Therapists that accept Cash Pay in Washington

I work with adults who struggle with anxiety and are looking for practical tools to feel more in control of their lives. My approach is warm, supportive, and person-centered, meeting you where you are while helping you build lasting coping skills. I incorporate evidence-based approaches such as Cognitive Behavioral Therapy (CBT) and EMDR when appropriate, tailoring treatment to your unique goals, experiences, and pace.

Life can feel overwhelming when you're carrying the weight of anxiety, difficult relationships, or painful experiences from the past. You may find yourself putting others first, struggling with boundaries, or feeling stuck in patterns you can't seem to change. I work with adults who are ready to better understand themselves, heal from past experiences, and create healthier relationships. Together, we'll explore what's keeping you stuck, build on your strengths, and help you move toward a life that feels more balanced, meaningful, and authentic. I specialize in attachment, trauma, anxiety, depression, relationship concerns, and life transitions. I use CBT, DBT, person-centered, mindfulness, and attachment-focused therapies such as Lifespan Integration therapy, tailoring each session to your unique needs. My goal is to help you gain insight, build resilience, and create lasting change.

Hello, I'm Kim. Are you looking for ways to build a life worth living? I am happy and privileged to be a part of your journey for change. I have a passion for helping clients find an emotional balance and happiness in their lives. I will work with you to reach your goals through an open-minded and caring alliance. I work with you to help you build a life worth living, guiding you to the goals and contentment you seek. We will work together in a supportive environment on this journey toward change. I believe in helping clients find ways to jumpstart their change in a goal-oriented manner. Clients and I work together to set goals that help them move forward. Using cognitive-behavioral therapy and other counseling methods, I will help you find the path for change that works for you in an understanding and caring environment. Whether you are dealing with trauma, anxiety, depression, life changes, or relationship issues, I would be honored to help you discover a path to healing. Congratulations on taking the first step toward therapy and a happier future.

I'm Ashley Cross, a Licensed Clinical Social Worker and Board-Approved Clinical Supervisor with over 15 years of experience helping adults navigate anxiety, depression, bipolar disorder, life transitions, stress, and other emotional challenges. I believe therapy should be a place where you feel safe, supported, and free from judgment. My approach is compassionate, collaborative, and tailored to your unique needs and goals. Together, we'll work to better understand the challenges you're facing, build effective coping skills, and create meaningful, lasting changes that support your overall well-being and help you move toward a more balanced and fulfilling life.

Hello, my name is Ace (they/them or ze/hir pronouns) and I am a Licensed Clinical Psychologist who specializes in the intersections of neurodivergence, LGBTQ+ identity, and disability. Have you ever wished you could talk about your concerns without having to give a 101 level lecture first? Are you struggling to find treatment as an Autistic adult or an adult with ADHD? Whether you're undiagnosed, questioning, newly diagnosed, or just looking for some extra support, I'm here to meet you where you're at with tools and strategies that work. I'm a queer, Autistic, non-binary psychologist of color and I've spent the last seven years learning to provide support to members of my communities as they navigate systems of care not built for us. I believe that therapy should be collaborative and consensual, that evidence-based treatment must honor culture and neurotype, and that gender-affirming care is a human right. If you're struggling to build a system of supports and accommodations that will allow you to thrive, if you're questioning your gender or sexuality and need a guide, or if you're just looking for a safer space to process the everyday stresses of your life. You are welcome here.

Psychotherapy provides a safe place to discuss fears, thoughts, and difficult decisions we as humans must make during our journey in life. I believe we are capable of making life changes with the right tools. I am here to listen without judgement. I believe we all have a story to share. Being heard is one of the most important aspects of communication. My passion is working with clients who have experienced some form of trauma in their lives. By sharing your story, we can begin to process the trauma from experience to a new understanding, while remaining in the present.

