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 50 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: 8/13/2026

$150/session

Warm
Authentic
Solution oriented

Specialties

Substance Misuse
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

Often rebooked

$95/session

Warm
Solution oriented
Authentic

Specialties

Substance Misuse
Anxiety
Depression
+10
Are stress, anxiety, relationship struggles, or life changes starting to take over? Do you feel stuck in worry, low mood, or patterns shaped by past experiences? If something is holding you back, you don’t have to figure it out alone. Together, we’ll make sense of what’s going on beneath the surface and focus on building clarity, learning practical tools, and creating a path that helps you feel more steady, confident, and in control.
VirtualAvailable

$75/session

Empowering

Specialties

Substance Misuse
Addiction
Anxiety
+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

$145/session

Authentic
Intelligent
Challenging

Specialties

Substance Misuse
Anxiety
Depression
+7
Hello, I am Dr. Chris Coleman. I have obtained a PhD, 2 Masters degrees: Professional Counseling & Addiction Counseling & 2 licenses in Virginia: Licensed Professional Counselor & Licensed Substance Abuse Treatment Provider. I am licensed in Maryland as an LCPC, North Carolina as a Licensed Clinical Mental Health Counselor and Licensed Clinical Addictions Specialist, in Washington, D.C. as a therapist and substance use disorder therapist (CAC II). I work with those challenged with substance use, mental health and co-occurring disorders (mental health & substance use). I have over two decades in the field, demonstrating compassion, non-condemning, empathic setting, with a direct approach to meet you where you are. Also, I am an ordained minister, disciple, believer & follower of Christ.
VirtualAvailable

$70/session

Warm
Authentic
Open-minded

Specialties

Substance Misuse
Anxiety
Depression
+5
Welcome! I'm Stephanie Freeman,MSW, LCSW, LCAS. Take a moment to acknowledge you've taken the first step towards bettering your mental health because, let's be honest - starting therapy can be empowering, confusing, or scary, all at the same time. I strive to create a safe and welcoming environment that allows clients to explore obstacles with concerns related to anxiety, depression, and/or self-care. I focus on helping clients develop assertive communication & boundaries with themselves and those around them that can help improve their quality of life. Counseling can foster personal development in whatever way you may be seeking and help build the life you so deeply deserve. If that's what you're looking for, I'm here when you're ready to share.
VirtualAvailable

$100/session

Solution oriented
Warm
Intelligent

Specialties

Substance Misuse
Anxiety
Depression
+8
Welcome! I am Yulia, a Clinical Social Worker licensed in Virginia, Alabama, and Missouri with over 8 years of experience in mental health in a variety of settings. I am here to help you overcome challenges that you are currently facing. Our life journey may surprise us with many joyful and positive experiences, but there are certainly times when we stumble upon disappointments, stressful life events, health concerns, loss of a loved one, or traumatic experiences that bring us down to our knees and make us question the fairness of life itself and our place in it. If you can relate, you have come to a right place and I applaud you for finding strengths to reach out for help.
VirtualAvailable

New to Grow

$120/session

Specialties

Substance Misuse
Anxiety
Depression
+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

$100/session

Authentic
Intelligent
Open-minded

Specialties

Substance Misuse
Anxiety
Military/Veterans
+2
I am a Licensed Professional Counselor and Licensed Substance Abuse Treatment Practitioner in Virginia. I received my Masters degree from the College of William and Mary and have been practicing for 22 years. I work with teens and adults navigating stress, anxiety or depression, life stage and relationship challenges, life transitions, substance abuse/addictive disorders or simply feeling stuck and needing support.
VirtualAvailable

$150/session

Authentic
Solution oriented

Specialties

Substance Misuse
Addiction
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

$125/session

Authentic
Warm
Open-minded

Specialties

Substance Misuse
Anxiety
Parenting
+9
Are you struggling with your work-life balance, family unit, parent-child relationship, or other relationships? Are these conflicts bringing you overwhelming emotions and distress? Are you in need of more healthy coping skills? As a professional therapist (LMFT) of over 14 years, I strive to empower client success while being a guiding presence in a supportive and safe space. By managing anxiety and dealing with burnout in the workplace, at home, and in relationships you can involve yourself in ideas and activities that bring you to the present and guide you toward your desired future. I am currently working with individual clients 18 and over only, and not accepting couples.
VirtualAvailable

$120/session

Authentic
Warm
Empowering

Specialties

Substance Misuse
Eating Disorders
Life Transitions
+10
My motto is, “People do the best they can with the resources they have at that time.” I believe therapy can help individuals recognize, strengthen, and expand those resources as they work toward a healthier and more fulfilling life. I use cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT) to support clients in understanding patterns, developing effective coping skills, and creating lasting change. I am committed to providing a compassionate and collaborative space where clients feel supported and empowered. I work with individuals facing life transitions, addiction, sexual dysfunction, eating disorders, emotional distress, and a wide range of life challenges. My goal is to help clients face obstacles with greater confidence, resilience, and self-compassion.
VirtualAvailable

