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 627 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: 8/17/2026

$90/session

Authentic
Empowering
Warm

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.
VirtualAvailable

New to Grow

$165/session

Specialties

Anxiety
Men's Issues
Women's Issues
I’m a pretty laid-back person and that carries over into how I do therapy. I enjoy working with teens and adults and helping people work through whatever life has put in front of them. I don’t expect you to have everything figured out or always know the right thing to say. None of us do. I just want you to be able to come in, be yourself, and know we can figure things out from there.
Available

Often rebooked

$130/session

Warm
Authentic
Open-minded

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

$75/session

Open-minded
Warm

Specialties

Mood Disorders
Substance Misuse
Trauma and PTSD
+9
I believe in the person-centered approach. I meet you where you are. I work across the life span, with my youngest patient being age 3 and my oldest patient being in their 80s. Each person is different and comes from a different experience, so I work from a holistic approach. Whether it's depression, anxiety, ADHD, Autism, OCD, trauma or some other issue, no one experiences symptoms the exact same way. Therefore, their treatment should not be a cookie cutter approach. Over my 15 years experience, I have been able to meet many people along the way through working in the school system, to inpatient facilities and outpatient services. I look foward to meeting you and working together to meet your needs.
Available

Often rebooked

$150/session

Warm
Authentic
Empowering

Specialties

Anxiety
LGBTQ
Spirituality
+6
Hi there! Life can be tough, but so are you. We humans are so amazing and capable of so much healing. I consider myself a healer and I use many different modalities in my work as a therapist from traditional interventions to interventions that utilize creativity and a little magic! I love people and I have always had a heart to help. I have over 15 years of experience as a counselor, and I have worked with several different communities of folks. My favorites are young adults, especially those dealing with anxiety, in the LGBTQ+ community and/or those of us that are neuro-divergent. I know personally how confusing it can be to navigate figuring out who you are, dealing with all the emotions that come along and ultimately becoming comfortable with yourself. It would be my pleasure to walk alongside you and help you navigate your own personal journey.
VirtualAvailable

$150/session

Warm
Authentic
Solution oriented

Specialties

Anxiety
Career Counseling
Trauma and PTSD
+10
I have been licensed since 2017 and I've been working in the mental health arena for just under a decade. I began working in community mental health and that gave me an excellent opportunity to work with people who were dealing with a large variety of issues, including significant trauma, depression, anxiety, self-harm, relationship issues, self-esteem issues, people struggling to find motivation, people who are grieving significant losses, people with attention or focus issues, and people just trying to find their place in the world. My primary concern is ensuring that you feel comfortable and safe to share openly. Wherever you are on your adventure, I want to meet you there and work with you until you reach your destination. I primarily practice cognitive behavioral therapy and I work very hard to keep myself updated on treatments that are identified as best practice therapy models by the state of Virginia. It is important to me to provide a service that is supported by research to ensure that my clients get the best service available. I tend to pull a lot from DBT, strength based counseling, motivational-interviewing, solution focused therapy, and mindfulness. It should also be mentioned that I have a lot of experience working with people who have had significant legal issues. I enjoy working with people from all walks of life, and I love to learn.
VirtualAvailable

New to Grow

$125/session

Specialties

ADHD
Career Counseling
Coping Skills
+10
Hello, I'm Leah. I am a Licensed Professional Counselor with an MA, and I have been practicing in Virginia for over five years. My journey in mental health has been driven by a deep passion for supporting individuals and families through their most challenging times. I believe that seeking therapy is a courageous step towards a more fulfilling and happier life, and I am here to support and empower you in that journey. My approach to therapy is rooted in empathy, understanding, and collaboration. I work closely with my clients to create a safe and non-judgmental space where they can explore their thoughts, feelings, and behaviors. Together, we identify goals and develop strategies to overcome obstacles and achieve personal growth. I specialize in a wide range of areas, including addiction, ADHD, adolescent and teen mental and behavioral health, anger management, antisocial behavior, autism spectrum support, bipolar disorder, children's mental and behavioral health, depression, developmental disabilities, family relationships, intimate and romantic relationships, life transitions, multicultural and diversity issues, perinatal support (pregnancy, prenatal, postpartum), psychosis and schizophrenia, stress, suicidal ideation and self-harming, trauma, and anxiety. In my practice, I have extensive experience helping clients navigate addictions, family conflicts, grief and loss, and issues related to motivation, self-esteem, and confidence. My goal is to provide a supportive environment where you feel heard, understood, and empowered to make positive changes in your life. Outside of my professional life, I am dedicated to continuous learning and growth, both personally and professionally. I value the importance of cultural competence and strive to understand the unique backgrounds and experiences of each of my clients.
Available