Hi there! I'm Nadine. I am a bubbly, kind, and caring therapist. I go above and beyond for my clients, and I am so glad that you have taken this step in your healing journey. Deciding to begin, try, explore, or re-start therapy can be a nerve-wracking choice to make. Then you are given this huge task of choosing a therapist. Ugh! So, why choose me? Well, first of all, I am a normal person. I am not stuffy or a therapist that just tells you that you are always right. I am a human that speaks with you like you are also human! I have a great memory, I am engaging, and I like to think I also make therapy fun! If you feel like we might be a good fit, why not give meeting with me a try? If we aren't the right fit, no worries. I just want you to get the help that you feel is right for you. Hopefully we meet soon!

Dr. Trevor Duncan, PsyD, is a Licensed Mental Health Counselor with over 10 years of experience helping teens and adults navigate a wide range of emotional, behavioral, and serious mental health challenges. Throughout his career, he has worked with individuals facing anxiety, depression, trauma, mood disorders, life transitions, and other complex mental health concerns, providing compassionate and evidence-based care tailored to each person's unique needs. Beyond his professional role, Trevor is a father, grandfather, brother, and son who understands the importance of connection, family, and personal growth. He believes that meaningful change occurs through authentic relationships, empathy, and a collaborative therapeutic process. His goal is to create a safe, supportive environment where clients feel heard, respected, and empowered to make positive changes in their lives. When he's not working with clients, Trevor enjoys spending time outdoors and riding his bicycle. His appreciation for nature, movement, and balance informs his holistic approach to wellness and mental health. Whether you are facing significant challenges or simply seeking personal growth, Trevor is committed to helping you build resilience, develop practical coping skills, and create a more fulfilling life.

With over 23 years of experience, I have had the privilege of working with a diverse range of individuals and families navigating life’s challenges. My work includes helping people manage anxiety, depression, grief and loss, relationship concerns, and life transitions. I also bring experience supporting military members and others who have experienced trauma, including PTSD and traumatic brain injuries. My approach to therapy is collaborative. I believe that therapy works best when we work together as a team. I strive to create a safe, supportive environment where you can share your story openly and feel heard without judgment. From there, we can explore practical tools and strategies that help you make meaningful and healthy changes in your life. Seeking support can feel like a big step, and I respect the courage it takes to begin the process. My goal is to help you gain insight, develop practical coping skills, and move toward a life that feels more balanced, meaningful, and fulfilling.

Hi, I'm Carla, and I'm glad you're here. Reaching out for therapy isn't always easy, and I believe finding the right therapist is an important first step. I work with women who are feeling overwhelmed by anxiety, depression, burnout, low self-esteem, or the constant pressure of trying to hold everything together. Whether you're balancing work, family, relationships, or simply feeling disconnected from yourself, you don't have to navigate it alone. My approach is warm, supportive, and collaborative. I strive to create a space where you feel comfortable being yourself without fear of judgment. At the same time, I believe therapy should be practical. I won't just listen; we'll work together to understand what's keeping you stuck, identify patterns that are no longer serving you, and develop realistic strategies you can use in your everyday life. I primarily use Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and person-centered techniques, tailoring each session to your unique needs and goals. I also value cultural humility and understand how life experiences, family expectations, identity, and personal values can shape the way we experience stress and healing. My goal is to help you feel more confident, develop healthier coping skills, strengthen your self-worth, and create a life that feels more balanced and fulfilling. I believe meaningful change happens one step at a time, and you don't have to have everything figured out before you begin. If you're ready to invest in yourself and start creating lasting change, I'd be honored to walk alongside you on your journey.

I am a compassionate and experienced licensed clinical social worker committed to creating a safe, supportive, and nonjudgmental environment where clients feel heard and understood. I use evidence-based approaches, including Cognitive Behavioral Therapy (CBT), Motivational Interviewing, solution-focused techniques, and strengths-based interventions. I support clients navigating anxiety, depression, stress, trauma, relationship concerns, and life transitions while helping them develop healthier coping skills, build resilience, increase self-awareness, and create meaningful, lasting change.

