Therapists that accept Cash Pay in Washington

Dedicated and compassionate counselor specializing in creating a warm, non-judgmental space for individuals and couples. Grounded in a client-centered philosophy, therapy focuses on empowering clients to navigate life's challenges, deepen self-awareness, and heal at their own pace. By seamlessly weaving mindfulness practices and self-compassion into the therapeutic process, clients and couples are guided toward breaking unhelpful patterns, enhancing emotional regulation, and rebuilding secure, authentic connections. Whether navigating individual life transitions, healing from personal stress and trauma, or working through relational gridlock, sessions are tailored to unique goals, honoring each person's innate capacity for growth and resilience.

I take a warm, down-to-earth approach to therapy and work from a trauma-informed lens. I believe our reactions make sense, even when they feel overwhelming or confusing. Together, we slow things down and begin to understand what’s underneath your experiences. I bring in an understanding of how the brain and nervous system respond to stress, helping your reactions feel more understandable and connected to what you’ve been through. I see your reactions as signals worth paying attention to. Rather than only trying to manage them, we take time to understand why they’re showing up and what they might be connected to. From there, we can begin to shift how you respond, building tools that actually support you in a way that feels more grounded and effective.

First and foremost, my work is always person-centered; empathy and collaboration are the core of my therapeutic approach. We know that when it comes to your life, you are the expert. Whether you've uncovered it or not, you hold the deepest understanding of your past experiences, future goals, fears, desires, regrets, joys, and every other component of who you are. My role as your therapist is joining you on your journey to self-improvement and understanding, while being fully present and actively listening to ensure you feel heard and understood. As we dive into your mind, I engage by drawing from my education and training to give insight, offer a new perspective, propose solutions for change, identify helpful coping skills, and assist in various ways based on your individual needs.

Hi, I'm Katie. With over seven years of dedicated experience as a Licensed Clinical Social Worker, my practice is built on a foundation of clinical excellence and compassionate, evidence-based care. I am deeply committed to helping you navigate your most challenging moments by utilizing proven therapeutic models and a direct, goal-oriented approach. I believe that therapy is a collaborative partnership. Together, we won't just talk about the challenges you are facing—we will actively work to understand them and build a practical roadmap toward relief and healing.

Hi! I’m Dave McNew, a licensed clinical psychologist. I work to help those with marginalized identities (sexually & gender queer, BIPOC) to heal chronic struggles with trauma, anxiety, and depression. I use my passion for relational healing, mindfulness, and self-compassion to build space in which you can know yourself more fully and live more authentically. I help to cultivate more safety and joy in your relationships with others, and with yourself. I make space for you to face the parts of yourself that are hardest to feel. Where there was pain and confusion, I help you find greater calm, peace, and connection.

Are you carrying pain you don’t talk about—spiritual questions, emotional wounds, or unspoken grief that is causing mood instability and difficulty with relationships or with making decisions? As a licensed mental health counselor and professional counselor with 20 years of experience, I provide trauma-informed psychotherapy, faith-based counseling, and specialized evaluations for clients in Washington and Arizona. My passion is creating a safe, sacred space for those who feel overlooked or misunderstood, helping individuals, couples, and families to heal from anxiety, depression, and trauma. I meet you where you are, blending therapeutic expertise with compassion to help you find your strength and begin again.