$110/session

Warm
Authentic
Humorous

Specialties

Life Transitions
Trauma and PTSD
Women's Issues
+10
Hello! My name is Meredith. I am an LPC, and have been in private practice since 2021. I am deeply passionate about what I do and I'm so glad to be getting started on Grow. As a therapist, I intentionally try to bring my most genuine and authentic self to my clients. I know how crucial this is as the basis of a productive working relationship. My sessions are primarily client-led, meaning I will prioritize what feels most prescient to you on a given day, and meet you where you are. At the same time, I will help ensure that we are consistently working toward your specific goals. I feel that the best therapeutic outcomes come from the most secure and trusting counseling relationships, and that is what I try to provide. It is probably also important for any potential client to know that my office will always be a safe space for all, regardless of belonging to any underserved, disenfranchised community. When I am not at work, I love cooking, all things macabre and scary- books, movies, podcasts, and I love reading and hanging out with my family. I am passionate about all kinds of art and the written word. I recently took up archery, and it is a great outlet. Otherwise, I am an indoor type of gal, especially in the summer. I am quick to laugh, and will often crack a joke at my own expense.
Available

$115/session

Authentic
Empowering
Solution oriented

Specialties

Anxiety
Crisis Intervention
Life Transitions
+3
Sometimes life feels unmanageable or even unfamiliar; the heaviness is more than you can bear. Do you feel overwhelmed or overlooked? My goal is to ensure that my client's feel seen and validated while working to empower them with tools to navigate their current challenges. Therapy is a collaborative effort that allows you to use your voice in identifying solutions for your life.
VirtualAvailable

$130/session

Warm
Authentic
Empowering

Specialties

Anxiety
Depression
Life Transitions
+10
Welcome! Transformation is possible. You can choose to step into a fully connected, authentic, and joyful life. It's time to start living the life that's waiting for you. I've experienced profound transformations myself and I'm here to guide you to the life that you desire. Maybe you're just not feeling happy. Or maybe you feel stuck in a never-ending loop. It seems like you're barely doing anything for yourself anymore. You know something has to change and there has to be a better way. I'm glad you're here! I'm Carrie, and I'm ready to help! I love to help people shift. I created LifeVision Counseling, LLC to empower individuals on their journey of personal growth and healing by offering online therapy throughout Virginia. As a seasoned therapist, I offer a safe space where you can explore your emotions, overcome obstacles, and start to live the life you desire. With over 15 years in the field, I bring experience and authenticity to each session, providing guidance and support as you navigate life's challenges from the comfort of your own home. I use a therapeutic approach to promote healing and growth. My style is collaborative and strengths-based, aimed at helping you honor yourself and find your own path forward. I use proven strategies to help you overcome life's challenges and start living a life that's full of peace and joy. I'm happy to help and specialize in treating anxiety, depression, life transitions, career stress, and relationship challenges.
Available

Often rebooked

$125/session

Warm
Authentic
Empowering

Specialties

Anxiety
First Responders/Healthcare Workers
Self Esteem
+10
Hi, I'm Daija Monroe, Licensed Professional Counselor and founder of Monroe Behavioral Insight Consulting. I'm so glad you're here and I want you to know that finding the courage to seek support is something to be proud of. I'm a Virginia-based therapist with over seven years of experience working with individuals across a wide range of life experiences and challenges. I have experience in community mental health, forensic mental health, crisis intervention, and school-based settings which means I bring a well-rounded, real-world understanding of how life, systems, and mental health intersect. My work is rooted in creating a space that feels genuinely safe where you don't have to perform, pretend, or have it all figured out before walking through the door. I'll be honest with you, I'm not the therapist who will sit quietly and just nod. I'm warm, I'm real, and I'm straightforward. I believe you deserve a therapist who will actually engage with you, celebrate your wins, and gently challenge you when you need it. No sugarcoating, but always with compassion. My approach blends evidence-based techniques with genuine human connection. I specialize in working with women, young adults, adolescents, first responders, healthcare workers, and immigrants navigating life's most difficult moments. Whether you're carrying invisible weight, feeling stuck, or simply ready to finally put yourself first, I want to help you get there. Outside of my clinical work I am a mother, author, speaker, and advocate for mental health awareness. Life has taught me firsthand that healing is possible even when it feels impossibly far away. That lived experience shapes everything about how I show up for my clients. You don't have to keep holding it all alone. I'm here.
Available

