Therapists that accept Cash Pay in North Carolina

Choosing a cash pay option for mental health care can provide flexibility and access to quality support without the constraints of insurance networks. With 544 verified therapists in North Carolina who accept cash pay, you can explore therapeutic approaches such as cognitive behavioral therapy, solution-focused therapy, and supportive counseling to address a range of concerns, including anxiety, depression, and ADHD. Each Grow Therapy-verified therapist that has a cash pay option listed below is currently welcoming new clients and has availability soon, offering you a straightforward path to compassionate, accessible care on your terms.

Availability updated: 10/22/2026

$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

$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

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

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

$120/session

Authentic
Direct
Empowering
Specialties
Addiction
Anxiety
Men's Issues
+10
My name is Dr. Brandon Lowe and I'm a licensed mental health and addictions therapist. I have a doctoral degree (2024) in Christian counseling and a master's degree in Rehabilition and Mental Health counseling (2013). I've been in the counseling field since 2006. I've worked myself up from a behavioral health specialist to doctoral status within my 19 years in the behavioral health field. Over the years, not only did I acquire higher education but most importantly experience.
VirtualAvailable

$150/session

Authentic
Direct
Empowering
Specialties
ADHD
Anxiety
Depression
+10
I am a Licensed therapist who has years of experience in assisting individuals of varying ages and cultures through counseling in a variety of settings. I have been described as supportive, caring, knowledgeable, and compassionate. I like to focus on identifying your strengths and helping you to maximize them to overcome your obstacles. I I'm here to help you sort through the things that are difficult right now, and offer you a safe place to be open and honest without fear of judgment.
VirtualAvailable

New to Grow

$170/session

Specialties
Anxiety
Depression
Life Transitions
+7
I'm Dr. Amy Casey, a multi-state licensed, multi-board certified mental health clinician and supervisor ready to support you in reaching your goals for peace of mind and behavior change. I believe in everyone's ability to get in touch with their innate courage and resilience. And when the going gets tough, I'm here to offer a safe and nonjudgmental therapeutic space to move forward. I work affirmatively with people of all backgrounds, including LGBTQ+ clients, neurodivergent people, people of color, disabled clients, and those from all faiths and cultures.
Available

$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

$125/session

Authentic
Empowering
Open-minded
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

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

$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

$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

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

New to Grow

$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

$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

$150/session

Authentic
Empowering
Solution oriented
Specialties
Depression
LGBTQ
Life Transitions
+5
Welcome! Making the decision to better your mental health is an important step toward improving your quality of life and feeling healthier. I am a seasoned, Clinical Psychologist with 25 + years of extensive experience assisting clients identify problem areas that are contributing to distress and unhappiness in their lives and develop strategies to reduce symptoms and improve quality of life. I have a Ph.D. in Clinical Psychology from Columbia University and have worked in many different settings with individuals experiencing depression, anxiety, trauma and those dealing with life stressors or events that are interfering with life. I strive to create a safe, warm and welcoming environment that allows clients to feel at ease as they explore and work on obstacles /problems to lead to positive change. I look forward to working with you on your journey to better health and peace of mind.
VirtualAvailable

$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

$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

$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

$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

$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

$150/session

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

$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

Often rebooked

$120/session

Authentic
Warm
Empowering
Specialties
Anxiety
Depression
Self Esteem
+5
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.
VirtualAvailable

$165/session

Authentic
Solution oriented
Direct
Specialties
Anxiety
Couples Counseling
Grief
+7
Hello-My name is Richard (Rick) Lally. I graduated with a master's degree in clinical psychology from Connecticut College and have been working in behavioral health for 25 years. I also have been a Licensed Clinical Mental Health Counselor in North Carolina for the past 20 years. I have been able to help individuals from diverse backgrounds with a wide array of issues; depression, grief/loss, stress, anger, relationship distress to name a few. Regardless of whether your need for seeking counseling is one of these matters or something else, please reach out to me and give me the chance to see if I can offer some relief. I welcome the opportunity to meet you.
VirtualAvailable
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.