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 578 verified therapists in North Carolina who accept cash pay, you can explore therapeutic approaches such as cognitive behavioral therapy, solution-focused therapy, and supportive counseling to address a range of concerns, including anxiety, depression, and ADHD. Each Grow Therapy-verified therapist that has a cash pay option listed below is currently welcoming new clients and has availability soon, offering you a straightforward path to compassionate, accessible care on your terms.

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Charlotte

Availability updated: 7/2/2026

Often rebooked

$100/session

Authentic
Intelligent
Solution oriented

Specialties

Anxiety
Life Transitions
Self Esteem
+10
I am a Licensed Psychologist based in the state of North Carolina. I have an MA from the University of Minnesota and a PhD from the University of Wyoming, and have more than 35 years of clinical experience in various settings. I specialize in offering Online Counseling Services for Adults. My main field of expertise is issues relating to stress, anxiety, and depression which arise from life’s various challenges, and which keep us from living up to our full potential at work, in our relationships, and in our lives in general. I work with individuals, as well as with couples.
VirtualAvailable
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New to Grow

$125/session

Specialties

Anxiety
Depression
Trauma and PTSD
+8
Hi, my name is Rebecca! I am a Licensed Clinical Mental Health Counselor (LCMHC) who works with adults, teens, and couples navigating anxiety, depression, trauma, life transitions, and relationship challenges. I have 4 years of experience and completed my Masters in Clinical Mental Health Counseling at the University of San Diego. I am passionate about helping individuals navigate life's challenges and discover their own strengths and resilience. I believe that therapy can be a powerful space for healing, growth, and self-discovery, and I feel honored to walk alongside clients as they work toward meaningful change. My approach is to create a safe and supportive environment through integrative therapy where clients can feel comfortable being themselves, process life's challenges, and build on their strengths to create meaningful, lasting change. Together, we will work toward developing the tools and insight needed to support your personal growth and well-being. Taking the first step toward therapy can feel overwhelming, and reaching out to a therapist for the first time may bring up many questions. I am here to provide support, answer any questions you may have about the therapy process, and help you feel comfortable as you begin your journey toward healing and growth.
Available
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New to Grow

$200/session

Humorous
Warm

Specialties

Addiction
ADHD
Anxiety
+10
Hello! My name is Ellie and I am a Licensed Clinical Social Worker. Therapy is a process of self-discovery. My goal for each session is to create a warm, approachable, and safe environment in which clients feel heard, understood, and empowered exploring and addressing issues in therapy, while cultivating self-awareness and healthy coping skills. In my practice, I work to build a caring, authentic, and collaborative client-therapist relationship as I believe fostering and nurturing the therapeutic alliance is the catalyst and essential for achieving and experiencing positive, lasting change in your relationships and life. Some of my areas of expertise include, but are not limited to, depression and anxiety, adjustment disorders, personality disorders, women’s issues, relationship/marital issues, parent-child conflict, hoarding disorder, PTSD and trauma, self-harm and suicidal ideation, attachment issues, eating disorders, self-esteem and body image issues, and grief and loss. The therapy process allows clients to identify and reach their goals and aspirations, find more meaning and purpose and effectively cope with challenging emotions, stress, and adversity. I believe in the healing and change that therapy brings people and believe in the power of tapping into the creative and deeper part of self that promotes true growth.
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New to Grow

$100/session

Specialties

Family Therapy
Substance Misuse
Trauma and PTSD
+6
I'm Jakira Miller-Eason, MS, LCMHC, LCASA, a trauma-focused therapist who works with children, adolescents, adults, and families. I specialize in helping individuals heal from complex trauma, childhood trauma, anxiety, depression, relationship challenges, and major life transitions. My approach is warm, supportive, and nonjudgmental, combining evidence-based practices with genuine connection. I understand that seeking therapy can feel overwhelming, and I strive to create a space where clients feel safe, heard, and valued. Together, we work to identify patterns that may be keeping them stuck, develop healthier coping strategies, strengthen relationships, and build resilience.
Available
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$80/session

Authentic
Holistic
Warm

Specialties

Anxiety
Coping Skills
Depression
+2
I am a Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina, holding a Master’s degree from the University of North Carolina at Pembroke. With deep roots in community advocacy and foundational experience as a Child Protective Services case manager, I focus on meeting my clients exactly where they are. Throughout my career, I have had the privilege of partnering with a vibrant diversity of populations, including: * Veterans & Families navigating unique stressors, trauma, and major life transitions. * Youth & Pregnant Teens overcoming complex systemic challenges and building resilience. * Individuals from diverse economic and cultural backgrounds seeking a dedicated space to be heard. I view therapy through a culturally sensitive, strengths-based lens. Together, we will honor your unique story and build practical, real-world tools for your long-term emotional wellness.
Available
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$110/session

