Therapists that accept Cash Pay in Virginia

Choosing a cash pay option for mental health care can provide flexibility and access to quality support without the constraints of insurance networks. With 625 verified therapists in Virginia 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.

Availability updated: 8/19/2026

Often rebooked

$150/session

Warm
Authentic
Empowering
Specialties
Anxiety
LGBTQ
Spirituality
+6
Hi there! Life can be tough, but so are you. We humans are so amazing and capable of so much healing. I consider myself a healer and I use many different modalities in my work as a therapist from traditional interventions to interventions that utilize creativity and a little magic! I love people and I have always had a heart to help. I have over 15 years of experience as a counselor, and I have worked with several different communities of folks. My favorites are young adults, especially those dealing with anxiety, in the LGBTQ+ community and/or those of us that are neuro-divergent. I know personally how confusing it can be to navigate figuring out who you are, dealing with all the emotions that come along and ultimately becoming comfortable with yourself. It would be my pleasure to walk alongside you and help you navigate your own personal journey.
VirtualAvailable

Often rebooked

$225/session

Authentic
Warm
Challenging
Specialties
Depression
Life Transitions
Trauma and PTSD
+7
Life can feel overwhelming at times, and you don't have to navigate it alone. I believe healing begins in a space where you feel safe, supported, and genuinely understood. My goal is to build a trusting, and collaborative relationship where you can be yourself while you explore challenges openly, and work toward the changes that matter most to you. I take a trauma-informed, person-centered approach, which means I meet you where you are and honor your unique experiences, strengths, and perspectives. I have experience working with individuals facing anxiety, depression, trauma, substance use and addiction, relationship concerns, self-esteem challenges, and other life stressors. Drawing from Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), I help clients develop practical tools for managing emotions, coping with stress, improving communication, and building healthier patterns in their lives. Together, we'll work to better understand your experiences, strengthen your resilience, and create meaningful change at a pace that feels right for you. Seeking support takes courage, and reaching out is often the first step toward healing. Whether you're feeling stuck, struggling to cope, or simply looking for a space to grow, I am here to walk alongside you on your journey. I look forward to meeting you and helping you create a life that feels more aligned with who you are and who you hope to become
Available

$125/session

Solution oriented
Intelligent
Open-minded
Specialties
Anxiety
Coping Skills
Life Transitions
+8
Are you struggling with anxiety, stress, or feeling overwhelmed? if so, I can help. With over 15 years of experience, I specialize in helping adults who struggle with anxiety, 'overthinking', worry, panic attacks, relationship issues, self-esteem, stress management, navigating life changes, irritability & depression to feel more confident, capable and in control through online therapy. I understand how overwhelming it can be to face these challenges alone and I provide a safe, non-judgmental space in therapy to support you.
VirtualAvailable

New to Grow

$120/session

Specialties
Anxiety
Depression
Life Transitions
Hi! I'm Ashley and I provide virtual and walk-and-talk therapy in Midlothian, VA. My approach is solution-focused in order help you reach your desired goal. I have experience working with clients looking to make lifestyle changes, improve their relationships, overcome intrusive thoughts, or cope with loss. I'm very forward focused and believe change is possible with a strong support system and practical, accessible strategies that you as the client practice.
Available

$130/session

Warm
Authentic
Empowering
Specialties
Anxiety
Depression
Life Transitions
+10
Welcome! Transformation is possible. You can choose to step into a fully connected, authentic, and joyful life. It's time to start living the life that's waiting for you. I've experienced profound transformations myself and I'm here to guide you to the life that you desire. Maybe you're just not feeling happy. Or maybe you feel stuck in a never-ending loop. It seems like you're barely doing anything for yourself anymore. You know something has to change and there has to be a better way. I'm glad you're here! I'm Carrie, and I'm ready to help! I love to help people shift. I created LifeVision Counseling, LLC to empower individuals on their journey of personal growth and healing by offering online therapy throughout Virginia. As a seasoned therapist, I offer a safe space where you can explore your emotions, overcome obstacles, and start to live the life you desire. With over 15 years in the field, I bring experience and authenticity to each session, providing guidance and support as you navigate life's challenges from the comfort of your own home. I use a therapeutic approach to promote healing and growth. My style is collaborative and strengths-based, aimed at helping you honor yourself and find your own path forward. I use proven strategies to help you overcome life's challenges and start living a life that's full of peace and joy. I'm happy to help and specialize in treating anxiety, depression, life transitions, career stress, and relationship challenges.
Available

