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: 7/29/2026

$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

Often rebooked

$120/session

Warm
Authentic
Solution oriented

Specialties

Anxiety
Mood Disorders
Trauma and PTSD
+10
Hello, With over 19 years of experience in the mental health field, I have a conviction about the human capacity to grow, develop, and adapt throughout life. I appreciate that each person brings to therapy a unique self: the combination of one's personal characteristics, early family relationships, and life experiences. Many times, our most significant growth occurs because of learning to cope with challenges that occur in life and the stress that often accompanies change. Therapy can be an excellent tool to help clarify your thoughts, as well as reach a healthy life balance. I look forward to meeting with you and working hard together to explore the deeper meanings of your experiences as they relate to the present, and how you would like to see yourself in the future.
VirtualAvailable

$175/session

Authentic
Warm
Intelligent

Specialties

Anger Management
Anxiety
Coping Skills
+10
Hi. My name is Lucy. Does there seem to be a challenge everywhere you look? Are you struggling with stressors at work, at home, or within your extended relationships? Are you dealing with feelings of overwhelm or having intrusive, worrying thoughts? Do you find it challenging to simply be kind to yourself? Regardless of your situation, I am so glad you are taking the steps to find support, and I hope that, together, we can discover what’s not working and get you back to balance. I am a Licensed Clinical Social Worker with more than 20 years of experience working with clients in various areas. These include crisis intervention, hospitalization and grief counseling, child protective services, foster care, parent coaching, mental health support, and intensive in-home therapeutic services. I believe that all individuals have an innate desire for well-balanced emotional/mental health. I enjoy helping people from all walks of life manage relationships, explore personal challenges, and turn their inner critic into a compassionate and empowering force in their lives. Reaching out for help can be quite overwhelming and you have taken the first step by seeking a therapist. My goal is to provide a safe space for healing and growth. In our sessions, you can be assured that you will be met with compassion and evidenced-based techniques to overcome the obstacles holding you back.
VirtualAvailable

$100/session

Warm
Authentic
Empowering

Specialties

Addiction
Depression
Trauma and PTSD
+7
Hey there! I’m Sacha, a Licensed Professional Counselor (LPC) and Certified Substance Abuse Counselor (CSAC) in Virginia. I provide a compassionate, direct, and collaborative approach to therapy, where you can safely explore challenges while building tools for meaningful, lasting change. My goal is for you to feel more confident, empowered, and understood throughout our work together. I have experience in substance use settings and trauma-informed care, and I support clients navigating stress, trauma, mood challenges, and substance use. My approach is person-centered and tailored to you—this might look like building insight, strengthening coping tools, or helping you feel more grounded and stable day to day. EMDR supports your brain and body in processing experiences that may still feel present, activated, or unresolved. Rather than staying only in the story of what you’ve been through, EMDR helps create space for your system to actually reprocess and shift how those experiences are held.
VirtualAvailable

$160/session

Intelligent
Empowering
Warm

Specialties

Dissociative Disorders
Trauma and PTSD
Women's Issues
+10
Amy is a dynamic and experienced practitioner with over 30 years experience. She works with diverse populations age 18 and beyond, and has specialized training in addressing grief and loss, trauma and adverse childhood experiences (ACEs), dissociation, personality difficulties, chronic illness and parenting struggles. She is well-versed in addressing anxiety, depression, adjustment and life change issues, and is LGBTQ affirming.
Available

Often rebooked

$120/session

Warm
Authentic
Intelligent

Specialties

Addiction
Anger Management
Anxiety
Hello, my name is Sally. For decades it has been my life mission to help people return to resiliency after setbacks, losses, pain, stress, and suffering. Resiliency means you still acknowledge and own the dark times in your life, but you are freed to return to creating, to feeling compassion instead of being needy and fatigued. Resiliency means your body, brain, hormones, and emotions are back in flow and in healthy relationships with others and the environment and that your mind is free to focus on the things you want and need to focus on. Often people come to therapy feeling stuck and feeling unable to change a situation or the suffering in their lives. Many times for life problems that just emerge, all you need to return to resiliency is more options to consider. Most successful outcomes involve finding the right combination of attacking certain aspects, embracing and loving certain aspects, simply letting go of some aspects, and avoiding some aspects of an issue. I bring a comprehensive set of tools and provide coaching on how you can put the right tools for you and your situation into action. In all cases, it is best to build on our strengths. However, in many cases - especially if your ‘weaknesses’ are connected to intractable and chronic pain or long-term damage, like in addictions, it is best not to ignore or push those problems and feelings down or to the back. I can help you navigate through the inner judges, critics, and defender parts back to a centered, reliable starting place. I help you find and connect a ‘good self to come from’. Sometimes emergent life challenges reveal the deep fault lines of old unresolved traumas. Often struggles with competency, completion, relationships, dependence, or other aspects of being consistently functional and resilient are rooted in unresolved events or relational traumas. I can help you make a journey map to get started in coping with and ultimately resolving those traumas. I can assist you in learning how to connect to and relate to those parts that are impediments to healthy relationships, body flow, and resiliency. The task is to reorganize clusters of feelings and find a starting place for change and balance.
VirtualAvailable

