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 314 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: 8/18/2026

Often rebooked

$225/session

Authentic
Warm
Challenging

Specialties

Life Transitions
Depression
Trauma and PTSD
+7
Life can feel overwhelming at times, and you don't have to navigate it alone. I believe healing begins in a space where you feel safe, supported, and genuinely understood. My goal is to build a trusting, and collaborative relationship where you can be yourself while you explore challenges openly, and work toward the changes that matter most to you. I take a trauma-informed, person-centered approach, which means I meet you where you are and honor your unique experiences, strengths, and perspectives. I have experience working with individuals facing anxiety, depression, trauma, substance use and addiction, relationship concerns, self-esteem challenges, and other life stressors. Drawing from Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), I help clients develop practical tools for managing emotions, coping with stress, improving communication, and building healthier patterns in their lives. Together, we'll work to better understand your experiences, strengthen your resilience, and create meaningful change at a pace that feels right for you. Seeking support takes courage, and reaching out is often the first step toward healing. Whether you're feeling stuck, struggling to cope, or simply looking for a space to grow, I am here to walk alongside you on your journey. I look forward to meeting you and helping you create a life that feels more aligned with who you are and who you hope to become
Available

Often rebooked

$130/session

Warm
Authentic
Open-minded

Specialties

Life Transitions
Anxiety
Coping Skills
+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

Often rebooked

$100/session

Empowering
Warm
Solution oriented

Specialties

Life Transitions
Anxiety
Depression
+10
As a Licensed Clinical Social Worker-Certified, I take a holistic, client-centered approach to therapy. I use Cognitive Behavioral Therapy, strengths-based, and solution-focused techniques to help clients navigate life's challenges, build healthy coping skills, and create lasting change. I work collaboratively with clients to help them make sense of what they are experiencing, build healthier coping skills, and move toward greater emotional balance, resilience, and meaningful change at a pace that feels right for them.
Available

$100/session

Warm
Authentic
Direct

Specialties

Life Transitions
Anxiety
Coping Skills
+10
Any clients ages 16+ are welcome to work with me! My specialties are depression and anxiety, but I have experience with Generalized Anxiety Disorder, OCD, Bi-polar Disorder, Conduct Disorder, Schizophrenia, ADHD, Eating Disorders, Substance Use Disorders (SUD), and so much more! I welcome couples and family therapy which shares a special place in my heart. I am here to help you on your wellness journey. My goal is to give you the tools to live a hopeful, fulfilling, and peaceful life with deep interpersonal relationships. My style is ecelectic. I believe in being the therapist the client needs. I am here to serve you. However, my specialties include person centered, CBT, DBT, and Motivational interviewing.
Available

$150/session

Warm
Authentic
Solution oriented

Specialties

Life Transitions
Anxiety
Career Counseling
+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

$125/session

Solution oriented
Intelligent
Open-minded

Specialties

Life Transitions
Anxiety
Coping Skills
+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

$185/session

Warm
Authentic
Intelligent

Specialties

Life Transitions
ADHD
Anxiety
+10
Many of my clients have been there… trying to find the right therapist and questioning if they can be brave enough to make the first appointment . Maybe you are trying to find the right fit, maybe you are questioning if it is worth it. To those struggling with the multitudes of issues life can throw at all of us-I am here for you! Together we will uncover your power and courage to know that you can do difficult things. I help motivate my clients to keep going despite the challenges.
VirtualAvailable

$130/session

Warm
Authentic
Empowering

Specialties

Life Transitions
Anxiety
Depression
+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

$125/session

Specialties

Life Transitions
ADHD
Career Counseling
+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

$200/session

Warm
Authentic
Open-minded

Specialties

Life Transitions
ADHD
Anxiety
+10
If your brain never fully shuts off, you overthink everything, or you feel mentally exhausted even when life looks “fine” from the outside, you’re in the right place. I work best with thoughtful, reflective adults navigating anxiety, ADHD, burnout, relationship patterns, life transitions, and the pressure of trying to hold everything together. Many of my clients are young adults, college students, and working professionals who are thoughtful, high-functioning, and often spend more time in their own heads than they’d like. My approach is conversational, direct, and insight-oriented. I don’t believe therapy is about me having all the answers. You are the expert on your own life. My role is to help you identify patterns, challenge assumptions, explore different perspectives, and uncover solutions that already fit who you are. Clients often appreciate my open-minded approach, curiosity, and ability to create a space where they can think out loud without judgment. Therapy with me is less about being told what to do and more about developing a deeper understanding of yourself and how you want to move through the world.
Available

$120/session

Warm
Authentic
Open-minded

Specialties

Life Transitions
Anxiety
Bipolar Disorder
+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