$150/session

Warm
Authentic
Empowering
Specialties
Anxiety
Depression
Grief
+8
I am a Licensed Clinical Social Worker based in Virginia. I received my Master of Social Work from Virginia Commonwealth University. I have worked in behavioral health and healthcare arenas for over thirty years. This includes experience in oncology, hospice care and all the aspects of providing social support in a Level I trauma center. Over the past few years I have focused exclusively on the provision of therapy for individual adult clients of all ages and walks of life.
VirtualAvailable

$106/session

Warm
Authentic
Solution oriented
Specialties
Anxiety
Couples Counseling
Depression
+10
Welcome to FaithWorks Therapy! I provide virtual therapy for adults, couples, and families across Virginia, Pennsylvania, Delaware, Texas, New Jersey, Nevada, Georgia, and Illinois. I help clients navigate anxiety, depression, stress, grief, relationship challenges, family conflict, and life transitions in a compassionate, supportive, and nonjudgmental environment. My approach is tailored to your unique needs and goals, empowering you to build healthier relationships, develop effective coping skills, and create meaningful, lasting change. Faith-based counseling is available upon request for those who wish to incorporate their Christian faith into therapy, but it is always optional and never required.
Available

$150/session

Direct
Solution oriented
Specialties
Anxiety
LGBTQ
Women's Issues
+7
Hello! I am Gladys Duran, a Licensed Clinical Social Worker (LCSW) and Master of Education (M.Ed.) with 28 years of experience helping individuals navigate life’s challenges, heal, and thrive. As the founder of **Pivotal Beginnings**, I provide 100% remote, secure telehealth therapy tailored to clients across Florida and Virginia. My practice is a safe, compassionate, and deeply affirming space. I specialize in individual therapy across the lifespan, working with teenagers (13–17), adults, and elders. Because I believe everyone deserves to be truly seen and respected, I am a dedicated advocate for the LGBTQ+ community—providing identity-affirming care for transgender, non-binary, and gender-fluid individuals—as well as specialized support for women. As a fully bilingual therapist, I am proud to offer therapy in both English and Spanish, ensuring you can express yourself in the language you feel most comfortable using. Whether you are navigating the pressures of school, balancing a demanding career, exploring your identity, or adjusting to a new chapter in retirement, we will work collaboratively at your pace. My goal is to help you safely process stressors, build resilient coping mechanisms, and move toward lasting healing.
Available

Often rebooked

$125/session

Warm
Authentic
Empowering
Specialties
Anxiety
First Responders/Healthcare Workers
Self Esteem
+10
Hi, I'm Daija Monroe, Licensed Professional Counselor and founder of Monroe Behavioral Insight Consulting. I'm so glad you're here and I want you to know that finding the courage to seek support is something to be proud of. I'm a Virginia-based therapist with over seven years of experience working with individuals across a wide range of life experiences and challenges. I have experience in community mental health, forensic mental health, crisis intervention, and school-based settings which means I bring a well-rounded, real-world understanding of how life, systems, and mental health intersect. My work is rooted in creating a space that feels genuinely safe where you don't have to perform, pretend, or have it all figured out before walking through the door. I'll be honest with you, I'm not the therapist who will sit quietly and just nod. I'm warm, I'm real, and I'm straightforward. I believe you deserve a therapist who will actually engage with you, celebrate your wins, and gently challenge you when you need it. No sugarcoating, but always with compassion. My approach blends evidence-based techniques with genuine human connection. I specialize in working with women, young adults, adolescents, first responders, healthcare workers, and immigrants navigating life's most difficult moments. Whether you're carrying invisible weight, feeling stuck, or simply ready to finally put yourself first, I want to help you get there. Outside of my clinical work I am a mother, author, speaker, and advocate for mental health awareness. Life has taught me firsthand that healing is possible even when it feels impossibly far away. That lived experience shapes everything about how I show up for my clients. You don't have to keep holding it all alone. I'm here.
Available