I'm not just a therapist. I'm a coffee enthusiast who starts each day with a pour-over and a quiet moment before the world wakes up. I'm an outdoor lover who believes fresh air and moving my body are non-negotiable, whether that's a hike, 4x4ing, hitting the resort/ backcountry, a walk with the family, or just standing in the backyard feeling the sun. And I'm family-oriented. A partner. A parent. Someone who knows what it's like to be pulled in ten directions and still want to show up fully for the people around me. That life outside the office isn't separate from my work. It's what keeps me refreshed, grounded, and able to come back to this chair with presence and energy. I don't just talk about balance I live it, imperfectly and intentionally. The work I've done reflects that same groundedness. I've been shaped by a wide range of experiences: residential treatment settings where the stakes were high and the progress was hard-won. Outpatient practice where life happens between sessions jobs, kids, marriages, breakdowns and breakthroughs. I've sat with clients across the entire lifespan, from geriatric patients navigating legacy and loss to teens just beginning to ask who they are. That breadth taught me something: suffering doesn't discriminate by age, and neither does healing. Whether you're sixteen or sixty, whether you're processing trauma or just trying to feel less alone, the fundamentals are the same. You want to be seen. You want to be understood. And you want a way forward that actually fits your life. That's what I'm here for.

Broadly speaking, my therapeutic aproach of counseling falls into a behavioral model through which I usually work to address the problems identified. I pride myself for being a thoughtful therapist who manages to get those to talk and explore a different perspective on the identified issues. Quite simply, and through various and applicable therapeutic modalities, I recall past details and tie them together with new facts to help clients better understand themselves.

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.

Are you a woman facing big decisions? Navigating relationship challenges, family dynamics, parenting difficulties, career pivots? My background shapes how I approach therapy with clients facing such women's issues, which includes years as a licensed mental health counselor, but also as serving in senior leadership within higher education, supporting clients as a transformational coach, and balancing parenting along the way. This mix (and juggling act) gives me a practical understanding of how emotional wellbeing is often shaped by work, caregiving, relationships, and major life responsibilities. Many of the woman I work with are thoughtful, capable, and carrying more than others realize. They often appear highly functional on the outside while privately feeling overwhelmed, depleted, uncertain, or disconnected from themselves. I help clients slow things down enough to understand what is happening beneath the surface, identify what needs attention, and move forward in ways that feel grounded and realistic. I am licensed in Washington, Virginia, and Rhode Island, am a nationally certified counselor, and hold a doctorate in adult and higher education. While my colleagues may call me Dr. T, in counseling I'm just Melanie. I'm here to support you, help you find clarity and calm, offer guidance, levity, and a safe space for tears, perimenopausal rage, or a well placed curse word. Together, we find solutions to the barriers keeping you from your next chapter.

Hi, my name is Vienna Aslanian, and I have been practicing as a licensed therapist since the beginning of 2017. I chose to become a therapist after practicing in the field of social work with children and families. Witnessing the trauma and the way that trauma impacted those individual lives caused me to develop an interest in and concern for individuals struggling with PTSD and childhood trauma. Seeing the intergenerational struggles and hearing people's personal stories on the matter made me interested in the field of therapy. I have always enjoyed listening to people's stories and making a genuine connection with someone. I believe in the healing power of therapy and the importance of the therapeutic relationship. I believe in the importance of active listening and supportive guidance. I believe in the importance of empathy and nonjudgment; I value making you feel cared about and understood. I hold myself to high expectations regarding reliability and consistency in order to provide the best support and care possible. I attend training regularly on the best and most effective practices/therapeutic modalities.

Hello! I am Jeff, a licensed therapist practicing in California and Washington. I specialize in treating ADHD, anxiety, depression, and difficulties in relationships. As a certified ADHD therapist, we will work together in improving your focus, motivation, and time management. Moreover as an RLT trained therapist, I will provide support in resolving difficulties in relationships, emotional distress, and feelings of disconnect and isolation. I understand the importance of connecting with you. Your thoughts, emotions, and experiences are essential to the therapeutic process. I will help you identify and bring insight into core issues in your personal life and relationships. We will work together to discover your best self.

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.

Trevor Duncan, PsyD, is a Licensed Mental Health Counselor with over 13 years of experience helping teens and adults navigate a wide range of emotional, behavioral, and serious mental health challenges. Dr, Duncan is the principle therapist and evaluator at Lotus Psychological Services, located in Yakima, WA, Throughout his career, he has worked with individuals facing anxiety, depression, trauma, personality disorders, mood disorders, life transitions, and other complex mental health concerns, providing compassionate and evidence-based care tailored to your 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.

