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.

I am a Licensed Clinical Social Worker and have been providing mental health therapy for 30 years. I offer a supportive, empathic ,safe environment for clients to explore issues they are dealing with. I am experienced in working with diverse populations including adults, adolescents, families, and couples. I find that helping people develop successful communication skills is a common theme across almost all client situations. Building on client strengths helps people address issues and create coping skills. My approach is individualized to the persons unique characteristics.

I am a bilingual  (Spanish/English) therapist and licensed clinical social worker in North Carolina. I love working with people from diverse backgrounds, and for that reason, I returned to graduate school after retiring as a teacher and school administrator. I have worked with teens in area schools and also with adult clients in the Latino community, those struggling with life transitions and caretaking of loved ones. I am committed to providing you with support, compassion, and a safe space to be seen and heard. Soy terapeuta bilingüe (español/inglés) y trabajadora social clínica licenciada en Carolina del Norte. Me encanta trabajar con personas de diversos orígenes y, por esa razón, regresé a la escuela de posgrado después de jubilarme como maestra y administradora escolar. He trabajado con adolescentes en escuelas de la zona y también con clientes adultos en la comunidad latina y los que cuidan de sus familiares. Estoy comprometida a brindarte apoyo, compasión y un espacio seguro donde puedas ser visto y escuchado.

Hi, I’m Jonny. I’ve been practicing as a clinician in Western North Carolina since 2016, beginning in community mental health with children and families before transitioning to private practice with adults. That background shaped my core belief that mental healthcare should be accessible, humane, and deeply personal. In my practice, I offer a warm, collaborative space where we balance practical, incremental steps with your bigger-picture goals for meaningful growth. I’d love to connect and talk about what we can accomplish together.

Hello! I am a Licensed Clinical Social Worker (LCSW) and Licensed Clinical Addiction Specialist (LCAS) based in North Carolina. I received my Masters from the University of North Carolina Wilmington, and have been practicing going on 9 years now. I love helping young adults discover and understand how their past experiences are continuing to impact their lives, and how they can move forward.

Hey There! My name is Brandy Jones and I aim to create a space where you will not be judged, but will be unconditionally supported as we navigate through your concerns and fears. I believe that you are the expert on your life, and will bring my expertise in therapy to collaboratively find the relief and the balance that you seek. I have a Master degree in Addiction Counseling and Professional Counseling from Grand Canyon University. I currently serve adolescents and adults with mental health and substance use disorders, using CBT, Person-Centered Therapy, Trauma Informed Therapy, Grief counseling and EMDR informed treatment.

Welcome! I have been a therapist for over 15 years, I work with adults 18+, and I specialize in chronic pain/illness, anxiety, and am trained in providing ERP for OCD. If the following sounds like you, lets chat: Having thoughts loop over and over again and running through worst case scenarios? Coping skills not working and struggling with mental or physical compulsions trying to ease that high fear and distress, only to find it's not really working? Suffering from chronic illness or pain and feeling depressed/anxious, and wondering how you’re going to adapt to your new life?

I’m a licensed professional counselor who helps adults and teens navigate anxiety, depression, relationship challenges, life transitions, stress, and personal growth. My approach is warm, practical, and collaborative. I work with clients to better understand recurring patterns, develop healthier ways of coping and relating to others, and create meaningful, lasting changes that fit their individual goals and circumstances.

Stability can often be disrupted in life when you are going through a major transition. This instability can bring about all kids of symptoms, including anxiety, depression, and relationship challenges. Regardless of the challenges you are currently facing, getting input from a professional outside perspective can hep you make sense of things, creating a clearer path back to stability. If you are looking for help right now, it means you have already begun to take proactive steps towards more peace in your life. I'm a Licensed Marriage and Family therapist with over 20 years of experience helping people find their strength and gain perspective that helps pull them forward. Sometimes it only takes a few sessions to help you feel more grounded on your path.

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.

