Therapists that accept Cash Pay in North Carolina

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.

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.

Do you feel persistently overwhelmed, as if you're fighting an uphill battle with your mental health? Is it becoming increasingly difficult to navigate life's ups and downs with serenity? Are you striving for a harmonious balance between personal life, career, and self-care? Have you ever felt like "something's wrong" but can't quite ever identify what it is, or where that feeling is coming from? I am dedicated to helping people from all walks of life better cope with stress and anxiety without compromising their drive for success. I believe in the importance of holistic wellness and integrate various therapeutic techniques such as cognitive-behavioral therapy, EMDR, psychodynamic therapy, and hypnosis to help you find a path to inner peace while staying productive and motivated. Whether you're grappling with stress, anxiety, grief, or unprocessed trauma, remember it's brave to reach out for help. Our collaboration will offer a safe and non-judgmental space for you to explore your feelings, identify your triggers, and cultivate effective coping mechanisms. Together, we will navigate the ebb and flow of your life, aiming for personal growth, tranquility, and a balanced lifestyle.

For more than two decades, Kim has walked alongside individuals healing from trauma and life’s deepest challenges. Her work is grounded, steady, and deeply compassionate. Kim finds meaning in helping clients rediscover their strength, rebuild trust, and move beyond pain toward purpose. Bearing witness to transformation—both quiet and profound—is what continues to inspire her work.

If you are a mother drowning in the intersection of ADHD, anxiety, and neurodivergence, I see you—not through rose-colored glasses, but as a fellow ADHDer raising neurodivergent kids. My practice is built on real, lived experience, allowing me to partner deeply with moms and a broad range of adults who are ready to stop letting life just happen to them. Together, we will cut through the paralysis, take ownership of your life, and develop the exact strategies needed to dust off your identity and feel joy again.

I’m a compassionate, down-to-earth therapist who believes therapy should feel like a safe place to exhale, be honest, and make sense of what you’re experiencing. With 20 years of experience in behavioral health and 16 years as a licensed clinician, along with a background in nursing, I bring a broad and integrative perspective to emotional and mental wellness. I work with women navigating anxiety, life transitions, relationships, motherhood, trauma, and the many responsibilities that can leave you feeling overwhelmed or disconnected from yourself. My approach is warm, collaborative, and practical. I want you to feel heard, not judged and supported as you develop insight, strengthen your coping skills, and reconnect with the parts of yourself that may have gotten lost along the way.

Hi, My name is Kristel. I am an LCSW who provides talk therapy via Telehealth. I am a multifaceted individual with diverse life experiences that inform my perspective. As a former military brat and spouse, I've intimately understood the complexities of life's transitions. My journey has taken me from being a young wife to mature single and dating, stay-at-home mom to working mom, anxious new parent to accepting mother of teens, rule follower to empowered, scarcity mindset to abundance mindset, employee to entrepreneur, stuck to the growth mindset, financially insecure to thriving, trauma victim to survivor, neuro-ambiguous to neurodivergent, granting me a unique appreciation for all the roles I have experienced in my life. I'm a devoted mother of two children, and my path has been marked by significant challenges, including the struggle with infertility and profound grief. I proudly identify as a feminist and supporter of the BIPOC and LGBTQ+ community. These aspects of my identity deeply influence my approach to life and work. With a background in working with families, individuals, and children, I bring a wealth of experience. My personal journey has shaped my empathetic, compassionate, and inclusive perspective, which I offer as a source of support and understanding to those I work with.

I work best with clients struggling with anxiety and/or panic attacks, but have experience working with various issues ranging from depression, trauma, and general life struggles. I like to create an environment where you feel comfortable. I utilize mindfulness-based techniques through acceptance and commitment therapy (ACT) that aims to help clients find peace with their circumstances. These techniques frequently involve asking people to look at their thinking from a different perspective and giving tools to effectively change it.

Hi, I am Licensed Clinical Mental Health Counselor in NC and received my Master's Degree from Western Carolina in May of 2019. I have worked with clients ranging from ages 4-65 years and have experience treating a wide range of mental health concerns to include Trauma, PTSD, Anxiety, Depression, Psychosis, Attachment Disorders, Mood Disorders, Eating Disorders, and Addiction. I use an intentional eclectic approach to counseling that is guided by the needs of my client’s and work to ensure treatment meets the needs of each individual client.

