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 568 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: 9/30/2026

$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
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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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New to Grow

$175/session

Specialties
Burnout
Self Esteem
Trauma and PTSD
+9
I am licensed in three states (NY, NC, and SC) and have 8 years total of clinical experience. My career started in North Carolina when I got my Master's in Clinical Mental Health Counseling from Western Carolina University and completed my internship serving as a counselor in an inpatient substance use treatment facility. After that, most of my career was spent serving diverse populations in New York City, in multiple settings of care including substance use treatment and community mental health treatment facilities, and private practice settings. I worked with a heavily diverse, international, and multicultural population from many backgrounds. Over time I had immersive experience building a niche working with LGBTQ+ clients, with a particularly strong following of gay men navigating complexities in their identity, sexuality, and interpersonal relationships. I also worked with clients from all walks of life navigating concerns around trauma, addiction, mood disorders, major life transitions, and concerns regarding intimate relationships. I consider my counseling approach to be ecletic. I incorperate concepts from many different modalities and adapt them to the unique needs and personalities of my clients. Some of the major counseling theories I draw from include Person-centered therapy, Motivational Interviewing, Cognative Behavioral Therapy, Dialectal Behavioral Therapy, Positive Psychology, and many others.
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$92/session

Warm
Authentic
Empowering
Specialties
Anxiety
Depression
Trauma and PTSD
+8
Hello. I am Alyssa, and I believe it is possible for you to move forward and live. My passion is to inspire people as they progress and develop through life. As a skilled counselor, I meet each person at the point of their emotional needs in the areas of trauma, anxiety, depression, adjustment, grief, and loss. I encourage clients to Identify how their thoughts, behaviors, and emotions impact their emotional healing and progression. I believe in offering transparency and unconditional positive regard as each client journeys toward wellness. How much better might you feel tomorrow if you begin today? Your best self is waiting.
VirtualAvailable
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$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.
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New to Grow

$100/session

Specialties
Anxiety
Depression
Emotional Regulation
+1
Hi, I'm Alesia, a Licensed Clinical Social Worker (LCSW) with a Master of Social Work from the University of Alabama. Over my seven-plus years in the field, I've worked in college, community, outpatient, inpatient, and intensive outpatient settings, giving me a broad perspective on how to support people at different stages of life and levels of need. I work with both children and adults facing challenges like depression, anxiety, and major life changes, using cognitive behavioral therapy, solution-focused therapy, and psychoeducation to help clients feel more equipped to navigate what they're going through.
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$120/session

Warm
Authentic
Open-minded
Specialties
ADHD
Life Transitions
Trauma and PTSD
+10
I’m a warm, down-to-earth therapist with more than 15 years of experience helping people navigate anxiety, trauma, relationship challenges, major life transitions, grief, burnout, emotional overwhelm, and the seasons of life when everything simply feels like a lot. My background is a little different from the traditional therapy path. I’ve worked in schools, community mental health, and crisis intervention settings. I’ve supported veterans, first responders, survivors of trauma and abuse, neurodivergent individuals, parents, professionals, and people facing some of life’s hardest moments. These experiences have taught me how to stay grounded when things feel chaotic and why it’s so important to see the whole person - not simply a diagnosis or list of symptoms. My style is conversational, collaborative, and practical. I’ll give you space to process, but I’m not a therapist who simply nods and asks, “How does that make you feel?” We’ll get curious about patterns, relationships, boundaries, past experiences, and the things that keep showing up in your life. We’ll explore where those patterns came from, how they affect you now, and what you may want to change. I believe insight is only part of the work. Together, we’ll develop practical strategies you can use outside of therapy to manage anxiety, regulate emotions, improve communication, strengthen relationships, establish boundaries, and navigate difficult seasons. You don’t need to know exactly what you need from therapy before you begin. Sometimes it starts with simply recognizing that something isn’t working anymore. My role isn’t to tell you how to live your life - it’s to help you understand yourself more clearly, build skills and confidence, and create meaningful change.
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$100/session

Authentic
Empowering
Open-minded
Specialties
Older Adults
Trauma and PTSD
Women's Issues
+4
I believe therapy is a collaborative process where you should feel comfortable being yourself without judgement. My goal is to create a safe supportive space where you feel heard, understood and respected. We will collaborate on your treatment and at the pace that feels comfortable for you. Whether you are dealing with anxiety, depression, relationship concerns, stress, a major life change, or simply feeling stuck in life. We will work at your pace to reach your mental health goals. I enjoy working with clients from diverse backgrounds including being an LGBTQ+ ally and affirming.
VirtualAvailable
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New to Grow