You are not broken—you are becoming. Life brings challenges, and therapy can be a space where you feel safe, accepted, and empowered to grow at your own pace. I believe in a compassionate, collaborative approach that blends evidence-based practices with genuine curiosity about your unique story. Together, we’ll explore what matters most to you, track progress, and set meaningful goals that support healing and resilience. I am an EMDR certified therapist and child mental health specialist, licensed in both Washington, Idaho, and Montana , with a master's degree in Marriage and Family Therapy from Gonzaga University.

I believe that healing happens when we look at the whole picture. Mental wellness isn't just about what is happening in our minds, rather it is deeply connected to our environment, our social structures, and our lived experiences. With a professional background rooted in systemic advocacy, housing case management, and youth mentorship, my practice is built on the understanding that real emotional healing requires a foundation of physical, environmental, and psychological safety. I offer a space that is both deeply compassionate and grounded, where you can feel safe to explore your most authentic self. My communication style is a blend of gentle curiosity and direct, honest reflection, ensuring our sessions feel like a genuine conversation. I believe in meeting you with warmth and a touch of real-world relatability.

I am so glad you are here. It takes courage to reach out and I want you to feel welcomed from the very first moment. You deserve a space where you can breathe, feel supported, and be met with genuine care. Clients often tell me they feel comfortable with me quickly. I show up with warmth, calm presence, and real curiosity about who you are. I listen closely to your words and also to the emotions and meaning underneath. There is room here for laughter, honesty, vulnerability, and relief. I work from a strengths based and holistic perspective because you are so much more than your struggles. I see your resilience, creativity, and the ways you have cared for others and pushed through when life felt heavy. I help you reconnect with those strengths so you can feel more grounded and confident in yourself. I also support the mind body connection. As a registered yoga instructor and mindfulness practitioner, I guide gentle grounding practices and nervous system awareness when it feels helpful. These tools can create internal steadiness that supports healing long after you leave the session. Professionally, I am a Licensed Independent Clinical Social Worker with years of experience supporting people through anxiety, stress, grief, and life transitions. My background in clinical leadership means I know how to remain steady in complex emotional moments while holding hope when things feel uncertain. I believe therapy works best when we do it together. You are the expert on your own life. My role is to walk beside you with empathy, encouragement, and the belief that change is possible. You do not need to have everything figured out. Come as you are. Here, you can feel seen and supported as you move toward a life that feels meaningful, aligned, and fully yours.

I’m a Seattle-based psychotherapist with over a decade of clinical experience. My approach is grounded in Person-Centered Therapy, where you are met with unconditional positive regard in a space that’s affirming, collaborative, and nonjudgmental. I work with adults across the lifespan and welcome individuals from all backgrounds, identities, and relationship structures. I'm especially passionate about supporting members of the queer, LGBTQIA+, polyamorous, ethically non-monogamous, and kink communities. Whether you're facing anxiety, going through a life transition, exploring your identity, or simply looking for a space to feel truly heard — you're not alone. Together, we can explore what healing and self-discovery can look like for you. I do write secondary letters for those seeking gender affirming surgeries. I consider this an essential service to the trans and gender diverse community. My style as a therapist is laid-back but engaged — I’m not a blank wall. I believe therapy works best when it feels like a real relationship, grounded in trust, respect, and genuine care.

Thank you for sharing information about yourself. I'm so happy that you reached out for help. I am Michael Creech, a licensed therapist. My goal is to meet you where you are by bringing a compassionate approach backed by formal training and experience and be a part of your goals in the change process. I am very personable as well as professional and I do not believe in one-sided relationships. I have a multidisciplinary, eclectic approach to therapy in which I utilize techniques and principles from a variety of modalities to include Christian based. My counseling is geared toward treating the whole person from a biopsychosocial spiritual standpoint. I view counseling as a calling and not as a career and that it is a collaborative effort in which I learn and grow as a result of every interaction. My clients describe me as a “good listener” and as someone who “makes me think”. Some of the experiences that have contributed to my professional identity and approach to mental health treatment are my formal education at Pensacola Christian College where I received a BA in Pastoral Ministry and Liberty University where I received a MA in Clinical Mental Health Counseling. I have worked as a therapist under regulatory agencies for 6 years and have worked in Christian Ministry since my ministerial ordination in 2003. Demographics I have served have included inpatient and outpatient care, private practice, substance abuse issues, psychotic spectrum disorders, gender identity issues, personality disorders, sex addiction, family and relationship issues, depression, anxiety, PTSD, Spirituality, and men’s issues. My experiences as a combat military veteran, teacher, father, husband, and a person who has experienced my own traumas and failures have contributed to my professional development. I look forward to getting to know you!

