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 665 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: 10/3/2026

$150/session

Authentic
Warm
Empowering
Specialties
Couples Counseling
Depression
Military/Veterans
+7
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.
VirtualAvailable

$200/session

Direct
Intelligent
Solution oriented
Specialties
Addiction
Anger Management
Grief
+5
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.
VirtualAvailable

$90/session

Authentic
Warm
Direct
Specialties
Anxiety
Couples Counseling
Family Therapy
+10
I am a wife, mom, pastor, and clinician who believes everyone deserves a chance to live a peaceful, happy and purposeful life. I am excited to be a part of the journey to release what joy that already lives inside of you. It is never too late to become who you want to be, and its okay if that's not who you wanted to be yesterday. Never settle for anything less than being your most authentic self.
VirtualAvailable

Often rebooked

$100/session

Authentic
Direct
Empowering
Specialties
Anxiety
Chronic Illness
Depression
+8
Are you fighting anxiety, depression, profound life transitions like grief and loss, career shifts, addiction, or a newly diagnosed chronic/autoimmune medical condition? Hi, I'm Raisa, an LCSW and VCU graduate specializing in anxiety, depressive disorders, and the mental impact of medical trauma. Having survived trauma in early life and personally navigating an autoimmune condition requiring chemically and biologically invasive treatments as an adult; I hold a deep, non-judgmental understanding of the profound toll chronic illness takes on your life and identity. I value the power of resilience and adaptation in humans. This lived experience equips me to help you process medical trauma holistically. I provide warm, humanistic, virtual-only therapy tailored entirely to your unique story. As a South Asian person of color, I am verbally fluent in my native language, Bangla/Bengali, as well as Hindi, and some knowledge of Urdu. This background gives me deep insight into the unique cultural intersections that Asians can face in the Western world. Additionally, my professional background includes over 4.5 years of working in a jail, heavily highlighting my crisis intervention and suicidal/homicidal risk assessment skills while working directly with substance use and personality disorders. By combining Cognitive Behavioral Therapy (CBT), Solution-Focused Brief Therapy (SFBT), and Dr. Kabat-Zinn's mindfulness models (MBSR/MBCT), we will unpack your experiences in partnership. My clinical approach prioritizes a strongly holistic treatment plan across all 4 Bio-Psycho-Social-Spiritual domains of life, adapted to your diagnoses. If desired, this is an opportunity to hone your spiritual practice and discipline—intentionally refining, practicing, and sharpening your daily habits to connect with something larger than yourself. Together, we'll meet your needs, wants, and goals, by building practical tools to reclaim your peace, regain control, and thrive. Through unconditional regard and trust, I’m honored to stand by you and help re-discover the best version of yourself!
Available

$125/session

Warm
Authentic
Empowering
Specialties
ADHD
Anxiety
Trauma and PTSD
+10
Hi! I am a licensed therapist in VA (LPC) and NC (LCMHC) with 7 years of clinical practice. Previously I was an academic counselor in higher education and I am an educator at heart. I strive to help you feel comfortable exploring your ways of being with no judgement, in order to find a path to a more valued life as you define it!
VirtualAvailable

New to Grow

$100/session

Specialties
Depression
Life Transitions
Parenting
+3
Hi, I’m Lisa, a Licensed Clinical Social Worker, Navy veteran, and busy mom who believes therapy can be meaningful without feeling overly clinical or uncomfortable. I especially enjoy working with veterans, helping professionals, caregivers, and people who are used to being “the strong one” for everyone else. Many of my clients are navigating anxiety, grief, relationship challenges, major life transitions, burnout, or difficulty setting boundaries without feeling guilty. They may look like they have everything handled on the outside while privately feeling overwhelmed, disconnected, or unsure of what they need next. My personality is warm, genuine, and down-to-earth. I bring compassion, humor, honesty, and real conversation into the therapy
Available