New to Grow

$125/session

Specialties
Coping Skills
Depression
Military/Veterans
+5
About Me I am a Licensed Clinical Social Worker and Certified Hypnotherapist with experience supporting adults and veterans through anxiety, stress, life transitions, trauma, and personal growth. My approach is compassionate, collaborative, and individualized, combining evidence-based therapy with hypnotherapy and other mind-body techniques. I meet clients where they are, helping them recognize their strengths, develop practical tools, and create meaningful, lasting change. My Ideal Client My ideal client is an adult who is ready for support and wants to better understand themselves, overcome challenges, or make positive changes in their life. I especially enjoy working with veterans and individuals experiencing anxiety, stress, confidence issues, life transitions, and feeling stuck. How I Work I believe therapy should be a partnership rather than a one-size-fits-all approach. Together, we identify your goals and develop a plan that fits your needs, using approaches such as CBT, ACT, IEMT, somatic techniques, and hypnotherapy when appropriate. My goal is to provide a safe, supportive space where you can feel understood, build resilience, and move forward with greater confidence and purpose.
Available

$130/session

Warm
Authentic
Empowering
Specialties
Anger Management
Anxiety
Depression
Hi! I'm a Licensed Professional Counselor (LPC) in the state of Texas. I received my Masters from LeTourneau University and have been practicing for 4 years. I work with adult clients living with self-esteem issues, anxiety, depression, and anger. The goal is to provide a safe space for clients to openly talk, gain self-awareness, and identify ways to overcome their challenges.
VirtualAvailable

New to Grow

$75/session

Specialties
Anxiety
Depression
Grief
+9
My name is Angela and I am a Licensed Professional Counselor. I believe in finding the strengths in everyone. I have a lot of life experience that I bring with me, so making a connection and building rapport is usually pretty easy. I have no judgment and I am open to all kinds of situations that people are experiencing. I use person centered, mindfulness, and goal oriented therapy. I want to help you, make your life the best life that it can be. I have experience working with all types of populations. I enjoy working with all types of people. Anxiety, depression, ADHD, gender identity, career issues, personality disorders, and even those at risk of thoughts of harm to self or others. I have worked with them all. My goal is to help you identify your strenghts and skills so that you can use them to improve the quality of your life. This is your journey and I am just here to help quide you on your journey to happiness.
Available

$120/session

Authentic
Warm
Empowering
Specialties
Anxiety
Eating Disorders
Trauma and PTSD
+8
Seeking help takes courage and I am here to provide a safe, welcoming space that encourages healing and positive change. I am a licensed Marrage and Family thearpist that works with individuals dealing with anxiety, mood disorders, life transitions, and disruptive behavior/parenting concerns. I am currently licensed in California, and Virginia. For the past 17 years I have been providing individual counseling to children and adults with anxiety, depression, trauma, life transitions, and relationsip issues. I have also been working with family with parenting issues including supporting a neurodiverse child, working with neurodiversity affirming parenting methods, behavioral concerns, ADHD, eating disorders, and family separation. I use variety of techiniques depending on your needs, including Dialectical Behavioral Therapy (DBT), eye movement desensitization and reprocessing (EMDR), cognitive behavioral therapy (CBT), trauma-focused CBT, and motivational interviewing.
VirtualAvailable

New to Grow

$150/session

Specialties
Anxiety
Depression
Trauma and PTSD
+10
Hi! My name is Deborah Berkley. I have been privileged to provide counseling services to children, adolescents, and adults for the past thirty-four years. I love my work. I strive to create a warm, welcoming, and non-judgmental setting for both my in-person and telehealth clients, so that they can reach their personal goals and dreams. I am a board-certified Licensed Professional Counselor, a Clinical Supervisor, and a certified Trauma Professional. I have spoken at an international conference on transpersonal psychology in Vancouver, British Columbia. I am the founder of The Madeline Centre, a group of dedicated counseling professionals who provide outpatient, substance-use, intensive outpatient, and partial hospitalization services. Animal-assisted therapy is available for in-person clients. My three Shih Tzus(Oliver, Gracie, and Bob-Bob) will be delighted to support you on your healing journey. Most importantly, I am a mother and grandmother.
Available

