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 36 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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Charlotte

Availability updated: 8/19/2026

$160/session

Authentic
Warm
Direct
Specialties
Sexual Abuse
Grief
Mood Disorders
+10
Trauma has haunted you for years. It’s left you with nightmares and flashbacks. It’s caused you to distrust others and push them away. It’s made you feel broken and hopeless. You’ve tried everything you can think of to shed the weight of the past. You’ve read the books, tried the life hacks… You may have even talked to a therapist. But now, you’re out of options. Nothing has helped you transition from being a survivor to someone who’s truly alive. And you’re all talked out. No matter how many times you tell your story, nothing changes. The search for relief is exhausting. This might be your last shot at getting help.
VirtualAvailable
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$100/session

Warm
Open-minded
Authentic
Specialties
Sexual Abuse
Addiction
Mood Disorders
+10
If you are looking for support on your journey of self-discovery or dealing with some stressors, I would love to help! I enjoy working with individuals who may be struggling and need an empathetic ear. I believe everyone can improve their sense of well-being with some support. Some things I enjoy include spending time with my friends and family, visiting the beach and mountains, and doing arts and crafts.
VirtualAvailable
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$125/session

Authentic
Empowering
Direct
Specialties
Sexual Abuse
Anxiety
Coping Skills
+10
Hey, I'm Tina! I'm the owner of Rooted Minds Counseling and Consulting Services, PLLC, where we "plant peace and nurture strength." I've been a licensed therapist for 15 years and I have done tons of work with adolescents and adults. I have supported clients with depression, anxiety, stress, relationship issues, self-esteem, and grief. There is no cookie-cutter approach to therapy, and I take my job of active listening and offering supportive guidance very seriously. If you are looking for a do-over, fresh start, or even just a listening ear, I look forward to supporting you on your journey!
VirtualAvailable
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$200/session

Warm
Empowering
Intelligent
Specialties
Sexual Abuse
Anxiety
Coping Skills
+9
I’m a Licensed Clinical Social Worker passionate about helping clients work through trauma, anxiety, stress, and life transitions. My approach combines TF-CBT and DBT to provide practical tools, coping strategies, and insight that fit your unique needs. I strive to create a supportive, nonjudgmental space where you feel both comfortable and challenged, allowing real growth to take place. Together, we’ll build resilience, improve emotional regulation, and work toward meaningful, lasting change so you can move forward with confidence.
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$150/session

Authentic
Warm
Solution oriented
Specialties
Sexual Abuse
Anger Management
Anxiety
+9
Dr. Cook specializes in Cognitive Behavioral Therapy (CBT) and trauma-focused care for individuals, couples, and families. She is an experienced child and family therapist with over 20 years in the field. Dr. Cook provides treatment for children, adolescents, and adults experiencing mental health challenges related to depression, anxiety, PTSD, ADHD, and various behavioral difficulties. As a nationally certified and rostered Trauma-Focused CBT provider, Dr. Cook is uniquely qualified to treat those affected by a childhood history of abuse and/or neglect. Other areas of specialty include personality disorders, intellectual disabilities and grief/loss therapy. Dr. Cook uses a strengths-based approach that is solution-focused and practical.
VirtualAvailable
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$100/session

Warm
Authentic
Empowering
Specialties
Sexual Abuse
Domestic Violence
Trauma and PTSD
+8
I am a licensed clinical social worker (LCSW) located in northeastern North Carolina. I have 27 years of experience in the field as a clinical social worker and clinical and administrative supervisor. My experience is primarily in domestic violence, sexual assault, trauma, crisis intervention, grief, loss, major life transitions, chronic health problems, anxiety and depression. My clinical work has centered on providing trauma-based therapy to individuals impacted by complex trauma and PTSD. I use a trauma-informed lens in all aspects of care, helping clients stabilize, develop coping strategies and process traumatic experiences at a pace that feels safe. I draw on evidence-based approaches to guide recovery while empowering clients to regain control over their narratives and lives.
VirtualAvailable
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$90/session

Warm
Authentic
Solution oriented
Specialties
Sexual Abuse
Anxiety
Mood Disorders
+7
Hello, I am Lori Breland, MA, NCC, LCMHC, C-DBT. My primary focus is working with clients struggling with trauma, family conflict, low self-esteem, lack of supports, inability to regulate strong emotions and self-harming/SI. I am an MA (master's in clinical Mental Health Counseling), NCC (National Certified Counselor), LCMHC (Licensed Clinical Mental Health Counselor), and C-DBT (Certified in Dialectical Behavioral Therapy. I am also trained and working on my certification in EMDR (Eye Movement Desensitization and Reprocessing therapy). I am a member of ACA, ACES, Chi Upsilon Chi Honor Society, and Southern ACES.
VirtualAvailable
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New to Grow

