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 552 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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Availability updated:

$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
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$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
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$100/session

Authentic
Direct
Solution oriented
Specialties
Anxiety
Dissociative Disorders
Trauma and PTSD
+9
Do you feel persistently overwhelmed, as if you're fighting an uphill battle with your mental health? Is it becoming increasingly difficult to navigate life's ups and downs with serenity? Are you striving for a harmonious balance between personal life, career, and self-care? Have you ever felt like "something's wrong" but can't quite ever identify what it is, or where that feeling is coming from? I am dedicated to helping people from all walks of life better cope with stress and anxiety without compromising their drive for success. I believe in the importance of holistic wellness and integrate various therapeutic techniques such as cognitive-behavioral therapy, EMDR, psychodynamic therapy, and hypnosis to help you find a path to inner peace while staying productive and motivated. Whether you're grappling with stress, anxiety, grief, or unprocessed trauma, remember it's brave to reach out for help. Our collaboration will offer a safe and non-judgmental space for you to explore your feelings, identify your triggers, and cultivate effective coping mechanisms. Together, we will navigate the ebb and flow of your life, aiming for personal growth, tranquility, and a balanced lifestyle.
VirtualAvailable
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New to Grow

$195/session

Specialties
Anxiety
Childhood / Intergenerational Trauma
Depression
+5
For more than two decades, Kim has walked alongside individuals healing from trauma and life’s deepest challenges. Her work is grounded, steady, and deeply compassionate. Kim finds meaning in helping clients rediscover their strength, rebuild trust, and move beyond pain toward purpose. Bearing witness to transformation—both quiet and profound—is what continues to inspire her work.
Available
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$100/session

Empowering
Open-minded
Specialties
Anxiety
Couples Counseling
Depression
+5
Hello, and welcome! My name is Alexis Barnes-Scott, and I am a Licensed Marriage and Family Therapist with more than 12 years of experience helping individuals, couples, and families navigate life's challenges. I earned my degree from East Carolina University and have dedicated my career to supporting clients as they build healthier relationships and create meaningful, lasting change. My areas of specialization include relational concerns, trauma, women's issues, and the management of stress and anxiety. I strive to provide a safe, supportive, and collaborative environment where clients feel heard, respected, and empowered throughout the therapeutic process. Outside of my professional life, I enjoy spending time with my husband and our beloved 15-year-old dog, Bella, and my 1-year-old dog, Jackson. I look forward to the opportunity to support you on your journey toward healing, growth, and greater well-being.
Available
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$120/session

Authentic
Intelligent
Challenging
Specialties
Addiction
Anxiety
Coping Skills
+5
Hi, I am a Licensed Clinical Mental Health Counselor Supervisor (LCMHCS) and Licensed Clinical Addictions Specialist (LCAS) in the state of North Carolina. I received a master's degree in counseling, along with a graduate certificate in substance abuse counseling, from the University of North Carolina at Charlotte in 2010. While in graduate school, I decided to specialize in Motivational Interviewing (MI) when I discovered how well the “spirit of MI” (partnership, acceptance, compassion, and empowerment) fit with my perception of how we change and grow. Since then, I have had the opportunity to participate in several advanced MI training workshops facilitated by some of the originators of this powerful approach to facilitating change. By incorporating the components mentioned above into our counseling relationship, along with a wide variety of evidence-based approaches as needed, a collaboration is created where we work as a team to identify and build on your strengths, restructure any self-limiting beliefs, increase confidence, and progress towards the accomplishment of your goals. I started my private practice soon after graduation and have had the privilege of being part of the change process in countless lives over the past 14 years.
VirtualAvailable
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$100/session

Authentic
Direct
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
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$90/session

Warm
Authentic
Empowering
Specialties
Coping Skills
Life Transitions
Mood Disorders
+9
Welcome! I am a Licensed Clinical Social Worker with 15 years of experience helping others cope with day-to-day stressors and past troubling events. Coping may involve identifying and reframing long-standing negative thoughts and assumptions or identifying our core values and goals, which can make frustrating or uncomfortable situations more manageable or put them into perspective. Seeing ourselves and our thoughts, issues or non-ideal behaviors for what they are can lead to greater self-awareness and the ability to offer ourselves the same compassion and understanding we give others. Our stuff is just that- stuff. Stuff we have accumulated along the road of life. Those things may impact us, but they do not need to control or define us. Learning to see ourselves in this more neutral and accepting way leads to greater self-esteem and decreased self-doubt and negative judgement. This in turn makes change more possible.
VirtualAvailable
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$120/session