Hello, I'm Lisa, a Licensed Clinical Social Worker (LCSW) and Licensed Clinical Addictions Specialist (LCAS) with nearly two decades of experience in private practice. I provide a compassionate, supportive, and nonjudgmental space where adults can feel heard, understood, and empowered to navigate life's challenges. My approach is collaborative and client-centered, helping individuals build on their strengths, develop effective coping skills, and create meaningful, lasting change. Whether you're facing anxiety, depression, stress, relationship concerns, or a major life transition, I look forward to partnering with you on your journey toward healing and personal growth.

I'm Tamela McDonald, a Licensed Professional Counselor and Licensed Clinical Mental Health Counselor with over 15 years of experience helping individuals and couples navigate life's challenges. I specialize in relationships, intimacy, self-esteem, anxiety, depression, and personal growth. My approach is warm, direct, and collaborative. I believe therapy should be a space where you feel heard, supported, and challenged to grow. Together, we'll identify your concerns, establish meaningful goals, and develop practical strategies to help you move forward. I value clients who are willing to actively participate in their healing process, understanding that meaningful change takes time, commitment, and collaboration.

I am a Licensed Clinical Mental Health Counselor with 30 years of experience in the mental health field and 14 years of experience operating my private practice. I support adults and couples experiencing anxiety, relationship distress, communication difficulties, parenting concerns, life transitions, diminished self-esteem, trauma-related concerns, and patterns that may be interfering with emotional well-being and healthier relationships. In couples counseling, I provide a balanced and respectful environment where each partner has an opportunity to feel heard. I help couples recognize recurring patterns, improve communication, navigate conflict more constructively, rebuild emotional safety and trust, and strengthen their connection. My role is not to take sides, but to help both partners understand the relationship dynamic and take meaningful responsibility for the changes within their control. I use Cognitive Behavioral Therapy to help clients understand the connections among their thoughts, emotions, and behaviors. Together, we identify beliefs and thinking patterns that may contribute to anxiety, depressed mood, diminished self-esteem, relationship distress, or ineffective coping. Depending on the client’s needs, we may use guided reflection, thought records, structured exercises, role-playing, and between-session practice. With couples, CBT-informed strategies can also help partners examine assumptions, interpretations, expectations, and behavioral responses that contribute to recurring conflict. The goal is to develop greater awareness and practice healthier, more intentional responses. My therapeutic approach integrates evidence-based practices with carefully selected holistic strategies to support insight, emotional regulation, personal growth, and sustainable behavioral change. I meet each client with compassion, curiosity, and respect, helping them identify the underlying beliefs and patterns connected to their current concerns.

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 there, I’m Julissa. You may be used to being the person others depend on—managing responsibilities, showing up for everyone, and keeping things moving. But inside, you might feel overwhelmed, anxious, or disconnected from yourself. If that sounds familiar, I’m glad you’re here. You deserve a space where you can feel supported, too. I’m a licensed mental health therapist with 10 years of experience. I help adults navigate anxiety, burnout, self-doubt, and life transitions. My holistic approach combines clinical tools with mindfulness and attention to the connection between your thoughts, emotions, and body. For clients who find it meaningful, we can also explore spirituality as part of the healing process. Together, we’ll make room for what you’ve been carrying, understand patterns that leave you feeling stuck, and develop practical ways to feel more grounded, set healthier boundaries, and make decisions with greater confidence. I consider it a privilege to hear your story. If this approach feels like a good fit, I invite you to schedule a first session. We’ll start where you are and explore what support could look like for you.

I provide individual and family therapy using a person-centered, collaborative approach that meets you where you are—without judgment and without pressure to be “fixed.” I view therapy as a partnership, and I work alongside clients to support meaningful, sustainable change. My approach focuses on helping clients identify their strengths, increase self-awareness, recognize support systems, and take accountability in ways that promote growth rather than shame. I use an eclectic, evidence-based framework, drawing from Interpersonal Psychotherapy (IPT), Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Motivational Interviewing, Family Systems Therapy, Acceptance and Commitment Therapy (ACT), and Mindfulness-based practices. Interventions are always tailored to each client’s unique needs, goals, and lived experiences. My work is grounded in a few core beliefs: people are doing the best they can with the skills they have, people are capable of change, and people do get better. I also believe that a strong therapeutic relationship creates the safety necessary for healing and growth. To support progress outside of sessions, I may offer practical, collaborative between-session exercises that help clients apply skills in their daily lives. I am a Christian counselor, and my faith informs my values of compassion, dignity, and respect. I work with individuals from all backgrounds, beliefs, and identities, and faith is incorporated into therapy only when requested by the client. In addition to my professional role, I am a wife, lifelong learner, and mother of three, including a son on the autism spectrum. These experiences deepen my empathy and understanding of caregiving, advocacy, and navigating complex systems.

