Therapists that accept Cash Pay in North Carolina

As a Gottman Couples Therapist located in Cambridge, Massachusetts, I am focused on helping partners rebuild trust, improve communication, and strengthen emotional and physical connection. My work centers on a Marriage Positive approach, grounded in research and compassion, and shaped by over a decade of experience with couples and individuals navigating relationship challenges, conflict, intimacy concerns, and emotional distance. I'm Ehsan Adib Shabahang and I integrates Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Gottman Therapy. These evidence-based approaches help clients identify unhelpful patterns, regulate emotions, and create meaningful change lasting beyond therapy. Using structured and collaborative sessions, with a focus on practical skills and deeper understanding of self and partner. I am also the founder of the Self-Reflective Relationship Therapy (SRRT) framework, a model designed to help partners look inward with honesty and compassion. SRRT combines structured exercises with guided reflection to increase self-awareness, empathy, and accountability—the foundation for lasting relational repair. This approach grew from years of clinical work and research into what helps couples not only resolve conflict but transform how they relate to one another. In addition to my work, I am the author of Always and Forever: Goals for a Healthy Relationship, offering couples practical tools for communication, trust, and growth. To build relationships that feels safe, balanced, and emotionally fulfilling. I specialize in couples therapy, sex, premarital counseling, affair recovery, trauma, and individuals seeking to understand their emotions or strengthen their relationship readiness. Clients often describe my style as calm, thoughtful, and engaged. I listen deeply, help clarify the emotions beneath conflict, and guide clients toward connection and repair. If you are looking for a couples therapist in Cambridge, MA, I welcome you to reach out and begin the process of rebuilding trust, deepening intimacy and finding your way back to one another.

I am a Licensed Professional Counselor in SC, PA, TN, and NC. I specialize in helping clients and family members with addiction issues, Obsessive Compulsive Disorder, and PTSD. I also assist clients experiencing anxiety, depression, grief and loss, and can provide relationship and couples counseling as well. I have been practicing for over 10 years and have an empathetic and passionate approach. I love working with all ages however age 10 and above appears to work well for online therapy.

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 am a Licensed Clinical Social Worker (LCSW) who works with adults and young adults seeking supportive space to better understand themselves and navigate life’s challenges. I work with anxiety, chronic stress, burnout, relationship difficulties, and periods of transition or uncertainty. Whether navigating college, early adulthood, career decisions, changing relationships, or the next chapter of life, therapy can help clients gain perspective, clarify what matters and move forward with confidence. I also draw on my past experience working with children and teens to help parents strengthen connection and communication. My approach is collaborative, compassionate, and engaged, while also being direct when helpful. I believe therapy can be meaningful and challenging without always feeling heavy and I often incorporate appropriate humor, warmth, and a genuine sense of humanity into our work. I use an integrative model that incorporates Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT). Our work often focuses on clarifying values, building coping strategies, improving relationships and making changes that feel realistic. I strive to provide a non-judgmental environment where clients feel understood and respected while developing tools they can use in their everyday lives. I offer teletherapy to adults located in North Carolina.

Hi, I’m Melissa Parrish, a Licensed Clinical Mental Health Counselor. I believe therapy should be a place where you can show up exactly as you are and you don’t have to have everything figured out before asking for support. My approach is warm, compassionate, practical, and down-to-earth. I use evidence-based approaches, including CBT and DBT, while recognizing that every person’s story is different. I work with individuals navigating grief and loss, trauma, life transitions, relationship concerns, caregiver stress, workplace challenges, and difficult or overwhelming seasons of life. My background also includes crisis intervention and supporting individuals, families, and first responders following critical incidents and traumatic events. For clients who desire it, I offer Christian counseling and faith-integrated therapy. Your faith and spiritual beliefs can be incorporated into our work together as much or as little as feels comfortable to you. Above all, I want you to feel heard, respected, and supported. Therapy doesn’t mean you have to have it all together. We can start right where you are and work together toward healing, hope, and greater peace.

Hi there, I'm Schenika Silver, a Licensed Clinical Mental Health Counselor (LCMHC). I received my counseling degree from Liberty University and been in practice for seven years. I love working with people and assisting them in finding their purpose, healing from past hurts and wounds, and becoming their whole selves for themselves, their families, and their greater community. My clients often share that I am direct in a compassionate way, I provide insight and wisdom, and they feel heard in my presence. Counseling is not just a job for me, it's a part of my purpose.

Have you tried everything to manage anxiety that affects your day-to-day life? Do you feel overwhelmed by just getting through the day? Do you wonder if you will ever feel better? Many people are finding themselves feeling overwhelmed now more than ever. I am a Licensed Clinical Mental Health Counselor in North Carolina. I have been a Mental Health Professional for over 20 years. I have been practicing as a LCMHC for 18 years.

