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 166 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: 8/12/2026

$100/session

Authentic
Warm

Specialties

Anxiety
Grief
Trauma and PTSD
+7
When life feels heavy, confusing, or harder to manage than it used to, having the right support can make all the difference. I began working in the mental health field 20 years ago after earning my undergraduate degree from Averett University, and later returned to school to earn my Master’s in Counseling from Old Dominion University. Over the course of my career, I have worked with a wide range of individuals navigating anxiety, depression, trauma, PTSD, psychosis, crisis situations, and chronic stress. Many of the people I support come to therapy feeling overwhelmed, emotionally exhausted, stuck in survival mode, or unsure how to move forward. My goal is to provide a steady, compassionate space where you can feel understood, build coping skills, and begin working toward greater clarity, stability, and emotional well-being.
Available

New to Grow

$75/session

Specialties

Anxiety
Depression
Grief
+9
My name is Angela and I am a Licensed Professional Counselor. I believe in finding the strengths in everyone. I have a lot of life experience that I bring with me, so making a connection and building rapport is usually pretty easy. I have no judgment and I am open to all kinds of situations that people are experiencing. I use person centered, mindfulness, and goal oriented therapy. I want to help you, make your life the best life that it can be. I have experience working with all types of populations. I enjoy working with all types of people. Anxiety, depression, ADHD, gender identity, career issues, personality disorders, and even those at risk of thoughts of harm to self or others. I have worked with them all. My goal is to help you identify your strenghts and skills so that you can use them to improve the quality of your life. This is your journey and I am just here to help quide you on your journey to happiness.
Available

$150/session

Authentic
Solution oriented

Specialties

Addiction
Substance Misuse
Trauma and PTSD
+8
I try to create a collaborative relationship between myself and the client. I have the belief that our thoughts are directly connected to how we feel. By working with clients to solve present-day problems it helps the client approach a stronger and healthier sense of self by focusing on the actual lived experience of a person. By helping clients gradually face and come to realize that their assumptions, evaluations and beliefs might be unhealthy and unrealistic. Having the client be aware even after they have learned to recognize when and where their mental processes have gone wrong, it can in some cases take considerable time or effort to replace a dysfunctional process or habit with a more reasonable and adaptive one.
Available

$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

New to Grow

$90/session

Specialties

Anxiety
Depression
Obsessive-Compulsive (OCD)
+10
I provide a safe, non-judgmental space that allows individuals to explore feelings of anxiety, depression, and grief, among many others. If you're feeling stuck, uncertain, or defeated, I'm here to help find your direction and to be the best possible version of yourself. Just remember that no matter what you're currently feeling or going through, things can get better for you. I believe everyone deserves a chance to be heard and to find their inner peace.
Available

New to Grow

$120/session

Specialties

Anxiety
Depression
Substance Misuse
+1
I am a Licensed Professional Counselor with over nine years of experience providing mental health services in admissions, crisis intervention, and outpatient therapy. My experience includes working at the Community Services Board in Lynchburg, VA, and as an outpatient therapist at Thriveworks since 2017. In August 2024, I founded Finding Strength and Hope, LLC, where I provide individual, couples, and family therapy for adults, adolescents, and children. My approach is client-centered and strengths-based, and I believe that healing happens through a collaborative therapeutic relationship built on trust, compassion, and respect.
Available

New to Grow

$125/session

Specialties

ADHD
Anxiety
Depression
Hi, I’m Krystal. From an early age, I’ve felt a strong calling to help others, and that passion continues to guide my work today. I earned my Master’s degree in Clinical Mental Health Counseling in May 2020, after completing my Bachelor’s in Human Services. With over 10 years of experience supporting both adults and children, I’ve worked in a variety of settings, including intensive in-home services, community mental health, and private practice. These experiences have shaped my ability to meet people where they are and provide care that feels supportive, compassionate, and tailored to each individual. I truly value creating a safe, nonjudgmental space where you can feel heard, understood, and supported. No matter your background or what you’re going through, you don’t have to face it alone—I’m here to walk alongside you.
Available

