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 544 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: 10/11/2026

$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

Often rebooked

$85/session

Authentic
Warm
Intelligent
Specialties
ADHD
Anxiety
Parenting
+9
Feeling overwhelmed, stressed, and exhausted constantly? Isolated and alone because you don’t want to burden your friends or family with your problems? Or maybe you don’t know quite how to name why you feel this way or how to talk about it. Well, there is good news - therapy is the place to explore these challenging thoughts and feelings. I’ve worked in mental health since 2016, helping people of all ages, backgrounds, and challenges. I approach mental health challenges with a holistic mindset to help identify what we can change, inside of our control, and increase resilience. Depression, anxiety, ADHD, and trauma are a few examples of mental health struggles that impact how we live and experience the world. However, the opposite is also true! Because our lifestyles can influence our ability to tolerate stress and feel good about ourselves. My job as a therapist is to help you identify what is working, and what isn't working, and what we can do about it. I believe in us working as a team and supporting you in achieving your goals, so you can reconnect with your inner strength, resilience, and confidence to manage life's challenging ebbs and flows. Why choose me? Well, to help me feel less like a stranger, here is more detail about my background: My M.A. in Clinical Mental Health Counseling is from Lenoir Rhyne University's Graduate Center of Asheville, NC in Dec. 2020. I hold a B.S. in Psychology from Longwood University in Farmville, VA. I'm a Qualified Mental Health Professional with 5.5 years of direct care experience with teens in residential treatment. My graduate internship was community & school-based outpatient therapy with Access Family Services. August 2021 to March 2024, I was an outpatient therapist, in-person and virtual, with the center for emotional health.
VirtualAvailable

$70/session

Authentic
Direct
Specialties
Loneliness / Isolation
Obsessive-Compulsive (OCD)
Trauma and PTSD
+10
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.
Available

New to Grow

$125/session

Specialties
Anxiety
Depression
Trauma and PTSD
+10
Hi! I’m Taylor, a licensed clinical social worker and trauma-informed therapist who provides virtual therapy. I work with adolescents and adults experiencing anxiety, depression, stress, trauma, relationship challenges, and life transitions. My approach is warm, laid-back, and collaborative, incorporating DBT, ACT, and person-centered therapy to help clients feel supported while building practical skills for meaningful change.
Available

New to Grow

$125/session

Specialties
Grief
Life Transitions
Trauma and PTSD
+5
I earned my master’s degree in counseling from the University of North Carolina Charlotte. I began my career at Hospice then went to private practice. I believe everyone deserves happiness and peace. With mutual respect, compassion, nonjudgemental curiosity, and motivation, counseling can build resilience, develop coping strategies, and propel the client into a happier, healthier life. The counselor/client relationship should be a collaborative effort. I am certified in women's mental health (including eating disorders), grief and loss and trauma I use evidence-based, trauma-informed modalities including CBT, DBT, CPT, EMDR, MI, Existentialism, Mindfulness, and other person centered modalities. I welcome adult clients of all genders, ethnicities, orientation and religions. I am passionate about partnering with my clients to identify issues, develop treatment plans, and move forward toward their goals. I will help you take meaningful steps toward finding your purpose, exposing your power and resilience and healing.
Available

New to Grow

$120/session

Specialties
Addiction / Substance Use
Anxiety
Trauma and PTSD
+9
Hi, I'm Lindsay Fodor, a Licensed Clinical Mental Health Counselor and Licensed Clinical Addictions Specialist in North Carolina. I have been practicing for 6 years. I completed my undergraduate degree at Ramapo College of New Jersey and earned a double bachelor's in Psychology and Law and Society. I attended the University of North Carolina at Pembroke, earning an M.A.Ed. in Licensed Clinical Mental Health Counseling and a Graduate Certification in Addictions Counseling. I have worked in various settings, including Medication Assisted Therapy for Addiction, facilitated Substance Abuse Intensive Outpatient Programs, inpatient for adults, a DWI clinic, the county jail, and outpatient mental health counseling. I enjoy working with clients from various backgrounds and have a good amount of experience working with active duty service members, spouses, and veterans.
Available

New to Grow

$150/session

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

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

$80/session

Authentic
Warm
Open-minded
Specialties
Anxiety
Trauma and PTSD
Anger Management
+3
Hey there! I’m Tashina — a Licensed Clinical Social Worker in North Carolina and a Licensed Independent Social Worker in South Carolina. I’m a proud graduate of North Carolina A&T (Aggie Pride!) and have spent over 10 years helping people find healing, peace, and purpose in their lives. I work with adults and teens who are dealing with anxiety, depression, or PTSD and sometimes just feeling stuck or unsure of what’s next. My style is real, relaxed, and rooted in compassion. You won’t find any stuffy therapy vibes here, just honest conversations, practical tools, and maybe a few laughs as we work toward helping you feel more grounded and confident. Let’s team up to clear out the mental clutter and make room for the life you actually want to live.
VirtualAvailable

