable but it can also be so rewarding and life-changing. The decision to seek help is a difficult one but be assured that it is the right one. I will provide a listening ear and an open heart as we dive in together to help foster healing and growth at a pace that feels comfortable to you. Let’s work together so that you can begin living life to the fullest.
VirtualAvailable

$90/session

Solution oriented
Authentic
Empowering
Specialties
ADHD
Anger Management
Couples Counseling
+8
Dr. Natika McPherson is a Licensed Clinical Mental Health Counselor Supervisor (LCMHCS), educator, author, and nonprofit founder with more than 25 years of experience serving children, adolescents, and families. She specializes in helping clients navigate emotional, behavioral, relationship, and life challenges while building resilience, confidence, and healthy coping skills. Dr. McPherson utilizes evidence-based approaches, including Cognitive Behavioral Therapy and Solution-Focused Therapy, tailored to each client's unique needs. Her work is grounded in the belief that every individual has strengths that can be developed to create meaningful change, improve relationships, and achieve personal growth and long-term success.
Available

$105/session

Authentic
Solution oriented
Empowering
Specialties
Anxiety
Depression
Trauma and PTSD
+8
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.
VirtualAvailable

$150/session

Warm
Authentic
Empowering
Specialties
Anxiety
Depression
Trauma and PTSD
+1
*For those looking, I Do Not Provide Medication Management. I help Christian women unravel the confusion of emotionally and spiritually abusive marriages-whether you're still unsure, just beginning to question, or already walking away. There's space here for your story, your faith, and your healing. You don’t need another professional voice telling you how to heal. You need someone who knows—someone who has walked through the fire, crawled through the ashes, and fought to reclaim her own life. That’s why I’m here. I don’t offer band-aid solutions or quick fixes. I offer truth, courage, and a way forward. I will sit with you in the mess, wade through the lies that have kept you stuck, and help you rebuild what was stolen. If you’re exhausted from carrying the weight of expectations, fear, and silent suffering—I see you. And I’m not afraid to go with you where others have refused to go. You’re not just getting counseling—you’re getting a lifeline. A mirror to see yourself clearly again. A way out when everything in you says you’re stuck forever. Because you’ve been told you have to stay. That this is your burden to bear. That suffering in silence is somehow holy. But it’s not. And I know that agony—the cherished tears that come from realizing everything you fought for is crushing you instead of saving you. The grief of knowing you lost yourself somewhere along the way. But hear me: You are not too far gone. This space? It was made for you. A place where the raw, the sacred, the unspoken are all welcome. Where you can breathe again. Where you can break apart and break free. You don’t have to stay in the darkness. You were meant for so much more. If you’re ready to dig yourself out, let’s begin.
Available

New to Grow

$105/session

Specialties
Anxiety
Burnout
Life Transitions
+1
Maybe you are working through constant stress and anxiety, searching for deeper meaning, or simply needing someone to walk alongside you through life’s ups and downs. It’s important to me that every session feels like a safe space where you can share openly and know that your unique story matters. Together, we’ll honor where you’ve been, focus on where you are, and dream about where you want to go. I’m here to support you every step of the way.
Available

$120/session

Authentic
Direct
Empowering
Specialties
Addiction
Anxiety
Men's Issues
+10
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.
VirtualAvailable

New to Grow

$100/session

Specialties
Anxiety
Emotional Regulation
Self Esteem
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.
Available

$150/session

Warm
Authentic
Empowering
Specialties
Anxiety
Depression
Life Transitions
+7
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.
VirtualAvailable

$125/session

Authentic
Empowering
Open-minded
Specialties
Anxiety
Depression
Emotional Regulation
+8
For 18 years, I have worked alongside children and adults navigating some of life's hardest moments: anxiety, depression, trauma, family conflict, and more. I believe that when you invest in your mental health, you gain more control over your own life, and that is something worth working toward together. I am dually licensed in both North Carolina and South Carolina, which means I bring a depth of clinical experience across many settings. Using a blend of Cognitive Behavioral Therapy (CBT), Person Centered, and Solution Focused Therapy, I meet you where you are and help you build toward where you want to be.
Available

New to Grow

$65/session

Specialties
Chronic Illness / Medical Issues
Grief
Life Transitions
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.
Available

$120/session

Warm
Authentic
Open-minded
Specialties
ADHD
Life Transitions
Trauma and PTSD
+10
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.
VirtualAvailable

$165/session

Authentic
Solution oriented
Direct
Specialties
Anxiety
Couples Counseling
Grief
+7
Hello-My name is Richard (Rick) Lally. I graduated with a master's degree in clinical psychology from Connecticut College and have been working in behavioral health for 25 years. I also have been a Licensed Clinical Mental Health Counselor in North Carolina for the past 20 years. I have been able to help individuals from diverse backgrounds with a wide array of issues; depression, grief/loss, stress, anger, relationship distress to name a few. Regardless of whether your need for seeking counseling is one of these matters or something else, please reach out to me and give me the chance to see if I can offer some relief. I welcome the opportunity to meet you.
VirtualAvailable

$185/session

Authentic
Solution oriented
Direct
Specialties
Couples Counseling
Military/Veterans
Parenting
+15
John Swails is an ordained minister, a Marriage and Family Therapist (LMFT), Certified DBT Therapist, and Marine Corp Veteran, with military mental-health practice experience addressing traumatic stress, separation, family grief, and relationship issues, and civilian experience addressing physical and sexual abuse, single-mothers with dual diagnosed children, and group therapy for middle-school and teens to develop resiliency. As a therapist, John utilizes proven DBT, Strategic, CBT-Family, Solution-Focused, and other systemic techniques to address individual, couple, and family issues. As a minister John is sensitive to the beliefs of the client and is ready to explore spiritual solutions to any issue.
VirtualAvailable

