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 541 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: 10/24/2026

$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

$90/session

Warm
Empowering
Authentic
Specialties
Anxiety
Grief
Self Esteem
+7
I am a Licensed Clinical Social Worker. I hold a Master of Social Work degree from Appalachian State University, focused on individuals and family systems. I have lived in North Carolina all my life and resonate greatly with the people who inhabit this beautiful state, wanting to give back to those seeking mental health support. We all experience grief in our day-to-day lives. We could be feeling grief regarding a chance not taken, a divorce, the loss of a relationship, the loss of a pet, the loss of a loved one, the loss/damage of belongings, the loss of trust in the world, experiencing holidays without someone special, or having to move. We will begin by giving space for the losses and adjustments you have experienced throughout your life, ensuring each version of you can release these emotions and process them in a safe space. I will add helpful interventions, techniques, and educational tools to provide additional support and deeper understanding.
VirtualAvailable

New to Grow

$65/session

Specialties
Chronic Illness / Medical Issues
Grief
Life Transitions
Good day to you and welcome. I have worked for hospice and Project Aids Care and with Veterans in Home-Based Primary Care in the capacity of supporting people in identifying their health goals and end-of-life plans. For all those years I was going into peoples homes to figure out what choices they wanted to make and goals they wanted to achieve in the future that was ahead. We can identify options and resources that will help you through it. You will hopefully leave each session with a better understanding of what you're facing medically and personally and then begin to develop a plan and an evolution in perspective moving forward.
Available

New to Grow

$200/session

Specialties
Anxiety
Coping Skills
Life Transitions
I am Todd Johnson a Licensed Clinical Social Worker and I believe that each person has value. As adults at some point in time we face obstacles and challenges that can interrupt the order of our lives. My journey as a therapist has been driven by a deep commitment to help individuals navigate the complexities of grief and loss, family dynamics, stress/anxiety, and life transitions.
Available

$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

$95/session

Authentic
Warm
Empowering
Specialties
Anxiety
Life Transitions
Military/Veterans
+10
“Hello and welcome! You’ve taken the first step towards finding your way through some of life’s challenges! I am Tonita Smith, a Licensed Clinical Mental Health Counselor based in North Carolina. I specialize in working with adults ages 18 and over who struggle with stress, anxiety, grief, life transitions and relationship issues. With years of experience, I am a nonjudgmental, empathetic listener. I believe in treating everyone with respect and compassion. My therapy style is warm and interactive. I use modalities such as individualized, solution focused therapy, trust-based relational therapy, and some cognitive-behavioral techniques. I aim to help you develop a deeper awareness of yourself, as we explore challenges and, hopefully, develop practical strategies for growth and lasting change.”
VirtualAvailable

Often rebooked

$199/session

Authentic
Empowering
Holistic
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.
VirtualAvailable

$125/session

Warm
Authentic
Empowering
Specialties
ADHD
Anxiety
Depression
+10
I am a Licensed Clinical Social Worker (LCSW), and ADHD Certified Clinical Services Provider (ADHD-CCSP) working with adults ages 18 and up throughout North Carolina, South Carolina, and Virginia. Using Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Motivational Interviewing, Narrative Therapy, or Eye Movement Desensitization and Reprocessing Therapy, I collaborate with you to determine the best approaches for you. We will work together as a team. I listen closely to your concerns, goals, and values and together we set goals and make adjustments as needed.
VirtualAvailable

$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

$100/session

Warm
Authentic
Open-minded
Specialties
Anxiety
Depression
Life Transitions
+10
As a Licensed Professional Counselor, I am passionate about supporting children, adolescents, adults, couples, and families as they navigate life’s challenges. I specialize in working with individuals experiencing anxiety, depression, behavioral concerns, trauma, communication difficulties, and everyday stressors, using a collaborative, compassionate, and evidence-based approach. My approach is warm, collaborative, and tailored to your unique needs and I'm ready to assist you on your journey to BETTER.
Available

$80/session

Authentic
Direct
Empowering
Specialties
Career Counseling
Coping Skills
Women's Issues
+4
Thanks for visiting my profile page. I am a licensed clinical social worker with 20 years of case management experience working with diverse populations and all age groups and 10 years post license experience. I am trauma informed and I use CBT, DBT and solution focused modalities with my clients. I have worked in various settings and specialize in work with the African American community and other disenfranchised populations. I am also interested in working with those that have religious trauma including disassociation and those with speech impediments and disorders. Please let me know how I can support you on your quest to connect with yourself so that you can find your purpose.
VirtualAvailable