I enjoy using humor in therapy. I feel that the client can be more relaxed with using this type of talk therapy. I was a nurse before I became a clinician and use some of my medical knowledge in your sessions. As a client you can decide how much or how little we focus on each topic. You are in charge of the sessions. I am here to help you balance your life and wishes.

Introduction to Dr. Raymond H. Hamden Dr. Raymond H. Hamden is a Clinical and Forensic Psychologist with over 50 years of experience helping individuals, couples, families, and organizations navigate life’s most complex psychological challenges. His work is grounded in a simple but powerful philosophy: “People Helping People: Making a Better World.” Dr. Hamden brings a unique combination of deep clinical expertise, real-world experience, and human understanding. He has worked across hospitals, forensic settings, government systems, and private practice, supporting individuals dealing with anxiety, depression, trauma, relationship conflict, identity concerns, and major life transitions. What Makes His Approach Different Dr. Hamden does not believe in a one-size-fits-all model. Each person is seen as unique, with their own story, strengths, and potential for growth. His approach integrates: Clinical and forensic psychology Emotional and behavioral insight Communication and relationship dynamics Trauma recovery and resilience building Practical, real-life strategies for change He is also the developer of the Quantum Collaboration Model, focusing on improving how people relate, communicate, and support one another, at home, at work, and in society. Areas of Support Individuals seek Dr. Hamden’s guidance for: Stress, anxiety, and mood concerns Trauma and post-traumatic growth Relationship and family challenges Personal identity and life direction Behavioral and emotional regulation Conflict resolution and communication Forensic and legal-related psychological evaluations What to Expect Working with Dr. Hamden is not just about talking, it is about understanding, clarity, and meaningful change. Clients often describe the experience as: Insightful and grounding Respectful and non-judgmental Structured yet flexible Focused on real-life outcomes A Message to Prospective Clients If you are seeking clarity, support, or a path forward, you are not alone. Dr. Hamden offers a space where your experiences are understood, your voice is heard, and your growth is supported—with professionalism, compassion, and purpose.

I'm a Licensed Mental Health Counselor who knows that you are much more than a diagnosis. Having spent many years working in crisis intervention, suicide prevention, and with people in a variety of difficult legal and personal situations, I tend to be pretty hard to shake. I want to help support you as you seek to control the anxiety, depression, and other stressors that can feel so limiting. I begin from a place of acceptance and positive regard, and utilize evidence-based strategies in collaboration with you, to come together in a plan for meaningful growth. Also, as someone in recovery myself, I welcome those who are looking to move beyond the stifling grip of substance abuse.

I believe that change happens when people are given the proper guidance and tools needed to pursue their goals while also giving them the autonomy to pull on their own strengths and qualities that will get them to the finish line. I provide clients with a space full of compassion and support to help them overcome obstacles and move forward in life. My therapeutic experience mostly consists of services provided to adult and adolescent clients struggling with depression, anxiety, trauma, family conflict, and stress related issues. I tailor various therapeutic modalities such as, Cognitive Behavioral Therapy, Solution Focused, Positive Psychology and Motivational Interviewing according to the client’s individual needs and wants. I believe that everyone is entitled to pursue and live a fulfilling and happy life. I believe that a large part of wellness is having healthy, meaningful relationships, not just with others, but with ourselves.

I am an independently licensed clinical social worker in Washington and Oregon. I have four years of experience as a therapist and over a year of experience in independent clinical practice. Coming to this career later in life, I bring valuable life experience, perspective, and a commitment to lifelong learning to my work. I am passionate about social justice, respecting individual differences, and recognizing the unique strengths each person brings. My previous experience as a teacher and a social worker has given me the opportunity to work with people from many backgrounds. It is deeply important to me, , to honor our differences while recognizing our shared humanity, . I am passionate about helping people heal from trauma, navigate life transitions, develop greater self-understanding, and cultivate self-compassion. My goal is to provide a supportive, collaborative space where clients can understand themselves and move toward a life that is authentic and fulfilling.