New to Grow

$120/session

Specialties

Life Transitions
Anxiety
Depression
Hi! I'm Ashley and I provide virtual and walk-and-talk therapy in Midlothian, VA. My approach is solution-focused in order help you reach your desired goal. I have experience working with clients looking to make lifestyle changes, improve their relationships, overcome intrusive thoughts, or cope with loss. I'm very forward focused and believe change is possible with a strong support system and practical, accessible strategies that you as the client practice.
Available

$175/session

Authentic
Humorous
Warm

Specialties

Life Transitions
Anxiety
Bipolar Disorder
+3
Welcome! I’m so glad you’re here. I’m a Licensed Mental Health Counselor in Virginia and Florida with a passion for supporting adults who are navigating challenges such as addiction, depression, anxiety, trauma, grief, life transitions, or the everyday stressors that can leave us feeling stuck. Many of my clients come to me feeling exhausted from carrying their struggles alone, wanting a safe and nonjudgmental space to be heard, understood, and supported. My goal is to help you build healthier ways of coping, strengthen your sense of self, and create the balance and peace you’ve been searching for.
VirtualAvailable

$190/session

Authentic
Empowering
Direct

Specialties

Life Transitions
Self Esteem
Women's Issues
+5
Hi there! Let's sit and chat... Are you looking for a safe space to explore and organize your thoughts and feelings? Many people see therapy as a one-sided conversation, with little opportunity for interaction or getting to experience one another as real people. I can assure you our sessions will be as real as it gets! I want to help you achieve whatever solutions and life changes you are looking for. We'll work on building trust and a sense of safety, using open communication and humor, to identify how we can improve on your already existing coping skills, supports, and knowledge. Although this process may be challenging, we will work to enjoy the process as much as possible, so you can experience yourself, your relationships, and your life in new ways. Simply put, I don't think therapy has to be a painful thing for you. Starting this step can be hard and I would love the opportunity to work with you on this journey. For Private Pay Clients: Individual Sessions: $190/hour Couple/Family Sessions: $230/hour **All couples and families are seen via private pay. This allows us to focus on the relationships in the room, rather than the diagnosis of an individual. **For those out of network, should you meet criteria for a diagnosis accepted by insurance companies, I can provide monthly superbills that you may submit to your insurance provider for potential reimbursement. Please note that the payments received by the insurance provider as reimbursement may not cover the full service fee and I cannot guarantee reimbursement.
VirtualAvailable

$150/session

Authentic
Warm
Empowering

Specialties

Life Transitions
Anxiety
Depression
+7
Alejandro is a Licensed Professional Counselor (LPC) who earned his Master’s degree in Clinical Mental Health Counseling from Johns Hopkins University. More importantly, he brings a warm, grounded, and genuinely human presence into the therapy room. Clients often describe him as approachable, easy to talk to, and deeply attentive. Alejandro believes that meaningful change occurs in a space where you feel both safe and understood while also being gently challenged. He meets you where you are, without judgment, and helps you explore patterns, emotions, and experiences with curiosity and compassion. Whether you are navigating stress, experiencing life transitions, or facing deeper emotional struggles, Alejandro is committed to walking alongside you at your pace. He aims to support you in building clarity, confidence, and a stronger connection with yourself.
Available

$150/session

Solution oriented
Authentic
Intelligent

Specialties

Life Transitions
Anxiety
Anger Management
+7
Hi, I'm a Licensed Marriage & Family Therapist (LMFT) based in Virginia and Pennsylvania. I received my Doctorate degree in Couple & Family Therapy from the University of Minnesota and have been practicing for 8 years. I have experience working with individuals, couples, and families who struggle with anxiety, chronic health conditions, depression, loss and grief, stress, trauma, and relationship issues such as boundaries, parenting, intimacy, infidelity, trust, and more. I work with clients to process and heal psychological and relational pain. I believe that therapy is both science and art. The art of therapy can be seen as a joint venture between clients and therapists, and the science reflects in providing assessments, treatment plans, and evidence-based interventions. I believe in the collaboration between clients as experts in their lives and myself as a therapist who is trained in providing therapy services.
VirtualAvailable

$100/session

Warm
Authentic
Humorous

Specialties

Life Transitions
Anxiety
Depression
+9
Hi, I’m Angie, and I have a passion for helping individuals heal, grow, and thrive. I specialize in trauma-focused care using EMDR, CBT, and DBT to support clients in building healthier relationships with themselves and others. I understand how trauma can impact relationships with the self and others and utilize my lived experience to help enhance the lives of others. My approach is compassionate, collaborative, and tailored to meet each person’s unique needs on their journey toward lasting change.
VirtualAvailable

$80/session

Warm
Authentic
Open-minded

Specialties

Life Transitions
Anxiety
Depression
+4
Hi, I'm Taylor. I'm so glad you're here. It’s no small thing making the decision to sign up to talk to a stranger about the overwhelming and very often draining circumstances that you’re in. I want to highlight how much being on this site, and looking through profiles is such a significant step toward your mental health goals. Anxiety and improving self image are at the core of my work. I focus on helping clients develop flexible thinking and self-compassion — practical tools that help you step away from self-criticism and patterns that keep life feeling heavy. The goal of this work isn't about becoming a perfect version of yourself. It's about learning to navigate life's challenges with greater flexibility, confidence, and self-understanding.
VirtualAvailable