Let’s not sugar coat it! Starting therapy can feel like a HUGE, exciting and terrifying step forward. Let’s not focus on the mountain, let’s focus on what’s right in front of you! You don't have to have it all together, nor do you have to navigate life’s challenges alone. I’m Perleen Daroowalla and I aim to create a safe space where we can be straightforward and honest with each other while working through life’s challenges. I model the same honesty, accountability, and responsibility that I encourage in my clients. Therapy begins with where you are now, factors in where you have been, and builds a plan for where you want to go. You are the expert on your life! The therapeutic relationship is a collaborative process. Together, we will create an individualized plan based off where you want your life to be in a month, 6 months, and/or a year from now. I offer creative and realistic strategies to assist you in tackling life’s challenges. You'll leave sessions with skills you can actively use to accomplish your goals.

Hello, I'm Dr. Meagan Jones. Life can be so challenging at times, and I am here to help you navigate those challenging times, learn what you will, and help you grow. I have been doing counseling for over 17 years now, I am a counseling supervisor, and I am also a professor in a mental health counseling master's program. I specialize in trauma, sexual trauma, gender and sexuality counseling, and also have a lot of experience with depression and anxiety. I am trained in Eye Movement Desensitization Reprocessing (EMDR), Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Internal Family Systems (IFS), Sex Therapy, Narrative Therapy, and Creative Techniques. Each of these methods have been backed by research and proven to offer deep healing from trauma on a neurological, psychological, and emotional level. I am kink friendly, lifestyle and polyamory friendly, and an LGBTQIA ally. All are welcome here. I would love to help you learn and grow and become the best version of yourself, so if you are interested please schedule an introductory session or call and see if we are a good fit.

I am a Licensed Professional Counselor (LPC) in Missouri and a licensed clinical mental health counselor (LCMHC) in North Carolina who specializes in supporting trauma survivors and individuals who are in life transitions to navigate emotional healing, identity transitions, and relationships. In my work, I use Cognitive Behavioral Therapy and Person-Centered Therapy to help you connect with your inner self, challenge negative self-talk, and reframe thoughts that keep you questioning yourself. I offer a warm, safe, and collaborative space where you are seen and heard.

I am a Licensed Clinical Social Worker in North Carolina with 10 years of counseling experience. I received my Master's Degree in Social Work from the University of North Carolina at Chapel Hill and have spent many years working in community behavioral health. My training and my work have shaped me into a clinician that understands a person's environment is as important as their mindset. You will find me to be supportive and an advocate for my clients complete health.

I’m a Licensed Counselor with several years of experience supporting late-teens, young adults, and adults experiencing anxiety, life transitions, interpersonal difficulties, and the lasting impact of past experiences. I work especially well with individuals who feel overwhelmed, stuck, or disconnected, even when they appear to be functioning well on the outside. Many of the people I work with are looking for greater clarity, confidence, and direction in their lives. My goal is to create a space where you can slow down, make sense of what you're carrying, and better understand yourself without judgment. Together, we'll explore the patterns, experiences, and relationships that have shaped you while working toward meaningful changes that help you feel more grounded, connected, and aligned in your daily life.

I am a licensed therapist in North Carolina with over 35 years of professional experience. I have extensive experience supporting clients through stress and anxiety, relationship challenges, trauma and abuse, and concerns related to motivation, self-esteem, and confidence. In addition to traditional therapeutic approaches, I also offer spiritual counseling, with a particular focus on Christian perspectives for those who desire it. I respect each client’s individual beliefs and integrate spiritual support only when it aligns with their values and goals. My approach centers on creating a safe, open, and nonjudgmental environment where you can explore your thoughts and emotions freely. It takes courage to seek a more fulfilling and joyful life, and I deeply honor that step. My role is to support and empower you as you move toward healing, growth, and a stronger sense of purpose. Together, we’ll work to uncover your strengths, build resilience, and help you move toward the life you envision.

In therapy, I enjoy working with client to help them explore ways to increase their peace and fulfillment in life. Whether it be about helping clients find ways to communicate their needs and boundaries, or exploring themselves and what helps them thrive. My approach aligns with my calm, laid-back personality and love for collaboration. I like to use curiosity as a guide to help identify what gets in my client's way of being who they want to be. Then, find ways to how to remove barriers in attainable, realistic ways.