Warm
Authentic
Solution oriented
Specialties
ADHD
Anxiety
Depression
+8
I am a compassionate, collaborative therapist who supports individuals and couples in achieving their therapy goals using evidence-based approaches such as Cognitive Behavioral Therapy (CBT) and Emotion-Focused Therapy, along with integrative techniques tailored to each client’s needs. I focus on helping clients develop healthier coping skills, improve communication, strengthen emotional awareness, establish balanced routines, and cultivate more fulfilling relationships. My work also emphasizes fostering self-compassion, assertiveness, confidence, and positive perspectives on life circumstances. My approach is direct yet supportive, solution-focused, and grounded in practical tools and guidance, empowering clients to feel confident and supported throughout their therapeutic journey. I bring my genuine self, professional knowledge, and years of experience to create a trusting, collaborative relationship where both client and therapist can feel confident in working together.
VirtualAvailable
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$120/session

Empowering
Authentic
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
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$115/session

Authentic
Direct
Open-minded
Specialties
Anxiety
Depression
Life Transitions
+3
I’m a Licensed Clinical Social Worker (LCSW) with over 20 years of experience providing compassionate and effective support to individuals navigating life’s challenges. I specialize in working with adult women who are facing anxiety, depression, Post Traumatic Stress Disorder (PTSD). The women I serve are often navigating overwhelming emotions, difficult past experiences, or major life changes that have left them feeling stuck, anxious, or unsure of themselves. Through our work together, they learn to manage their symptoms, challenge negative thought patterns, set healthy boundaries, and reclaim their inner strength. Many of my clients report feeling more confident, grounded, and hopeful. They don't only experience peace but true transformation.
VirtualAvailable
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$125/session

Authentic
Empowering
Intelligent
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
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$90/session

Empowering
Authentic
Open-minded
Specialties
Anxiety
Depression
Perinatal / Postpartum
I’m a compassionate, down-to-earth therapist who believes therapy should feel like a safe place to exhale, be honest, and make sense of what you’re experiencing. With 20 years of experience in behavioral health and 16 years as a licensed clinician, along with a background in nursing, I bring a broad and integrative perspective to emotional and mental wellness. I work with women navigating anxiety, life transitions, relationships, motherhood, trauma, and the many responsibilities that can leave you feeling overwhelmed or disconnected from yourself. My approach is warm, collaborative, and practical. I want you to feel heard, not judged and supported as you develop insight, strengthen your coping skills, and reconnect with the parts of yourself that may have gotten lost along the way.
Available
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$140/session

Warm
Authentic
Empowering
Specialties
Anxiety
Depression
Trauma and PTSD
+8
Hi, I am Licensed Clinical Mental Health Counselor in NC and received my Master's Degree from Western Carolina in May of 2019. I have worked with clients ranging from ages 4-65 years and have experience treating a wide range of mental health concerns to include Trauma, PTSD, Anxiety, Depression, Psychosis, Attachment Disorders, Mood Disorders, Eating Disorders, and Addiction. I use an intentional eclectic approach to counseling that is guided by the needs of my client’s and work to ensure treatment meets the needs of each individual client.
VirtualAvailable
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$175/session

Warm
Authentic
Empowering
Specialties
Anxiety
Life Transitions
Self Esteem
+8
On paper, your life may look like it’s together. You show up for work, take care of the people around you, and handle your responsibilities. But underneath that, you may be carrying anxiety, burnout, loneliness, relationship stress, or the constant pressure to keep it all together. If you’ve spent years being “the strong one,” therapy can feel unfamiliar or even uncomfortable. My goal is to create a space where you don’t have to perform, have all the answers, or pretend you’re okay. My style is warm, conversational, and direct. I’ll meet you with compassion while also helping you recognize the patterns that may be keeping you stuck. Together we’ll build practical tools, increase insight, and create meaningful change that extends beyond our sessions. I enjoy working with adults navigating anxiety, depression, self-esteem, boundaries, dating and relationships, family dynamics, burnout, and major life transitions. I serve clients throughout North Carolina and Illinois via secure telehealth.
VirtualAvailable
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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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$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
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Often rebooked