$150/session

Authentic
Intelligent
Open-minded

Specialties

Substance Misuse
Anxiety
Depression
+9
I live in the Hampton Roads section of Virginia with my son and our dogs. I enjoy spending time at the beach or in the water somewhere, hiking, reading, and traveling. I have been a licensed clinical social worker for over 20 years and have worked in the field of mental health both, in-patient and out-patient, for over 25 years. I use a combination of Cognitive Behavioral (CBT)and Rational Emotive (RET) therapies to guide patients toward a greater understanding of themselves with the goal of emotional equilibrium or “balance.” The large military presence in Hampton Roads has allowed me to work with active-duty personnel and their families. I have successfully treated patients with depression, anxiety, Bipolar disorder, substance use disorders, and trauma histories.
VirtualAvailable

$175/session

Warm
Authentic
Empowering

Specialties

Substance Misuse
Anxiety
Couples Counseling
+10
Welcome! I am a Licensed Professional Counselor who believes in the transformative power of change! As a person-centered therapist, I strive to identify and celebrate the strengths of my clients. I serve from a compassionate, holistic perspective. I am open, curious, nonjudgmental, and highly motivated to see you become the best version of yourself. In your journey toward wellbeing, I will be there to gently and skillfully guide you, encourage and support your goals, teach and model effective coping strategies and techniques to better manage your needs.
VirtualAvailable

New to Grow

$100/session

Specialties

Substance Misuse
Anxiety
Child or Adolescent
+10
I am a Licensed Professional Counselor who is passionate about helping individuals navigate life’s challenges and create meaningful change. While I work as a full-time school counselor and part-time therapist, supporting others has always been at the center of my work. I have experience working with clients across the lifespan, from children to older adults, with a particular focus on adolescents and young adults. My approach is authentic, collaborative, and grounded in the belief that growth happens when we combine self-awareness with intentional action. I value healthy boundaries, prioritize self-care, and encourage clients to build sustainable habits that support their well-being.
Available

$100/session

Authentic
Open-minded
Empowering

Specialties

Substance Misuse
ADHD
Anxiety
+10
Hi, I’m Liz Serens, a Licensed Professional Counselor in Virginia. I support individual adults navigating anxiety, Attention‑Deficit–related disorders (including ADHD), identity exploration, stress, and life transitions. My style is collaborative and emotionally attuned, offering a steady, nonjudgmental space for growth. I welcome clients from diverse backgrounds and identities and hold space without judgment for the full range of human experience. I bring lived experience with ADHD, a learning disability, and the emotional challenges of navigating body image in a culture that often ties worth to appearance. I help clients understand how their patterns and past experiences shape their emotional world, including shame, internalized criticism, and body‑related emotions. I also support individuals dealing with body dysphoria and self‑esteem concerns rooted in distorted or critical self‑perception, and I use simple body‑based grounding skills—like tapping—to support regulation and presence. I don’t provide diagnostic evaluations, including those related to neurodivergent conditions, learning disabilities, or autism, and I don’t offer EMDR. I help clients connect with the right resources while continuing our work in a grounded, supportive way.
VirtualAvailable

$120/session

Authentic
Direct
Open-minded

Specialties

Substance Misuse
Addiction
Anxiety
+7
My name is Joseph Shelton I am an LGBTQ identifying professional counselor who has extensive experience. Over the years I have worked with individuals with addiction and various mental health disorders with a specialized focus on individuals with major depression anxiety and addiction. I have been in recovery my self for the last going on 12 years since Nov 1 2013. I have extensive experience with my own recovery and LGBTQ issues and know what it means to recover and effectively manage addiction and depression issues.
Available

$119/session

Authentic
Intelligent
Empowering

Specialties

Substance Misuse
Addiction
Anxiety
+10
Hello, I am Dr. Carrington L. Chatham, a clinical social worker with over ten years of experience working in various settings, including community mental health, acute psychiatric care, and veteran affairs. I am dedicated to serving a diverse clientele, including individuals struggling with trauma, anxiety, depression, and those facing significant life transitions. My approach is grounded in evidence-based practices, such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and Positive Psychology, tailored to meet each client's unique needs. I aim to empower my clients to overcome their challenges, build resilience, and achieve their personal and emotional well-being goals.
VirtualAvailable

Often rebooked

$180/session

Authentic
Warm
Empowering

Specialties

Substance Misuse
Addiction
Trauma and PTSD
+9
Hi, I am a Licensed Professional Counselor (LPC) in California and a Licensed Clinical Professional Counselor (LCPC), Licensed Clinical Drug and Alcohol Counselor (LCADC) in Maryland. I use an Integrative and Solution-Focused approach to meet all clients where they are in in their journey, and help them to live full, healthy lives. Being heard, supported, and having a safe space can make all the difference when you are facing challenges in life.
VirtualAvailable

