Therapists that accept Cash Pay in Virginia

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.

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.

I am a Licensed Professional Clinical Counselor with over twenty years experience in both the macro and clinical areas of counseling. I specialize in trauma, depression, anxiety, multicultural issues, and behavioral issues. Regardless of the area of service, my goal is to ensure that resources to clients are accessible and that clients feel supported while navigating the journey to healing.

I’m a Licensed Clinical Social Worker and ICF-credentialed Professional Certified Coach with 15 years of combined experience across mental health, leadership development, and personal growth. I provide psychotherapy to adults navigating anxiety, chronic stress, burnout, and significant life transitions. My approach is grounded in evidence-based treatments—particularly Cognitive Behavioral Therapy (CBT)—and integrates practical strategies that promote clarity, confidence, and lasting change. Whether you’re feeling overwhelmed, navigating a transition, or looking for practical tools to cope with anxiety or stress, therapy with me will offer structure, support, and meaningful progress. I’ll help you untangle what feels complicated so you can move forward with greater ease and confidence.

Hello, my name is Karlee Strahorn. I want to welcome and thank you for taking this step toward your well-being. My priority is to create a judgment-free space where you can speak openly. Telehealth makes it possible for us to meet in a way that’s flexible and private, and I’ll be here to guide you through each stage of your journey.

Have you been feeling unusually stressed or overwhelmed lately? Does anxiety hold you back from doing things you once enjoyed? Do changes in mood prevent you from experiencing life to its fullest? If so, you are definitely not alone. Whether you're dealing with overwhelm, anxiety, changes in mood or other issues in your life, I'm here to help. My name is Dana and I'm a licensed clinical social worker specializing in adults experiencing a wide range of mental health issues. I have a diverse clinical background with experience treating anxiety, depression, grief/loss, mood disorders, interpersonal/relationship issues, life transitions and trauma. If you're ready to take the initial step towards improving yourself, please reach out. Together, we can identify challenges that are holding you back and problem-solve solutions to help you function your absolute best.

I am a licensed psychologist in Ohio and Virginia and a graduate of the University of Toledo. I have been serving children, adolescents, adults, couples, and families for over 35 years in a variety of settings. I maintain a part-time outpatient therapy practice while helping to lead a mental health agency in Virginia (where I live). Originally from Toledo, Ohio, I hope to serve clients who are in Toledo and/or the surrounding area. While my practice will be primarily via Telehealth, serving clients from the Toledo area will allow me to occasionally conduct in-person sessions. I love to help clients have a more compassionate understanding of themselves and others, heal through difficult circumstances, improve relationships, and achieve desired changes in their lives.

I am Melinda Staton, LPC, Owner of Triumphant Coaching and Counseling LLC based in Virginia. I believe that healing begins beyond survival. I bring clinical expertise, lived experience and lived wisdom to my work in supporting clients through grief, chronic PTSD, chronic medical issues, cancer, military sexual trauma, anxiety, depression, caregiver burnout, and financial trauma. I specialize in helping survivors move from the raw pain and emotions of grief and loss to inner healing, transformation and empowerment. Many of my clients carry trauma that feels isolating, numbing, impossible to overcome or invisible to others—pain that can be hard to explain, hard to believe, or hard to hold alone. I create a space where you feel and know you are truly seen, believed, and supported every step of the journey to healing and wholeness.

I am a Licensed Clinical Social Worker who believes that people are often stronger, more resilient, and more capable than they realize. My role is to help clients uncover those strengths, understand the patterns that keep them stuck, and develop new ways of responding to life's challenges. I work with individuals experiencing anxiety, stress, life transitions, emotional overwhelm, low self-confidence, relationship difficulties, and identity shifts. Using a blend of Cognitive Behavioral Therapy (CBT), strengths-based interventions, and practical problem-solving, I help clients understand not only what they are feeling, but why they are feeling it. Together, we explore the cycles that often drive distress. Many people find themselves reacting automatically to triggers, conflict, uncertainty, or emotional demands in ways that once helped them feel safe but no longer serve them. Therapy provides a space to slow down, recognize those patterns, and create opportunities for different choices. My approach is warm, collaborative, and empowering. I believe healing begins when we can move from simply surviving to understanding ourselves with greater compassion and intention. Whether you're navigating a major life transition, struggling with anxiety, or feeling stuck in familiar patterns, I aim to help you reconnect with your strengths and build confidence in your ability to move forward

