Therapists that accept Cash Pay in Virginia

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.

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.

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.

I am Dr. A.C. Fowlkes, a Virginia-licensed clinical psychologist with extensive experience working in complex behavioral health settings. I provide affirming therapy to LGBTQ+ clients, including transgender and gender-diverse individuals, as well as people navigating cancer and other major life transitions. In separate areas of my practice, I also work with individuals living with schizophrenia and other psychotic disorders and those with histories of sexual offending. My approach is compassionate, direct, and collaborative; I create space for you to feel heard while also offering honest feedback and respectfully challenging patterns that may be getting in your way.

Greetings, I am Melissa. I know what it's like to feel you have no one who hears you when you speak. I know what it's like to feel you have no one to trust to confide in who is a good listener and not judgemental. I've been there, I know it's hard. I am here to listen. I am here to confide in with a non judgemental attitude. I would love to have the opportunity to help you find yourself and become the best version of yourself. All I ask is for you to be open to positive change and brave enough to take the first step and reaching out. I know sometimes it's hard to seek and ask for help but you can do it! I am experienced in using CBT and DBT therapy techniques to help you address your struggles with anxiety and depression. Looking forward to walking with you as you start your journey to better and stronger health!

Marjorie holds a Master of Arts in Clinical Counseling and is a Licensed Professional Counselor (LPC) in Virginia. With four years of clinical experience, she has supported adults through trauma recovery, anxiety, depression, life transitions, and the complex challenges unique to women's mental health. Her approach is warm, collaborative, and deeply rooted in the belief that every person has the capacity for growth and change. She creates a space where you can show up exactly as you are.

My hopes are to be a soft place to fall when discussing life's challenges, difficult topics, painful thoughts & dashed hopes. As a 'young at heart' woman in my 50's, I'm a survivor of many of life's unexpected difficult high & low roads filled with detours, switchbacks & gotten lost trying to get myself over life's mountains. As a daughter, sister, friend, girlfriend, wife, mother, homemaker, older student, divorcee & ultimately becoming a compassionate solution-focused strength's based therapist after learning how powerful talk-therapy is. I'm familiar with life's sudden wake-up calls w/missed signs, getting comfortable & days/weeks become months/years w/o noticing how I'd drifted into patterns that didn't take into consideration my own wants, wishes & needs. I've been there. We all have histories where we made good, bad, convenient & self-defeating decisions based on what we knew. We've also been alongside others who may have done the same & negatively impacted you on your journey. Experience & wisdom can be incredible teachers. Understanding our truths of 'how-when-what-how-why' of it all can be the glue that sets us free from repeating/role-modeling what hurt/deterred us most. My innate curiosity, successes & failures has led me to find the honest answers I needed most and why I became a therapist. I earned my License as Clinical Social Worker with a focus on Adult Mental Health & Addiction. I've honed my passion, purpose & skills to help shorten the learning curve & needless suffering of those facing the slippery slopes when life's difficult moments/transitions were around corners we couldn't see.

Hi there! My name is Jasmine Bonner, and I am a Licensed Clinical Social Worker with a small private practice that I launched during my maternity leave last year. Outside of being a therapist, I am a wife, a mom to two little ones (ages 5 and 10 months), a sister, a daughter, and so much more. I know how easy it is to become defined by the titles we hold and the responsibilities we carry. That's why I encourage you to look a little deeper and reflect on who you are beyond those roles and who you want to become. Life is constantly lifing, and I understand how deeply exhausting it can be to keep showing up for everyone and everything while trying to hold yourself together. I genuinely enjoy holding space for individuals navigating the complexities of life, whether you're managing anxiety, working through past experiences, navigating a life transition, or simply trying to reconnect with yourself. It's easy to say, "I'm fine," put your feelings aside, and keep trucking. In our work together, I invite you to put the armor down, be present, and give yourself permission to show up as you are. Therapy can be a space to process, heal, grow, and create meaningful change. You deserve a space that is specifically for you a space where you feel seen, heard, supported, and empowered to become a more authentic version of yourself.

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!