$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

New to Grow

$180/session

Specialties

Anxiety
Couples Counseling
Self Esteem
+10
**Contact first for availability and scheduling during the week. Couples and individual telehealth therapist licensed in Virginia and Connecticut with over 8 years of experience. I specialize in high conflict couples experiencing communication and trust issues, emotional disconnection, and conflict patterns that repeat over time. I also support premarital couples, co-parents navigating separation or blended family dynamics, and individuals in polyamorous or non-monogamous relationships seeking clarity and stability. I dedicate my time helping individuals struggling with family issues, experiencing high anxiety, panic disorder, burnout, sleep disturbance, and chronic pain. I hold a certification in Somatic Trauma Healing, and have obtained training in Cognitive Behavioral Therapy (CBTC), Emotionally Focused Couples Therapy (EFCT), SYMBIS, and The Gottman Method. I dedicate my time helping individuals struggling with family issues, experiencing high anxiety, panic disorder, burnout, sleep disturbance, and ADHD.
Available

$110/session

Warm
Authentic
Empowering

Specialties

Couples Counseling
Family Conflict
Parenting
+9
Bio I'm Melissa and I'm an LPC in the State of Virginia. I am passionate about mental health, healing, and hope. Understanding your mental health and what is going on with you is the starting point on your healing journey. I grew up in Seattle Washington and attended college in Oregon. I received my Master’s from Liberty University in 2016. I've lived in Virginia for 17 years. I am a single mom with 4 kids, I'm diabetic and an ADHD girl. I do promise that I know counseling and look forward to meeting you where you are at. I love laughing, reading, and spending time with my kids. I grew up in an alcoholic family and credit Jesus with keeping me away from the dysfunction I grew up in. I offer a Christian worldview. I have been a counselor for 11 years and have worked with many age groups with various diagnoses and in a variety of settings. Counseling needs to be a safe place and a counselor needs to be a person who can handle talking about the tough stuff. Counseling is not polite conversation. I begin the counseling relationship with developing emotional safety, educating clients about mental health and creating a better understanding of what is going on with them, processing their experiences, and developing a "toolbox" to help them improve their lives. I focus on emotions- why we have them, how to sit with them, and how to manage them. I believe that "the only way out is through" and to tackle struggles, a comprehensive approach is needed to look at family history, family dynamics, biological issues, psychological issues, cultural influences, medical history, social influences, spiritual influences, and current level of functioning. This information allows me to plan treatment to ensure that you receive the best care.
VirtualAvailable

New to Grow

$100/session

Authentic
Empowering
Warm

Specialties

Anxiety
Depression
Trauma and PTSD
+10
I provide a supportive and compassionate space where you can feel genuinely heard, understood, and respected. In our work together, I aim to strike a balance between validation and gentle challenge, helping you move toward meaningful change and your personal goals. My intention is for you to leave each session feeling seen and valued, with a deeper recognition of your inherent worth and strengths that already exist within you. Together, we will explore your experiences at a pace that feels comfortable, while also encouraging growth and self-awareness that extends beyond our sessions. I strive to foster a trusting therapeutic relationship where you feel safe to be authentic, take risks, and develop greater confidence in your ability to navigate life’s challenges.
Available

New to Grow

$120/session

Specialties

Anxiety
Depression
Grief
+10
Welcome — I’m glad you’re here. I’m a Licensed Professional Counselor who specializes in helping individuals and couples navigate life's challenges with greater clarity, confidence, and self-compassion. Whether you're struggling with anxiety, depression, relationship difficulties, grief, trauma, life transitions, or feeling emotionally overwhelmed, I provide a supportive and collaborative space where you can feel heard, understood, and empowered. My approach is warm, nonjudgmental, and tailored to your unique needs. Together, we'll explore what's keeping you stuck, build on your strengths, and develop practical tools to help you create meaningful, lasting change. My goal is to help you move beyond simply coping and toward living a more connected, fulfilling life.
Available

New to Grow

$130/session

Specialties

Anxiety
Depression
Life Transitions
+9
Hello! My name is Kara Michelle Karr and I am an experienced Licensed Professional Counselor who loves working with people to help them improve their lives, work toward goals and feel better! It is an honor and a privilege to work with each individual. Everyone is unique and has their own reasons for getting into counseling. I am currently providing telehealth counseling to individuals from anywhere in Virginia.
Available

$130/session

Solution oriented
Warm

Specialties

ADHD
Couples Counseling
Trauma and PTSD
+6
Naemmy Thompson is a Licensed Clinical Social Worker in Virginia and New Jersey. She has practiced in Virginia since 2015 and has spent most of her career in New Jersey. With 13 years of experience, Naemmy supports individuals who have experienced trauma and hardship, including sexual abuse, domestic violence, loss, depression, anxiety, and PTSD. She provides couples counseling using the marriage links approach and offers a Christian perspective for clients who wish to incorporate faith into their mental health journey. Naemmy’s practice is person-centered, recognizing clients as experts in their own lives while guiding them through interpersonal change and healing. She also uses Trauma-Focused Cognitive Behavioral Therapy to address thought distortions resulting from trauma.
Available