I’m a licensed clinical social worker who works with adults navigating life transitions, anxiety, emotional overwhelm, and relationship challenges. My approach is supportive, collaborative, and focused on helping you feel understood while also building practical skills for real-life situations. I integrate evidence-based approaches like CBT, DBT, and ACT to help you gain clarity, manage emotions, and create meaningful, lasting change in your life.

I am licensed in Washington, Wisconsin, Iowa, and Florida. My approach to therapy is with mutual respect, positive regard, and focus on steps toward goal attainment with an interactive exchange, I will tailor a plan based on your individual needs which may include distress tolerance, mindfulness, emotional regulation, and interpersonal effectiveness. I will provide assistance for you in recognizing your wants and needs ensuring that our communication is open and you are able to effectively express yourself in a safe, relaxed, and non-judgmental forum. I offer a safe and empathetic space to process and work through challenges, including trauma, adjustments, behavior issues, depression, anxiety, education, employment, grief and loss, relationship issues and many other personal growth, joy, and life inhibitors.Together we can develop a plan to promote emotional, mental, spiritual, and physical growth.

Also licensed in Oregon, Minnesota, and New York. With over 30 years in the helping professions, I have worked in many settings, including street outreach, community programs, inpatient and outpatient treatment programs, and private practice. I bring a real-world perspective. I specialize in helping people navigate the difficulties of Bipolar Disorder, ADHD, Depression, Anxiety, and Grief. I also have a heart for women navigating the complexities of morbid obesity by providing a space free of judgment. We focus on the person, not just the scale. My background working in impoverished neighborhoods has taught me how people can build resilience and maintain it. I am a cradle Catholic and honor all spiritual journeys, should you want to bring that part of yourself into therapy. We’ll work together to untangle life’s hardest moments with honesty, humor, and a lot of heart.

I'm Anabel, a clinical social worker and certified trauma therapist in TX and WA states, working with high-functioning anxiety and PTSD who are quietly drowning. I'm also a wife, a stepmom, a reader, a Swiftie, and a person who has spent years studying the specific kind of exhaustion that comes from being the one everyone else relies on. I work with people who are really good at holding it all together - until they are not. My practice, Surviving to Thriving, exists for people who are ready to stop white-knuckling their way through life and start actually living it.

Welcome, and thank you for taking this important first step. My name is Arany Orellana, and I am a licensed Clinical Social Worker in the States of Florida, Oregon, and Washington State, with 20 years of experience supporting adults facing mental health challenges. I am fluent in English and Spanish. I offer a safe, compassionate space where you can feel heard, supported, and understood. My goal is to empower you as you build self-compassion, personal growth, and a more fulfilling life. Together, we'll explore that matters most to you and how to move forward with clarity and confidence.

I am a social worker who provides a warm, supportive, and collaborative space where clients can explore challenges and build on their strengths. My approach is grounded in person-centered therapy, cognitive behavioral therapy (CBT), motivational interviewing, and trauma-informed care. I work with individuals experiencing anxiety, depression, life transitions, stress, self-esteem concerns, and adjustment challenges. Together, we will identify goals, develop practical coping strategies, and work toward meaningful change. Life can sometimes feel overwhelming, especially when you’re facing difficult experiences, relationship challenges, major life changes, or struggles with substance use. If you’re looking for a space where you can feel heard, supported, and understood, I would be honored to walk alongside you on your journey. My goal is to provide a safe and compassionate environment where you can explore your thoughts and emotions, build on your strengths, and develop practical tools to help you move toward the life you want. No matter where you are in your journey, we will work together at a pace that feels comfortable and meaningful to you.