$120/session

Authentic
Warm
Specialties
Sexual Abuse
Anxiety
Trauma and PTSD
+4
Traumatic experiences are, unfortunately, far more common than many people realize—and their impact can linger in ways that affect how we think, feel, and relate to others. For 16 years I have specialized in helping individuals process and heal from various types of trauma, including interpersonal violence and sexual assault, childhood abuse, and religious trauma. I also provide support for parents caring for children with complex medical needs, recognizing the unique form of secondary trauma, chronic stress, and emotional exhaustion that caregiving can bring. My approach is warm, collaborative, and grounded in trauma-informed therapy. I incorporate practical tools for nervous system regulation, emotional processing, and building resilience, while always honoring your pace and your story. You can expect a space where you are believed, respected, and supported. Healing is possible. Whether you are working through past trauma, navigating the challenges of caregiving, or trying to rebuild trust and stability, there is hope. I would be honored to walk alongside you- not as someone who has all the answers, but as someone who can help you make sense of what you’re feeling and move toward relief.
Available
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$100/session

Warm
Authentic
Empowering
Specialties
Sexual Abuse
Addiction
LGBTQ
+10
I'm a Licensed Clinical Social Worker who has practiced for over 16 years, working with diverse populations on a range of issues. I have always seen it as an honor and a privilege that you have chosen me to be on this journey of self-discovery and self-mastery of whatever challenges you face. I believe you are not a "billing code" but an individual who dares to seek help to improve the quality of your life
VirtualAvailable
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$100/session

Authentic
Empowering
Solution oriented
Specialties
Sexual Abuse
Anxiety
Depression
+7
I am passionate about assisting individuals with improving their quality of life and daily functioning during the most delicate and vulnerable times in their lives. I work with adults, couples and families by helping them to develop coping strategies, improve mental health/interpersonal skills, and techniques to decrease life stressors and mental health symptoms that negatively impact personal functioning and quality of life. I am a Certified Trauma-Focused Cognitive Behavior Therapist and focuses on the effective treatment for those that have endured sexual, physical, emotional, childhood and domestic abuse. I consider myself to be an Integrative Psychotherapist, which means I use a variety of orientations and therapies to be able to meet the client’s individual needs.
VirtualAvailable
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$125/session

Warm
Authentic
Empowering
Specialties
Sexual Abuse
Anxiety
Depression
+8
I am a Licensed Clinical Social Worker with over 21 years of experience. I know that therapy should be a team approach. I have learned that you, the client, are the expert on yourself. I am here to help guide and empower you to discover your full potential. It is important to me to create a safe environment for healing.
VirtualAvailable
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$100/session

Solution oriented
Intelligent
Authentic
Specialties
Sexual Abuse
Anxiety
Coping Skills
+15
I believe in not just giving ok treatment, but the best available. That’s why I love matching your needs with the best type of therapy that’s also backed up with research to definitely be able to help you. With that, you’re still the expert on you and your life, so you bring your experiences and I’ll bring my knowledge, and together we can figure out how to help you figure out how to get exactly what you’re wanting in life. I specialize in working with anxieties, depression, trauma, as well as with teens and parents. I’ve worked with kids most of my life in one form or another doing therapy, mentoring, and teaching English abroad. Whatever is bothering you I’m here to help. LGBTQ friendly. Whatever it is, let me help you, and if there’s something I don’t have the proper expertise in then I also have no problem admitting that and directing you to someone who can help so that you don’t have to waste your time.
VirtualAvailable
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$125/session

Empowering
Authentic
Open-minded
Specialties
Sexual Abuse
Career Counseling
First Responders/Healthcare Workers
+7
I am a Licensed Clinical Social Worker, nonprofit director, and adjunct professor with a background in forensic interviewing and trauma-informed care, particularly with children exposed to abuse, violence, and human trafficking. I have worked in both hospital and child advocacy center settings and have presented nationally on child abuse prevention. As the wife of a pastor and a mother of two, I understand the realities of balancing leadership, family, and personal well-being. I am especially passionate about supporting ministerial leaders and their spouses as they navigate burnout and the demands of service. When I’m not working, I value rest, meaningful travel, and opportunities to recharge—ideally somewhere warm and restorative.
Available
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$80/session

Warm
Authentic
Solution oriented
Specialties
Sexual Abuse
Anxiety
Depression
+10
Hi, My name is Debbie! Do you ever feel the light has gone out and you are navigating alone and in the dark? Does life seem to have no meaning and purpose? Do you struggle to get out of bed? Has something happened in your life that has caused you to question yourself and everything around you? Find Hope Here – Let’s work together to find a brighter tomorrow. Life can be miserable at times but it shows great insight on your part to reach out for help. By doing this you have completed the first step. Being willing to accept, change, and adapt to your new situation, can be daunting and scary but I want to walk this journey with you. You are worth it and deserve a better life with consistency, growth and a little fun! I am a Licensed Mental Health Therapist with 16-plus years of counseling experience related to grief, trauma, depression, anxiety, and life transition related to postpartum depression, new careers, retirement, divorce, disabilities, and the aging process. Experience also includes building and maintaining relationships in a healthy way. I want to walk this journey with you providing empathy, education, and a non-judgmental safe place for you to share your thoughts and feelings. We will move at your pace because we cannot rush grief. Thank you for allowing me to share your life and its many detours.
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New to Grow

