Therapists that accept Cash Pay in Washington

Choosing a cash pay option for mental health care can provide flexibility and access to quality support without the constraints of insurance networks. With 149 verified therapists in Washington 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: 4/4/2026

New to Grow

$250/session

Specialties

Grief
Sexual Abuse
Trauma and PTSD
I am a compassionate and grounded therapist who is dedicated to helping clients navigate life’s challenges with clarity, purpose, and a greater sense of control. I bring a supportive, collaborative presence to each session, creating a space where clients feel genuinely heard, respected, and empowered to explore their experiences. My work is guided by a strong belief in personal responsibility, resilience, and each individual’s capacity for growth, healing, and meaningful, lasting change over time.
VirtualAvailable

New to Grow

$120/session

Specialties

Anxiety
Couples Counseling
Health/Medical Issues
+4
I provide trauma-informed, client-centered counseling with an emphasis on somatic awareness and nervous system regulation. Clients often seek therapy when they feel overwhelmed, disconnected, or constrained by patterns that developed in response to past experiences. My role is to support you in building safety, increasing emotional and physiological regulation, and developing the capacity for meaningful and sustainable change. My approach is integrative and outcome-focused, combining relational therapy with solution-focused and body-based interventions. Treatment is collaborative and tailored to your goals, with attention to symptom reduction, improved functioning, and increased flexibility in how you respond to internal and external stressors. Somatic therapy is a central component of my work. With training in yoga therapy, massage therapy, and body-oriented psychotherapy, I incorporate interventions such as grounding techniques, breath regulation, mindfulness practices, guided imagery, and gentle movement when clinically appropriate and with your consent. These approaches support increased interoceptive awareness, reduced trauma-related activation, and a more regulated nervous system. This work is particularly effective for individuals experiencing trauma and PTSD symptoms, anxiety, chronic stress, and disordered eating. I help clients identify and modify patterns of thinking, feeling, and behavior that no longer support well-being, while also addressing the underlying physiological responses that maintain these patterns. Therapy is relational, structured, and often short- to medium-term, though length of treatment varies based on individual goals and clinical needs. Progress toward goals is reviewed regularly to ensure treatment remains effective and aligned. Clients are encouraged to ask questions and participate actively in the therapeutic process. Transparency, collaboration, and respect are foundational to my work.
VirtualAvailable

$125/session

Empowering
Warm
Authentic
Solution oriented
Intelligent
Direct
Humorous
Open-minded

Specialties

Domestic Violence
Sexual Abuse
Trauma and PTSD
+10
Melyssa Rivera-Lopez is a licensed clinical social worker with more than twenty years of experience, a track record marked by depth and tenacity. She earned top honors from Barry University, then spent the next two decades serving as a behavioral health specialist, clinical director, consultant, and expert witness. Her days range from conducting careful assessments, making complicated diagnoses, and offering evidence-based recommendations to testifying in court as an expert in her field. Every role demands quick adaptation and a focus on policies that improve lives. Some days she’s an advocate, other times a mediator, but all of it demands grit, empathy, and resilience. After twenty years, you can’t help but see that every chart represents a real life, and every report or recommendation is a chance to nudge the social system toward something better. Melyssa Rivera-Lopez is known for blending different evidence-based methods—Rapid Resolution Therapy, Exposure Therapy, Post-Traumatic Growth, Dialectical Behavioral Therapy, Mindfulness, Narrative Therapy, Cognitive Behavioral Therapy, Reality Therapy, and Psychodynamic Therapy—which are personally tailored plans for each individual. Based in Miami, she serves clients remotely as a licensed provider in Florida, Washington State, and New Hampshire. She accepts over 200 types of insurance and is widely regarded as a trauma specialist.
VirtualAvailable

$100/session

Warm
Authentic
Open-minded
Intelligent
Solution oriented
Empowering
Humorous
Holistic
Direct

Specialties

ADHD
Autism
Depression
+4
I’m Gwendolyn Barnhart, PhD, PsyD, EdD, a licensed clinical psychologist with a cross-jurisdictional private practice serving Washington, Oregon, Hawaii, Alaska, British Columbia, and PSYPACT states. I have vast experience working with neurodivergence, intellectual and developmental disabilities, in multicultural settings. I primarily serve clients who identify with autism and ADHD. As an AuDHD psychologist, I bring lived experience alongside clinical expertise, which helps me create spaces that feel safer, clearer, and more attuned to neurodivergent needs.
VirtualAvailable

Often rebooked

$75/session

Warm
Authentic
Empowering
Intelligent
Open-minded
Challenging
Solution oriented
Humorous
Open-Minded
Solution oriented
Direct

