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 501 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: 3/4/2026

$130/session

Specialties

Anxiety
Coping Skills
Depression
+6
Welcome! Dr. Kristi Hottenstein offers a personalized, holistic approach to therapy and coaching. With over 20 years of experience, Dr. Hottenstein has dedicated her career to guiding individuals through life's challenges and transitions. As the practitioner and owner of Compass Counseling & Coaching, PLLC, she brings a wealth of knowledge and expertise to her clients, drawing on her extensive education and certifications. Dr. Hottenstein is a National Board Certified Counselor, licensed in Arizona, California, Michigan, New Jersey, and Texas. She holds a doctorate in higher education administration from the University of Toledo, a master's in counseling from the University of La Verne, and a bachelor's in sociology from Alma College. In addition to her counseling credentials, she is certified in negotiation and mediation and holds a supervisory certification, enabling her to provide supervision to Limited License Professional Counselors. At Compass Counseling & Coaching, Dr. Hottenstein is committed to helping her clients navigate both difficult times and new adventures. "I chose the name Compass Counseling & Coaching for my practice because, at times, everyone needs a compass to help guide them," she explains. "I have a very holistic approach to counseling because no two people are the same. I see each client as an individual requiring their own unique approach." Dr. Hottenstein uses a variety of counseling techniques to encourage self-awareness and the acceptance of personal responsibility. Her belief is that the more we understand ourselves, the better equipped we are to respond to life's challenges. Whether you are seeking support in personal growth, relationship issues, or coping skills, Dr. Hottenstein is here to provide the guidance and support you need on your journey.
VirtualAvailable
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Often rebooked

$120/session

Authentic
Warm
Empowering

Specialties

Anxiety
Depression
Trauma and PTSD
I am a LPC in VA and PA. I love what I do and I love helping clients. I have 6 little rescue dogs and one old lady cat. I am trained and certified in many different modalities. I will assist you in developing and meeting goals as well as move through trauma or other difficulties that you are having.
VirtualAvailable
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Often rebooked

$90/session

Solution oriented
Authentic

Specialties

Anxiety
Depression
Military/Veterans
+9
I’m a Licensed Clinical Social Worker providing teletherapy to adults in Virginia. My work is grounded in compassion, respect, and curiosity. I approach therapy as a collaboration where we make space for what’s difficult, confusing, or painful while also noticing progress and moments of relief. Clients often describe our sessions as calm and genuine, with humor and honesty mixed in. I practice from a person-centered and humanistic framework, integrating CBT, DBT, mindfulness, and narrative work as needed. I’m agnostic and open to people of all faiths and worldviews. My focus is on helping you understand your experiences, manage distress, and find meaning that feels true to you. Therapy isn’t supposed to always feel good. It can be uncomfortable and tiring at times. My hope is that you leave each session with a little more clarity, support, and confidence in yourself. A limited number of reduced-fee slots ($30–$45) are available for clients experiencing financial hardship or without insurance. Please inquire about current availability.
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$125/session

Empowering
Solution oriented
Warm

Specialties

Anxiety
Depression
Trauma and PTSD
+10
“You don’t have to control your thoughts. You just have to stop letting them control you.” — Dan Millman. I am passionate about helping clients get to a better place of functioning. Furthermore, it is important for me to establish a strong rapport with clients. I treat my clients how I expect to be treated if I was a client obtaining therapy. I consider myself a fair and objective person who listens without judgment. I am open-mind and kind, and it is important for clients to feel my genuineness and empathy throughout the therapeutic relationship. Furthermore, I am passionate about informing clients how a dysregulated nervous system guides how healing happens.
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$160/session

Specialties

Anxiety
Coping Skills
Self Esteem
+1
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.
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$175/session

Authentic
Open-minded
Solution oriented

Specialties

Anxiety
Depression
Parenting
+6
Hello, I'm Justin. Have you ever felt overwhelmed by stress and life's complexities? Many do, and it's more common than you might think. Life's challenges can leave us feeling exhausted, anxious, and disconnected. But remember, you're not alone in this journey. As a Licensed Professional Counselor offering virtual therapy in Virginia and North Carolina, my role is to walk with you in creating a safe, empowering space. Together, we'll explore and employ a range of therapeutic techniques tailored to your unique needs. My goal? To help you navigating the intricacies of life and forge meaningful connections — with others and with yourself. In therapy, we uncover the roots of your stress, lighten your emotional load, and find strength in support and understanding. It's about building resilience and rediscovering your inner balance. If you're reading this, you've already taken a brave first step. You recognize the need for change and understand that carrying the burden alone isn't the only way. If you're ready to move forward, to cultivate lasting change and greater self-awareness, I'm here to guide you. Reach out, and let's start this transformative journey together.
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$100/session