Often rebooked

$120/session

Authentic
Warm
Empowering
Specialties
ADHD
Anxiety
Women's Issues
+9
Hi, My name is Kristel. I am an LCSW who provides talk therapy via Telehealth. I am a multifaceted individual with diverse life experiences that inform my perspective. As a former military brat and spouse, I've intimately understood the complexities of life's transitions. My journey has taken me from being a young wife to mature single and dating, stay-at-home mom to working mom, anxious new parent to accepting mother of teens, rule follower to empowered, scarcity mindset to abundance mindset, employee to entrepreneur, stuck to the growth mindset, financially insecure to thriving, trauma victim to survivor, neuro-ambiguous to neurodivergent, granting me a unique appreciation for all the roles I have experienced in my life. I'm a devoted mother of two children, and my path has been marked by significant challenges, including the struggle with infertility and profound grief. I proudly identify as a feminist and supporter of the BIPOC and LGBTQ+ community. These aspects of my identity deeply influence my approach to life and work. With a background in working with families, individuals, and children, I bring a wealth of experience. My personal journey has shaped my empathetic, compassionate, and inclusive perspective, which I offer as a source of support and understanding to those I work with.
VirtualAvailable

$85/session

Authentic
Empowering
Solution oriented
Specialties
Crisis Intervention
Life Transitions
Trauma and PTSD
+7
Welcome! I’m Galadriel, and I'm glad you're here. Taking the first step into therapy can feel daunting, but you don't have to walk the path alone. I am a licensed clinical social worker with experience in crisis response, trauma counseling, and guiding clients through life’s many challenging transitions. I use a blend of therapeutic techniques to help you explore the deeper patterns that shape your current actions and experiences, while helping you build practical skills to address daily struggles and begin to build the life you desire. I believe therapy works best when we collaborate toward clear, meaningful goals. I am warm and compassionate, but I will ask the hard questions. I offer a safe space where you can explore what’s happening in your life, understand your internal world, and build tools that help you feel more stable, confident, and empowered. Whether you’re working through trauma, managing stress, or trying to make sense of a difficult transition, I’m here to support you and assist you along the journey.
Available

$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

$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

$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

$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

$90/session

Intelligent
Empowering
Open-minded
Specialties
Anxiety
Bipolar Disorder
Depression
I'm so happy that you reached out for help. I am Charlene Jones, a Licensed Clinical Social Worker with over 14 years of clinical experience providing therapy in an online and office setting providing counseling to adults, children, adolescents and families in office, school and community-based environment. I have sound experience working with diverse populations, including military, homeless, victims of sexual abuse, substance abuse and personality disorders. I am confident that I can be very useful in assisting and processing you through these difficult life challenges. I generally check messages here a few times per day Thurs-Sun and respond as quickly as I can. I do appreciate your patience when it takes a bit longer at times, as I may be tending to other clients or professional/personal responsibilities. As you can read in my profile, my therapy style combines empathy with various evidence-based approaches, including CBT, DBT and solution focus modalities. Taking steps to reach out for help is not easy and I commend you for your courage. I am confident that I can be very useful in assisting and processing you through these difficult life challenges. I am confident that I can be very useful with assisting and processing with you through difficult life challenges that you're facing.
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

$200/session

Authentic
Solution oriented
Warm
Specialties
Anxiety
Depression
Trauma and PTSD
+10
Hi! I'm a LCMHCS, LPCS, LCAS, CCS based in North Carolina and practicing in NC, SC, GA, TX, AZ, MA, ME, RI, NH and US VI. I received my Doctorate in Counseling Psychology from Argosy University and two Masters from Webster University in Counseling and Health Administration. I have been practicing for over 20 years and enjoy working with a diverse population of people. I have several areas of expertise and enjoy using them to support my clients in their overall life goals and plans for success.
VirtualAvailable

$150/session

Warm
Empowering
Solution oriented
Specialties
Anxiety
Sexual Abuse
Trauma and PTSD
+10
I’m a Licensed Clinical Social Worker who specializes in helping adults heal from trauma, chronic stress, and long-standing survival patterns. Many of the people I work with grew up navigating environments where safety, emotional support, or stability were inconsistent, and those experiences can continue to affect relationships, self-worth, and the nervous system well into adulthood. My approach is compassionate, grounded, and practical. I integrate trauma-informed methods such as EMDR, somatic awareness, and nervous system regulation to help clients move beyond survival mode and reconnect with a stronger sense of self. Therapy with me is a collaborative process. Together we work at a pace that feels safe while building the insight, resilience, and self-trust needed for lasting change. If you’re feeling stuck, overwhelmed, or ready to understand yourself more deeply, therapy can be a powerful place to begin.
VirtualAvailable

$100/session

Authentic
Warm
Empowering
Specialties
Anxiety
Depression
Life Transitions
+6
Hello, my name is Aqilah Battle, MSW, LCSW. I am a Licensed Clinical Social Worker with more than 40 years of experience helping individuals and families navigate emotional, relational, and life challenges. Throughout my career I have worked in hospitals, community behavioral health agencies, senior wellness programs, and private practice settings. These experiences have allowed me to support people during some of the most difficult seasons of their lives including emotional crises, relationship challenges, trauma recovery, caregiver stress, and major life transitions.
VirtualAvailable

$170/session

Warm
Authentic
Open-minded
Specialties
Domestic Violence
Life Transitions
Women's Issues
+9
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.
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.