$125/session

Specialties
Sexual Abuse
Anxiety
Depression
+10
I’m often asked, “What made you want to become a therapist?” The answer is simple: I genuinely enjoy helping others. I understand that life can be difficult because I’ve faced my own challenges along the way. My journey hasn’t always been easy, and therapy was an important tool that helped me find support, work through difficult experiences, and continue moving forward. I believe therapy is a journey, and you shouldn’t have to walk that journey alone. My role is to walk alongside you, offering support, encouragement, and a safe space where you can be yourself, explore your thoughts and emotions, and work toward becoming the person you want to be. I’m passionate about helping children, teens, and adults navigate life’s challenges. I strive to create a compassionate, nonjudgmental environment where clients feel heard, respected, and supported. Whether you are struggling with anxiety, life changes, relationships, trauma, or simply feeling stuck, I believe that change is possible and that everyone has the ability to grow. I earned my Master’s Degree in Clinical Mental Health Counseling from the University of the Cumberlands and have worked in the mental health and child welfare fields for more than 30 years. My years of experience have given me the opportunity to work with people from many different backgrounds and through many different challenges. Most importantly, those experiences have taught me the importance of meeting each person where they are and recognizing that everyone’s journey is unique. When I’m not working, you’ll usually find me enjoying the outdoors, getting lost in a good book, or spending time with my energetic and adorable miniature schnauzer, Felix.
Available
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$110/session

Direct
Empowering
Intelligent
Specialties
Sexual Abuse
Depression
Grief
+13
Hi there, I am Jen. Do you want to improve the quality of your life? Do you want to make long-lasting changes that improve areas of your life such as work and relationships? I empower clients to overcome the daily challenges of dealing with such issues as depression (or other mood disorders), anxiety, PTSD/Trauma, and grief. I'm here to help clients (ages 10 & up) get back to a place in their life where they feel more balanced, secure and to a place where they feel happy with their overall quality of life. I do believe in a holistic approach that focuses on the mind-body-spirit connection. I utilize various techniques that include mindfulness, helping you identify and address irrational thoughts, motivational interviewing and more. I work with clients to identify treatment goals at their 1st appointment, if possible and I also like to assign therapeutic "homework" since this helps clients practice and eventually acquire the skills they need to feel better about themselves and their lives. No matter the issue, I'm here to help. Seeking therapy is a brave thing to do and I will provide a safe space to help you heal and grow. In our sessions, I will provide empathy, active listening and humor to help you overcome what is troubling you. I look forward to hearing from you soon!
VirtualAvailable
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$120/session

Intelligent
Solution oriented
Direct
Specialties
Sexual Abuse
Anxiety
Depression
+10
I am a licensed clinical social worker and therapist dedicated to helping individuals navigate life’s challenges with greater clarity and resilience. I have experience supporting clients with trauma, anxiety, depression, mood disorders, and relationship concerns. My approach is warm, grounded, and collaborative, integrating evidence-based practices with a focus on creating a safe, supportive space where clients feel seen and understood. I am passionate about helping clients build self-awareness, strengthen connections, and move toward a more balanced life.
VirtualAvailable
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$150/session

Authentic
Humorous
Empowering
Specialties
Sexual Abuse
Family Conflict
Sex Therapy
+4
Above all else I strive for authenticity in myself, my work, and my therapeutic relationships. I am very accepting of anyone who works with me and I encourage my clients to see themselves as the expert in their lives and their healing, while allowing me to guide them as they walk through the healing process in a way that is truly tailored to what they need and want from a therapist. I can be very free flowing in practice or offer more structured support. Most importantly I will be myself, so be prepared for humor, lots of questions, and someone will put your needs above all else during the time that you are in my office.
VirtualAvailable
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$150/session

Warm
Solution oriented
Empowering
Specialties
Sexual Abuse
Anxiety
Trauma and PTSD
+10
I’m a Licensed Clinical Social Worker who specializes in helping adults heal from trauma, chronic stress, and long-standing survival patterns. Many of the people I work with grew up navigating environments where safety, emotional support, or stability were inconsistent, and those experiences can continue to affect relationships, self-worth, and the nervous system well into adulthood. My approach is compassionate, grounded, and practical. I integrate trauma-informed methods such as EMDR, somatic awareness, and nervous system regulation to help clients move beyond survival mode and reconnect with a stronger sense of self. Therapy with me is a collaborative process. Together we work at a pace that feels safe while building the insight, resilience, and self-trust needed for lasting change. If you’re feeling stuck, overwhelmed, or ready to understand yourself more deeply, therapy can be a powerful place to begin.
VirtualAvailable
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$125/session

