Therapists that accept Cash Pay in North Carolina

Hi, I’m Joe. I’ve worked in the mental health field for 27 years across substance use treatment, outpatient care, and hospital settings. I’ve supported individuals and families through crisis, transition, and long-term growth. I work well with young adults, adults, and families who are navigating stress, trauma, anxiety, depression, substance use, or major life changes. I also have extensive experience working with men who may struggle to express emotions directly and instead feel stuck in withdrawal, irritability, or self-doubt. As a veteran, I understand the mindset and pressures that can come with military life. Across all of my work, I aim to provide a grounded, steady presence where honesty, insight, and meaningful change can take place.

I'm Dr. Ehsan Adib Shabahang, founder of AtReef Therapy PLLC and a Licensed Mental Health Counselor (LMHC) and National Certified Counselor based in Cambridge, Massachusetts. I hold a PhD in Psychology with a concentration in social psychology and a master's degree in Clinical Mental Health Counseling. My practice provides integrative, depth-oriented therapy for couples and individuals, conducted entirely through secure telehealth. I work most often with high-achieving adults and couples who function well professionally but find themselves facing patterns that intelligence, success, or effort alone have not resolved: recurring conflict, emotional distance, perfectionism, burnout, anxiety, and questions about identity, meaning, and direction. My clinical approach draws on relational and depth psychology, Jungian psychology, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Gottman Method Couples Therapy, integrated according to each client's needs rather than applied as a fixed protocol. I am also the developer of Self-Reflective Relationship Therapy (SRRT), a research-informed framework that emphasizes self-reflection, emotional responsibility, and translating insight into real behavioral change. Therapy with me is not only about understanding why a pattern exists. Insight matters, but it is not the goal on its own. I focus equally on what changes in your communication, boundaries, emotional regulation, and decisions once that understanding is in place. I see couples working through betrayal, disconnection, and recurring cycles of conflict, and I see individuals navigating anxiety, burnout, identity transitions, and the gap between a capable public self and a more uncertain private one. I also bring particular attention to intercultural relationships and cross-cultural identity, informed by my own doctoral research and background working across cultures. If you are looking for a therapist who will engage directly, take your patterns seriously, and hold you accountable to real change rather than surface-level coping strategies, I would be glad to work with you.

Are you feeling overwhelmed by anxiety, struggling with your mood, or finding yourself relying on substances or unhealthy coping strategies just to get through the day? Maybe you’re navigating a difficult life transition, struggling with intense emotions or relationships, or simply feel stuck and unsure how to move forward. Whatever brought you here, you don’t have to figure it out alone. Hi, I’m Lauren Mintz, and I would be honored to be your therapist. My goal is to provide a space where you feel understood, accepted, and comfortable being yourself—without judgment. I have been a therapist for five years and previously worked as a social worker for five years. I have experience working with children, adolescents, and adults across a wide range of concerns, including anxiety, depression, mood disorders, substance use, trauma, emotional regulation, self-esteem, and life transitions. I am also a Licensed Clinical Addiction Specialist (LCAS), which allows me to support individuals navigating substance use and recovery, including when substance use and mental health concerns overlap. I especially enjoy working with people who feel like their emotions are difficult to manage, who struggle with patterns that seem hard to break, or who have been told they are “too emotional,” “too much,” or simply need to try harder. I believe there is usually a reason behind the ways we cope, and understanding those patterns can be the beginning of meaningful change.

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.

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.

I am licensed in three states (NY, NC, and SC) and have 8 years total of clinical experience. My career started in North Carolina when I got my Master's in Clinical Mental Health Counseling from Western Carolina University and completed my internship serving as a counselor in an inpatient substance use treatment facility. After that, most of my career was spent serving diverse populations in New York City, in multiple settings of care including substance use treatment and community mental health treatment facilities, and private practice settings. I worked with a heavily diverse, international, and multicultural population from many backgrounds. Over time I had immersive experience building a niche working with LGBTQ+ clients, with a particularly strong following of gay men navigating complexities in their identity, sexuality, and interpersonal relationships. I also worked with clients from all walks of life navigating concerns around trauma, addiction, mood disorders, major life transitions, and concerns regarding intimate relationships. I consider my counseling approach to be ecletic. I incorperate concepts from many different modalities and adapt them to the unique needs and personalities of my clients. Some of the major counseling theories I draw from include Person-centered therapy, Motivational Interviewing, Cognative Behavioral Therapy, Dialectal Behavioral Therapy, Positive Psychology, and many others.

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.

Hi! I am an LCSW with 4 years of experience. I received my Bachelor of Social Work degree from Mars Hill University in 2021. I earned my Master of Social Work degree with a focus in clinical social work from East Tennessee State University in 2022. I have worked in variety of settings including private practice and agencies.

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.

Hi everyone! Are you someone who is open to growth, change, and you want healing to take place? I like to work with clients who have a desire to grow spiritually, emotionally, and mentally and who recognize this doesn't happen overnight. We are each a work in progress! I am a clinician who has been practicing for over 20 years. I enjoy working with various populations and ages but primarily focus on providing counseling services for the adult population. I feel God has led me to be a counselor, and I love watching others grow and heal in their life journeys. I work to help clients build resilience, regain confidence, and find peace in their personal and relational lives. Through a supportive, personalized approach, I work to help clients heal from their past hurts and begin to look forward to the future with a hopeful outlook.