I am a compassionate and dedicated therapist who believes that every person has the potential to grow, heal and live a meaningful and fulfilling life. my approach to therapy is centered on creating a safe, welcoming and nonjudgemental environment where individuals feel heard, valued and supported as they navigate life's challenges. As a Christian, my faith is an important part of who I am and shapes my desire to serve others with compassion, grace, empathy and genuine care. I believe that emotional, mental physical and spiritual well-being all play a part in helping people experience a healthy and fulfilling life. When appropriate and welcomed, I am honored to incorporate Christian faith and values into the therapeutic process while respecting the individual's personal beliefs, experiences and journey. My goal as a therapist is help people understand themselves more deeply, develop healthy coping strategies, strengthen relationships, overcome obstacles and find hope and courage to move forward. I wany my clients to feel empowered to make positive changes and to recognize their own strengths and abilities. I strive to help people move toward a life that is happy, healthy and fulfilling. It is my privilege to walk alongside my clients during difficult times and to support them as they work toward becoming the best version of themselves.

Being a mom can be beautiful, and brutally overwhelming. If you’re carrying invisible weight while trying to hold everything (and everyone) together, you’re not alone. Hi, I'm Olivia Lauzon, LCSW/LICSW and Certified Perinatal Mental Health provider. I specialize in working with mothers navigating trauma, anxiety, burnout, and the deep identity shifts that come with parenthood. Whether your trauma is recent or rooted in childhood, becoming a mom has a way of bringing it to the surface. The sleepless nights, the mental load, the pressure to “do it all,” it can stir up old wounds in ways no one prepared you for. I am licensed to see clients in CO, FL, and WA.

I am a bilingual and bicultural Licensed Mental Health Counselor licensed in Florida with over 15 years of experience working as a psychotherapist. I have worked around the world- in Mexico, in the US, in Germany, in Japan, and in US, and worked in a wide variety of settings, including extensive work in community mental health, substance abuse/addictions, child welfare, and with military and veteran populations. I have worked with clients with a wide range of concerns including couples/relationship issues, anxiety, depression, immigration-related issues, abuse and trauma, divorce and separation, and grief and loss, among other things. I have also worked extensively with the Marine Corps in the area of force preservation and suicide prevention, and have worked with other branches of the service as well, both in the US and OCONUS. My counseling style is warm and interactive. I believe in treating anyone with respect, sensitivity, and compassion, and I don't believe in stigmatizing labels. I honestly believe we can work together to find solutions for almost any problem and that we can emerge from challenges stronger, and even more resilient. My approach combines cognitive-behavioral, humanistic, mindfulness training, and other techniques. I also have incorporated many things I have learned in my travels and interactions with psychology in other cultures and countries into my extensive training. I will tailor our interactions and treatment to help you meet your goals and work collaboratively with you every step along the way. It takes courage to seek for a more fulfilling and happier life and to take the first steps towards a change. If you are ready to take that step I am here to support and empower you.

Dr. Maria Williams, Ph.D., LMHC, LPC I am a licensed therapist with over nine years of experience providing compassionate, evidence-based behavioral health care to adolescents and adults. I am dedicated to helping individuals navigate life’s challenges, heal from difficult experiences, and create meaningful, lasting change. I earned her Doctor of Psychology with a minor in Addictions, along with a Master of Counseling Psychology. My clinical experience spans both inpatient and outpatient settings, where she has supported individuals with a wide range of mental health and substance use concerns. I provide collaborative, strengths-based approach to therapy, helping clients build practical coping skills, strengthen emotional resilience, and gain deeper insight into their experiences. She strives to create a safe, supportive environment where clients feel heard, understood, and empowered to make meaningful progress.