I bring a holistic counseling approach to my work with clients, with an emphasis on physical, emotional, social, spiritual, and psychological well-being. While exploring the nature and impact of mental illness is very important, I think it is just as important to help clients develop practical strategies to restore balance and learn skills for happiness and thriving. My counseling approach integrates techniques from cognitive-behavioral therapy (CBT) for anxiety and mood disorders; internal family systems (IFS) and eye-movement desensitization and reprocessing (EMDR) therapy for healing complex and acute trauma; as well as exposure and response prevention (ERP) therapy for phobias and OCD. Additionally, I integrate current research from the field of positive psychology, as well as Eastern and Western philosophical traditions, into my counseling approach to meet every client's individual needs. I am an inclusive and affirming therapist who is humble and respectful regarding domains of human diversity. My sessions are an affirming and safe place for LGBTQ+ clients and anyone who is impacted by systems of racism, sexism, ableism, ageism, and other forms of marginalization by society. I have several years of experience working as a therapist and have been working with clients in helping roles for over a decade. My background includes working as an outpatient therapist in community mental health, higher education, intensive OCD treatment, as well as telehealth and private practice settings. I have prior experience working in other helping roles as well including child welfare, public health, and home healthcare fields. Throughout these experiences, I have remained deeply committed to helping others heal, grow, and thrive. Thank you for taking the time to learn about my approach. I look forward to working with you!

For over 13 years, I have dedicated my practice to supporting women as they navigate the many demands of modern life. I understand firsthand what it means to move between worlds. Growing up in Brooklyn as the daughter of immigrant parents, and now living in South Florida, I have been shaped by diverse cultures, communities, and perspectives. My love of travel has deepened that curiosity about the human experience. In the therapy room, this translates into a genuine ability to meet you where you are regardless of your background, your story, or how far from yourself you may feel right now.

I strive to create a supportive space where clients feel heard, understood, and empowered to make meaningful change in their lives. My style is tailored to each individual’s unique needs, and I draw from a variety of therapeutic modalities to help clients build practical skills and tools for lasting growth. I especially enjoy working with clients navigating anxiety, trauma, perfectionism, relationship wounds, stress, burnout, and self-esteem challenges. My goal is to help clients gain insight, strengthen coping strategies, improve boundaries and self-expression, and move toward a greater sense of confidence and balance.

I’ve been a licensed therapist for 5 years, but my perspective is also shaped by a lifetime of real-world experience. I’m an Army veteran, a career military spouse, married 31 years,  have lived throughout the U.S. and Canada, a mother of four, and one of nine siblings—with four brothers and four sisters. These experiences have given me a deep understanding of the complexities of family life, relationships, transitions, and everyday challenges. I’m able to connect with a wide range of family situations and offer practical, relatable, real-time solutions that work in everyday life.

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.

Welcome! I’m April, a Licensed Clinical Mental Health Counselor in North Carolina. Congratulations on taking the first step towards reaching your goals. Don’t discount the decision you’ve made to search for help, because many people never do so. I see counseling as a partnership between the therapist and the client; I have the mental health expertise while you’re the expert of you! For this reason I'll spend our earliest contacts getting to know you better. Choosing a therapist is a very personal decision and therefore, I want to give you information so you can choose for yourself if you’d like to work with me. I would describe my counseling style as warm, but professional. I love to use strength-based approaches as much as possible, also incorporating your values into our work. I find myself using an integrative approach, incorporating different theoretical frameworks and techniques that I will tailor to fit your needs. Two approaches I use most often are Person-Centered Therapy and Cognitive Behavioral Therapy (CBT). Person-Centered counseling uses a lot of reflection to help you process your thoughts and feelings, which is often the first step towards solving your problems. CBT helps us examine your thought patterns and whether they are helpful or harmful. If a particular thought is harmful that could trigger issues like a depressed mood, for example. We’ll work together to replace the harmful thoughts with more helpful ones. There are many other approaches to potentially integrate into our sessions, and I’d be happy to explain anything I believe may benefit you. I have recently earned a certification in perinatal mental health (PMH-C) through Postpartum Support International. You can learn more at https://postpartum.net/

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 several 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. I am licensed to practice in IL, NC and OH.