I am a Licensed Clinical Social Worker who brings over 30 years' experience in the areas of mental health and substance abuse treatment utilizing a holistic health approach. I have supported homeless Veterans and others while working with community, State and Federal agencies. Providing insight and discovery into underlying issues that lead to clients related situations, I focus on each clients' strengths and believe that everyone is able to overcome challenges by being supported and empowered as they seek to achieve their vision of wellness. Without judgement and allowing for a safe environment to express one's thoughts, I strive to make every client's experience individualized and tailored to their needs.

Hi, I'm Quinesha, a licensed clinical social worker in North Carolina. I work with adults navigating anxiety, depression, identity, and life's harder seasons. I believe healing starts with feeling heard, not just labeled. I like to start where you are, and I welcome open conversation on any topic. If you're ready to explore what therapy can look like for you, I'd love to connect.

Hi, I'm Felicia N. Holman-Reid! Thank you for considering sharing your journey with me. Starting counseling can be stressful, but hopefully we can start this process together, getting you to a better place mentally. I received a Bachelor of Science in Experimental Psychology from University of South Carolina-Spartanburg (Upstate)-2002 & Master of Arts in Counseling w/Mental Health emphasis from Webster University-2007. Also, I've received training in mediation & conflict resolution for about 11 years.

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.

With over 14 years of experience as a therapist, I bring a compassionate, collaborative, and client-centered approach to every session. I believe that each individual is the expert in their own life, and my role is to create a safe, supportive space where you feel heard, respected, and empowered. My work is rooted in active listening and genuine connection. Together, we’ll explore the challenges you’re facing, identify meaningful goals, and build the tools and confidence you need to move forward. Whether you're navigating a major life transition, managing stress, healing from past experiences, or simply seeking a deeper understanding of yourself, I’m here to walk alongside you on your journey.

I believe therapy is a collaborative process where you should feel comfortable being yourself without judgement. My goal is to create a safe supportive space where you feel heard, understood and respected. We will collaborate on your treatment and at the pace that feels comfortable for you. Whether you are dealing with anxiety, depression, relationship concerns, stress, a major life change, or simply feeling stuck in life. We will work at your pace to reach your mental health goals. I enjoy working with clients from diverse backgrounds including being an LGBTQ+ ally and affirming.

I am a Licensed Psychologist with nearly 15 years of experience. My specialty is providing compassionate and non-judgmental couples therapy and family therapy. I support to couples, families, children, adolescents, and young adults facing moderate to severe symptoms. I work particularly well with families and couples struggling when one member is dealing with or recovering from addiction - particularly adolescents and young adults. My approach is centered on fostering a safe environment for all clients where they can explore their challenges and work towards meaningful solutions. I utilize an integrative approach to therapy, with a more directive approach when working with couples and families.

Hello ... I am a licensed clinical social worker. I have a master of social work degree from North Carolina A&T State University and UNC at Greensboro. I have provided counseling to many in my community in diverse employment roles across the field of social work. Some include experience working in inpatient psychiatry, medicine, hospice, and dialysis at a community hospital, and mobile crisis clinician with a community mental health agency; and finally VA Health Care. I take pride in my ability to connect with others and help them meet personal and/or professional goals. In my spare time, I love to read psychological thrillers, listen to my favorite podcasts and audiobooks, play Match 3D on my phone, and watch movies with my son.

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.

Hello there, I'm Heather. Are you experiencing anxiety, depression, or difficulty adjusting to life transitions? Are you noticing that things are overwhelming and more difficult to cope with because of the many stressors in life? Do you feel that you worry too much, are not good enough, or feel like you're stuck? Do you feel like you are all alone, that you have no one who really listens, understands you, or can relate to what you are going through? Well look no further because I specialize in alleviating anxiety, managing and overcoming depression, and adjusting to life transitions (such as parenting, relationship challenges, experiencing an empty nest, health issues, job loss, divorce, death of a loved one, or retirement.) It's a common experience to face these life challenges, but when those issues start to take over your life, it's time to get the support you need by working through this with a counselor so you can live a more fulfilling life. I am a Licensed Clinical Social Worker (LCSW) based in North Carolina, licensed to see clients in North Carolina working virtually, and I'm also licensed in California. I received my Masters from San Diego State University and have been practicing clinical social work for 21 years. I enjoy working with individual adults who are struggling navigating the stressors in life, and we would work together to get you unstuck as soon as possible so you can live a better life, on your own terms. You are brave and have made an important step in the change process just by being here.

Hi, I'm Alesia, a Licensed Clinical Social Worker (LCSW) with a Master of Social Work from the University of Alabama. Over my seven-plus years in the field, I've worked in college, community, outpatient, inpatient, and intensive outpatient settings, giving me a broad perspective on how to support people at different stages of life and levels of need. I work with both children and adults facing challenges like depression, anxiety, and major life changes, using cognitive behavioral therapy, solution-focused therapy, and psychoeducation to help clients feel more equipped to navigate what they're going through.

I genuinely love what I do and feel grateful for the opportunity to support others as they explore their stories, their strengths, and the direction they want their lives to take. I believe everyone deserves to feel seen, supported, and at peace with who they are and where they are going. If you are feeling unsure or nervous about starting therapy, you don’t have to have it all figured out—I will meet you exactly where you are, and we will walk this journey together with care, compassion, and intention.

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.

Hi there! My name is Erin Dey and I am a licensed clinical social worker located in Chapel Hill, North Carolina. I have a masters’ degree from Columbia University, and I specialize in helping clients successfully navigate challenging life transitions. I work with individuals both in person as well as online. My approach to counseling is solutions-focused, strengths-based, and relational.

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