$150/session

Warm
Authentic
Empowering

Specialties

Life Transitions
Anxiety
Depression
+8
I am a Licensed Clinical Social Worker based in Virginia. I received my Master of Social Work from Virginia Commonwealth University. I have worked in behavioral health and healthcare arenas for over thirty years. This includes experience in oncology, hospice care and all the aspects of providing social support in a Level I trauma center. Over the past few years I have focused exclusively on the provision of therapy for individual adult clients of all ages and walks of life.
VirtualAvailable

$185/session

Authentic
Warm
Intelligent

Specialties

Life Transitions
Anxiety
Coping Skills
+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

$160/session

Warm
Authentic
Empowering

Specialties

Life Transitions
Anxiety
Coping Skills
+2
Do you feel like you're just existing in life? Have you lost your sense of self or identity? Throughout this journey called life, obstacles, stressors, and disappointments contribute to feeling the "blahs." Often, when not addressed, these stressors can lead to depression, anxiety, a loss of self-identity, and low self-esteem. Therapy with me can help you reclaim your confidence, improve your self-esteem, and foster a meaningful relationship with yourself and others without compromising your daily activities. Hi, I'm a Licensed Professional Counselor (LPC) in Virginia with 10 years of experience in the mental health field. I specialize in depression and anxiety, burnout, and self-esteem concerns while providing education and developing practical coping skills. My counseling style utilizes various therapeutic approaches and theories to promote positive outcomes.
VirtualAvailable

Often rebooked

$175/session

Solution oriented
Authentic
Direct

Specialties

Life Transitions
Anxiety
Military/Veterans
+10
I am a Licensed Professional Counselor (LPC) and a honorable combat military veteran. I’m nearing completion of my Doctor of Education in Community Care and Counseling with a specialization in Traumatology and have earned the following degrees: Master’s degree in Professional Counseling, Master’s degree in Human Services Counseling, and a Bachelor’s degree in Journalism with a concentration in Public Relations. I have a multitude of experience in community and clinic settings having engaged in therapeutic day treatment, intensive in-home, parenting aid, mentoring, crisis intervention, crisis stabilization, and outpatient therapy services along with substance abuse counseling. My counseling philosophy focuses attention on your present and future. I focus on goal-oriented questioning to assist you in moving into a future-oriented direction to help reduce negative thinking and behaviors, increase motivation and resiliency, and become a healthier and happier human being. I take a holistic approach to counseling to help you with a healthy integration of the mind, body, and spirit. I have a unique multicultural approach to therapy due to my extensive travels around the world living in different cultures and understanding dynamic human experiences from various perspectives. I'm especially understanding and culturally sensitive to East Asian cultures. I'm very appreciative of East Asian cultures, beliefs and philosophies having lived in several East Asian countries. Many of my client’s successful therapy outcomes have been attributed to my dynamic and unique life experiences. I provide genuine warmth, honesty, empathy, support, and care to my clients. I’m known as a “skill-builder” and have a strong passion to motivate you and build resilience in your life. I look forward to working with you.
VirtualAvailable

$125/session

Authentic
Warm
Empowering

Specialties

Life Transitions
Anxiety
Women's Issues
+10
With over 14 years of experience in the field of mental health and school counseling, I have been fortunate to gain a wealth of knowledge working with individuals 5 to 65! Utilizing my education gained from VSU, VCU and Walden University, I pride myself in the ability to use a variety of treatment modalities, shining a unique perspective within the field! Life is a journey you don't have to endure alone. Support is always available!
VirtualAvailable

$95/session

Empowering
Authentic
Warm

Specialties

Life Transitions
Anxiety
Coping Skills
+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

$125/session

Solution oriented
Empowering
Authentic

Specialties

Life Transitions
Anxiety
Trauma and PTSD
I am a Licensed Mental Health Therapist and Nationally Certified Counselor in Virginia, dedicated to providing culturally sensitive, trauma-informed care. Fluent in English, Arabic, and Tigrinya, I offer evidence-based therapy for individuals and couples from diverse backgrounds, addressing concerns such as trauma, depression, anxiety, anger management, and major life transitions. With advanced training in trauma-focused modalities, I support clients carrying deep emotional wounds by creating a safe, compassionate, and nonjudgmental space for healing. I am especially committed to working with those navigating grief, trauma, interpersonal violence, marital challenges, and the long-term impact of experiences like war, immigration, and incarceration, honoring the cultural identities that shape each client’s story.
Available
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. For example, your selected specialty, Life Transitions, is filtering therapists in Virginia that work with patients with similar concerns.

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.