$150/session

Specialties

Anxiety
Depression
Life Transitions
+4
I am a licensed professional counselor dedicated to supporting individuals, families, and groups through life’s challenges. My practice is grounded in creating a safe, collaborative, and nonjudgmental space where clients can explore their experiences and work toward meaningful goals. I draw on extensive experience across schools, hospitals, shelters, and community agencies to help clients build resilience, insight, and overall well-being.
Available

New to Grow

$125/session

Specialties

ADHD
Anxiety
Depression
Hi, I’m Krystal. From an early age, I’ve felt a strong calling to help others, and that passion continues to guide my work today. I earned my Master’s degree in Clinical Mental Health Counseling in May 2020, after completing my Bachelor’s in Human Services. With over 10 years of experience supporting both adults and children, I’ve worked in a variety of settings, including intensive in-home services, community mental health, and private practice. These experiences have shaped my ability to meet people where they are and provide care that feels supportive, compassionate, and tailored to each individual. I truly value creating a safe, nonjudgmental space where you can feel heard, understood, and supported. No matter your background or what you’re going through, you don’t have to face it alone—I’m here to walk alongside you.
Available

$150/session

Authentic
Empowering
Solution oriented

Specialties

Anxiety
Coping Skills
Depression
+8
Clients shouldn't have to be in therapy forever! Together, we'll co-create a balanced approach combining active listening with practical techniques, helping you reclaim your narrative and overcome obstacles. My clinical and holistic approach aims for deeper alignment and fulfillment—think more water, less soda. As an LCSW, I'm trained in EMDR, certified in Theta Healing, Reiki, Transformational Life Coaching, and Therapeutic Touch, and am a Master Practitioner in Neuro Linguistic Programming, Hypnotherapy, and Time Line Therapy. I provide a compassionate, judgment-free space to explore your wants, needs, and emotions. You know yourself best, and our work is about uncovering your truths rather than imposing mine. Together, we'll determine the tools and approaches that best suit your needs, ensuring you feel heard, validated, and empowered. The goal is to help you confidently manage challenges independently over time. We'll walk side-by-side, with you gradually taking the lead and me offering steady support. If you have pressing concerns, those always take precedence. Our sessions focus on understanding HOW you think, not just WHAT you think, exploring both conscious and unconscious beliefs and emotions. You'll leave with clear, actionable steps, such as mindfulness exercises, creative writing prompts, meditation, and breathwork techniques to regulate emotions and reclaim your narrative. Therapy isn't about fixing what's "broken" but enhancing alignment and fulfillment while overcoming obstacles. By focusing on your goals and measuring progress, we can eliminate stigma, leaving shame behind and empowering you toward greater self-awareness and fulfillment.
VirtualAvailable

New to Grow

$100/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

$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

New to Grow

$95/session

Specialties

Anxiety
Grief
Life Transitions
+5
I’m Ashley Estimable, LCSW. I provide warm, evidence-based telehealth therapy for clients in Florida and Virginia who are navigating anxiety, burnout, grief, relationship stress, life transitions, and the pressure of seeming “high-functioning” while feeling overwhelmed underneath. My style is collaborative, practical, and grounded. I value culturally responsive care and believe therapy should honor the context you carry, including identity, family expectations, culture, work, relationships, and lived experience.
Available

New to Grow

$130/session

Specialties

Anxiety
Couples Counseling
Life Transitions
+8
I'm a licensed marriage and family therapist with a doctorate in MFT and over a decade of clinical experience working with individuals and couples. I take therapy seriously but I don't take myself too seriously — humor has a genuine place in my work when the moment calls for it. I believe you are the expert on your own life, and my job is to collaborate with you, not direct you. Outside the therapy room I'm a married guy of over 20 years, an amateur musician, a devoted pet dad, and someone who finds a lot of peace in nature.
Available