Often rebooked

$225/session

Solution oriented
Authentic
Direct
Specialties
Fertility & Reproduction Issues
Health/Medical Issues
Life Transitions
+9
You’re the one everyone relies on—but lately, it feels like too much. You’re managing a demanding career, navigating ongoing health concerns or chronic pain, or facing the emotional weight of infertility. From the outside, it may look like you’re holding everything together, but inside you feel overwhelmed, exhausted, and alone in what you’re carrying. I work with high-performing individuals who are used to pushing through—whether that’s at work, in their relationships, or through complex medical experiences—but are now feeling burned out, anxious, or disconnected. Together, we slow things down, make sense of what’s happening, and create space for you to feel supported, understood, and more like yourself again. Clients often leave sessions feeling clearer, more grounded, and better equipped to navigate both the emotional and practical challenges of work, health, and life.
Available

$190/session

Authentic
Empowering
Direct
Specialties
Life Transitions
Self Esteem
Women's Issues
+5
Hi there! Let's sit and chat... Are you looking for a safe space to explore and organize your thoughts and feelings? Many people see therapy as a one-sided conversation, with little opportunity for interaction or getting to experience one another as real people. I can assure you our sessions will be as real as it gets! I want to help you achieve whatever solutions and life changes you are looking for. We'll work on building trust and a sense of safety, using open communication and humor, to identify how we can improve on your already existing coping skills, supports, and knowledge. Although this process may be challenging, we will work to enjoy the process as much as possible, so you can experience yourself, your relationships, and your life in new ways. Simply put, I don't think therapy has to be a painful thing for you. Starting this step can be hard and I would love the opportunity to work with you on this journey. For Private Pay Clients: Individual Sessions: $190/hour Couple/Family Sessions: $230/hour **All couples and families are seen via private pay. This allows us to focus on the relationships in the room, rather than the diagnosis of an individual. **For those out of network, should you meet criteria for a diagnosis accepted by insurance companies, I can provide monthly superbills that you may submit to your insurance provider for potential reimbursement. Please note that the payments received by the insurance provider as reimbursement may not cover the full service fee and I cannot guarantee reimbursement.
VirtualAvailable

$150/session

Intelligent
Authentic
Empowering
Specialties
Anxiety
Depression
Trauma and PTSD
+10
I graduated Eastern Michigan University with a major in psychology and a minor in nutrition in 2007. I completed my PhD program at the University of Detroit Mercy in 2014. During that time period I worked with patients in outpatient and inpatient settings including the University psychology clinic, Wayne State Family Medicine Center, Providence Alaska Family Medicine Center, and Providence Alaska inpatient services.I’m a clinical psychologist (PhD) specializing in trauma, anxiety, depression, and the mind–body impact of stress. My approach is warm, relational, and psychodynamic — I help you understand not just what you’re feeling, but why it keeps happening. Many of my clients come to me after trying short-term or skills-only therapy and not feeling truly understood. Together, we look at the deeper patterns shaped by past experiences, trauma, and relationships. This includes medical trauma, chronic illness, health anxiety, and eating issues rooted in shame or self-criticism. I offer teletherapy to adults who want thoughtful, insight-oriented work that leads to lasting change.
VirtualAvailable

New to Grow

$180/session

Specialties
Anxiety
Depression
LGBTQ
+10
Ms. Yesenia Gutierrez is a dedicated licensed therapist. She practices at Thrive Behavioral Health Center and offers virtual consultations. She is fluent in English and Spanish. Ms. Gutierrez received her master's degree in counseling from the University of Miami. During counseling sessions, Ms. Gutierrez creates a safe, non-judgmental space and helps individual patients, couples, and families open up about their struggles. She emphasizes effective communication and constructive problem-solving techniques to facilitate understanding and growth. Additionally, she offers realistic treatment plans that match their preferences, goals, and lifestyles.
VirtualAvailable

$185/session

Authentic
Warm
Intelligent
Specialties
Anxiety
Coping Skills
Self Esteem
+10
Hi. My name is Edmond Otis, and I'm a licensed therapist with 27 years of professional experience. I focus on helping clients who are experiencing a wide range of challenges including; stress and anxiety, relationship problems, depression, performance and motivation concerns, a lack of self-confidence and self-esteem, career difficulties, and other related issues. I maintain a small, but consistent, practice as I also consult, teach, and speak on how relationships work, stress, resilience, performance, communication, team-building, family, achieving goals, improving critical outcomes, negotiation and conflict resolution. I've developed and taught courses at the university and graduate level in Cognitive Behavioral Therapy (CBT), Health Psychology, Sport Psychology, and Therapeutic Rapport.
VirtualAvailable

