Therapists that accept Cash Pay in North Carolina

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'm Dr. Ehsan Adib Shabahang, founder of AtReef Therapy PLLC and a Licensed Mental Health Counselor (LMHC) and National Certified Counselor based in Cambridge, Massachusetts. I hold a PhD in Psychology with a concentration in social psychology and a master's degree in Clinical Mental Health Counseling. My practice provides integrative, depth-oriented therapy for couples and individuals, conducted entirely through secure telehealth. I work most often with high-achieving adults and couples who function well professionally but find themselves facing patterns that intelligence, success, or effort alone have not resolved: recurring conflict, emotional distance, perfectionism, burnout, anxiety, and questions about identity, meaning, and direction. My clinical approach draws on relational and depth psychology, Jungian psychology, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Gottman Method Couples Therapy, integrated according to each client's needs rather than applied as a fixed protocol. I am also the developer of Self-Reflective Relationship Therapy (SRRT), a research-informed framework that emphasizes self-reflection, emotional responsibility, and translating insight into real behavioral change. Therapy with me is not only about understanding why a pattern exists. Insight matters, but it is not the goal on its own. I focus equally on what changes in your communication, boundaries, emotional regulation, and decisions once that understanding is in place. I see couples working through betrayal, disconnection, and recurring cycles of conflict, and I see individuals navigating anxiety, burnout, identity transitions, and the gap between a capable public self and a more uncertain private one. I also bring particular attention to intercultural relationships and cross-cultural identity, informed by my own doctoral research and background working across cultures. If you are looking for a therapist who will engage directly, take your patterns seriously, and hold you accountable to real change rather than surface-level coping strategies, I would be glad to work with you.

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.

Hi! I'm a Licensed Marriage and Family Therapist (LMFT) based in North Carolina. I received my Masters from the East Carolina University and have been practicing for 19 years. I help adults struggling with life stresses and concerns that may be impacting their day to day functioning. I have worked for a non-profit for the last 24 years and am a single mom of a teenager.

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.

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.

I am a Licensed Clinical Social Worker in North Carolina with 10 years of counseling experience. I received my Master's Degree in Social Work from the University of North Carolina at Chapel Hill and have spent many years working in community behavioral health. My training and my work have shaped me into a clinician that understands a person's environment is as important as their mindset. You will find me to be supportive and an advocate for my clients complete health.

Hey there! I'm so glad you're here. I'm a Licensed Clinical Mental Health Counselor based in North Carolina. With a Master's degree in Counseling from the University of North Carolina at Charlotte, I've developed a range of skills in different therapy techniques to help you on your unique path. With over six years of experience, I've worked with a variety of clients, helping them navigate the ups and downs of life. I specialize in providing compassionate care for those dealing with challenges like depression and anxiety, and I'm all about equipping you with practical tools and strategies to help boost your emotional well-being. If you're working through grief and loss, I'm here to support you as you process those complex emotions. I also help people who are facing stress from significant life transitions—whether it's changing careers, moving to a new place, or adjusting to any significant life changes. You don't have to go through it alone! When it comes to relationships, I focus on helping you communicate more effectively and resolve conflicts so you can build healthier connections. For anyone who's experienced trauma, I use evidence-based techniques to promote healing and resilience, helping you reclaim your story. As a bilingual counselor, I offer services in both English and Spanish, making it easier for you to access support in the language you're most comfortable with. My mission is to create a warm, welcoming space where you can openly explore your thoughts and feelings. Together, we'll set personal goals and work toward a happier, more fulfilling life. I'm excited to be part of your journey—let's get started!

I’m a licensed clinical social worker offering virtual therapy for teens 16+ and adults who want to understand themselves more deeply and grow into their best selves. My practice is grounded in trauma‑informed care, emotional safety, and practical tools that help clients navigate anxiety, stress, relationship challenges, and major life transitions. I believe therapy should feel like a supportive conversation where you can slow down, breathe, and explore what’s happening beneath the surface without judgment or pressure. Many of my clients come to me during moments of change such as starting college, shifting relationships, navigating identity, or trying to break patterns or generational trauma. Together, we look at what’s working, what’s not, and what needs to be strengthened so you can move forward with clarity and confidence. I use a blend of evidence‑based approaches, creative strategies, and real‑world skill building to help you understand your emotions, communicate more effectively, and create healthier boundaries. My style is warm, collaborative, and down‑to‑earth. I’m not here to “fix” you!! I’m here to help you reconnect with the parts of yourself that already know how to grow. Therapy with me is a space where you can be honest, explore new perspectives, and learn tools that support long‑term change. Whether you’re dealing with anxiety, burnout, relationship concerns, trauma, or simply feeling stuck, we’ll work together to help you become the version of yourself you’ve been trying to reach.

Hi! I am an LCSW with 4 years of experience. I received my Bachelor of Social Work degree from Mars Hill University in 2021. I earned my Master of Social Work degree with a focus in clinical social work from East Tennessee State University in 2022. I have worked in variety of settings including private practice and agencies.

Helping Thoughtful People Get Unstuck and Move Forward Hi, I'm Donavon. I’m a counselor with over 20 years of clinical experience and nearly 30 years working in helping professions. Over the years, clients have described me as encouraging, supportive, compassionate, and understanding. One of the things I do especially well is helping people understand how the challenges they face today developed over time. That doesn’t mean spending weeks reliving the past. Instead, we focus on identifying patterns that contribute to anxiety, stress, ADHD-related struggles, relationship challenges, or feeling stuck, and then developing practical strategies that help you move forward. My goal is to help people gain insight, develop better coping strategies, and begin making meaningful progress in their lives. If you're feeling stuck, overwhelmed, or uncertain about the direction of your life, therapy can be a place to slow down, gain clarity, and begin moving forward again.