$200/session

Empowering
Authentic
Intelligent
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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$160/session

Authentic
Warm
Solution oriented
Specialties
Grief
Mood Disorders
Trauma and PTSD
+10
Trauma has haunted you for years. It’s left you with nightmares and flashbacks. It’s caused you to distrust others and push them away. It’s made you feel broken and hopeless. You’ve tried everything you can think of to shed the weight of the past. You’ve read the books, tried the life hacks… You may have even talked to a therapist. But now, you’re out of options. Nothing has helped you transition from being a survivor to someone who’s truly alive. And you’re all talked out. No matter how many times you tell your story, nothing changes. The search for relief is exhausting. This might be your last shot at getting help.
VirtualAvailable
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$101/session

Warm
Authentic
Solution oriented
Specialties
Anxiety
Coping Skills
Grief
+4
I am a Licensed Clinical Mental Health Counselor in North Carolina and have been practicing for over 10 years. I received my Master's Degree from The University of North Carolina at Chapel Hill. I enjoy helping individuals find balance and contentment in their lives. I enjoy helping individual who have experienced trauma work through difficult emotions, feelings and beliefs in order to live more balanced and meaningful lives.
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$200/session

Authentic
Empowering
Humorous
Specialties
Addiction / Substance Use
Anxiety
Depression
+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.
Available
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$120/session

Warm
Empowering
Solution oriented
Specialties
Anxiety
Depression
Trauma and PTSD
+10
I provide individual and family therapy using a person-centered, collaborative approach that meets you where you are—without judgment and without pressure to be “fixed.” I view therapy as a partnership, and I work alongside clients to support meaningful, sustainable change. My approach focuses on helping clients identify their strengths, increase self-awareness, recognize support systems, and take accountability in ways that promote growth rather than shame. I use an eclectic, evidence-based framework, drawing from Interpersonal Psychotherapy (IPT), Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Motivational Interviewing, Family Systems Therapy, Acceptance and Commitment Therapy (ACT), and Mindfulness-based practices. Interventions are always tailored to each client’s unique needs, goals, and lived experiences. My work is grounded in a few core beliefs: people are doing the best they can with the skills they have, people are capable of change, and people do get better. I also believe that a strong therapeutic relationship creates the safety necessary for healing and growth. To support progress outside of sessions, I may offer practical, collaborative between-session exercises that help clients apply skills in their daily lives. I am a Christian counselor, and my faith informs my values of compassion, dignity, and respect. I work with individuals from all backgrounds, beliefs, and identities, and faith is incorporated into therapy only when requested by the client. In addition to my professional role, I am a wife, lifelong learner, and mother of three, including a son on the autism spectrum. These experiences deepen my empathy and understanding of caregiving, advocacy, and navigating complex systems.
VirtualAvailable
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Often rebooked

$250/session

Warm
Authentic
Open-minded
Specialties
ADHD
Autism
Trauma and PTSD
+8
Hi! I'm Rebecca! I'm an AuDHD therapist. I specialize in supporting clients with trauma, autism, ADHD, and career transitions, particularly those fueled by burnout. I help clients regain their a sense of direction and safety in the world and (re)learn how to trust their own bodies and nervous systems. I also help my clients understand how to work with their brains' unique processing style. Using a trauma-informed approach, I believe in letting my clients set their own pace, whether that looks like jumping right into the hard work or taking a bit of time to feel comfortable and confident before making big changes or sharing details about the past. My therapeutic style is direct yet kind and compassionate. I make sure my clients feel heard and respected, but think it's equally important to challenge unhelpful behavioral and thought patterns. Research has found that the strength of therapeutic relationship is one of the most important factors in a client's success/healing, and I work hard to foster a professional yet authentic relationship built on mutual respect.
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$90/session

Solution oriented
Authentic
Empowering
Specialties
Anxiety
Coping Skills
Depression
+3
Hi, I'm a License Independent Clinician social worker (LICSW). I recieved my master degree from Simmons University and have been working primarly with women and children the majority of my career. I enjoy working with people through their transition and helping get to the otherside of difficult moments in life.
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$199/session

Authentic
Solution oriented
Empowering
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.
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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.