New to Grow

$150/session

Authentic
Warm

Specialties

Anxiety
Coping Skills
Life Transitions
+5
Hi, I'm a Licensed Clinical Social Worker (LCSW) and Certified Case Manager (CCM) serving adults across Virginia through virtual therapy. I help clients navigate anxiety, depression, stress, relationship concerns, and life transitions using evidence-based approaches including CBT, ACT, Motivational Interviewing, and trauma-informed care. My goal is to provide a supportive, authentic, and nonjudgmental space where you can explore challenges, build resilience, and create meaningful change aligned with your values.
Available

$185/session

Empowering
Warm
Authentic

Specialties

Fertility & Reproduction Issues
Postpartum
Women's Issues
+9
Hi! I'm a Licensed Clinical Social Worker (LCSW) and provide virtual counseling services to those residing in FL, MD, MI, and VA. I received my Masters from the University of Michigan and have been practicing for 15 years. I specialize in women-specific counseling, addressing the unique challenges that women face, including issues related to self-esteem, confidence, fertility, pregnancy and postpartum concerns, anxiety, grief, stress and life transitions. I also specialize in working with women and families with a connection to adoption.
VirtualAvailable

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

$120/session

Authentic
Solution oriented
Warm

Specialties

Anxiety
Coping Skills
Depression
+9
Do you find yourself constantly overthinking, feeling anxious, stressed, or emotionally exhausted? Maybe you’re the person everyone else depends on, but no one realizes how overwhelmed you feel. If so, you’re not alone. You don’t have to figure it all out by yourself. Hi, I’m Ash! I’m a Licensed Mental Health Counselor (LMHC) in Massachusetts and a Licensed Professional Counselor (LPC) in Colorado. I work with adults navigating anxiety, depression, stress, burnout, life transitions, relationship challenges, self esteem, perfectionism, people pleasing, and difficulties with emotional regulation. I believe therapy should be more than just a place to vent. It should be a place where real change happens. My approach is collaborative, compassionate, and goal oriented. Together, we’ll explore what’s keeping you stuck, develop practical coping skills, gain insight into unhelpful patterns, and create meaningful, lasting change. I integrate evidence based approaches including Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), mindfulness based interventions, and Motivational Interviewing. Every client is different, so I tailor therapy to your unique needs, goals, and experiences rather than taking a one size fits all approach. While empathy and validation are essential, I’m not a therapist who simply listens and nods. I’ll provide honest feedback, ask thoughtful questions, gently challenge unhelpful patterns, and help you build practical strategies you can use outside of our sessions. My goal is for you to leave each appointment feeling heard, supported, and equipped with tools that make a difference in your everyday life. Whether you’re feeling overwhelmed, struggling with relationships, navigating a major life change, or simply feeling stuck, we’ll work together to help you build confidence, improve emotional well being, and create a life that feels more balanced and fulfilling.
Available

New to Grow

$120/session

Specialties

Addiction
Anger Management
Trauma and PTSD
+1
Hi, I'm Andrew Walls, a Licensed Professional Counselor (LPC) in Virginia with over nine years of experience helping adolescents, adults, and helping professionals heal from life's most difficult experiences. I earned my Master's degree from Troy University and work with clients ages 15-64 who are ready to move beyond simply surviving and begin living with greater purpose, balance, and self-compassion. Many of the people I work with are caregivers, teachers, first responders, healthcare professionals, military veterans, parents of children with special needs, and others who spend their lives caring for everyone else while quietly carrying too much themselves. They often struggle with trauma, burnout, anxiety, relationship challenges, or the persistent feeling that no matter how hard they try, they are never "enough." My approach is trauma-informed, compassionate, and tailored to your unique goals and strengths. I believe healing begins by meeting you exactly where you are. Together, we'll work to understand the patterns that keep you feeling stuck, strengthen your resilience, and help you reconnect with the parts of yourself that have been overshadowed by stress, responsibility, or painful life experiences. I integrate evidence-based approaches including EMDR, Internal Family Systems (IFS)-informed therapy, Cognitive Behavioral Therapy (CBT), mindfulness, Mindful Self-Compassion, Acceptance and Commitment Therapy (ACT), and other therapeutic techniques to help clients heal from trauma, reduce emotional distress, build healthier relationships, and develop a life guided by their values rather than their fears.
Available