$100/session

Specialties
Anxiety
Couples Counseling
Depression
+5
Hello, and welcome! My name is Alexis Barnes-Scott, and I am a Licensed Marriage and Family Therapist with more than 12 years of experience helping individuals, couples, and families navigate life's challenges. I earned my degree from East Carolina University and have dedicated my career to supporting clients as they build healthier relationships and create meaningful, lasting change. My areas of specialization include relational concerns, trauma, women's issues, and the management of stress and anxiety. I strive to provide a safe, supportive, and collaborative environment where clients feel heard, respected, and empowered throughout the therapeutic process. Outside of my professional life, I enjoy spending time with my husband and our beloved 15-year-old dog, Bella, and my 1-year-old dog, Jackson. I look forward to the opportunity to support you on your journey toward healing, growth, and greater well-being.
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$200/session

Specialties
Anxiety
Coping Skills
Crisis Intervention
Hi, I'm Quinesha, a licensed clinical social worker in North Carolina. I work with adults navigating anxiety, depression, identity, and life's harder seasons. I believe healing starts with feeling heard, not just labeled. I like to start where you are, and I welcome open conversation on any topic. If you're ready to explore what therapy can look like for you, I'd love to connect.
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$125/session

Warm
Empowering
Authentic
Specialties
Anxiety
Coping Skills
Self Esteem
+10
Hi, I’m Stephanie, a Licensed Clinical Social Worker and a Certified Clinical Anxiety Treatment Professional (CCATP) who helps individuals struggling with anxiety, low self-esteem, and the constant pressure to please others. My work focuses on creating a safe, supportive space where you can explore what’s behind the stress, self-doubt, and overwhelm you’re feeling. I’ll help you build healthier boundaries, quiet your inner critic, and start showing up more confidently in your life and relationships. Whether you’re feeling stuck or just ready for a change, I’m here to guide you through it with empathy and evidence-based tools.
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$170/session

Warm
Authentic
Intelligent
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
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$120/session

Authentic
Open-minded
Warm
Specialties
Anxiety
LGBTQ
Personality Disorders
+10
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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$125/session

Solution oriented
Empowering
Humorous
Specialties
LGBTQ
Self Esteem
Trauma and PTSD
+8
Let’s not sugar coat it! Starting therapy can feel like a HUGE, exciting and terrifying step forward. Let’s not focus on the mountain, let’s focus on what’s right in front of you! You don't have to have it all together, nor do you have to navigate life’s challenges alone. I’m Perleen Daroowalla and I aim to create a safe space where we can be straightforward and honest with each other while working through life’s challenges. I model the same honesty, accountability, and responsibility that I encourage in my clients. Therapy begins with where you are now, factors in where you have been, and builds a plan for where you want to go. You are the expert on your life! The therapeutic relationship is a collaborative process. Together, we will create an individualized plan based off where you want your life to be in a month, 6 months, and/or a year from now. I offer creative and realistic strategies to assist you in tackling life’s challenges. You'll leave sessions with skills you can actively use to accomplish your goals.
VirtualAvailable
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$100/session

Authentic
Warm
Open-minded
Specialties
Addiction
Depression
Men's Issues
+10
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.
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$100/session

Authentic
Solution oriented
Intelligent
Specialties
Anxiety
Depression
Trauma and PTSD
+8
Hi! I'm Brian and I'm a therapist based in Colorado. I've dedicated the last decade of my life serving people in need of support to overcome a variety of issues. I care about the people I work with dearly, and this drives me to provide them with the best mental health services possible every time they show up (and sometimes when they don't). I have extensive training and experience using a variety of therapeutic modalities, including cognitive behavioral therapy and dialectical behavior therapy, but I prioritize the therapeutic relationship above all else. I specialize in adolescent issues, depression, anxiety, anger management, Autism Spectrum Disorder, and men's issues. I'm a fully licensed clinical social worker in North Carolina, New Hampshire, and Colorado, and have a sliding scale for services because I believe everyone should have access to therapy regardless of their financial situation. If you would like to make changes in your life, or would just like to talk through something, please feel free to reach out.
VirtualAvailable
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Often rebooked