I am a Licensed Certified Social Worker - Clinical (LCSW-C) that is licensed to practice in both Maryland and Virginia. I have been licensed and providing mental health services and supervision for thirty years. My work settings have included outpatient mental health facilities, residential treatment centers, foster care, and schools. I believe in empowering clients, helping them improve their mental well-being and guiding them toward the changes they desire. An alliance, rapport, and trust with my clients provide a collaborative, warm, and comfortable place for you to discover your path toward growth and healing.

**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.

I'm Aregnaz, a Licensed Professional Counselor dedicated to creating a safe, compassionate, and judgement-free space where you can feel heard, understood, and empowered. Therapy is, at its heart, a place to slow down, make sense of what you have been carrying, and begin to see yourself and your experiences from a different perspective. I am a therapist who helps individuals better understand the patterns, experiences, and beliefs that may leave them feeling stuck, overwhelmed, disconnected, or unsure of what comes next. I believe meaningful change begins with feeling genuinely understood. My goal is to create a therapeutic space that is warm, collaborative, honest, and grounded in respect, one where you can be yourself, explore what is difficult, and move at a pace that feels right for you. I have always been interested in perspective, the way the same moment can look completely different depending on where you stand, what you notice, and what you allow yourself to see. Photography has reinforced that perspective for me. A photograph can capture something obvious at first glance, but looking more closely often reveals depth, context, details, and a story that was not immediately visible. I believe people are much the same. There is often more beneath the surface of what we see or experience. Anxiety, anger, sadness, avoidance, or feeling stuck may be connected to experiences, beliefs, relationships, or patterns that deserve a closer look. Therapy provides an opportunity to step back, explore those different perspectives, and develop a deeper understanding of yourself. My role is not to tell you what you should see. Rather, I want to help you explore the picture from different angles, understand what has shaped it, and decide what you would like to change moving forward.

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.

Hello and welcome. I really enjoy getting to know people and building genuine connections as we move through the ups and downs of life together. In our work, we might focus on relationships, managing stress, improving communication, navigating life transitions, and finding steadiness with emotions and thoughts. We can also make space to understand past experiences, explore patterns in dating and intimacy, and work toward a more balanced and meaningful life. I’m especially interested in the parts of ourselves that don’t always get attention—the quieter or “hidden” pieces that often have a lot to teach us. If you’re willing to show up as you are, I’ll meet you there with care and consistency. Thank you for being here.

Hello, I am Dorothy Brass. I am a Licensed Clinical Social Worker who provides therapeutic counseling services. I have a career in social work that has expanded over 30 years in practicing therapy, case management, and assessment services with all ages. I have held positions in Hospice, Youth Services, Social Services, Medical, Geriatric Services, and School Social Work. I hold a Bachelor of Social Work from Norfolk State University and a Master of Social Work from the University of Iowa.

Hello, I am a licensed professional counselor/ licensed mental health counselor whose work includes collaboration with adults, children, and adolescents in inpatient, outpatient, emergency, and field settings. I have more than 20 years of experience and my career has included confidential service to military personnel and their families overseas and stateside. I have had broad professional experience and experience serving on human rights and patient's rights in various communities. My years working in executive leadership, administration and management, including program development provides me with additional insight and understanding of the challenges of maintaining balance across life domains. Are you seeking assistance and support with major life changes like divorce, death of a friend or loved one, or chronic illness? Are you challenged with managing traumatic stress, mood disorder, anxiety, or depression? Do you deal with thoughts or feelings of not being good enough, or simply not succeeding at life? If you would like to work with a therapist who is enthusiastic about you living your very best life, and motivated to help you explore your gifts, talents, and strengths, and learn to utilize these effectively then it would be great working with you.

I am a compassionate and supportive therapist dedicated to helping adults navigate life’s challenges in a safe and nonjudgmental space. I work with individuals experiencing anxiety, stress, emotional overwhelm, relationship difficulties, and life transitions. My goal is to help clients feel heard, build healthy coping skills, and gain confidence as they work toward meaningful personal growth and emotional well-being in their daily lives.