I am a woman in her second half of life. I have raised three children,I have six grandchildren and four great-grandchildren. I have dogs and cats as pets and live in the country. I grew up in a military town and am an Army brat. I was also a Military Family Life Counselor in public schools working with children of military parents. I have a child currently serving in the US Navy. I also have a small garden. I have many different hobbies that I enjoy. I am 30 plus years sober and value my sobriety on a daily basis. I have exercised many of my own demons which helps me recognize the struggle in others. I make an effort to not be judgemental of anyone's choices. I listen, I provide a safe space.

I come from a first responder family, and it shaped how I understand the people I work with. I built my practice specifically for law enforcement, fire, EMS, dispatchers/911, and veterans — people who carry things most providers have never had to sit with, let alone treat. I'm not interested in being another therapist who nods along without understanding the job. I get it, and that changes what happens in the room. Not all the work is about the job, either. Plenty of clients come to me for personal issues — relationship struggles, childhood stuff, grief, anxiety, things that have nothing to do with the badge or uniform. Being from this world just means I already understand the context you're operating in, whatever you're bringing to the room. I use evidence-based treatments — including EMDR, Brainspotting, and Prolonged Exposure, among others — to help clients process trauma that others may not fully understand. I also draw on Critical Incident Stress Management and Psychological First Aid for cumulative exposure, not just single-incident trauma. Whether it's an officer-involved shooting, years of runs finally catching up with someone, or something from long before the job started, I know how to work with it directly instead of dancing around it. My style is direct and less formal. I'm not going to make you explain your job to me or treat your coping mechanisms as automatically pathological. I'll call things what they are and won't waste your time with fluff. I work entirely via telehealth — meet with me from home, your vehicle between calls, wherever gives you privacy. If you want a therapist who won't flinch and actually understands the world you operate in, I'd like 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.

Hi, My name is Melissa Pelletier. I have been a Licensed Independent Clinical Social Worker for over 27 years. I'm trained in a variety of evidence-based approaches to treat your underlying symptoms by empowering you to recognize and respond to them in more adaptive ways. I provide a healthy dose of education to help you understand your symptoms, the process of why they are occurring and how your responses such as avoidance can keep you stuck. I will teach you skills to learn how to interrupt patterns of unhelpful, dysfunctional thinking, skills on how to manage powerful emotions, and work with you to develop the courage to change how you respond to painful thoughts and emotions.

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.

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.

Hello and welcome to your healing journey! My name is JaSarah N. Baldwin. I am a Licensed Clinical Mental Health Counselor and a Licensed Clinical Addiction Specialist - Associate. I would first like to thank you for considering me to be a part of our journey and for taking this incredible step in your life. I am an advocate for mental health wellness for myself and others. Sometimes in life we are hit with so many obstacles that we do not know what or where to go. My goal as a counselor is to assist you with what you need to jump of the hurdles that you may experience.

I am a licensed therapist with over 17 years of experience supporting individuals across a wide range of settings, including schools, correctional facilities, in-home programs, inpatient care, community based mental health, wilderness therapy, and early childhood environments. My approach is grounded, compassionate, and tailored to meet you exactly where you are. I specialize in working with women navigating life transitions, parenting, perinatal mental health, stress, trauma, and relationship challenges. As a mother of three, I bring both professional expertise and lived experience into the therapy space, especially when supporting parents through the complexities of caregiving, identity, and emotional wellbeing. My work integrates evidence-based practices like Cognitive Behavioral Therapy (CBT) with holistic and experiential approaches, including nervous system regulation informed by polyvagal theory, yoga-based techniques, sand tray therapy, and nature-based mindfulness. My office is located on 10 acres of peaceful land, offering a unique opportunity for grounding and connection with nature as part of the healing process. Clients often describe me as down-to-earth, creative, and easy to talk to. I value authenticity, humor, and building a genuine therapeutic relationship where you can feel safe, understood, and supported. Whether you’re feeling stuck, overwhelmed, or simply ready for change, I’m here to walk alongside you.

Hi there, I’m Julissa. Are you feeling less like yourself lately or finding it hard to make confident decisions? Whether you’re overwhelmed by life’s demands, navigating a new chapter, or struggling with anxiety and self-doubt, I’m here to help. As a holistic therapist, coach, and spiritual guide, I support individuals ready to step into clarity, peace, and purpose. Together, we’ll explore your inner world, heal emotional wounds, and build confidence in who you are becoming. I’m proud of you for seeking support—it’s the first step toward feeling like yourself again.

Hi, I'm a Licensed Clinical Social Worker with more than 20 years of experience working with children, teens, adults, and families providing counseling. If you're reading my profile, you're here for a reason. Maybe you're feeling stressed, anxious, overwhelmed, stuck, grieving, struggling in a relationship, adjusting to a major life change, or simply trying to make sense of something that's happening in your life right now. Whatever brought you here, I bring both clinical experience and real world understanding to help you sort through it. My style is warm, conversational, and practical. Therapy with me is not about being analyzed or judged. It's about having a real conversation with someone who wants to understand your experience, help you identify what's getting in the way, and support you in creating meaningful, lasting change. I work with adults, teens, and children, tailoring my approach to each person's needs, personality, and goals. Whether you're seeking support for yourself, your child, or your family, my goal is to create a space where you feel understood and supported.

