Therapists that accept Cash Pay in Washington

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.

Hi! I am a Licensed Professional Clinical Counselor (LPCC) based in CA. I received my Masters Degree from Nova Southeastern University in Florida in 2011. I have dedicated my career to working with adults and adolescents struggling with anxiety, depression and managing different life stressors. Making the decision to start therapy and recognizing that you want to make changes in your life is a big step and my goal is to create a safe and supportive environment for you and help you reach your goals.

I have a passion for helping individuals who have been wounded physically, emotionally and spiritually to become whole and restored. During my professional career I have worked with individuals of all ages who suffer from traumatic experiences, mood disorders, chronic illness, grief and loss, crisis intervention and a host of other issues. I am a certified premarital/marital counseling facilitator with PREPARE/ENRICH. I believe in the mind, body, spirit approach and finding balance in those areas. I work with individuals to find balance in life and to become more whole through exploring the various areas of their lives.

I'm a warm, direct, occasionally irreverent therapist who believes growth happens through honest connection, curiosity, and a little humor. My background in trauma work taught me that understanding our patterns matters, but learning to challenge them is where change begins. Clients seeking to understand where to interrupt their patterns and how to do so often enjoy working with me. My experience includes years working with people navigating complex trauma, shame, difficult relationships, emotional avoidance, and deeply ingrained survival strategies. I've worked with individuals who have spent much of their lives feeling misunderstood, judged, or defined by their worst moments. That experience shaped my belief that accountability and compassion aren't opposites. We can understand why we developed a behavior without deciding that we have to keep it. My approach is collaborative, active, and experiential. I draw from Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and other evidence-based approaches, but I don't believe meaningful change happens simply because we can name a concept. We'll explore how your patterns show up in real life, examine the assumptions and emotions underneath them, and experiment with new ways of responding. I especially enjoy working with people who are curious about themselves, even when they don't quite know where to begin. You don't need to arrive with perfect insight, the right words, or a clear roadmap. Just a willingness to get curious about what's happening and consider what might be possible. You're the expert on your experiences. My role is to bring another perspective, help you notice what might be difficult to see from the inside, and support you in deciding what you'd like to do differently. And yes, sometimes I'll challenge you. But I'll never ask you to do something difficult without respecting how difficult it actually is.

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.

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.

Finding a therapist can feel personal. You want someone who will listen, understand what matters to you, and help you make meaningful changes. I’m Natalie, and I’ve spent over 10 years helping people navigate anxiety, trauma, depression, self esteem, and life transitions. My style is warm, collaborative, and honest. We can explore what you have been through, recognize patterns that no longer serve you, and develop practical ways to move forward. I know that culture, identity, relationships, and lived experiences shape how each of us sees the world, so I take time to understand what those mean for you. You do not need to have everything figured out before we begin.

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 a family man. 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.

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.

I'm Mary, and I'm excited to possibly support you in your journey! I have been described by people who've worked with me as disarming and easy to get along with. I am comfortable working with a diverse range of issues, but I specialize in grief/loss, trauma, in particular the treatment of PTSD and anxiety disorders utilizing CBT and somatic therapies such as EMDR and breathwork. My professional experience includes over 15 years of advocacy, crisis, and mental health care with a wide range of populations.

I am a licensed psychologist and I view therapy as a collaborative, structured process tailored to each patient's unique physiological, psychological, and situational needs. Every client's journey is unique — I start by listening carefully to your story and the specific challenges bringing you to therapy. From there, we work as a team to identify the sources of your stress and build practical strategies that empower you to thrive in your day-to-day life. Whether we draw on present-focused skills, learn to navigate tough emotions, or process deeper memories — we decide the best path forward together. Grounded in a comprehensive lifespan perspective, my goal is to foster long-term resilience, functional recovery, and health optimization through evidence-based practice.

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, 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.

Clients shouldn't have to be in therapy forever! Together, we'll co-create a balanced approach combining active listening with practical techniques, helping you reclaim your narrative and overcome obstacles. My clinical and holistic approach aims for deeper alignment and fulfillment—think more water, less soda. As an LCSW, I'm trained in EMDR, certified in Theta Healing, Reiki, Transformational Life Coaching, and Therapeutic Touch, and am a Master Practitioner in Neuro Linguistic Programming, Hypnotherapy, and Time Line Therapy. I provide a compassionate, judgment-free space to explore your wants, needs, and emotions. You know yourself best, and our work is about uncovering your truths rather than imposing mine. Together, we'll determine the tools and approaches that best suit your needs, ensuring you feel heard, validated, and empowered. The goal is to help you confidently manage challenges independently over time. We'll walk side-by-side, with you gradually taking the lead and me offering steady support. If you have pressing concerns, those always take precedence. Our sessions focus on understanding HOW you think, not just WHAT you think, exploring both conscious and unconscious beliefs and emotions. You'll leave with clear, actionable steps, such as mindfulness exercises, creative writing prompts, meditation, and breathwork techniques to regulate emotions and reclaim your narrative. Therapy isn't about fixing what's "broken" but enhancing alignment and fulfillment while overcoming obstacles. By focusing on your goals and measuring progress, we can eliminate stigma, leaving shame behind and empowering you toward greater self-awareness and fulfillment.

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.

Hello! I'm delighted you're taking the courageous step of seeking support. As an independently licensed therapist with over 20 years of practice, I bring a wealth of experience and a deep commitment to helping individuals and couples achieve their desired mental health outcomes. My educational foundation includes a Master of Clinical Social Work with a focus on Mental Health and Addictions Practice from Indiana University, and a Ph.D. from Western Michigan University. I'm licensed to practice across multiple states, including Michigan, Oregon, Illinois, Texas, and Washington, allowing me to serve a broad range of clients. My passion is helping adults successfully navigate challenges such as: • Stress • Mood Disorders (including anxiety and depression) • PTSD, anger management • Substance Use Disorders and other co-occurring conditions I also work with couples who are facing relationship challenges, guiding them toward stronger connection and communication. Ready to start your journey toward better mental health and a more fulfilling life? I look forward to partnering with you.

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.

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.

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 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.

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 am a licensed therapist with many years of experience in different situations. I have worked in private practice, group practices, community mental health and corrections. My areas of strength are with grief and loss, anxiety, depression, relationships and helping clients with their general sense of life struggles. I use a combination of therapeutic approaches while trying to match my clients with what works for them and what they feel comfortable in utilizing.

Hi, I am a Licensed Counselor offering online individual therapy for adults. Life brings difficult thoughts, feelings, and hard situations that can pull you away from what matters most. You do not have to navigate these experiences alone. My approach centers primarily on Acceptance and Commitment Therapy (ACT). Instead of trying to battle with the pain or challenges you are experiencing, we will work together to change how you relate to it.