Hi, I’m Jonny. I’ve been practicing as a clinician in Western North Carolina since 2016, beginning in community mental health with children and families before transitioning to private practice with adults. That background shaped my core belief that mental healthcare should be accessible, humane, and deeply personal. In my practice, I offer a warm, collaborative space where we balance practical, incremental steps with your bigger-picture goals for meaningful growth. I’d love to connect and talk about what we can accomplish together.

I am a Licensed Psychologist with nearly 15 years of experience. My specialty is providing compassionate and non-judgmental couples therapy and family therapy. I support to couples, families, children, adolescents, and young adults facing moderate to severe symptoms. I work particularly well with families and couples struggling when one member is dealing with or recovering from addiction - particularly adolescents and young adults. My approach is centered on fostering a safe environment for all clients where they can explore their challenges and work towards meaningful solutions. I utilize an integrative approach to therapy, with a more directive approach when working with couples and families.

I am a Licensed Clinical Social Worker (LCSW) based in Pennsylvania, but also provide support to adults in Florida and North Carolina. I integrate approaches such as EMDR, somatic practices, parts work, and Cognitive Behavioral Therapy to help clients heal from trauma, anxiety, and life transitions. I collaborate with clients to identify and nurture coping skills that resonate with their individual needs and life circumstances while harnessing their personal strengths in supporting sustainable and meaningful growth/change.

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.

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.

Welcome! I have been a therapist for over 15 years, I work with adults 18+, and I specialize in chronic pain/illness, anxiety, and am trained in providing ERP for OCD. If the following sounds like you, lets chat: Having thoughts loop over and over again and running through worst case scenarios? Coping skills not working and struggling with mental or physical compulsions trying to ease that high fear and distress, only to find it's not really working? Suffering from chronic illness or pain and feeling depressed/anxious, and wondering how you’re going to adapt to your new life?

Hi there, I'm Zakiera. I’m a compassionate and down-to-earth Licensed Clinical Mental Health Counselor in North Carolina. I believe therapy works best as a collaborative partnership where you feel heard, understood, and respected. I enjoy working with high-achieving, over-functioning adults navigating anxiety, burnout, perfectionism, and the pressure to constantly do more. My goal is to provide a supportive, judgment-free space where you can slow down, explore what’s beneath the surface, and focus on your well-being without feeling the need to have everything figured out.

Hello, I have a PhD in Human Services and is a Licensed Clinical Social Worker. I have experience working with the military population, domestic violence and all age group from ages 12 up to the elder population. I have worked with clients experiencing stress, anxiety, depression , couples counseling and anger issues. Clients have reported positive results and using skills that are taught to them.

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.

Do you find yourself tired of having other people's worldviews and judgments imposed upon you? Do you feel that no matter how hard you try, nothing you do is ever enough? It is my goal to provide a safe space where clients can truly be themselves without fear of judgment. As a result, I do not believe in a one size fits all approach to therapy. I work to tailor each session to fit the needs of the person/persons in front of me. I work with couples and families to help them find peace and stability in their relationships. I also have extensive experience working with children and teenagers, having worked with them in various settings and roles. These experiences enable me to consider every aspect of their life, and how they affect the child and teen's well being and mental health. I am honored to work with my clients, and do not take the responsibility lightly. During our sessions I will offer compassion, hope and ways to deal with the issues you are facing.

Hello there, I'm Heather. Are you experiencing anxiety, depression, or difficulty adjusting to life transitions? Are you noticing that things are overwhelming and more difficult to cope with because of the many stressors in life? Do you feel that you worry too much, are not good enough, or feel like you're stuck? Do you feel like you are all alone, that you have no one who really listens, understands you, or can relate to what you are going through? Well look no further because I specialize in alleviating anxiety, managing and overcoming depression, and adjusting to life transitions (such as parenting, relationship challenges, experiencing an empty nest, health issues, job loss, divorce, death of a loved one, or retirement.) It's a common experience to face these life challenges, but when those issues start to take over your life, it's time to get the support you need by working through this with a counselor so you can live a more fulfilling life. I am a Licensed Clinical Social Worker (LCSW) based in North Carolina, licensed to see clients in North Carolina working virtually, and I'm also licensed in California. I received my Masters from San Diego State University and have been practicing clinical social work for 21 years. I enjoy working with individual adults who are struggling navigating the stressors in life, and we would work together to get you unstuck as soon as possible so you can live a better life, on your own terms. You are brave and have made an important step in the change process just by being here.

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

I am a doctoral-level licensed clinical social worker with over a decade of experience supporting women through life's harder moments. I work with adults navigating anxiety, depression, identity, and the weight of expectations that rarely let up. My approach is direct, grounded, and free of judgment. I believe good therapy meets you where you are. I practice in North Carolina, South Carolina, and Delaware via telehealth.

Candace “NIX” Fritts is a licensed Zumba instructor, yoga instructor and Licensed Clinical social worker. She has been teaching Zumba over 5 years and has utilized her passion for healing and helping others as a therapist over the past decade. “NIX” specializes in and has a passion for cultural diversity, gender identity/LGBTQIA+ issues, equality, relationship/marital issues, depression, anxiety, and Trauma. She defines "empathy" as her number one skill and superpower. In addition “NIX” is a huge advocate and member of the LGBTQIA+ community. She is also a member NAACP and the Black political caucus of Cabarrus County. NIX also encourages health and wellness with a belief that healing can be achieved in various ways. Fun Fact: NIX was once a contestant on “Lets make a Deal”