Solution oriented
Intelligent
Open-minded

Specialties

Anxiety
Couples Counseling
Depression
+10
I am a Graduate of Howard University and UNC Charlotte, I have a BA in Psychology and a Masters in Social Work. I have a passion for working with individuals, couples and families who seek change to become happier, healthier and gain control over obstacles that are weighing them down. I have several years of experience in working with children, adults, and families, on a broad array of issues ranging from depression, anxiety, bipolar, ADHD, schizophrenia, substance abuse and trauma. I provide culturally competent care and use a Strength Based Approach when working with clients. I also specialize in helping African American males deal with oppressive systems and obstacles.
VirtualAvailable
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$125/session

Humorous
Authentic
Solution oriented

Specialties

Family Conflict
Self Esteem
Trauma and PTSD
+8
I am a Licensed Professional Counselor in the Commonwealth of Virginia. I have extensive experience in trauma, anxiety and couple's and grief counseling. I am a Certified Grief Therapist and a certified trauma professional. Regardless of what led you to seek counseling, I will offer you support, practical feedback, and a little bit of humor, to help you resolve the current or long-standing concerns in your life.
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$150/session

Authentic
Solution oriented
Warm

Specialties

Anxiety
High Clinical Acuity
Mood Disorders
+9
I graduated from Alabama State University in 2011 with my MS in Clinical Mental health counseling. I have done a vast amount of work in all treatment modalities as well as various populations. Primarily I have worked with families, in the community, crisis and trauma-centered work, as well as substance use and severe mental health illness. My drive in this field is to help individuals who are struggling to mentally get to a place of peace and be that ear that can help one's process and sort out whatever struggles they may be facing where accessing family and friends is not an option. I'm so happy that you are reaching out for help. I am Johne Mitchell, a licensed therapist. You can read more about my background, education, experience, and counseling approach by clicking on my name on this page. I look forward to working with you to resolve the issues you are experiencing and hope that in this process you will be able to find balance.
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$200/session

Direct
Open-minded
Empowering

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.
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$135/session

Authentic
Warm
Solution oriented

Specialties

Life Transitions
Self Esteem
Trauma and PTSD
+9
Hi, I’m Joe. With 26 years of experience across outpatient and hospital settings, I help individuals and families navigate life’s challenges with compassion and clarity. I specialize in working with teens and families during times of transition, using a collaborative approach that focuses on building insight, connection, and resilience. Together, we’ll work to understand what’s getting in the way and develop the tools you need to move forward. I’m here to support your growth every step of the way.
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$150/session

Open-minded

Specialties

Anxiety
Couples Counseling
LGBTQ
+9
Hi! I am a Licensed Professional Counselor (LPC) in Virginia. I have been in the mental health field since 2013. I enjoy working with individuals (ages 16-99 years old), couples, and families. I utilized an eclectic blend of treatment methods that best suits the client. I assist clients in gaining clarity on their goals and living the life they imagined.
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Often rebooked

$140/session

Solution oriented
Authentic
Open-minded

Specialties

Family Therapy
Parenting
Trauma and PTSD
+9
I'm looking to partner with you to merge our strengths in order to discern which tools will be most effective in your journey. I have been working with children and their families my entire career. Since 2010, I have worked with children and their families as an intensive in-home counselor, a counselor and supervisor for therapeutic day treatment in the schools, an outpatient therapist and a residential treatment therapist. My Master of Social Work came from Virginia Commonwealth University in 2013. In addition, I have trained others in the ASSIST Living Works Suicide Prevention program in order to break down the avoidance of conversation surrounding suicide. Prior to becoming a therapist, I graduated from Duke Divinity School with a Master of Religious Education, Baptist Theological Seminary with a Master of Divinity and worked in the church as a minister. While my worldview is Christian and I hope everyone can have a spiritual journey, I am respectful of various views. I look forward to walking with you as you move toward a more meaningful life.
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$200/session