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 believe recovery doesn't have to be grim. I bring playfulness and humor into the room where it fits, because healing often involves finding joy again. My approach is rooted in the belief that your brain is trying to protect you—even when it feels like it's working against you. I don't just treat symptoms; I help you rebuild trust in your system. Whether you are dealing with intrusive thoughts, people-pleasing, low self esteem, coping with difficult personalities, we move at a pace that respects your life's demands. • No "Resume" Talk: I skip the jargon. We focus on you and what you need to feel safe and get your agency back. • Playful & Practical: Recovery can be hard, but it doesn't have to be grim. I bring warmth, at times humor, and real-world tools to our sessions. • Trauma-Informed: I understand that your symptoms are trying to protect you. We work with your brain, not against it.

Hi, I'm glad you’re here. I’m Liz Sullivan, and I specialize in helping stressed out, busy achievers find their joy in life, and gain control over stress, anxiety and overthinking. When I meet them, my clients often say life feels like a grind. They are accomplished doers, always busy, but often feel stressed, frustrated and lonely. Everything is on their to-do list (except themselves), and they are realizing they want things to be different. It's possible to let go of your stressors, feel relaxed, enjoy your relationships, and have the energy to do what you love. My expertise is in teaching the tools that will help you break free from what feels like an endless stream of demands with no satisfying finish line. Using research proven mind and body techniques, we'll remove what’s blocking you from experiencing the joys of life. Together, we will find better ways to live your life so you can enjoy and put your energy towards what's important to you. You'll discover a balance that feels good and learn to actually relax and have fun again.

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.

Hiya. My name is Sejal Patel, and I am currently licensed in North and South Carolina, as a LMFT. As a therapist, I show curiosity when my client(s), families, and couples ask me for guidance. Majority of my clients', share the assumption, because I am a therapist, I experience minimal challenges in life and relationships. I wish that was true. My professional education and knowledge has been helpful and useful. Truthfully, the lessons I learned by experiencing failures, challenges, and struggles of life are the true heroes to how I find my solutions. I welcome your curiosity to a collaborative process that combines my professional expertise, your life experience knowledge, and the power of creative solutions.

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.

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.

Hello, I am Michael A. Kirk, a Licensed Professional Counselor (LPC) dedicated to helping individuals navigate life's challenges with confidence and resilience. I believe that therapy should be safe, supportive, and a judgement free space where you feel heard, understood, and empowered to create real change. I work with adolescents and adult experiencing anxiety, depression, trauma, Grieg/loss, relationship issues, life transitions and more. My approach is collaborative. I utilize several evidenced based therapies such as Cognitive Behavioral Therapy (CBT), Reality Therapy, Motivational interviewing, Dialectical Behavioral Therapy (DBT) and Trauma Focused CBT.

Hello, I am a licensed professional therapist in North Carolina. My experience has centered on working with diverse populations, from military-affiliated, college, and community behavioral health and private practice. Working within these settings has allowed my involvement with various ages, genders, cultures, and life experiences. My theoretical orientation is Constructivism; therefore, I need to understand my client's life perspectives and how that has influenced their worldview. In working with clients, I also practice an integrated approach using constructivism, person-centered, cognitive-behavioral, humanistic, solution-focused therapies, and others. Person-centered focuses on the client and allows the client to process feelings and thoughts in a non-judgmental environment with unconditional positive regard. Cognitive-behavioral therapy focuses on the role of thinking in the process of influencing a person's feelings of well-being and how controlling thoughts can affect mental health. This approach maintains the link between emotions and behaviors in the cognitive process. The humanistic therapeutic method emphasizes the counseling relationship and the importance of quality, genuineness, positive regard, and empathy in the counseling relationship. Solution-focused therapy utilizes skills already present to help navigate current concerns, focusing on being present and checking facts on emotions and feelings that might direct reactive responses to stressors. Constructivism proves the space for cultural humility and openness to worldviews I might not have had the privilege to interact with previously.

I am a veteran of the helping professions, having served since 1982 in some capacity or another, and I still find excitement in the possibility of helping those who need such assistance. I am currently licensed in two states, both North Carolina and Pennsylvania. I find many people respond to my ability to simply listen and that shows that they do not often feel they have been heard and sometimes this is all that is necessary to start the journey to begin healing. Certainly more is often required, and helping people connect with effective treatments whether provided by myself or not is the best help that can be given.