Authentic
Intelligent
Open-minded

Specialties

ADHD
Anxiety
Coping Skills
+9
I am a fully licensed clinical social worker with nearly 10 years of experience in the field. I am currently licensed in two states. My experience varies from therapeutic mentor, supervisor for other LCSW, and one on one with persons served as a therapist/clinician. My approach is strength-based and person-centered. I work with ages from 6 and up with a focus on adolescents, teens, and adults.
VirtualAvailable
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$100/session

Authentic
Direct
Humorous

Specialties

Anxiety
Depression
Grief
+5
We all need a space to battle our frustrations, stressors, and anxieties. We all have our 'mess.' Don't let your mess control your life. I create a supportive environment where you can explore challenges and work toward the changes you want to see. A dedicated clinical therapist/social worker with experience across various age groups. Utilizing Cognitive Behavioral Therapy (CBT), solution-focused techniques, and a strengths-based approach, I empower clients to navigate challenges, build resilience, and achieve personal growth. Passionate about fostering a supportive and collaborative therapeutic environment tailored to each individual's needs.
VirtualAvailable
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$135/session

Intelligent
Authentic
Solution oriented

Specialties

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

$100/session

Open-minded
Authentic
Direct

Specialties

Anxiety
Depression
Life Transitions
+9
I am a Licensed Clinical Social Worker with a unique educational background in Pre-Pharmacy and Bachelors of Science in Biology. This diverse educational background plays a role in my ability to encompass the mind, body, soul approach during therapy. I look forward to being a supporter in your life journey. I believe taking thoughts captive from the root will change the outcome of your actions.
VirtualAvailable
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New to Grow

$85/session

Direct
Solution oriented

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
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$100/session

Authentic
Direct
Empowering

Specialties

Anxiety
Depression
Mood Disorders
+1
I’m a dedicated mental health and substance use therapist committed to helping individuals navigate life’s challenges with clarity and resilience. I work with clients who are facing anxiety, depression, trauma, or struggles with addiction, offering a supportive and nonjudgmental space for healing and growth. My goal is to help you build practical coping skills, strengthen self-awareness, and create meaningful, lasting change so you can move toward a healthier, more balanced life.
Available
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New to Grow

$150/session

Specialties

Anxiety
Career Counseling
Coping Skills
+4
I am a warm, nurturing and empathic, soft-spoken, middle aged female who enjoys setting people at ease while partnering with them to achieve their personal goals. My approach is relaxed and personable, yet clinically focused in order to equip you with the tools you need to be successful in your journey. I am trained and experienced working with adults and children. I believe that a professional, yet supportive relationship is of the utmost importance and necessary to bringing about meaningful and lasting life changes. No one should feel alone in their journey toward wellness. You don't have to walk alone. I am a seasoned clinician who has worked in the counseling field since about 2000. My specialties include the treatment of anxiety, improvement of self esteem, assertiveness, personal stress/work stress and problems of adjustment or phases in life. I have practical training and experience working with children and adults. I am comfortable and experienced in providing both secular and non-secular therapy based on my client's needs.
Available
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$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
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$150/session

Authentic
Intelligent
Solution oriented

Specialties

Grief
Life Transitions
Women's Issues
+10
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 over 6 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.
VirtualAvailable
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$120/session

Authentic
Warm
Empowering

Specialties

Anxiety
Career Counseling
Depression
+7
Welcome — I’m John Dyson, a Licensed Clinical Mental Health Counselor (LCMHC) and National Certified Counselor (NCC), based in the foothills of North Carolina. I want you to take a moment to acknowledge that you’ve already taken the first step toward bettering your mental health. Let’s be honest — starting therapy can feel empowering, confusing, or even scary — sometimes all at once. My goal is to create a safe, welcoming space where you can explore concerns related to anxiety, depression, and self-care. I focus on helping clients build assertive communication skills and healthy boundaries, both with themselves and with others, in ways that support a more balanced, fulfilling life. Therapy is an opportunity for personal growth in whatever way you're seeking — whether that means navigating specific challenges or building the life you deeply deserve. If that’s what you’re looking for, I’m here when you’re ready. Together, we’ll clarify the challenges you’re facing and identify where you want to be — a month, six months, or a year from now. Then, we’ll explore actionable strategies to help you move forward. You'll leave each session with a clearer understanding of your situation and a set of “next steps” you can begin right away. There will always be space for feedback and collaboration in our work — including holding each other accountable as we walk this path together.
VirtualAvailable
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New to Grow