Empowering
Humorous
Authentic

Specialties

Parenting
Perinatal Mental Health
Post Partum
+10
Hello! I am a Licensed Professional Counselor in both Pennsylvania and Virginia. I completed a B.A. in Psychology at Temple University before attending PennWest Edinboro where I earned my Master’s Degree in Clinical Psychology. Additionally, I completed an M.A. in Counseling at Eastern Mennonite University in Harrisonburg, Virginia. I have spent the last 10 years specializing in parent-child attachment and relationship building. I was a Clinical Supervisor and am a Certified COSN Therapist & Certified COSN Parent Educator with the Ainsworth Attachment Clinic and Circle of Security Network. I am also a Registered COSP Facilitator with Circle of Security International. In 2024, I obtained my PMH-C certification to treat Perinatal Mood Disorders through Postpartum Support International. I work primarily with women who are struggling on their perinatal journey. I also work with a wider variety of women's issues as well that may be unrelated to the perinatal period such as life transitions, relationship issues, career/work concerns, depression, anxiety, trauma, self-esteem concerns, and people pleasing. I also have extensive experience working with individuals who have been in or have had children in the foster care system and the world of adoption. ​
VirtualAvailable
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Often rebooked

$120/session

Warm
Solution oriented
Authentic

Specialties

Coping Skills
Grief
Women's Issues
+4
Greetings, My name is Louise, I am located in Virginia, and I hope this message finds you well. I am married, the mother of one grown child, and the grandmother of one. I want to introduce myself as someone who is passionate about helping others overcome life's challenges. If you've experienced childhood trauma, the loss of a loved one, or are struggling with work/life balance, I would be honored to collaborate with you. Using evidenced-based tools, we can explore your biopsychosocial and spiritual world to find your resources and areas to strengthen. My goal is to help you feel more at peace and understand why you react to certain situations the way you do. During our time together, I will provide a safe, empathetic, and objective environment for you to explore these areas of your life. With a background in teaching, biochemistry, and mental health treatment, as well as personal life experiences, I am here to help you discuss areas that are stressing you and utilize tools that will grow your toolbox. I look forward to the opportunity to work with you. Take care!
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$150/session

Warm
Authentic
Solution oriented

Specialties

Life Transitions
Mood Disorders
Spirituality
Hellooo! I am a Licensed Clinical Psychologist living in Virginia. I received my doctorate in Clinical Psychology from Regent University in 2008. I have lived in many different places but mostly I grew up in eastern North Carolina and Europe. Having parents from western New York and southern West Virginia, I was raised in a "northern" household in a "southern" environment. I like to think these contrasts in my life have helped me learn to adapt and identify with many different types of people. While I value the privilege of being an American, I love what other nationalities contribute to my world. Standing beside my clients and walking with them through their difficult times is one of my greatest joys.
VirtualAvailable
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Often rebooked

$140/session

Authentic
Solution oriented

Specialties

Anxiety
Coping Skills
Life Transitions
+3
We are all responsible for our own choices—and sometimes, for the choices of others. That responsibility can feel daunting, especially when change is already unfolding beneath the surface. I believe that asking for help is itself a courageous act of authenticity. As a Licensed Professional Counselor serving Virginia via telehealth, I support adolescents and adults navigating anxiety, depression, trauma, life transitions, and stress. My approach blends Existential Therapy with CBT and Solution-Focused Brief Therapy, grounded in trauma-informed care and psychoeducation. I help clients build emotionally safe, strengths-based strategies that honor their lived experience and support meaningful change.
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$80/session

Authentic

Specialties

Anxiety
Depression
Life Transitions
+4
I work with people who are ready to slow down, look inward, and truly start feeling more like themselves again. I specialize in helping with anxiety, depression, and life transitions like break ups and divorce, job loss, or starting something new. My goal as a therapist is to help people figure out how to feel better, find out more about themselves, and face tough decisions.
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$120/session

Empowering
Warm
Open-minded

Specialties

Anxiety
Parenting
Women's Issues
Hi, I’m Samantha! I’ve been a clinician for over twelve years, and I genuinely love this work. My passion lies in helping clients tap into their strengths, navigate challenges, and create meaningful change in their lives. Over the years, I’ve worked with people of all ages in schools, juvenile justice, and long-term care—experiences that have given me a deep appreciation for the resilience of the human spirit. As a mom, I understand firsthand how life can be both beautifully rewarding and incredibly overwhelming. I bring that perspective into my sessions—combining compassion, curiosity, and a sense of humor with a down-to-earth, real-world approach. Outside of my practice, I enjoy listening to audiobooks, organizing (yes, it’s my version of therapy!), and spending time with my family. Fun fact: I have a degree in Philosophy and even studied Japanese in high school!
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$115/session