New to Grow

$130/session

Specialties

Anxiety
Depression
Life Transitions
+9
Hello! My name is Kara Michelle Karr and I am an experienced Licensed Professional Counselor who loves working with people to help them improve their lives, work toward goals and feel better! It is an honor and a privilege to work with each individual. Everyone is unique and has their own reasons for getting into counseling. I am currently providing telehealth counseling to individuals from anywhere in Virginia.
Available

$80/session

Authentic
Holistic
Solution oriented

Specialties

Anger Management
Anxiety
Depression
+10
I am a therapist based in Southwest Virginia, and a US Navy veteran. I work with adults across a wide range of concerns, including anxiety, stress, relationship challenges, life transitions, and anger. I have a particular interest in helping clients better understand and manage anger, whether it shows up as frustration, irritability, or feeling overwhelmed. My ideal client is someone who is open to self-reflection and ready to better understand their patterns, even if they are not sure where to start. They may feel stuck, reactive, or overwhelmed, and are looking for practical tools alongside deeper insight. I work well with individuals who want a collaborative, honest space where they can talk openly, be challenged when needed, and still feel supported. In terms of personality, I am grounded, direct, and approachable. I pride myself on being authentic, which can sometimes come off as goofy. I have a wide variety of educational experiences in regards to the human condition and love discussions around a variety of subject matters. I aim to create a space that feels both safe and productive, where clients can be themselves without judgment, but also move toward meaningful change. I value authenticity, humor when appropriate, and a straightforward style that helps clients feel understood while also making real progress.
Available

$135/session

Warm
Authentic
Empowering

Specialties

Anxiety
Life Transitions
Women's Issues
+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

$95/session

Authentic
Empowering
Solution oriented

Specialties

ADHD
Anxiety
Depression
+10
I am a Licensed Professional Counselor (LPC) who earned a Master of Science in Education with a concentration in Clinical Mental Health Counseling from Old Dominion University in 2023. I completed both my internship and residency in community mental health. These experiences shaped my passion for working with adults navigating life transitions, stress, anxiety, depression, and relationship challenges. Through this work, I developed a strong commitment to providing a supportive and collaborative therapeutic environment where clients can explore their values, establish healthy boundaries, strengthen coping skills, and promote overall wellbeing.
Available

$90/session

Warm
Authentic
Solution oriented

Specialties

ADHD
Anxiety
Depression
+6
I’m a Licensed Clinical Social Worker with over 10 years of experience supporting adults and adolescents navigating anxiety, depression, ADHD, and everyday life stressors. I take a practical, down-to-earth approach to therapy, creating a supportive and nonjudgmental space where clients feel comfortable being themselves. My work focuses on helping clients better understand their thoughts and emotions while building effective tools to manage challenges, strengthen boundaries, and feel more confident and in control of their daily lives.
Available

$125/session

Warm
Authentic
Empowering

Specialties

Anxiety
Depression
Trauma and PTSD
+7
Hello, I am a Licensed Clinical Social Worker (LCSW) with over 30 years of experience in a variety of inpatient, outpatient, and community mental health settings as well as private practice. When setting goals for treatment, my aim is to be as solution focused as possible, to help you feel better quickly! Therapy can be life changing. I think I convey my passion for this work through my level of engagement in sessions with my clients. I am very motivated to help my clients achieve lasting changes in their lives.
VirtualAvailable

$120/session

Warm
Authentic
Open-minded

Specialties

Anxiety
Bipolar Disorder
Depression
+9
Hello, I'm Sally. Are you struggling with emotional instability, depression, excessive anxiety, feeling frequently overwhelmed or experiencing mood swings? I have counseled clients for over 25 years and I can provide you with the necessary tools and coping skills to improve and manage your emotions. I also offer guidance to overcome issues that may interfere with setting and/or realizing your goals, or other issues that are "keeping you stuck" from moving forward with your life.
VirtualAvailable

$130/session

Warm
Empowering
Open-minded

Specialties

Chronic Illness
Depression
Trauma and PTSD
+9
Hi- I’m Heather! I’m a licensed clinical social worker offering telehealth therapy in the state of Virginia. One of my greatest professional passions is introducing clients to EMDR therapy! I am an EMDR trained therapist working toward obtaining EMDR certification and am actively accepting new clients who are interested in exploring EMDR. 
 If you’ve tried talk therapy before and found that you’ve hit a wall, you’re not alone. Talk therapy may help us gain new insights into our patterns of behavior or relationship dynamics, but we often still have trouble changing the way we respond to particular triggers. Despite years of talk therapy, many of us find that there is still an unbridgeable gap between what our rational thinking brain knows and our felt sense of truth. 

