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 555 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:

$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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$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.
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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.
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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.
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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.
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$110/session

Solution oriented
Authentic
Intelligent
Specialties
Anxiety
Depression
Trauma and PTSD
+10
You may be the person everyone depends on; the one who handles problems, pushes through challenges, and keeps everything moving. But what happens when you're the one feeling overwhelmed, exhausted, disconnected, or unsure of what comes next? I'm Kumalo, a Licensed Clinical Social Worker (LCSW), Board Certified Diplomate in Clinical Social Work, and retired U.S. Army officer with more than 22 years of military service and behavioral health leadership. I help adults navigate anxiety, trauma, PTSD, stress, burnout, relationship challenges, and major life transitions. My approach is compassionate, straightforward, and focused on helping you make meaningful progress. I believe therapy should be more than a place to talk about what's wrong. It should also be a space where you feel understood, gain new perspectives, develop practical tools, and rediscover your confidence and sense of direction. Using evidence-based approaches such as Cognitive Behavioral Therapy (CBT), Cognitive Processing Therapy (CPT), and EMDR, I tailor treatment to your experiences, needs, and goals. Whether you're dealing with painful experiences from the past, pressure in the present, or uncertainty about the future, we'll work together to identify what's keeping you stuck and create a path forward. My experience includes supporting military service members, veterans, professionals, and individuals who carry significant responsibilities while quietly managing their own struggles. You don't have to be in crisis to benefit from therapy, and you don't need to have all the answers to get started. You've spent a lot of time showing up for others. It's okay to make yourself a priority, too. If you're ready to feel more grounded, strengthen your relationships, and move forward with greater clarity and confidence, I'd welcome the opportunity to work with you.
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$120/session

Authentic
Direct
Open-minded
Specialties
Anxiety
LGBTQ
Personality Disorders
+6
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.
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$110/session

Humorous
Warm
Authentic
Specialties
Anxiety
Child or Adolescent
Eating Disorders
+7
Hi, I’m Kelly! I am a Licensed Clinical Social worker in the state of NC. I am an LGBTQIA+ affirming therapist. I have been working as an outpatient child/adolescent therapist since 2021. My goal as a therapist is to create an environment that you feel comfortable growing in and allowing you the space to heal. I have experience with treating children/adolescents and young adults (18-25) with anxiety, depression, trauma, eating disorders, and self-harm. I also have experience working with young adults that are transitioning to/from college. My approach to therapy is warm, inviting, and I love to incorporate humor in sessions when appropriate. I am here to support you through healing and growth!
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$120/session

Warm
Authentic
Open-minded
Specialties
Anxiety
Grief
Insomnia/Sleep Issues
+6
Looking through these many profiles can be difficult and draining. Thanks for being here. If you are struggling and unable to control your worries or feeling anxious and as if your stress never eases up, I hope we connect. Overthinking tomorrow and replaying yesterday can be exhausting for any of us and can honestly feel like where we live in our minds. Anxiety steals valuable time from us and can cause incredible distress. Depression also robs us of time, and if you live with grief and loss, the pain may feel overwhelming and never ending. I serve individuals in Wisconsin, North Carolina, and Virginia and have many years of experience working with clients suffering with anxiety, many of whom have endured trauma, loss, and live with grief. I enjoy assisting all adults and have worked with many wonderful individuals in addressing life challenges, changes, and transitions. I know it can be especially difficult and uncomfortable to reach out and ask for help when you are already overwhelmed with a situation. I will always strive to provide a safe space for you to talk about whatever concerns are important to you. Some concerns are very private. I respect this and offer a supportive environment which is always free from judgement. I appreciate your time and hope you find who you need in these profiles.
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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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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.
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New to Grow

