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.

PLEASE NOTE: I specialize in Gerontology. I believe in empowering older adults by fostering independence, resilience and sense of identity. Aging is a journey that should be met with dignity, respect, and opportunities for growth. By actively listening, providing tailored support, and encouraging self-determination, I can help older adults maintain their autonomy and confidence. Resilience is nurtured through meaningful connections, purposeful activities, and a focus on strengths rather than limitations. I am committed to honoring an individual's experiences, celebrating their uniqueness, and creating environments where people feel valued and capable. I challenge stereotypes about aging and promote a vision of later life filled with possibility and fulfillment.

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 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.

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.

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.

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 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.

I look forward to three things: meeting you, supporting you on your mental health journey, and, when the time feels right, helping you feel ready to move forward beyond therapy. I won’t pretend therapy is always easy or that I have quick answers. What I can offer is a thoughtful, steady space where we can look honestly at what’s been weighing on you, notice patterns that may be keeping you stuck, and move at a pace that feels manageable rather than forced. Before becoming a social worker, I worked in behavioral health and rehabilitation services, supporting children and adolescents with challenges at home and school. That experience helped me understand what can be happening beneath a child’s behavior and shaped my compassionate, practical approach to supporting families. Overall, I bring more than 16 years of experience in behavioral sciences, including eight years as a social worker in the emergency department. In that role, I supported individuals and families during some of the most difficult and vulnerable moments of their lives. Through my work with law enforcement and medical personnel, I have strengthened my crisis intervention skills and deepened my ability to remain calm, present, and supportive when people need it most. At the heart of it all, I feel deeply honored to do this work. It’s a privilege I don’t take lightly, and a role I would choose over and over again.

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.

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.

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

I’m Janet Worley, LMFT and founder of Worley Wellness Counseling. I work with couples and individuals navigating relationship stress, communication struggles, emotional disconnection, and life transitions. Many of the people I work with care deeply about their relationships but feel stuck in painful patterns that leave them feeling hurt, misunderstood, overwhelmed, or unsure how to move forward. My approach to therapy is warm, collaborative, practical, and down-to-earth. I believe therapy works best when clients feel safe enough to be honest, supported enough to be vulnerable, and empowered enough to create meaningful change. Rather than offering judgment or one-size-fits-all advice, I strive to create a space where clients feel genuinely heard, understood, and challenged toward growth. A large part of my work focuses on helping people understand the deeper patterns underneath conflict and distress. Whether you find yourself caught in recurring arguments, struggling to communicate, feeling emotionally disconnected, or carrying wounds that continue to impact your relationships, therapy can help bring clarity and create new ways of relating. I use an integrative approach that blends attachment-focused work, Emotionally Focused Therapy (EFT), Gottman Method interventions, DBT-informed skills, and practical problem-solving strategies. This allows us to explore not only what is happening, but why it is happening and how to begin changing it. My goal is to help couples and individuals move beyond conflict, disconnection, and unhealthy patterns toward greater understanding, emotional safety, stronger communication, and more fulfilling relationships—with others and with themselves. I believe healing and change are possible, and you do not have to figure it all out alone.

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. ***

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.

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.

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.

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.

As a therapist I use a holistic approach that integrates emotional, spiritual, psychological, and body-centered practices. I am a Dominican-American who is dedicated to providing serivices to Latina women and women of color in English and Spanish. In my therapy practice, over the last 18 years, I have worked with individuals and families offering culturally responsive and Trauma Informed services. I have devoted my practice to supporting women in healing from abuse and trauma, and helping them learn to cope with life stressors by building upon their strength and resilience. I am trained in EMDR, Somatic Experiencing, IFS, mindfulness, and CBT.

I'm Charonne Randall, LCSW-C, a trauma-informed psychotherapist, leadership coach, speaker, and founder of Cultivating Unstoppable You and Soar Beyond Coaching & Consulting. With more than 20 years of experience helping individuals, couples, and leaders navigate life's challenges, I am passionate about helping people move from survival to authenticity. At my core, I'm a down-to-earth, relatable person who believes healing happens through genuine connection, not perfection. Clients often describe me as warm, compassionate, insightful, and easy to talk to. I create a space where people feel safe enough to be honest about their struggles, uncover the patterns that keep them stuck, and discover new ways of living, loving, and leading. My work integrates evidence-based approaches, including Internal Family Systems (IFS), Relational Life Therapy (RLT), attachment-based therapy, and Christian counseling for those who desire faith integration. Whether I'm working with a couple seeking deeper connection, a leader battling burnout, or a woman who has spent years putting everyone else's needs before her own, my goal is to help people understand why they do what they do, heal the wounds beneath their protective patterns, and reconnect with who they truly are. My own journey through loss, life transitions, and personal reinvention has shaped my belief that our greatest challenges can become catalysts for growth and transformation. I am passionate about helping others remove the masks they've worn to survive, embrace their God-given worth, and cultivate lives marked by authenticity, purpose, peace, and meaningful connection.

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.

Hi! I'm a Licensed Clinical Social Worker(LCSW) based in Michigan, but I also serve individuals in Virginia. I received my Masters from Widener University in 2021. I have worked in many different settings, such as inpatient behavioral health units, outpatient group therapy programs, and community-based settings. I have a wide array of treatment models that I have learned over the years, utilizing these with my clients to help them explore their thoughts and feelings while providing a healing environment. I now provide individual therapy to adults, adolescents and children. I also possess a Bachelor in Recreational Therapy from Central Michigan University, earned in 2009. I worked as a Recreational Therapist for over 15 years, working with children with developmental disabilities in the community, and then transitioned to working with adults and children's in various mental health settings. I continue to encourage a healthy leisure lifestyle with my clients, discussing the importance of self-care, self-esteem and cultivating self-worth. Having fun and finding the joy in life is a part of healing from a mental health crisis. I always try to be as flexible as I can to meet the needs of my clients. :-) If you need same day appointment, I always try to accommodate for my clients. No show policy: All I ask is to be communicated with, even last minute. I know life can happen pretty quickly but without any communication, it is a $100 no show fee. I will wait 15 minutes and then you are considered a no show.

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.

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.

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.