As a Licensed Professional Counselor, I believe everyone deserves a safe, supportive space to heal and grow. Growing up in a conservative community in South America, I witnessed how stigma often prevents people from seeking help. That experience inspired my commitment to creating a welcoming, judgment-free environment where clients feel heard, understood, and empowered. I work collaboratively with adults experiencing anxiety, depression, trauma, ADHD, life transitions, and relationship challenges. My approach is compassionate, culturally responsive, and tailored to your unique needs, integrating evidence-based therapies such as Cognitive Behavioral Therapy (CBT), Narrative Therapy, mindfulness, and EMDR-informed techniques to help you process difficult experiences, build resilience, and create lasting change.

Hi, I’m La’Kisha “Kisha” Jordan and I believe therapy is a healing space rooted in truth, transformation, and cultural connection. I work with teens, individuals, women, and families who are tired of just surviving and ready to start healing—for real. Whether you’re navigating anxiety, depression, relationship stress, trauma, or just feeling lost in the noise of life, I hold space that is safe, soulful, and judgment-free. My approach is eclectic and intuitive—I don’t just use one method because you’re not one-size-fits-all. I blend evidence-based techniques like CBT and DBT with creativity, storytelling, spirituality, and real talk. One session might include grounding and deep breathing; another might involve journaling, laughter, or hard truths said with love. I meet you where you are, and walk with you toward where you want to be. I’m not just a therapist behind a desk—I’m a woman who’s lived, lost, loved, and learned. I see you. I hear you. And I believe in your ability to grow through what you go through.

Hi I'm Christy. Do you sometimes find that you are your own worst enemy? Finding fault with everything you do, never feeling like you're living up to expectations? My goal in therapy is to help you turn your inner critic into a compassionate voice that can comfort you when you're down and give you the inspiration you need to reach your goals. We will work together to help you get to know yourself so that you will be able to care for yourself, identify your strengths, and give yourself the encouragement you need to succeed. I will also help you learn how to be more resilient in the face of obstacles so that you will be better able to find new solutions.

Nice to meet you! I am Krystle Landes, a Licensed Professional Counselor supporting clients in the state of Texas and Virginia. I strive to provide a safe and secure space to allow you to process through growth, ruptures and work towards your identified transformation. The therapy journey is unique to you and even though I ground my work in theory, I recognize that there is no cookie cutter approach to facilitating change and understanding. I tailor my approach to your strengths and areas of growth in the context of your unique circumstances and goals. We are in this together and I am honored to walk alongside your journey.

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.

I have a special place in my work for people who are tired of always having to be the strong one, the person everyone calls, the person who handles everything, the person who looks fine on the outside but knows there's a lot going on underneath. If that sounds familiar, I want therapy to be one place where you don't have to keep that up. With me, you can talk like yourself. You can laugh, you can cry, you can say "I don't know." We'll start wherever you are and go from there. Hi, I'm Keia, a Licensed Clinical Social Worker licensed in Virginia and Texas, and founder of Beyond Your Reflection Counseling Services, LLC. I'm glad you found your way here, and I want you to know I'm not here to judge your story, I'm here to help you understand it, work through it, and decide what you want the next part of it to look like. I know people come to therapy for all kinds of reasons. Sometimes you know exactly what's wrong, and sometimes all you know is that something doesn't feel right anymore. Either way, you don't have to come into our first session with everything figured out. I've spent years working in community mental health, crisis intervention, and care management, supporting people through anxiety, depression, grief, trauma, relationship concerns, and major life changes. I've learned that people don't always need someone telling them what they "should" be doing. They need someone who will really listen, understand what's happening, and help them figure out what comes next. That's the kind of therapist I am. CURRENTLY FULLY BOOKED FOR COUPLES SESSION! Thanks.

Hi there, I’m Michelle. I’m a licensed Marriage and Family Therapist (LMFT) in Virginia, Maine, Vermont and California. I'm also a Certified Perinatal Mental Health Provider (PMH-C) and specialize in working with adult women who are going through infertility, are pregnant, in the postpartum period who are experiencing depression or anxiety, or are dealing with birth trauma. I also work with individuals who are dealing with trauma and chronic pain from conditions such as endometriosis, polyendocrine metabolic ovarian syndrome, and Ehlers-Danlos Syndrome - just to name a few. I’m passionate about helping clients feel empowered and becoming more comfortable with advocating for themselves and their needs.