$150/session

Direct
Solution oriented

Specialties

Anxiety
LGBTQ
Women's Issues
+7
Hello! I am Gladys Duran, a Licensed Clinical Social Worker (LCSW) and Master of Education (M.Ed.) with 28 years of experience helping individuals navigate life’s challenges, heal, and thrive. As the founder of **Pivotal Beginnings**, I provide 100% remote, secure telehealth therapy tailored to clients across Florida and Virginia. My practice is a safe, compassionate, and deeply affirming space. I specialize in individual therapy across the lifespan, working with teenagers (13–17), adults, and elders. Because I believe everyone deserves to be truly seen and respected, I am a dedicated advocate for the LGBTQ+ community—providing identity-affirming care for transgender, non-binary, and gender-fluid individuals—as well as specialized support for women. As a fully bilingual therapist, I am proud to offer therapy in both English and Spanish, ensuring you can express yourself in the language you feel most comfortable using. Whether you are navigating the pressures of school, balancing a demanding career, exploring your identity, or adjusting to a new chapter in retirement, we will work collaboratively at your pace. My goal is to help you safely process stressors, build resilient coping mechanisms, and move toward lasting healing.
Available

New to Grow

$100/session

Specialties

Child or Adolescent
Depression
Men's Issues
+5
I have been practicing in the field for over 10 years. I have co-facilitated men’s group, spoken at conferences, adolescent consults and individual therapy. I use a lot of Cognitive behavioral therapy which means will process triggers, emotions, hobbies, good times , coping skills and any event that you deem important. Therapy is all about you and helping you meet short/long term goals. You got this.
Available

Often rebooked

$150/session

Intelligent
Authentic
Empowering

Specialties

Anxiety
Depression
Trauma and PTSD
+10
I graduated Eastern Michigan University with a major in psychology and a minor in nutrition in 2007. I completed my PhD program at the University of Detroit Mercy in 2014. During that time period I worked with patients in outpatient and inpatient settings including the University psychology clinic, Wayne State Family Medicine Center, Providence Alaska Family Medicine Center, and Providence Alaska inpatient services.I’m a clinical psychologist (PhD) specializing in trauma, anxiety, depression, and the mind–body impact of stress. My approach is warm, relational, and psychodynamic — I help you understand not just what you’re feeling, but why it keeps happening. Many of my clients come to me after trying short-term or skills-only therapy and not feeling truly understood. Together, we look at the deeper patterns shaped by past experiences, trauma, and relationships. This includes medical trauma, chronic illness, health anxiety, and eating issues rooted in shame or self-criticism. I offer teletherapy to adults who want thoughtful, insight-oriented work that leads to lasting change.
VirtualAvailable

$125/session

Solution oriented
Intelligent
Open-minded

Specialties

Anxiety
Coping Skills
Life Transitions
+8
Are you struggling with anxiety, stress, or feeling overwhelmed? if so, I can help. With over 15 years of experience, I specialize in helping adults who struggle with anxiety, 'overthinking', worry, panic attacks, relationship issues, self-esteem, stress management, navigating life changes, irritability & depression to feel more confident, capable and in control through online therapy. I understand how overwhelming it can be to face these challenges alone and I provide a safe, non-judgmental space in therapy to support you.
VirtualAvailable

$120/session

Warm
Authentic
Empowering

Specialties

Depression
Addiction
Anger Management
+6
Welcome, I'm glad you are here! I'm Aline and I empower you to reconnect with your authentic self, and achieve your goals in counseling. I believe you already possess within you the capacity and resources to resolve your own issues and just need the support in therapy to tap into your strengths to enhance your mental wellness. My goal is to provide a safe therapeutic environment for exploration, understanding of current unhelpful patterns, collaborative problem solving, and building of skills that foster growth.
VirtualAvailable

$175/session

Warm
Authentic
Empowering

Specialties

Anger Management
Depression
Men's Issues
+10
Hi, I’m Bryan McHenry. I’m a Licensed Professional Counselor in the state of Virginia. Thank you for taking the time to read my profile. First and foremost, I applaud your courage in seeking mental health counseling. In this season of your life, you might’ve discovered a lot of uncomfortable feelings and thoughts. That is very difficult to manage alone. Coming into the counseling process is a new beginning of wholeness and healing. Thank you for allowing me the honor to be apart of that journey. Though I’ve worked with a variety of populations and settings, my primary work includes men’s health/issues, depression, anxiety, grief, anger management, and life coaching. I would be honored to work with you during this time of your life. Let’s get to work.
VirtualAvailable