I’m a Licensed Professional Counselor who provides virtual therapy for adults, with a special passion for supporting women navigating anxiety, depression, executive dysfunction, life transitions, relationship stress, and emotional overwhelm. My personality is warm, down-to-earth, and honest. I believe in a person-centered and collaborative approach, creating a space where you can feel safe being yourself while receiving practical support, reflection, and gentle challenge when needed.

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.

I’m Shayla Gray, a Licensed Marriage and Family Therapist, EMDR-certified therapist, and founder of Serenity First Counseling. I help individuals navigate relationship challenges, trauma, and life transitions, including pregnancy and parenthood. My approach is warm, collaborative, and practical, creating space for you to feel heard while developing tools for meaningful change. Together, we’ll explore patterns, strengthen communication, and work toward healing and deeper connection with yourself and others.

Your brain is basically that one friend who means well but gives terrible advice. It jumps to conclusions, expects the worst, overthinks everything, and somehow expects you to believe every word it says. The good news? You don't have to let it call the shots. I'm a Licensed Professional Counselor (LPC) in Virginia who works with adults (18+) navigating anxiety, trauma, relationship challenges, stress, grief, and life transitions. I also specialize in working with active-duty military, veterans, and first responders, and in the unique demands of their careers. My style is warm, honest, interactive, and a little sarcastic when the moment calls for it. I'll listen without judgment, but I won't just nod along. I'll challenge you, teach you, and give you practical tools you can actually use. I believe therapy should help you understand your mind, build confidence, and leave you with the skills to manage life long after our work together ends. I love making psychology make sense. My goal is to take complex concepts, break them down into practical, relatable ideas, and help you become the expert on your own mind. If you're ready for real conversations, a few laughs, and meaningful change, I'd love to help.

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.

Reaching out for help is a big step. I appreciate your courage in leaning into growth and problem-solving! I am excited to get to know more about you and how I might be supportive. I operate from a strong relationally-based approach that is client-centered, solution-focused, and non-judgmental. I am very committed to building rapport, open communication, and assisting in helping you meet the goals you set, at the pace that you feel is appropriate. I believe in creating a nurturing, comfortable, and safe space for expression that promotes authentic exploration and insight. To tell you a bit about myself, I have been an independently licensed social worker since 2013 (undergrad degree in psych from Wheaton College; master's degree in social work from University of New England). I spent much of my earlier professional career working with children and families, primarily within the confluence of mental health and education, before transitioning into private practice with adults. My clinical approach is crafted for the person in front of me, drawing influence from varying forms of therapy in a multi-modal approach. My therapeutic skillset is strongest with individual challenges related to behavioral/emotional management (such as coping with strong feelings or life events and social/emotional/behavioral struggles), identity formation/re-formation/life transitions (exploring feelings of belonging, questions such as, "How do I figure out who I am/who I want to be/what I want to do with my life?"), and relational dynamics. I am also well-practiced in working with people who are struggling with symptoms of anxiety, depression, and trauma. As stated above, it takes courage and strength in deciding to put the work into creating change in a positive direction. The fact that you are reading profiles is an accomplishment! I am here for you if/when you are ready, and look forward to celebrating your future achievements!

I believe therapy works best when it feels less like a clinical appointment and more like a conversation with someone who's genuinely listening — really listening, not just waiting for their turn to speak. That's the space I try to create in every session: one where you can be honest without feeling judged, and where you leave feeling a little lighter than when you walked in. Many of my clients tell me they felt comfortable opening up right away, even in their very first session. That's not an accident — I take the time to understand where you actually are in your life before jumping to solutions. Whether you're navigating a major life transition, working through anxiety or depression, or just feeling stuck and unsure how to move forward, my goal is to help you see your situation more clearly and find a path that actually fits your life. I use an integrative approach — drawing on humanistic, solution-focused, and behavioral techniques — but the tools matter less than the relationship. I want you to feel heard, supported, and a little more hopeful after every conversation we have.