Authentic
Intelligent
Specialties
Sexual Abuse
Anxiety
Depression
+10
I am a Licensed Clinical Mental Health Counselor with more than 20 years of clinical experience, and I have been working in the mental health field since 1993. Throughout my career, I have had the privilege of helping individuals navigate life's challenges, build resilience, and create meaningful change. My approach is person-centered, goal-oriented, and grounded in Cognitive Behavioral Therapy (CBT). I believe that every person is unique, and therapy should be tailored to meet your individual needs, strengths, and goals. Together, we will create a supportive, nonjudgmental environment where you feel heard, respected, and empowered to move forward. Whether you are struggling with anxiety, depression, stress, life transitions, relationship concerns, or simply feeling stuck, I am here to help you develop practical tools and lasting strategies to improve your overall well-being. I believe everyone deserves the opportunity to live a fulfilling and meaningful life, and I am committed to helping you discover what that looks like for you. Taking the first step toward therapy can feel overwhelming, but you don't have to do it alone. I look forward to partnering with you on your journey toward healing, growth, and a better quality of life.
Available
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$160/session

Intelligent
Direct
Solution oriented
Specialties
Sexual Abuse
Anxiety
Coping Skills
+18
I am a licensed professional counselor and a licensed clinical addictions specialist in the state of Colorado D.C., Virginia, New Mexico and North Carolina. I have been in the field of mental health since 2007. I have enjoyed working with a variety of clients including active-duty military, couples, teens, families, professionals, hospice and he medically compromised. Throughout my career, I have had the chance to help clients struggling with a variety of issues including depression, anxiety, stress management, marital problems, parenting concerns, family issues, PTSD, military reintegration, addictions, abuse and trauma. Counseling is conducted for a variety of reasons, but everyone has one commonality in their reason for seeking counseling – change. counseling is the gateway to making personal changes and can assist in solving particular problems or learning to lead a healthier life. The counseling process can be interesting and exciting. It can also, at times, be very challenging, difficult and even painful. However, the goal will always be to bring about positive changes.
I look forward to taking this journey with you.
VirtualAvailable
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$125/session

Empowering
Authentic
Solution oriented
Specialties
Sexual Abuse
Anger Management
Anxiety
+9
I am a Licensed Clinical Mental Health Counselor (LCMHC) who currently resides in North Carolina. I received my degree online Capella University. I have been practicing for 10 years and I help men and women deal with anxiety, depression and also help married couples with relationship issues. I believe in supporting the total person since everything is connected, mind, body and spirit.
VirtualAvailable
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$125/session

Authentic
Empowering
Intelligent
Specialties
Sexual Abuse
LGBTQ
Mood Disorders
+9
I am Kathy M. Shelton-Riek, LCSW, MSW, Ed.S. in NC. I love collaborating with clients to grow and heal. I also enjoy working with clients via Telehealth from the convenience of home and a schedule that fits the needs of a working person. I specialize in helping adults and and geriatrics to understand their mental health conditions as well as moods, thoughts and behaviors.
VirtualAvailable
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$150/session

Warm
Solution oriented
Authentic
Specialties
Sexual Abuse
Anxiety
Depression
+8
As a licensed clinical mental health counselor with 11+ years of experience, I have worked with a range of clients and mental health challenges. My expertise centers around helping people heal from past hurt, calm down anxious thoughts, and find their voice to create healthier relationships. My approach is collaborative, strength based, and holistic. I believe everyone has everything they need within them to live their best life. My role is to support and encourage you on your journey to uncover your inner strengths to live a life in peace and wholeness. Together we will explore multiple aspects of your life and set goals in each area. I will teach you new skills and support you as you become stronger and more resilient in overcoming your stressors.
VirtualAvailable
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New to Grow

$165/session

Specialties
Sexual Abuse
Men's Issues
Trauma and PTSD
+6
Hi there! My name is Danielle Greene, LPC, LCMHC and I consider myself to be a warm, grounded, and engaged therapist. My approach focuses on the use of Internal Family Systems therapy, and I am IFS Level 1 trained. My ideal client would be adults seeking deeper, insight oriented therapy and may have experienced childhood emotional neglect, complex trauma, or dysfunctional family dynamics as well as individuals who feel stuck in anxious, avoidant, or codependent relationship loops.
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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. For example, your selected specialty, Sexual Abuse, is filtering therapists in North Carolina that work with patients with similar concerns.

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.