New to Grow

$100/session

Specialties
Anxiety
Coping Skills
Depression
I am a warm, compassionate and experienced therapist who believes that feeling truly understood is an important part of healing. After more than 25 years in the mental health field, I have learned that there is no one-size-fits-all approach. I take the time to understand and individual's unique experiences, strengths, relationships and the things that may be keeping you stuck. I work collaboratively ( in partnership) with my clients focusing on creating a safe space where you can be honest, and vulnerable without fear of judgment. I bring curiosity, compassion, and a little humor to our work together. I especially enjoy working with people with who are navigating anxiety, life transitions, grief , relationship concerns, or periods of uncertainty and change. Wherever you are in your journey, I will meet you there with compassion and respect. I believe that growth doesn't require having everything figured out. Sometimes it begins with having a safe space to pause, feel understood, and explore what comes next
Available

Often rebooked

$106/session

Authentic
Intelligent
Solution oriented
Specialties
Anxiety
Military/Veterans
Trauma and PTSD
+4
Congrats on taking the first step in initiating therapy. It may not always be easy, but taking time for your well-being is always worth it. I'm a Licensed Clinical Social Worker (LCSW) with 12 years of experience in mental health. I've had the privilege of working with trauma survivors from a broad range of sociocultural backgrounds, including combat Veterans, survivors of sexual trauma, and older adults.
VirtualAvailable

$175/session

Warm
Authentic
Empowering
Specialties
Anger Management
Depression
Men's Issues
+10
Hi, I’m Bryan McHenry. I’m a Licensed Professional Counselor in the state of Virginia. Thank you for taking the time to read my profile. First and foremost, I applaud your courage in seeking mental health counseling. In this season of your life, you might’ve discovered a lot of uncomfortable feelings and thoughts. That is very difficult to manage alone. Coming into the counseling process is a new beginning of wholeness and healing. Thank you for allowing me the honor to be apart of that journey. Though I’ve worked with a variety of populations and settings, my primary work includes men’s health/issues, depression, anxiety, grief, anger management, and life coaching. I would be honored to work with you during this time of your life. Let’s get to work.
VirtualAvailable

Often rebooked

$250/session

Authentic
Warm
Intelligent
Specialties
Anxiety
Depression
Perinatal Mental Health
+6
Hello! I'm a Licensed Clinical Social Worker based in Maryland. I received my Master's from the University of Southern California and have been practicing for 7 years. I help adults struggling with mood disorders, depression, and anxiety navigate their symptoms and find effective coping mechanisms to help them succeed. Using a variety of treatment modalities I aim to help clients grow while feeling supported and understood throughout the process.
VirtualAvailable

$175/session

Authentic
Humorous
Warm
Specialties
Anxiety
Bipolar Disorder
Personality Disorders
+3
Welcome! I’m so glad you’re here. I’m a Licensed Mental Health Counselor in Virginia and Florida with a passion for supporting adults who are navigating challenges such as addiction, depression, anxiety, trauma, grief, life transitions, or the everyday stressors that can leave us feeling stuck. Many of my clients come to me feeling exhausted from carrying their struggles alone, wanting a safe and nonjudgmental space to be heard, understood, and supported. My goal is to help you build healthier ways of coping, strengthen your sense of self, and create the balance and peace you’ve been searching for.
VirtualAvailable

New to Grow

$125/session

Specialties
ADHD
Anxiety
Life Transitions
+10
Welcome — this can be a safe space for you. With a background in education and current experience as a high school counselor, I understand the challenges individuals and families can face through different stages of life. I strive to create a supportive, nonjudgmental space where clients feel comfortable being themselves, processing difficult emotions, and building healthy coping skills. Whether you are navigating anxiety, stress, life transitions, relationship concerns, or the pressures of academics and sports, my goal is to help you feel heard, supported, and empowered throughout the counseling process.
Available
Frequently asked questions

When looking for online therapy, you can see anyone that is credentialed in Virginia. We want you to find the best fit, therefore, Grow Therapy shows available therapists across Virginia from Norfolk to Roanoke! If you’d rather see someone in-person, you can change the filter from virtual and find a therapist near you in Virginia.

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.