Hi, I'm Daphne, a Licensed Professional Counselor and State-Approved Clinical Supervisor with over 12 years of experience helping adults build healthier relationships with themselves, strengthen emotional resilience, and navigate life's challenges with greater confidence. I work best with individuals experiencing anxiety, depression, stress, life transitions, relationship concerns, self-esteem issues, and mood-related concerns. Whether you're feeling stuck, overwhelmed, or simply looking to better understand yourself, therapy can provide a supportive space to gain insight, develop practical coping skills, and create meaningful, lasting change. My approach is collaborative, compassionate, and tailored to your unique needs. I integrate Internal Family Systems (IFS), Dialectical Behavior Therapy (DBT), and Cognitive Behavioral Therapy (CBT) to help clients increase emotional awareness, improve coping, strengthen relationships, and move toward the life they want to build. I work best with clients who are curious about themselves, open to learning new perspectives, and ready to actively participate in the therapeutic process. Together, we'll identify realistic goals, build on your existing strengths, and develop strategies that support lasting growth and emotional well-being. Clients often report improved emotional regulation, stronger self-understanding, healthier relationships, and increased confidence. I aim to honor your story while helping you build resilience and practical tools for long-term growth. Please note: Requests for letters, evaluations, or documentation outside of standard therapy services require additional fees and are not billable to insurance. ESA letters are available after intake and two additional therapy sessions.

I am a Licensed Professional Clinical Counselor (LPCC) and have been practicing since 2020. I earned my Master of Arts in Clinical and School Counseling from Loyola Marymount University in Los Angeles. My approach is warm, collaborative, and grounded in evidence-based practices. I help clients better understand the connection between their thoughts, emotions, behaviors, and relationships so they can break unhelpful patterns and respond to life with greater intention. My work often focuses on anxiety, trauma, grief, emotional regulation, relationship concerns, self-esteem, boundaries, and major life transitions. Rather than taking a one-size-fits-all approach, I tailor therapy to each person’s needs and goals, drawing from approaches such as CBT, ACT, DBT-informed skills, Emotionally Focused Therapy, Motivational Interviewing, and trauma-informed care. My goal is to help clients develop greater self-awareness, emotional flexibility, resilience, and confidence while creating meaningful and sustainable change. Outside of therapy, I enjoy hiking, traveling, reading, painting, journaling, and spending time with family and friends.

Now Accepting New Clients. Navigating through the journey of life we inevitably run into hindrances that challenge our momentum. Change is hard and can often be sudden and unpredictable, leaving us without the proper tools to cope with these changes. We have to learn to acclimate to our surroundings on our terms. Whether it's a traumatic response, addiction, grief and loss, anxiety, loss of confidence, feeling lost and overwhelmed, feelings of depression or stagnation, there's hope. It takes courage to look into a mirror and see who's looking back, it takes strength to want to make a change and hope to inspire change. My goal is to inspire Hope. To inspire people to look inward and see what is there, what already exists. I want to see people believe in themselves. My goal is to assist people in regaining a strong and confident sense of self.

I have been practicing for over three years, in addition to two years of practicum experience, and I hold a Master’s in Social Work. I am also nearing completion of my Doctorate in Social Work. As my ideal client, you are someone who recognizes the challenges you are facing and is motivated to seek support, guidance, and resources to work through them.

I am a licensed mental health counselor and military veteran. My practice focuses on supporting adults navigating trauma, PTSD, anxiety, depression, organizational stress, organizational betrayal, and high-stress occupational experiences. I work with veterans, first responders, public safety professionals, healthcare professionals, and individuals seeking practical, collaborative, and trauma-informed care. My approach is direct at times, supportive, and grounded in evidence-based treatment, including CBT, DBT skills, EMDR, Trauma-Focused CBT, and strength-based therapy. I help clients better understand their experiences, develop healthier coping strategies, and move toward healing, resilience, and meaningful change.