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.

Hi, I'm Matthew, a Licensed Clinical Mental Health Counselor and the founder of Cardinal Counseling Connection. I'm trained in Emotionally Focused Therapy (EFT) and listed with ICEEFT, and most of my work centers on helping men build a stronger, more honest relationship with themselves and the people they love. Many of the men I work with came to therapy because something wasn't working,;maybe it's hard to put feelings into words, relationships feel harder than they should, or old coping strategies (working more, shutting down, numbing out) have started costing more than they help. My work is about helping you find your voice again: naming what you actually feel, understanding where old patterns come from, and learning to connect — with yourself first, then with the people around you. I come to this work personally as well as professionally. Some of my own early experiences left me feeling like I had to manage everything alone, and I know what it costs to carry that. That's part of why I care so much about helping men find a different way; one where connection, not control, is the goal. In session, I bring both structure and warmth. I'll ask real questions, name patterns you might not see on your own, and give you tools you can actually use. The work itself is collaborative, not clinical box-checking. My goal isn't just symptom relief; it's helping you build the kind of internal and relational life that feels sustainable and real. If you're a man who's tired of white-knuckling it alone and ready to actually understand yourself, I'd be glad to work with you.

Hi, I’m Raven Patten, LCSW. I work with adults navigating anxiety, stress, burnout, life transitions, relationship challenges, and self-esteem concerns. My approach is warm, collaborative, and practical. I believe therapy should be a space where you feel heard, supported, and challenged to grow. Together, we’ll explore patterns that may be keeping you stuck while developing realistic strategies that help you move toward the life you want to create.

​ Do you struggle with feeling bad about yourself, developing and /or maintaining healthy relationships with others? Do you feel down, depressed, feeling you let yourself or others down? Do you experience feelings of anxiety, stress, or trauma? Are these concerns impacting you at home, work, or other places? Seeking therapy can be scary, however, you have made the right decision. I believe individuals are the "experts on themselves" and possess the ability to make the desired positive change in their lives. In the session, we will utilize a Person Center Approach consisting of meeting the individual were they are, actively listening, providing support, encouragement, and validation, as well as utilizing Evidence -Based Treatment Modalities ( such Cognitive Behavioral Therapy, Solution Focused Based Therapy, Motivational Interviewing, Mindfulness, Person Centered Approach, and Psychoeducation) Supportive Therapy, Stress Management, and Anger Management. Together, we will work collaboratively to treat the whole person and empower the person to find their way forward.

Hi, I'm Debbie Howard, a Licensed Clinical Mental Health Counselor (LCMHC). Reaching out for support takes courage, and I would be honored to walk alongside you! I have 15 years experience helping individuals, families and youth work through challenges such as life transitions, stress, anxiety, depression, relationship issues, and parenting. I also specialize in helping children and teens build resilience, confidence, and coping skills that support lasting change at home and school. My approach is warm, client-centered, and collaborative. I believe therapy should feel empowering, supportive, and tailored to your unique needs and goals. I integrate a variety of evidence-based practices including Cognitive Behavior Therapy(CBT), Alternative Family CBT, Dialectical Behavioral Therapy (DBT), Acceptance & Commitment Therapy (ACT) , mindfulness, trauma-informed care, and solution focused therapy. Together, we'll focus on building self-awareness, resilience, and lasting positive change in a safe, nonjudgmental space.

Welcome! I am Quarda- Licensed Clinical Social Worker, professional listener, and occasional over-user of sticky notes. I help people untangle the messy parts of life, whether it's anxiety, relationship hiccups, burnout, or just that nagging feeling that something's "off". My style is supportive, down- to-earth, and sprinkled with humor-- because sometimes laughter really is the best medicine (right after actual therapy of course). I use evidence -based techniques and empathy to assist you in making sense of your story and editing it as you may, build resilience, and move forward with purpose. Therapy doesn't have to be stiff or scary-- and if you're ready to do the work (and maybe laugh a little along the way), I'm here for it.

Hi! I'm Rebecca! I specialize in anxiety, trauma, autism, ADHD, and work exclusively with women. I also love helping creatives who are experiencing career transitions. I help clients regain a sense of safety in the world and (re)learn how to trust their own bodies and nervous systems so that they can live fulfilling lives. 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.

Hello, my name is Stephen Pleasant, and I'm a psychotherapist for men. Why therapy for men? Well, because sometimes a man just needs a pork shoulder to cry on. That being said, I will also work with women as well. It’s a recognized human tendency for men to get “stuck” in their lives and to end up “settling” for the status quo when deep down they know they are capable of a great deal more. Here’s the truth; You are never “stuck” with your present circumstances. The Game of Life is a psychological and spiritual journey and winning at this game requires you to change your play and learn to think differently and do things in a new way. I help men break out from being “stuck” in life, resigned to producing results that are disappointing to them and others. My goal is to see transformative progress in men’s confidence, clarity, and self-expression, so that they may gain the fuller personal and work life they thought was beyond them.