Often rebooked

$120/session

Warm
Authentic
Humorous
Specialties
Depression
Obsessive-Compulsive (OCD)
Trauma and PTSD
+9
My name is Anna, and I am a Licensed Clinical Mental Health Counselor (LCMHC) with approximately eight years of experience providing clinical services to children, adolescents, adults, and families. My clinical specialization includes complex trauma, PTSD, OCD, mood disorders, and other mental health concerns. Throughout my career, I have provided counseling services in both private practice and online settings, supporting individuals and families through a variety of life circumstances and challenges. I have a particular passion for treating OCD and PTSD and helping clients better understand their symptoms, develop effective coping strategies, and regain a sense of control and confidence in their lives. My professional passion is assisting clients in navigating difficult periods, fostering resilience, and working toward meaningful and sustainable personal growth. I have also developed a strong interest in supporting women during pregnancy and the postpartum period. As a mother myself, I bring personal insight, empathy, and understanding to the unique emotional and psychological experiences that can accompany this stage of life. I strive to create a safe, supportive, and nonjudgmental therapeutic environment where each client feels heard, respected, and empowered. I value the opportunity to meet clients where they are, recognize their individual strengths, and support them throughout their journey toward healing and improved well-being.
VirtualAvailable

$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

$150/session

Warm
Authentic
Empowering
Specialties
Anxiety
Depression
Trauma and PTSD
+5
I love love, and I love helping people to heal. Understanding healing occurs on all levels, I've dedicated myself for the last 23 years to being a vessel to help people navigate those levels and find their peace. My calling is to help heal the minds and souls of people so they can manifest their greater and higher selves. Whether it was through the books I've written, my former vegan catering company, practicing as a doula or navigating spaces as a licensed clinical social worker, I've always understood the assignment of helping folks recognize they have the power within themselves to heal.
Available

$200/session

Warm
Authentic
Solution oriented
Specialties
Depression
Life Transitions
Trauma and PTSD
+10
I obtained my master’s degree in Counseling Psychology from Tennessee State University, and my doctoral degree in Counseling Psychology from Radford University. I have been a licensed psychologist since 2020 and have primarily worked within the Veterans Health Care System, though other clinical experiences include community health care centers and substance use centers. I have worked with adult patients from a variety of backgrounds, and those struggling with various mental health concerns. I am passionate about working with trauma survivors, and also have expertise in addressing issues such as anxiety, depression, chronic pain, and insomnia. I am trained in a variety of Evidenced Based Therapies, to include Cognitive Processing Therapy (CPT), Prolonged Exposure Therapy (PE), Skills Training in Affective and Interpersonal Regulation (STAIR), CBT for Chronic Pain (CBT-CP), CBT for Depression (CBT-D), and CBT for Insomnia (CBT-I).
VirtualAvailable

$150/session

Warm
Empowering
Authentic
Specialties
Anxiety
Life Transitions
Women's Issues
+2
I am a Licensed Clinical Social Worker with 10 years of experience supporting women through the complexities of life, relationships, and personal growth. In my practice, I work with professional women navigating anxiety, stress, depression, relationship challenges, life transitions, and the unique pressures that often come with being a woman who is expected to have it all together. My work is rooted in helping women break free from the expectations of others—and the curated expectations created by social media—and reconnect with what feels authentic to them. My approach is direct, supportive, and intentional. Together, we explore the patterns, beliefs, and expectations that may be keeping you stuck and what it could look like to move through life with greater confidence, clarity, and intention. You don’t have to be in crisis to benefit from therapy. Sometimes, you simply want to understand yourself better, make different choices, and create a life that feels more aligned with who you are becoming.
VirtualAvailable

$100/session

Authentic
Humorous
Open-minded
Specialties
ADHD
Anxiety
Depression
+10
Hi, my name is Jonathon Payne and I am a practicing Licensed Clinical Mental Health Clinician, LCMHC, with the State of North Carolina with over 18 years of experience. Most of my work experience has come from working with individuals in crisis settings and or situations. The work has always been challenging, humbling, and rewarding. It has taught me the value of true genuineness and the importance of being able to connect with people and build working relationships. I love therapy. I respect the therapeutic process and value the hard work and introspection it requires. Therapy is something that I am passionate about. Everyday it provides me an opportunity to help others and learn from others. I am proud of the things I have learned, but even more humbled and optimistic of things that I continue to learn. One thing I would tell you is that a have a real passion and commitment to counseling and the therapeutic process. It is and has been what I love to do. I put tremendous value on the importance communication, language, and building a good therapeutic relationship or rapport. Its important to me that you, the patient feel safe, heard, and valued. My counseling style is very laid back and supportive, with a very non-judgmental stance. However, I am not afraid to roll my sleeves up and work hard. I believe in being supportive, motivating, and challenging. Its important that you have the opportunity to work hard, learn, grow, while developing realistic attainable and measurable goals.
VirtualAvailable