$90/session

Authentic
Challenging
Open-minded

Specialties

Addiction
Crisis Intervention
LGBTQ
+5
Are you a teen or adult who needs assistance navigating the twists and turns in life? I offer a supportive space for you to explore your thoughts, feelings, and work toward established goals. I am passionate about helping others navigate mental health challenges and find hope in recovery. My commitment to this work is informed not only by my professional training but also by my own lived experience with mental health symptoms and recovery from addiction. These experiences have given me a deep appreciation for the courage it takes to seek help and make lasting changes. I strive to provide a nonjudgmental space where you can work toward healing, growth, and resilience. We will work collaboratively to develop coping skills and strategies to help combat unwanted symptoms, while building resilience and fostering personal growth. I graduated with a Master of Education in Counseling & Human Development from Lindsey Wilson College in 2012. I have been working in mental health for 15+ years and have been practicing as a Licensed Professional Counselor in Virginia since 2017. Most of my experience has been in crisis settings, assisting people during their most vulnerable times. I hope you’ll trust me to walk alongside you as you navigate life’s challenges and discover your path to healing.
Available

New to Grow

$150/session

Specialties

Anxiety
Depression
Women's Issues
+6
I’m a Licensed Clinical Social Worker (LCSW) with a telehealth practice licensed in Pennsylvania and Virginia, and over 23 years of experience in the mental health field working with children, teen and adults. . I specialize in trauma, anxiety, depression, relationship stress, and life transitions, and I work from a warm, collaborative, and supportive approach. My work blends talk therapy with somatic practices, self-compassion, mindfulness, and pattern-tracing to help you better understand yourself and what keeps you stuck. Many clients come to me feeling overwhelmed, disconnected, or caught in cycles of self-doubt and overthinking. Together, we slow things down, explore what’s happening beneath the surface, and build practical tools that support real, lasting change. I also help clients gently connect how past experiences may still be impacting present-day emotions, relationships, and self-worth, while building a more grounded and compassionate relationship with themselves.
Available

New to Grow

$150/session

Specialties

LGBTQ
Life Transitions
Women's Issues
+10
Great to meet you! I’m a Licensed Professional Counselor (LPC) in Virginia with a PhD in Counseling & Supervision, currently accepting new virtual clients for private practice. I provide warm, practical, and insight-oriented therapy for adults navigating anxiety, stress, life transitions, crisis, trauma, burnout, relationship challenges, grief, and personal growth. I’m also certified in equine-assisted psychotherapy through the Equine Assisted Growth and Learning Association model and offer ground-based, experiential sessions with horses in peaceful outdoor settings. No horse experience is needed, and there is no riding involved. These sessions can help build confidence, emotional awareness, communication skills, and nervous system regulation in a unique and supportive environment. Equine-assisted sessions are available as private pay services, depending on location and scheduling, in the Harrisonburg/Rockingham County area. If you are interested in equine therapy please message me directly for rates and scheduling. My overall approach to counseling is gentle, relational, and strengths-based, meeting you where you are while helping you move forward with clarity and confidence.
Available

$120/session

Intelligent
Warm

Specialties

ADHD
Anxiety
Trauma and PTSD
+8
I strive to create a therapy space that feels safe, supportive, and down-to-earth. My approach is compassionate, honest, and collaborative. I want clients to feel understood and not judged, while also feeling supported in making meaningful changes. In my practice, I help clients better understand themselves, recognize patterns, build coping skills, and move toward healing at a pace that feels manageable.
Available

$150/session

Warm
Authentic
Solution oriented

Specialties

ADHD
Anxiety
Coping Skills
+10
Hi there! I am a Licensed Clinical Psychologist and I am passionate about working with people, helping 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 order to build your confidence to overcome life's challenges. I want to help you overcome your internal battles you thought were impossible.
VirtualAvailable

$120/session

Authentic
Empowering
Warm

Specialties

Anxiety
Depression
Trauma and PTSD
If you’ve spent a long time feeling unseen, overwhelmed, or carrying the weight of old experiences, I want you to know that you don’t need to do that alone, nor do you need to change who you are. You deserve to feel more like yourself, not less. My work is about getting to know the real you and nurturing the strengths, intuition, and resilience you already have. I’m here to offer a space where you can be supported and understood without judgment. I’m on your side.
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.