New to Grow

$150/session

Holistic
Open-minded
Specialties
Anxiety
Attachment Issues
Childhood / Intergenerational Trauma
+10
I am a first generation native Spanish-speaker. I am passionate about mental health awareness, the impacts of generational trauma, and social/cultural conditioning. I utilize various trauma-informed therapeutic modalities including IFS. My approach to therapy is simple: We must face the discomfort and learn to sit with the parts of us that are hurting in order to begin the journey of self-discovery, begin healing, and lead a more authentic life in alignment with our true north. All the answers we are searching for are within. Let me support you as you develop a deeper and more understanding relationship with yourself.
Available

$85/session

Authentic
Empowering
Solution oriented
Specialties
Crisis Intervention
Life Transitions
Trauma and PTSD
+7
Welcome! I’m Galadriel, and I'm glad you're here. Taking the first step into therapy can feel daunting, but you don't have to walk the path alone. I am a licensed clinical social worker with experience in crisis response, trauma counseling, and guiding clients through life’s many challenging transitions. I use a blend of therapeutic techniques to help you explore the deeper patterns that shape your current actions and experiences, while helping you build practical skills to address daily struggles and begin to build the life you desire. I believe therapy works best when we collaborate toward clear, meaningful goals. I am warm and compassionate, but I will ask the hard questions. I offer a safe space where you can explore what’s happening in your life, understand your internal world, and build tools that help you feel more stable, confident, and empowered. Whether you’re working through trauma, managing stress, or trying to make sense of a difficult transition, I’m here to support you and assist you along the journey.
Available

Often rebooked

$199/session

Authentic
Empowering
Holistic
Specialties
Anxiety
Spirituality
Trauma and PTSD
+6
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.
VirtualAvailable

Often rebooked

$120/session

Warm
Authentic
Empowering
Specialties
ADHD
LGBTQ
Life Transitions
+2
I'm a Licensed Clinical Social Worker based in North Carolina. I received my Master of Social Work degree from Rutgers University in 2007 and have practiced social work (mainly a combination of behavioral health counseling, case management, and other services) since then. I help my clients feel heard, seen and understood. From our first session, I engage them in creating their own vision for therapy. Therapy with me is collaborative and relational.
VirtualAvailable

Often rebooked

$150/session

Authentic
Humorous
Direct
Specialties
Anxiety
Coping Skills
Self Esteem
+3
Welcome in! I really appreciate you being here today. Life can get overwhelming—sometimes even unmanageable—so I want to congratulate you on taking this step and crossing one more thing off your list. I’m a Licensed Clinical Social Worker with years of experience providing compassionate, client-centered therapy. I use talk therapy and CBT as my primary modalities. I also integrate a strengths-based approach and Solution-Focused Brief Therapy. I specialize in supporting individuals facing anxiety, stress, depression, self-esteem challenges, poor coping skills, and self-harming behaviors. I also have experience in crisis intervention, helping people through moments of acute distress. My approach is always trauma-informed and culturally responsive, facilitating a safe space where we can work together to build resilience, empowerment, and lasting change. And if you’re not sure what your circumstances are, or if you’re feeling unsure where to start, that’s okay. You don’t have to have all the answers—we can figure it out together. If it matters to you, it matters to me. Let’s talk about it.
Available

$175/session

Authentic
Warm
Empowering
Specialties
Anxiety
Coping Skills
Obsessive-Compulsive (OCD)
+6
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.
VirtualAvailable

$175/session

Warm
Authentic
Solution oriented
Specialties
Anxiety
Couples Counseling
Parenting
+5
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.
VirtualAvailable

$120/session

Warm
Authentic
Open-minded
Specialties
Anxiety
Grief
Insomnia/Sleep Issues
+6
Looking through these many profiles can be difficult and draining. Thanks for being here. If you are struggling and unable to control your worries or feeling anxious and as if your stress never eases up, I hope we connect. Overthinking tomorrow and replaying yesterday can be exhausting for any of us and can honestly feel like where we live in our minds. Anxiety steals valuable time from us and can cause incredible distress. Depression also robs us of time, and if you live with grief and loss, the pain may feel overwhelming and never ending. I serve individuals in Wisconsin, North Carolina, and Virginia and have many years of experience working with clients suffering with anxiety, many of whom have endured trauma, loss, and live with grief. I enjoy assisting all adults and have worked with many wonderful individuals in addressing life challenges, changes, and transitions. I know it can be especially difficult and uncomfortable to reach out and ask for help when you are already overwhelmed with a situation. I will always strive to provide a safe space for you to talk about whatever concerns are important to you. Some concerns are very private. I respect this and offer a supportive environment which is always free from judgement. I appreciate your time and hope you find who you need in these profiles.
VirtualAvailable

$110/session

Authentic
Warm
Solution oriented
Specialties
Anxiety
Insomnia/Sleep Issues
Life Transitions
+9
Hi there, I'm Jenni! Feeling stuck and frustrated? Struggling to deal with the loss of a loved one? Trying to find balance in your life while coping with chronic illness? Expecting an upcoming change? Not able to sleep or stay on top of things in your life? I am here to help! Therapy cannot be effective if we are not meeting your specific needs and goals. I want to meet you where you are and together identify a path forward. I want to understand you, your values, and your background while also giving you solution-focused interventions you can utilize to make changes. If talking it through without homework is the way you want to go, that is fine too! We are all capable of change and moving forward but sometimes it is the dialogues in our head, relationships, or other factors that are getting in our way. Therapy is a great place to work through those and be more connected with what you value in your life. Let's work together!
VirtualAvailable
Frequently asked questions

When looking for online therapy, you can see anyone that is credentialed in North Carolina. 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.

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.

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.

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.

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.