$100/session

Warm
Open-minded
Authentic
Specialties
Child or Adolescent
Depression
Trauma and PTSD
+10
My name is Iesha Bell. I am a Licensed Clinical Social Worker. and a Licensed Independent Social Worker- CP. I have 13 years of professional work experience. I have experience in assisting adults, children, and families. I have experience in helping clients with family conflicts, anger management, motivation, self-esteem, confidence, & depression. I ensure to have and show my passion to assist, empathy, compassion, and drive for the individuals that I serve.
VirtualAvailable

$120/session

Authentic
Direct
Open-minded
Specialties
Anxiety
LGBTQ
Personality Disorders
+10
I’m a Licensed Clinical Social Worker with a deep respect for the complexity of a client’s histories, identities, nervous system and family dynamics. I work from a psychodynamic and trauma-informed lens, integrating skills and ideas associated with various evidence-based practices such as CBT, acceptance-based, and emotion-focused work to help you process what’s happened to you while also building skills for the present. I specialize in working with adults including LGBTQ+, and neurodivergent clients. I pay close attention to creating space that feels actively affirming – not just “tolerant”. You’ll find that I’m transparent about the therapy process, that I name what I see with care, and that I hold your pain and resilience in mind at the same time.
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

$125/session

Specialties
Anxiety
Depression
Trauma and PTSD
I am a licensed clinical social worker providing client centered, solution focused therapy for over 25 years with an established private practice since 2005. In my practice, my goal is to provide a supportive environment which allows clients to identify and achieve their goals. In addition to my work as a therapist, I provide training and consultation services regionally and nationally on trauma informed care, adverse childhood experiences (ACEs), sexually harmful behavior, vicarious trauma and self-care.
VirtualAvailable

$125/session

Open-minded
Warm
Specialties
Anger Management
Anxiety
Depression
+2
Hello, I am Michael A. Kirk, a Licensed Professional Counselor (LPC) dedicated to helping individuals navigate life's challenges with confidence and resilience. I believe that therapy should be safe, supportive, and a judgement free space where you feel heard, understood, and empowered to create real change. I work with adolescents and adult experiencing anxiety, depression, trauma, Grieg/loss, relationship issues, life transitions and more. My approach is collaborative. I utilize several evidenced based therapies such as Cognitive Behavioral Therapy (CBT), Reality Therapy, Motivational interviewing, Dialectical Behavioral Therapy (DBT) and Trauma Focused CBT.
Available

Often rebooked

$100/session

Authentic
Warm
Open-minded
Specialties
ADHD
Anxiety
Depression
+3
Howdy! My name is Russell and I look forward to meeting you and working together! Taking the step to seek out therapy services can be the biggest hurdle to overcome, yet here you are. You made it! Even exploring options for therapy demonstrates the motivation that you have for positive change in your life. I enjoy taking a collaborative approach to working with all of my clients because you are the expert in your own life and know yourself the best. I am here as a support while you discover more about yourself. I am a LCMHC (Licensed Clinical Mental Health Counselor) with the state of North Carolina. I have a background working with various ages and demographics in a variety of settings. This includes children aged 6+ to pre-teens, adolescents, adults, families, and couples. I have worked in inpatient hospital settings, assisted with Intensive In-Home services for at-risk youth and their families, as well as with clients in traditional office-based environments providing outpatient therapy. My clinical expertise and the most frequent concerns that I help clients with are anxiety, depression, ADHD, anger management, relationship issues, family issues, and phase of life concerns. I tend to naturally gravitate toward adolescents who are struggling with navigating their lives, however, I enjoy working with all individuals regardless of age or background since life is a struggle for all of us. I tend to take a laid-back, relaxed (but professional) stance when working with clients to make the therapeutic process as welcoming and comfortable as possible!
VirtualAvailable

$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

$120/session

Empowering
Authentic
Warm
Specialties
Depression
Grief
LGBTQ
+9
Well hello! My name is Lori. Are you feeling the need to live your life differently? Are the things you've tried in the past no longer beneficial or adequate for this stage in your life? I encourage my clients to do the things that they've never done in order to experience the life they've always wanted. I help them identify the source of what has limited them and caused them emotional pain, whether it be from anxiety or depression stemming from childhood trauma, broken relationships, toxic work environment, sexuality, aging, or religious trauma to name a few. I enjoy working alongside my clients and being a part of their "aha!!" moments on their life's journey. I utilize my belief in the interconnectedness of humanity with nature to assist my clients in understanding life, growth, change, grace and what constitutes true success.
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
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.