Often rebooked

$130/session

Warm
Authentic
Solution oriented
Specialties
Anxiety
Coping Skills
Insomnia/Sleep Issues
+5
Are you holding it all together on the outside, but running on empty inside? I have over 20 years of experience walking alongside people navigating stress, anxiety, burnout, and life transitions. My work has woven through community mental health and primary care behavioral health, deepening my belief that healing isn’t just about talking—it’s about reconnecting with your whole self. My approach is holistic and down-to-earth. I blend cognitive tools from REBT and ACT with mindfulness and somatic practices like EFT (Emotional Freedom Techniques). You might find yourself gently challenging old thought patterns one moment, and learning to ground through your breath or body the next. Every part of you is welcome in the room. I’m not a blank slate therapist. I show up as a real person—warm, intuitive, and yes, I sometimes curse. I also give homework, like ABCDE journaling, to help you carry the work into your life between sessions. Therapy with me is collaborative and active—we’re not just talking about change; we’re working toward it. Most of all, I want you to feel safe, seen, and supported. Whether you’re overwhelmed, stuck, or simply ready for something to shift, I’m here to walk alongside you—without judgment, and at your pace. Please note: I’m only able to work with clients who are physically located in Virginia at the time of sessions.
VirtualAvailable

$120/session

Empowering
Warm
Solution oriented
Specialties
Anxiety
Depression
Family Conflict
+10
**Scheduling Availability: Please note that I currently do not have availability for appointments after 3:00 PM, as all later appointment times have been filled. If you require an ongoing appointment time after 3:00 PM, please do not schedule an intake at this time, as I will not be able to accommodate ongoing care during those hours. Thank you for your understanding.** As a Licensed Clinical Social Worker-Certified, I take a holistic, client-centered approach to therapy. I use Cognitive Behavioral Therapy, strengths-based, and solution-focused techniques to help clients navigate life's challenges, build healthy coping skills, and create lasting change. I work collaboratively with clients to help them make sense of what they are experiencing, build healthier coping skills, and move toward greater emotional balance, resilience, and meaningful change at a pace that feels right for them.
Available

$150/session

Warm
Authentic
Empowering
Specialties
Trauma and PTSD
Anxiety
Depression
+7
Hi, I'm Lindsay. I am here to help you on your healing journey. I believe that each and every person holds all of the wisdom they need to overcome life’s traumas directly within themselves. My job as a therapist is to help shine a light on your own inner wisdom, and guide you through the healing process in a safe, nonjudgmental space. I believe that when we approach life’s challenges with curiosity rather than criticism we are better able to reach a sense of peace and acceptance to some of lives most complex circumstances and hardships. I am passionate about helping my clients navigate their journey to their most authentic, free, and true selves. I believe that when we have the tools to attune ourselves to our mind, body and spirit we come home to ourselves. And when we are at home within ourselves, we are free. Whether you are seeking to recover from narcissistic abuse, intimate partner violence, or family or childhood trauma, or you are struggling with a difficult life transition or depression, or anxiety. I will meet you exactly where you are. I believe that each individual is the expert on their own lives. My sole purpose as your therapist is to guide you with compassion and care to help you unlock your innate inner wisdom and equip you with the tools you need to overcome the trauma of your past. I am dedicated to liberation therapy and I reject all systems of oppression including but not limited to white supremacy, racism, and sexism.
VirtualAvailable

Often rebooked

$100/session

Authentic
Warm
Empowering
Specialties
Anxiety
Depression
Life Transitions
+9
Hi! My name is Hope. I'm a Licensed Clinical Social Worker based in Virginia. I received my Masters from Virginia Commonwealth University and have been practicing around 20 years. Are you feeling stuck and like you need to make changes in your life to be happier and more fulfilled? Do things feel out of balance with your relationship with yourself and others? Do you find it harder to be kind to yourself than a stranger? I have experience in helping teen and adult clients, often going through major life transitions. With a goal to better manage stress and anxiety, work through relationship conflicts, improve motivation, and self esteem. We'll address your whole self, mind, body & spirit, to find a balance through cognitive therapy, as well as mindfulness, encouraging yoga and artistic expression to better know yourself. I strive to be unbiased and am comfortable working with people from all backgrounds. My work experience is varied across many settings, as I have provided individual, family and group therapy in community mental health agencies, residential treatment facilities, county jails and private practice within a group and solo. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming the things that challenge you. It takes courage to seek out a more fulfilling life and to take the first steps towards needed change. I am here to support & empower you in that journey.
VirtualAvailable