$200/session

Specialties

Addiction
Anxiety
Depression
+8
Hello, I'm Lisa, a Licensed Clinical Social Worker (LCSW) and Licensed Clinical Addictions Specialist (LCAS) with nearly two decades of experience in private practice. I provide a compassionate, supportive, and nonjudgmental space where adults can feel heard, understood, and empowered to navigate life's challenges. My approach is collaborative and client-centered, helping individuals build on their strengths, develop effective coping skills, and create meaningful, lasting change. Whether you're facing anxiety, depression, stress, relationship concerns, or a major life transition, I look forward to partnering with you on your journey toward healing and personal growth.
Available
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New to Grow

$90/session

Specialties

Anxiety
Depression
Trauma and PTSD
+10
I enjoy working with individuals from a variety of backgrounds and with a wide array of presenting difficulties. I am person-centered and assist individuals with working towards their own personal goals. I work with individuals, couples, families, and groups to assist with the achievement of these goals. While I feel comfortable addressing any issue, I am always willing to refer to another provider if needed. I am integrative in my approach to counseling and will use the interventions that will be most effective to address each difficulty that is presented. I have training in play therapy, dialectical behavior therapy, cognitive behavioral therapy, solution-focused therapy, and a wide array of other orientations. I have worked as a Social Worker, a Mobile Crisis Worker, an Intensive In-Home Team member and team lead, and an Outpatient Counselor. I have worked with sexual offenders and survivors, domestic violence offenders and survivors, substance abusers and their family members, individuals, couples, families, and groups.
Available
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$165/session

Authentic
Warm
Empowering

Specialties

Anxiety
Family Conflict
Self Esteem
+9
I became a Licensed Psychotherapist in 2001. Relationship therapy is my main specialty after years of conducting counseling sessions and realizing that this is where most of our pain lies even while life itself can be very troubling, often presenting multiple challenges at once. Seeking individual or couples therapy is a thoughtful and brave investment for yourself. I am currently welcoming new clients, offering flexible office hours and easy online booking to meet your needs. I look forward to starting this journey with you. Please feel free to email me, visit my website and schedule an appointment to get started.
VirtualAvailable
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New to Grow

$100/session

Specialties

Military/Veterans
Life Transitions
My name is Chris; I am a 42-year-old Veteran and Licensed Clinical Social Worker/ Licensed Clinical Addictions Specialist. I have been working mainly with populations with trauma, Severe-Persistent Mental Illness, Veterans, LGBTQ+, and those in Recovery (Struggling with Addiction). After having my son, I felt a calling to try and support others with this new transition in their lives. Using my mistakes, successes, and educational background to help guide them.
VirtualAvailable
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$120/session

Warm
Authentic
Empowering

Specialties

Family Conflict
Life Transitions
Women's Issues
+10
I'm a laid-back, compassionate therapist who takes the time to really get to know you, your story, values, and what feels important right now. I create a space where you can talk openly without judgment, and we move at your pace. I pull from different therapeutic tools depending on what fits best for you, and together we determine what helps you feel supported and move toward the life you want. I help individuals (ages 11+) and couples navigate anxiety, depression, stress, self-esteem, and life or relationship challenges with compassionate, person-centered, and evidence-based support. Whether you're facing life changes or seeking emotional resilience, I provide a safe space and practical tools to foster growth, clarity, and lasting well-being. Taking the first step toward gaining support can feel daunting, but you’re not alone. Together, we can explore ways to build resilience and gain clarity, helping you move forward with confidence.
VirtualAvailable
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$150/session

Authentic
Empowering
Challenging

Specialties

Anxiety
Coping Skills
Self Esteem
+5
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
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New to Grow

$100/session

Specialties

Anxiety
Depression
Life Transitions
+9
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.
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$103/session

Authentic
Warm
Solution oriented

Specialties

Crisis Intervention
Depression
Hello, I'm Carrie, an LCSW therapist based in North Carolina. I received my Bachelors from Winston Salem State University and my Master's from the University of North Carolina-Chapel Hill with over ten years of experience as a therapist in many settings with various age groups. I practice therapy to assist others with achieving their goals in the most effective and in a timely manner.
VirtualAvailable
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$120/session

Open-minded
Solution oriented
Authentic

Specialties

Anxiety
Depression
Self Esteem
+6
I have over 20 years of clinical experience. I have supported adolescents and adults across hospital settings and community-based outpatient programs while specializing in mental health and substance use. My work is grounded in a client-driven approach that honors each individual’s unique needs, strengths, and goals. I strive to meet clients exactly where they are, providing them the safe environment which enables me to create collaborative relationships.
VirtualAvailable
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$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
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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.