I am a therapist specializing in trauma, anxiety, and the LGBTQIA+ community. I am passionate about helping people heal from past experiences and live full, authentic lives. I studied at Lesley University and obtained a degree in Dance/Movement Therapy and Clinical Mental Health Counseling. I am also a Certified Clinical Trauma Professional and a Certified Sylvotherapy Practitioner. I have a holistic approach that integrates humanistic approaches, expressive arts and embodied healing. I believe that the whole person is important and that healing can take place on many levels. I use a variety of techniques to help clients explore their thoughts and feelings, and to find ways to express themselves creatively and connect with their bodies. I believe that everyone has the capacity for healing and that my role is to provide a safe and supportive space.

I’m a Licensed Clinical Social Worker providing teletherapy to adults in Virginia. I approach therapy as a collaboration where we make space for what’s difficult or confusing 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 compassionate person-centered framework, integrating therapies to help you understand your experiences, manage distress and make changes that matter to you. I’m agnostic and open to people of all faiths and worldviews. 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. If being on camera feels uncomfortable, we can discuss hiding self-view, adjusting your distance or camera angle while staying sufficiently visible, or covering my image on your screen without covering your camera. Phone-only appointments are not a routine substitute. My standard cash-pay rate is $90 for a scheduled one-hour therapy appointment. Reduced-fee sessions at $30 or $45 may be available for uninsured clients or those with limited financial means. When a paid session is out of reach, we can discuss a brief pro bono check-in based on clinical need, availability and applicable payer rules. Insurance costs depend on your plan. Please bring up financial concerns so we can discuss a manageable arrangement. Documentation requests Detailed letters, clinical summaries, forms and related calls take professional time outside sessions, billed through Square online invoicing. My standard documentation rate is $45/hour; clients with an existing $30 therapy rate pay $30/hour, and agreed pro bono work remains free. We agree on the scope, estimate and spending cap before work begins. I provide clinically supported treatment documentation; I do not offer VA DBQs or formal nexus opinions.

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!

Helping people move from surviving to thriving is at the heart of everything I do. For more than 20 years, I've had the privilege of walking alongside individuals as they navigate trauma, anxiety, chronic stress, burnout, grief, relationship challenges, and life's most difficult transitions. I believe meaningful healing begins when you feel heard, respected, understood, and supported in a safe, compassionate environment where lasting change becomes possible.

I know that life doesn't happen in a vacuum and mental health support shouldn't either. From over 15 years in the helping profession, I draw from a background in medical settings and community services for adults with complex needs. I appreciate the full picture of who you are and the specific environment you navigate every day. My practice is collaborative, integrative, and solution-focused. Together, we will honor your unique story while actively identifying practical tools and personal strengths to address current challenges. You are the expert on your life, and I am here to partner with you to build actionable strategies that lead to meaningful, 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.

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 am a Licensed Clinical Psychologist who is passionate about working with people to help them find peace, healing, and resolution. I do not use a predetermined approach, but rather, I tailor the therapeutic experience to meet each individual's needs and treatment goals. Our goals will be centered around helping you establish coping skills in efforts to build the confidence needed to overcome life's challenges. I want to help you overcome those internal battles you've deemed as impossible.

Welcome. Here you are seen, supported, and safe in a serene, culturally attuned, LGBTQIA+2 affirming space. I’m Liz Serens, a Licensed Professional Counselor in Virginia with more than 22 years of active study in human development. I work exclusively through virtual care, supporting adults navigating anxiety, ADHD related experiences, identity exploration, and major life transitions. I help adults find clarity, steadiness, and self‑trust during moments that feel overwhelming. I show up as a steady, emotionally attuned guide for clients who want a space where their internal world is taken seriously. I practice from a primarily agnostic perspective and welcome clients from all cultural and spiritual backgrounds. I have been providing telehealth services for 1.5 years, and my approach is collaborative, grounded, and shaped by lived experiences including ADHD, a learning disability, body image challenges, and parenting a gender‑fluid child. I remain open to learning what each client needs to feel supported, regulated, and connected in their treatment.