$140/session

Authentic
Empowering
Solution oriented
Specialties
Career Counseling
Couples Counseling
Family Therapy
+7
In August 2010, I graduated from Liberty University with two Master’s degrees: one in Marriage and Family Therapy, and the other in Human Services with a Specialization in Family Therapy. I was a recipient of the Innovative Thinker Award issued by the Prince William County Molinari Juvenile Shelter. I have also previously worked as a Social Worker for Prince William County, where he evaluated the needs of families, provided them with resources, expedited adolescent recovery, and provided crisis intervention.
VirtualAvailable

New to Grow

$100/session

Empowering
Solution oriented
Specialties
Anxiety
Emotional Regulation
Trauma and PTSD
+9
I have been practicing some form of counseling/therapy since I started work in victim advocacy in 2018. My work with trauma survivors led to the pursuit of my masters in direct practice social work (MSW) and, ultimately, my license for clinical practice (LCSW) in 2024. I have a strong background and training in Dialectical Behavior Therapy (DBT), and I am fully trained and pursuing my certification in Eye Movement Desensitization and Reprocessing (EMDR) Therapy. I lean into the powerful combination of these two modalities to treat a wide spectrum of personal and emotional conditions including mood, personality, and impulse control disorders. I consider myself a warm and casual clinician. I value comfort and ease in therapeutic relationships, but I also hold my clients to high standards for a good working dynamic that enables change. I enjoy humor and banter, but I seek authenticity above all else, which means you (the client) bring your actual self, not the idealized version of yourself or some version you believe your therapist wants you to be.
Available

$120/session

Authentic
Warm
Intelligent
Specialties
Military/Veterans
Trauma and PTSD
Women's Issues
+6
Hi! I am a Licensed Clinical Psychologist who has been working with adults since 2010. I served as a military psychologist for a decade and specialize in Veterans mental health. I also have a significant amount of experience working with non-military clients. My goals for you in therapy are your goals. We will work together to ensure you are improving your quality of life! No problem is too small; your goals are my goals! *** Please note, my hours are 12pm-6pm EST. ***
VirtualAvailable

$300/session

Warm
Authentic
Solution oriented
Specialties
Coping Skills
Life Transitions
Sex Therapy
+7
I am a Licensed Clinical Social Worker (LCSW) with over 20 years of experience in the mental health field and 10 years in private practice. As a certified sex therapist through AASECT, I specialize in supporting individuals and couples navigating intimacy, relationship challenges and personal growth. My approach is warm, relational, and grounded in evidence-based practices like Emotionally Focused Therapy, Dialectical Behavior Therapy, Cognitive Behavior Therapy and Integrative Behavioral Couple Therapy. I specialize in working with couples to strengthen their connection, improve communication, and navigate challenges together. I integrate couples therapy with sex therapy to help partners deepen emotional and physical intimacy, address concerns around desire and sexual functioning, and foster a more fulfilling relationship. I feel it is important to offer clients practical tools and exercises they can use outside of therapy, because real change happens not just in the session, but daily life. These strategies help reinforce what we explore together, support continued growth between sessions, and empower clients to manage challenges as they arise. Whether it's mindfulness practices, communication techniques, journaling prompts, or coping skills, these resources give clients something tangible to hold onto as they build confidence and resilience on their own path. I view therapy as a collaborative process-an active partnership between client and therapist. We work together to explore challenges, identify goals, and create meaningful changes. While I bring clinical insight and guidance, the client brings their lived experience, wisdom, and willingness to grow.
VirtualAvailable