Do you cognitively believe that you are not a bad/unworthy/unloved person but deep in your body you cannot shake the sense that these core beliefs are true? EMDR can help resolve this disconnect. 

 Talk therapy work is done in the left hemisphere of the brain (this is the part of the brain where logical, rational thought occurs). But trauma is stored in the RIGHT hemisphere of the brain and the limbic system. Language does not easily address memories or beliefs stored in this part of the body and you may stay stuck living with maladaptive core beliefs and reliving traumatic memories until you can incorporate your RIGHT side of your brain in therapy. EMDR is one way of doing this. EMDR operates under the theory that the brain has a natural system in place to move toward adaptive resolution. Trauma blocks this system preventing us from fully processing our memories. EMDR reactivates this system, allowing our brain to fully integrate trauma so we can be free to live life on our own terms.
VirtualAvailable

$185/session

Authentic
Empowering
Warm

Specialties

Anxiety
Depression
Trauma and PTSD
My work is grounded in developmental psychology, neuroscience, and trauma treatment. If years of therapy, medication, books, and coping skills haven't created the change you're looking for, it may be because you've been treating the symptoms instead of the patterns producing them. Many of my clients come to me feeling frustrated, wondering why they understand their struggles yet continue to repeat the same thoughts, emotional reactions, relationship dynamics, or behaviors. My approach focuses on identifying and disrupting the developmental patterns driving those experiences by working with the brain and nervous system where they were formed and continue to be reinforced. Rather than teaching you how to better manage the same struggles, my goal is to help you create meaningful, lasting transformation so you can move forward with greater freedom, clarity, and confidence.
VirtualAvailable

Often rebooked

$125/session

Authentic
Warm
Empowering

Specialties

Anxiety
Life Transitions
Women's Issues
+10
With over 14 years of experience in the field of mental health and school counseling, I have been fortunate to gain a wealth of knowledge working with individuals 5 to 65! Utilizing my education gained from VSU, VCU and Walden University, I pride myself in the ability to use a variety of treatment modalities, shining a unique perspective within the field! Life is a journey you don't have to endure alone. Support is always available!
VirtualAvailable

$200/session

Authentic
Empowering
Solution oriented

Specialties

Anxiety
LGBTQ
Obsessive-Compulsive (OCD)
+3
Welcome! I'm Giovonni- a poet, writer, licensed clinical social worker (LCSW) and certified OCD and Anxiety specialist serving residents in DC, MD, and VA. As a multicultural lesbian, I am dedicated to creating safe and affirming spaces for healing within communities of color and LGBTQ+ individuals. If you aren't experiencing anxiety or OCD, I would not be the right clinician for you. Allow me to visually paint a picture for you of what it's like to experience anxiety or OCD using a poem. Anxiety: There is a hum beneath everything I do. Restless. On edge. My mind scanning for threats that probably aren't there probably. I snap. I tense. I lie awake untangling the same worry I untangled last night. I smile fine. I function...barely. I am fine. The hum disagrees. Six months of this. Maybe more. The body keeps the score even when I pretend it doesn't. The Loop (OCD): Did I lock it? I locked it. But did I really? The thought arrives like a verdict intrusive, unwanted, wearing my voice. So I check. I count. I do it again and again until again feels safe. It never feels safe. Not contamination, not the door, not the stove it's the uncertainty I cannot hold. The ritual buys me sixty seconds of quiet before the loop loads again. I am not my thoughts. But they haven't learned that yet.
VirtualAvailable

New to Grow

$100/session

Specialties

Anger Management
Coping Skills
Depression
+5
I have experience working with children, adolescents, adults, and families. I work with individuals facing anxiety, depression, stress, life transitions, and relationship challenges. My work focuses on an intentional client-centered and strength-based approach. Because each person is unique, I utilize various modes of therapy. Focusing on growth is monumental to joining with individuals through interactive self-guided activities. I am experienced in the areas of Attention Deficit Hyperactivity Disorder (ADHD), oppositional and defiant behavior, anger, depression, anxiety, and trauma. My approach is collaborative, practical, and tailored to you. I draw from evidence-based methods like cognitive-behavioral therapy (CBT) while also exploring the deeper patterns and experiences that shape how you think, feel, and relate to others.
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.