$120/session

Specialties
Burnout
Depression
Emotional Regulation
+5
Hi, I'm Erica McQueen, MA, LCMHCS,, a North Carolina licensed mental health counselor and clinical supervisor. I'm also the owner of Creative Vibes Counseling and Consulting, PLLC, where my work includes mental wellness support, career counseling, and clinical supervision. One of my favorite parts of being a therapist is getting to know people and building the kind of relationship where they feel comfortable telling me how they're really doing. I'm warm, down-to-earth, and direct when it helps. I bring creativity into our conversations, and I like to make what we talk about practical enough to use between sessions.
Available
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$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
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Often rebooked

$200/session

Empowering
Open-minded
Authentic
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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$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.
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$125/session

Warm
Empowering
Authentic
Specialties
Anxiety
Depression
Spirituality
+10
I am a fully licensed clinical social worker. I live helping individuals identify their Wirth and strengths they possess to achieve their goals. I have successfully helped women, especially, to work through relationship and parenting issues. I enjoy assisting individuals in settling healthy boundaries and in developing skills needed to effectively and productively be present in their lives. I believe it is impotant to listen to what clients need and want. My clients report feeling comfortable and heard in mu sesions. Some were in counseling prior to working with me and state I have been very beneifical.
VirtualAvailable
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Often rebooked

$125/session

Authentic
Warm
Solution oriented
Specialties
Anxiety
Insomnia/Sleep Issues
Trauma and PTSD
+9
Hi there! I'm a Licensed counselor for CO, NC, and DC. I received my Master's Degree in 2007 and have spent a good bit of my career in crisis and residential settings before transitioning to direct care. I help adults who have experienced adverse events and or trauma to heal and begin to live their lives in a more peaceful way.
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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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$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

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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$100/session

Warm
Authentic
Empowering
Specialties
Anxiety
Depression
Spirituality
+10
Hi everyone! Are you someone who is open to growth, change, and you want healing to take place? I like to work with clients who have a desire to grow spiritually, emotionally, and mentally and who recognize this doesn't happen overnight. We are each a work in progress! I am a clinician who has been practicing for over 20 years. I enjoy working with various populations and ages but primarily focus on providing counseling services for the adult population. I feel God has led me to be a counselor, and I love watching others grow and heal in their life journeys. I work to help clients build resilience, regain confidence, and find peace in their personal and relational lives. Through a supportive, personalized approach, I work to help clients heal from their past hurts and begin to look forward to the future with a hopeful outlook.
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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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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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$125/session

Authentic
Warm
Empowering
Specialties
Anxiety
Trauma and PTSD
Women's Issues
+3
Hey, I’m Mariah! I work with women who look like they have it together on the outside but internally feel exhausted, anxious, overwhelmed, and stuck in patterns they can’t seem to break. A lot of my clients are the ones everyone depends on. They’re successful, self-aware, high-achieving, and used to pushing through. But underneath that, they’re overthinking everything, emotionally drained, struggling in relationships, and wondering why they still feel so stuck despite years of trying to “work on themselves.” Many have done therapy before and left frustrated because they gained insight but nothing actually changed. My approach is honest, direct, and focused on getting to the root of what’s keeping you stuck — not just helping you manage symptoms. I help clients understand the deeper patterns behind their anxiety, perfectionism, people-pleasing, emotional burnout, and relationship struggles so they can stop surviving life on autopilot. I’m not the therapist who just sits quietly and nods for 50 minutes. I’ll challenge you, connect the dots, and help you make real shifts in the way you relate to yourself and others. I also offer private pay therapy for clients looking for more personalized care without the limitations insurance can place on treatment. Clients are able to use HSA/FSA funds to pay for services and are able to receive partial reimbursement through out-of-network benefits.
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$100/session

Authentic
Warm
Solution oriented
Specialties
Anxiety
Life Transitions
Mood Disorders
+3
Hello! I am a licensed therapist in both North Carolina and New York. I find great fulfillment in working with individuals needing assistance in better managing their mood stability, emotions, anxiety, relationships, codependency, and life adjustment stressors. Reaching out to a new therapist for the first time can feel overwhelming and very vulnerable. My main goal is always helping potential and established clients feel safe, respected, and heard. Feel free to reach out to discuss your needs and how I may be of assistance in your emotional journey.
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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.