$130/session

Open-minded
Intelligent
Solution oriented
Specialties
Depression
Life Transitions
Men's Issues
+10
I believe that every person has the capacity for growth, healing, and meaningful change when they are met with compassion, respect, and genuine understanding. My approach to therapy is grounded in Person-Centered Therapy, creating a safe, supportive, and nonjudgmental space where clients feel heard, valued, and empowered to explore life's challenges at their own pace. I have experience working with individuals facing anxiety, depression, addiction, and suicidal ideation, providing compassionate, evidence-based care during some of life's most difficult moments. I also have experience supporting military members, veterans, first responders, and couples, recognizing the unique stressors and relationship dynamics these populations often experience. Clients often describe me as inquisitive, personable, and easy to talk to. I believe that curiosity, authentic connection, and thoughtful listening are essential to understanding each person's unique story, Rather than taking a one-size-fits-all approach, I collaborate with clients to identify their strengths, clarify their goals, and develop practical strategies that foster resilience, healing, and lasting change. Whether you are navigating a life transition, working through emotional pain, strengthening your relationships, or seeking personal growth, I am committed to walking alongside you with empathy, respect, and encouragement as you move toward the life you want to create.
Available

New to Grow

$120/session

Specialties
Chronic Illness / Medical Issues
Grief
Life Transitions
I am an LCSW with a background in grief, end of life, and chronic illness. Therapy is often needed in every step of this journey which can be both overwhelming and intense. Wherever you are in this journey, newly diagnosed, living with a diagnosis, reeling from a loss or death of a loved one, I am here to walk alongside you and provide the support, guidance, and release you might need. My goal for each of my clients is to hold space for both the hard and the good as the journey is filled with both.
Available

$150/session

Specialties
ADHD
LGBTQ
Peer Relationships
+5
I'm a queer, trans, and neurodivergent Egyptian therapist experienced in working with LGBTQIA+ adults and adolescents. Although I take immense pride in these labels and in my communities, my therapeutic approach does not expect you to fit yourself neatly into any boxes. Instead, my role is to help you learn how to live in alignment with your specific values and priorities, particularly when it comes to figuring out the gray areas in life. It's tricky answering questions like, How do you reconnect with your heritage after experiencing it in hurtful ways? How do you heal from childhood trauma while preserving familial relationships that are still important to you? How do you build meaningful friendships and romantic relationships when self-love still feels like an enigma? These are the types of questions I particularly enjoy exploring with my clients. We will always take the time we need to figure out the concrete skills necessary for navigating daily life (e.g. emotional regulation, communication strategies, adaptive reframes for unhelpful thoughts, etc.), but the next level of growth lives in these nebulous existential questions. By compounding established skills with acceptance, psychological flexibility, and letting go of control where it is not adaptive, we can help you foster the kind of inner peace that adds both serenity and deeper meaning to daily life.
Available

New to Grow

$100/session

Specialties
Anxiety
Depression
Serious Mental Illness / Crisis
+7
Hello, my name is Brittany Johnson, and I am a Licensed Professional Counselor. I have almost 5 years of counseling experience working with mostly adults in more than one setting. I have worked with clients in private practice, and more recently as a jail mental health clinician. I have experience working with clients experiencing anxiety, depression, serious mental illness, suicidal ideation, self-harm, personality disorders, trauma, and grief and loss. I also have experience working with clients navigating new or difficult adjustments in life. I am passionate about helping others solve problems, find resolve, explore patterns, their past, and how to cope with current struggles and or addictions. I enjoy walking alongside clients who need help navigating life, support, and doing that without judgement, and with empathy and compassion. I enjoy advocating for my clients and challenging them to be the best version of themselves.
Available

Often rebooked

$135/session

Warm
Authentic
Empowering
Specialties
Anxiety
Depression
Life Transitions
Are you going through a transition in life? Are you struggling with navigating feelings, decisions or conflicts? Well, you have made a courageous first step by seeking help! My goal is to provide a safe space for you to realize your strengths, identify and process your emotions, and work through things in life that are keeping you "stuck." I take a person-centered approach to therapy, using techniques and theories from numerous approaches to help you adjust and grow through your unique experiences. Although I value clinical interventions, creating an environment that feels safe and welcoming is my top priority. I have experience building rapport and creating therapeutic relationships with adults going through all phases of life. While my specialization is in navigating life transitions, I have experience working with many concerns, including depression, anxiety, sexuality, and relationships. Don't hesitate to reach out to me! I'd love to start helping you navigate the challenging areas of your life.
VirtualAvailable