$100/session

Authentic
Intelligent
Warm

Specialties

Substance Misuse
Addiction
Military/Veterans
+9
Hello! My name is Douglas Starliper and I am a Licensed Clinical Social Worker (LCSW-C) licensed to practice psychotherapy in both Maryland and Virginia! Before becoming a licensed therapist, I spent a career as a Paratrooper in the 82nd Airborne Division where I deployed four times. The struggles many Veterans are facing today are what galvanized my interest and desire to begin my 2nd career as a therapist. I utilized my GI bill to complete my undergraduate degree at McDaniel College in Westminster, MD and my graduate degree at University of Maryland Baltimore. I recently completed the supervised portion of my career and am currently fully licensed to practice independently as a LCSW-C.
VirtualAvailable

$250/session

Warm
Authentic
Intelligent

Specialties

Substance Misuse
Anxiety
Self Esteem
+10
Hi there! I'm Anne! Whether you're healing from narcissistic abuse, mending a broken heart, battling burnout, or wrestling with anxiety and depression, I want you to know one thing: you're not alone on this journey. My practice is a safe haven for those who've weathered these storms. I've dedicated my career to creating a warm, judgment-free space where your story matters and your feelings are valid. I don't believe in one-size-fits-all therapy. Instead, we'll work together to find an approach that resonates so that you feel heard and understood. We'll unpack the heavy emotions, develop coping strategies that actually work for you.
VirtualAvailable

$95/session

Authentic
Direct
Solution oriented

Specialties

Substance Misuse
Anxiety
Depression
+10
Many people are unsure how to help their family members or friends that are struggling with mental health or substance use, or where to seek help for themselves. I have spent the last 6 years working in substance use and mental health treatment and have had the privilege of meeting and working with adolescents, young adults, and adults in individual, group, and family settings.
Available

$200/session

Solution oriented
Warm
Authentic

Specialties

Substance Misuse
Crisis Intervention
Suicidal Ideation
+10
Congratulations on taking an important step toward strengthening your emotional well-being and prioritizing your mental health. Seeking support is a meaningful decision that reflects courage, self-awareness, and a commitment to personal growth. I am Dr. Vester Appiah, a doctoral-level Licensed Professional Counselor (LPC) and Licensed Substance Abuse Treatment Practitioner (LSATP). With more than a decade of clinical experience, I specialize in providing evidence-based, compassionate care to adolescents, young adults, and adults. My approach is tailored to support individuals seeking stability, growth, and long-term healing.
VirtualAvailable

$140/session

Empowering
Warm
Authentic

Specialties

Substance Misuse
ADHD
Chronic Illness
+10
I am a Licensed Clinical Social Worker and Licensed Clinical Addiction Specialist with over 18 years of experience in mental health and addiction counseling field. I am licensed in South Carolina, North Carolina, Virginia, Utah, and Maine. My career has included extensive work with Veterans, Active Duty personnel, and federal employees, providing trauma informed care. I have a background in women's health issues, POTS, EDS / hEDS, MCAS, MCTD, RA, Lupus, perimenopause, and other autoimmune and chronic illnesses that need therapy supports. I specialize in Women's mental health, Recovery, ADHD and supporting neurodivergent adults, LGBTQIA+ individuals, mental health issues due to chronic pain and medical trauma, trauma survivors, addiction, burnout, anxiety, women’s issues, and major life transitions. My approach is nonjudgmental and trauma informed, meeting clients where they are with curiosity and compassion while creating a space for authentic growth and understanding. I value appropriate self disclosure when it supports the therapeutic process and use my training and lived experience to help clients develop tools that genuinely serve them. My work draws from an eclectic foundation that includes Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), Solution Focused Therapy, Polyvagal Theory, and Somatic approaches. I also integrate alternative and mind body methods that expand healing beyond traditional talk therapy, supporting both emotional and physiological well-being. I practice from an intersectional perspective, recognizing that our identities; race, gender, sexuality, neurotype, ability, culture, and lived experience intersect to shape how we move through the world and how the world responds to us. Healing requires honoring all of those parts. I believe neurodivergence is not something to be fixed, but understood, supported, and celebrated. Therapy is a space to learn your brain, not fight against it, to understand how it works, and build systems of support that honor your authentic wiring.
VirtualAvailable

$110/session

Empowering
Open-minded
Authentic

Specialties

Substance Misuse
Coping Skills
Life Transitions
+10
As a Board-Certified Art Therapist (ATR-BC) and Licensed Professional Counselor (LPC) in Virginia, my hope is to engage in a collaborative therapeutic alliance with each individual & couple: fostering self-efficacy, developing new coping skills, focusing on strengths, and finding solutions that support your journey for self-discovery and overall healing. Using a framework of Person-Centered Therapy with techniques derived from Cognitive Behavioral Therapy, Solutions-focused Therapy & Mindfulness-based Techniques, will help you learn to manage reactions to challenges as you integrate new perspectives into your life.
VirtualAvailable

$125/session

Solution oriented
Authentic
Open-minded

Specialties

Substance Misuse
Anxiety
Coping Skills
+10
I am a licensed clinical social worker and practice in the District of Columbia, Maryland and Virginia. I have been providing therapy for close to 15 years to help my client address mental health symptoms including depression, trauma, life transitions and anxiety. I believe people are inherently capable of managing their circumstances but sometimes require some assistance from a therapist to succeed.
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. For example, your selected specialty, Substance Misuse, 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.