$110/session

Solution oriented
Authentic
Empowering
Specialties
Anxiety
Depression
Trauma and PTSD
+9
Hello, I'm Amanda. For over 20 years I've walked alongside people through every kind of mental health journey—from crisis moments in psychiatric hospitals to steady, hopeful growth in outpatient settings. My favorite thing is helping adults rediscover their strength, heal old wounds, and build lives that feel lighter and more joyful. I bring a calm, creative, down-to-earth energy to every conversation. I'm also a mom, grandma, and wife—balancing real life just like you do. Those experiences help me truly connect with people from every background and walk of life.
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$80/session

Authentic
Warm
Open-minded
Specialties
Anxiety
Trauma and PTSD
Anger Management
+3
Hey there! I’m Tashina — a Licensed Clinical Social Worker in North Carolina and a Licensed Independent Social Worker in South Carolina. I’m a proud graduate of North Carolina A&T (Aggie Pride!) and have spent over 10 years helping people find healing, peace, and purpose in their lives. I work with adults and teens who are dealing with anxiety, depression, or PTSD and sometimes just feeling stuck or unsure of what’s next. My style is real, relaxed, and rooted in compassion. You won’t find any stuffy therapy vibes here, just honest conversations, practical tools, and maybe a few laughs as we work toward helping you feel more grounded and confident. Let’s team up to clear out the mental clutter and make room for the life you actually want to live.
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$100/session

Authentic
Intelligent
Empowering
Specialties
Life Transitions
Career Counseling
Child or Adolescent
+6
Hi there! My name is Erin Dey and I am a licensed clinical social worker located in Chapel Hill, North Carolina. I have a masters’ degree from Columbia University, and I specialize in helping clients successfully navigate challenging life transitions. I work with individuals both in person as well as online. My approach to counseling is solutions-focused, strengths-based, and relational.
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$235/session

Warm
Direct
Open-minded
Specialties
Coping Skills
Family Conflict
Family Therapy
Hi, I'm Felicia N. Holman-Reid! Thank you for considering sharing your journey with me. Starting counseling can be stressful, but hopefully we can start this process together, getting you to a better place mentally. I received a Bachelor of Science in Experimental Psychology from University of South Carolina-Spartanburg (Upstate)-2002 & Master of Arts in Counseling w/Mental Health emphasis from Webster University-2007. Also, I've received training in mediation & conflict resolution for about 11 years.
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$175/session

Authentic
Solution oriented
Direct
Specialties
Anxiety
Coping Skills
Men's Issues
+6
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.
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Often rebooked

$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.
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$80/session

Warm
Open-minded
Solution oriented
Specialties
Anxiety
Family Therapy
Life Transitions
+10
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.
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$120/session

Authentic
Warm
Empowering
Specialties
Anxiety
Life Transitions
Self Esteem
+8
Hey there, I'm Jessica! 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 judgement. I specialize in working with adults who are feeling stuck or overwhelmed. I believe everyone has the inner strengths needed to live their best life. But, it can be hard to recognize those strengths through the fog our stress response triggers. If you are looking for how to build confidence, inner peace and stability, you have come to the right place. Overwhelming anxious thoughts, relationship issues, work avoidance, irritable mood, low self esteem, trouble concentrating, problems sleeping; These are some of the more common complaints clients have when first coming to therapy. Together we will work to identify the strategies and support you need to overcome whatever challenges you face. Many people struggle a long time before seeking mental health care. But mental health is health! Just like in other specialties, preventative mental health care can be so effective in avoiding crisis and more serious illness. You do not have to suffer to deserve support! No matter the level of stress you are going through, you are worth taking care of.
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Often rebooked

$150/session

Holistic
Intelligent
Specialties
ADHD
LGBTQ
Life Transitions
+5
Life can feel overwhelming when you’re trying to manage your emotions, relationships, work, family expectations, and everything else at the same time. You may look like you have it all together on the outside while internally feeling anxious, exhausted, disconnected, or unsure of what comes next. I’m Yilian Herrera, a licensed mental health professional who provides a warm, supportive, and nonjudgmental space where you can slow down, understand what you’re experiencing, and begin making meaningful changes. I work with teens and adults experiencing anxiety, depression, trauma, ADHD-related challenges, emotional regulation difficulties, relationship concerns, low self-worth, burnout, and major life transitions. I especially enjoy working with people who feel overwhelmed, stuck, or like they have spent a long time putting everyone else’s needs before their own.
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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.