New to Grow

$125/session

Specialties
Childhood / Intergenerational Trauma
Trauma and PTSD
Hello! My name is Marie! I am a LCSW therapist that focuses on trauma, PTSD and military. I was inspired to become a therapist after recognizing the lack of accessible mental health services among lower-income families and the many barriers that prevent individuals from receiving the support they need. I wanted to become a mental health professional who could provide culturally competent, compassionate, and affordable care to individuals and families from diverse backgrounds. My goal has always been to create a safe and supportive environment where clients feel heard, understood, and respected. I believe everyone deserves access to quality mental health care, regardless of their income, background, or life circumstances.
Available

$85/session

Warm
Empowering
Authentic
Specialties
Anxiety
Depression
Women's Issues
+2
Hey! I’m Ashley. Are you overwhelmed? Depressed? Anxious? Let’s talk. I am a LCSW and very passionate about what I do. Life is stressful and I feel everyone can benefit from therapy at some point in life. I will provide you with a safe, nonjudgmental space where you can be open and we can work together to address what's going on. In addition, I will equip you with practical tools and insights, and empower you to overcome any challenge that you may face.
VirtualAvailable

$150/session

Empowering
Solution oriented
Warm
Specialties
Anxiety
Serious Mental Illness / Crisis
Trauma and PTSD
+10
Hello, great to meet you! Are you ready to feel better? I’m honest and straightforward, practical and fun; I will encourage and support you in discovery of your personal strengths and abilities. I believe that you can reach your potential and live a meaningful life. It takes courage and strength to seek a more fulfilling and happier life and to take the first steps towards change. If you are ready to take that step, I am here to support and empower you. My therapy style is warm and interactive, enthusiastic, fun and humorous when appropriate. I am honest and straightforward, respectful, sensitive, and compassionate. My approach combines cognitive-behavioral, dialectical, mindfulness, psychodynamic and trauma informed therapy. We will work together to develop a treatment plan that will focus on your unique needs and specific circumstances.
Available

$150/session

Authentic
Direct
Holistic
Specialties
LGBTQ
Life Transitions
Women's Issues
+10
Hi, and welcome! I'm a counselor in Virginia, and I'm currently accepting new virtual clients. I work with adults going through big life changes, with a special focus on supporting women and LGBTQ+ clients. Many of the people I see are dealing with anxiety, stress, burnout, grief, or the ups and downs of a major transition. My style is warm, down-to-earth, and centered on your strengths. I'll meet you where you are and help you move forward with more clarity and confidence. I also offer sessions that include time with horses, held outdoors in a calm, peaceful setting. You don't need any horse experience, and there's no riding involved. These sessions can help you feel more grounded, build your confidence, and get more comfortable with your emotions. They're available in the Harrisonburg and Rockingham County area.
Available

Often rebooked

$120/session

Warm
Empowering
Authentic
Specialties
Anxiety
Coping Skills
Spirituality
+9
I’m a Licensed Professional Counselor (LPC) in Virginia with a master’s degree from Liberty University and more than 11 years of experience in the mental health field. I provide Christian counseling for adults who want to integrate their faith into the therapeutic process, with a focus on anxiety, life challenges, women's issues, relationships, and healthy boundaries. My approach is compassionate, practical, and grounded in helping clients develop effective coping skills and move forward with greater confidence and emotional well-being.
VirtualAvailable

Often rebooked

$185/session

Empowering
Warm
Authentic
Specialties
Fertility & Reproduction Issues
Postpartum
Women's Issues
+9
Hi! I'm a Licensed Clinical Social Worker (LCSW) and provide virtual counseling services to those residing in FL, MD, MI, and VA. I received my Masters from the University of Michigan and have been practicing for 15 years. I specialize in women-specific counseling, addressing the unique challenges that women face, including issues related to self-esteem, confidence, fertility, pregnancy and postpartum concerns, anxiety, grief, stress and life transitions. I also specialize in working with women and families with a connection to adoption.
VirtualAvailable
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.