$110/session

Warm
Empowering
Authentic

Specialties

Anxiety
Grief
Women's Issues
+2
Hi there, I'm Susan. Have you been overwhelmed by juggling life's demands recently? Would you like to feel more confident in relationships and comfortable in your own skin? Are you finding it difficult to cope with change and loss? Reaching out for support is a big first step. As a licensed clinician in both Virginia and Iowa with over two decades of experience, I will work collaboratively with you as a partner to explore solutions and help you reach your goals. My approach to counseling is to create a space that feels safe, nonjudgmental, and welcoming. I am very strengths-based and tailor my approach to your individual needs and preferences. The focus of my practice is working with women of all ages on concerns including anxiety and depression, self-esteem, body image, life changes, and relational challenges. I also have specialized training to help you process and heal from previous trauma. I love incorporating humor and creativity into our conversations as we navigate these difficult topics. I look forward to meeting you and beginning our work together.
VirtualAvailable

New to Grow

$100/session

Specialties

Anxiety
Coping Skills
Depression
I am a warm, compassionate and experienced therapist who believes that feeling truly understood is an important part of healing. After more than 25 years in the mental health field, I have learned that there is no one-size-fits-all approach. I take the time to understand and individual's unique experiences, strengths, relationships and the things that may be keeping you stuck. I work collaboratively ( in partnership) with my clients focusing on creating a safe space where you can be honest, and vulnerable without fear of judgment. I bring curiosity, compassion, and a little humor to our work together. I especially enjoy working with people with who are navigating anxiety, life transitions, grief , relationship concerns, or periods of uncertainty and change. Wherever you are in your journey, I will meet you there with compassion and respect. I believe that growth doesn't require having everything figured out. Sometimes it begins with having a safe space to pause, feel understood, and explore what comes next
Available

$185/session

Authentic
Warm
Intelligent

Specialties

Anxiety
Coping Skills
Self Esteem
+10
Hi. My name is Edmond Otis, and I'm a licensed therapist with 27 years of professional experience. I focus on helping clients who are experiencing a wide range of challenges including; stress and anxiety, relationship problems, depression, performance and motivation concerns, a lack of self-confidence and self-esteem, career difficulties, and other related issues. I maintain a small, but consistent, practice as I also consult, teach, and speak on how relationships work, stress, resilience, performance, communication, team-building, family, achieving goals, improving critical outcomes, negotiation and conflict resolution. I've developed and taught courses at the university and graduate level in Cognitive Behavioral Therapy (CBT), Health Psychology, Sport Psychology, and Therapeutic Rapport.
VirtualAvailable

$106/session

Authentic
Solution oriented
Warm

Specialties

Anxiety
Couples Counseling
Depression
+10
Welcome to FaithWorks Therapy! I provide virtual therapy for adults, couples, and families across Virginia, Pennsylvania, Delaware, Texas, New Jersey, Nevada, Georgia, and Illinois. I help clients navigate anxiety, depression, stress, grief, relationship challenges, family conflict, and life transitions in a compassionate, supportive, and nonjudgmental environment. My approach is tailored to your unique needs and goals, empowering you to build healthier relationships, develop effective coping skills, and create meaningful, lasting change. Faith-based counseling is available upon request for those who wish to incorporate their Christian faith into therapy, but it is always optional and never required.
Available

New to Grow

$125/session

Specialties

ADHD
Anxiety
Life Transitions
+10
Welcome — this can be a safe space for you. With a background in education and current experience as a high school counselor, I understand the challenges individuals and families can face through different stages of life. I strive to create a supportive, nonjudgmental space where clients feel comfortable being themselves, processing difficult emotions, and building healthy coping skills. Whether you are navigating anxiety, stress, life transitions, relationship concerns, or the pressures of academics and sports, my goal is to help you feel heard, supported, and empowered throughout the counseling process.
Available

$95/session

Empowering
Authentic
Warm

Specialties

Anxiety
Coping Skills
Trauma and PTSD
+8
I identify as a strength-based, person-centered therapist, and I believe that everyone has inherent assets that can be utilized towards individual goals and aspirations. I believe in engaging in inclusive, authentic professional relationships that respect, honor and enhance our unique motivations and perspectives. I am committed to creating a nurturing and inspiring environment, and providing the support and guidance that promotes health, healing and harmony.
VirtualAvailable

$75/session

Empowering

Specialties

Addiction
Anxiety
Trauma and PTSD
+7
I am a Licensed Professional Counselor. I started out my professional journey in Tennessee in 2010. I was licensed in Tennessee in 2015. I moved to New Mexico in 2019 and then to Virginia in 2022. My therapy techniques tend to be eclectic with mainly person centered (focusing on rapport and the therapeutic relationship), cognitive behavioral (looking at thought patterns), and creative techniques. I currently see people virtually but eventually hope to expand to see people in person and also have group therapy.
Available

$120/session

Warm
Authentic
Open-minded

Specialties

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