Warm
Direct

Specialties

Anxiety
Depression
Life Transitions
+5
My aim is to help clients navigate major life transitions, anxiety, depression, and overwhelming stress — especially when life feels uncertain, heavy, or out of control. Whether you’re dealing with a big change, emotional burnout, or financial pressure, therapy with me is a place to slow down, get grounded, and start making sense of what you’re going through. I take a warm, supportive, but direct approach to therapy. I won’t just nod and listen, I’ll help you notice patterns, challenge what’s keeping you stuck, and build practical tools so you can feel more steady, confident, and in control of your life. My background is a clinical social worker working full time in medical social work so I witness people's life change every day in major ways. This has lead me to prioritize self care and build intentional ways to help myself and others manage stress. My top self-care activities include traveling, spending quality with family and friends, seeking out thrilling adventures, discovering new RNB music, and walking. I'm hopeful that we can identify some coping skills that work for you.
VirtualAvailable
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Often rebooked

$175/session

Empowering
Warm
Solution oriented

Specialties

Coping Skills
Depression
Trauma and PTSD
+7
As a therapist, my primary goal is to provide a safe, empathetic, and supportive environment where individuals can explore their thoughts, feelings, and behaviors. I understand that seeking therapy can be a courageous step towards personal growth and healing, and I am dedicated to assisting my clients on their journey towards improved mental and emotional well-being. I have 10 year's experience working with individuals struggling with mental health, substance abuse, career and lifestyle changes, professional development and consultation. Whether you're facing specific issues such as anxiety, depression, relationship difficulties, or simply seeking personal growth and self-discovery, I am here to provide guidance, support, and the tools you need to lead a more fulfilling life. I am trained in DBT, CBT and trauma informed care.
VirtualAvailable
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$125/session

Authentic
Solution oriented

Specialties

Anxiety
Depression
Family Therapy
+10
My name is Bradley Thomas. In many ways, I am just like you. I have worked, raised a family, battled physical challenges, had good relationships and had relationships fall apart. I continue to strive towards living my best life. I bring this same passion for life into our therapy sessions and consider it an honor to align myself with you and help you towards living your best life.
VirtualAvailable
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Often rebooked

$125/session

Authentic
Solution oriented
Empowering

Specialties

Anxiety
Life Transitions
Trauma and PTSD
+10
Welcome – I'm glad you're here. I'm a Licensed Professional Counselor (LPC), Licensed Substance Abuse Treatment Practitioner (LSATP), and Certified Clinical Trauma Professional (CCTP) with 27 years of experience helping children, teens, and adults navigate life’s challenges and discover their inner strength. My approach is grounded in the belief that every person has the potential for growth, healing, and meaningful change. I use a humanistic framework that includes Gestalt and Existential therapy, along with person-centered, mind-body, and trauma-informed practices. Together, we’ll work to increase your awareness, strengthen your sense of freedom and direction, and support your journey toward self-discovery and fulfillment. I see therapy as a collaborative process where you are the expert on your life. My role is to walk alongside you with compassion, curiosity, and respect—helping you uncover your capacity to grow, heal, and thrive.
VirtualAvailable
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Often rebooked

$125/session

Empowering
Solution oriented
Authentic

Specialties

Anger Management
Anxiety
Peer Relationships
+9
Do you feel at times your distressing emotions are a non-stop express train in that it seems impossible to stop the train? Are there times you feel overwhelmed by your negative thoughts? Is it a challenge for you to manage your emotions? As an LMHC, I help individuals develop healthy ways to cope with stress, regulate their emotions, and learn to identify/change unhelpful thought patterns that negatively influence their behavior and emotions.
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Often rebooked

$175/session

Empowering
Authentic
Open-minded

Specialties

Anxiety
Depression
Trauma and PTSD
Hi there! I'm a therapist with more than 10 year’s experience working in mental health. Throughout my career, I've had the privilege of working in both inpatient and outpatient settings, allowing me to gain a well-rounded perspective on mental health. My passion for this work stems from a genuine desire to see people thrive and overcome their challenges. I truly believe that everyone has the capacity to lead fulfilling lives once they tap into their own resilience and inner strength.
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Frequently asked questions

Why filter by Virginia rather than a city like Richmond?

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.

Will my therapist take insurance?

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.

How does the Specialty Filter work? Can I find a therapist that focuses on a specific issue?

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.

Why use Gender, Age, and Identities filters?

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.

What happens during the first therapy session?

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.