Specialties

Anxiety
Depression
Trauma and PTSD
+10
Have you experienced trauma? As a trained Trauma Therapist I will work with you to resolve PTSD symptoms. I have expertise addressing sexual/physical/psychological abuse, trauma from giving birth, childhood trauma, neglect, and other traumas. I will also help you address any anxiety, depression, pregnancy/postpartum issues, infertility issues, relationship/family conflict, or other life stressors. My general approach to therapy is to utilize Cognitive Behavior Therapy (CBT), which involves identifying and changing thoughts and feelings, and building coping skills. I am also certified in specific trauma therapy approaches such as Cognitive Processing Therapy (CPT) and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) to address PTSD symptoms. I am a Licensed Mental Health Counselor in the state of Washington, a Licensed Professional Counselor in the state of Pennsylvania, and a National Certified Counselor located in Pennsylvania. I grew up immersed in more than one culture. I identify as South Asian American and grew up in the United States. I consider myself to have a strong cross-cultural understanding, and can relate to individuals who come from various cultures and backgrounds, including the LGBTQ community. My approach to counseling is always to get to know the individual first, understand their goals for counseling, and work with them as a team to help them get to where they desire to be in their life. I am always open to feedback and willing to try new methods or approaches that best fit the needs of each individual I work with, as every individual is unique!
VirtualAvailable

Often rebooked

$150/session

Authentic
Warm

Specialties

Anxiety
Depression
Life Transitions
+5
I believe therapy works best when you feel truly seen, safe, and understood. My approach is warm, collaborative, and grounded in the belief that meaningful change happens through connection. I work with adults navigating anxiety, grief, life transitions, and the emotional weight of caregiving, relationships, and work stress. Many of my clients come to therapy feeling overwhelmed, stuck, or unsure how to move forward — and together we create space to slow down, make sense of what’s happening, and build tools that actually fit your life. Therapy with me is not about “fixing” you. It’s about helping you reconnect with your strengths, deepen self-compassion, and move toward a life that feels more balanced and authentic. I strive to create a space that is nonjudgmental, affirming, and supportive of your unique story
VirtualAvailable

$120/session

Warm
Authentic
Solution oriented
Open-minded
Intelligent
Challenging
Direct
Empowering
Open-Minded

Specialties

Anxiety
Spirituality
Trauma and PTSD
+3
Hi! I'm Nicole and I am an LPC in Texas and an LMHC in Washington State. I aim to provide an environment in which you feel accepted and encouraged as you work toward growth and contentment. I graduated with a Master's in Counseling in 2004, and since then I have worked with diverse populations dealing with anxiety, depression, trauma, grief, parenting and more. I am certified in multiple evidence-based parenting programs, and I have additional experience and training in military culture, trauma, foster care/adoption, and religious perspectives.
VirtualAvailable

$120/session

Intelligent
Warm

Specialties

Anxiety
Depression
LGBTQ
+6
Welcome to Your Therapeutic Journey! My name is Trent, and I am pleased to assist you in addressing the behavioral health concerns you've brought to your journey with me today. As a Client-Centered and Solution-Focused therapist, my goal is to support you in defining and achieving your personal dreams and aspirations. To begin, I would like to introduce the "miracle question." This exercise will help us envision what your ideal life would look like if you were to wake up tomorrow with everything in place as you hope. Once we establish this vision, we can prioritize your goals and collaborate on developing strategies and coping mechanisms that align with your desired outcomes. It's important to recognize that your fulfillment is shaped by your efforts and the meaningful interactions that you've identified as significant. Once we've created a treatment plan based on your objectives, we will work through each goal step by step. Regular check-ins will allow us to assess your feelings about your progress and make any necessary adjustments to the treatment plan, including the addition of new goals as they arise. Please keep in mind that the therapeutic process can sometimes feel challenging before it improves, so your feedback is crucial. It will enable me to adapt your treatment plan to ensure that your therapeutic goals are being effectively addressed. Should you wish to schedule your first session, I invite you to check my calendar for available slots and self-book at your convenience. I look forward to meeting with you soon. In the meantime, please feel free to reach out for support or with any questions or concerns you may have. I strive to respond to chat messages within 24 hours when possible. Congratulations on taking this significant step toward your therapeutic goals! Best regards, Trent
VirtualAvailable

New to Grow

$100/session

Specialties

ADHD
Bipolar Disorder
Mood Disorders
+10
With 38 years of experience, I’ve seen it all—from quiet rural towns to the toughest streets of Harlem and the South Bronx. I don’t just bring clinical theory to our sessions; I bring real-world perspective. I specialize in helping people navigate the weight of Bipolar Disorder, depression, anxiety, and deep grief. I also have a heart for women navigating the complexities of morbid obesity, providing a space free of judgment where we focus on the person, not just the scale. My background in impoverished and dangerous neighborhoods has taught me resilience, and I’m here to help you find yours. We’ll work together to untangle life’s hardest moments with honesty, humor, and a lot of heart.
VirtualAvailable

New to Grow

$175/session

Specialties

Coping Skills
Family Conflict
Life Transitions
+10
It is my desire to support you a long your journey. I have experience and training working with many life challenges faced by people of all ages. It is important to provide evidence based, age and developmentally appropriate therapy to meet your needs. This may look like sand tray expressive arts therapy, skills, Psychotherapy, or having family or friends to support your therapy goals. And sometimes we need to talk, I also provide talk therapy.
VirtualAvailable

New to Grow

$135/session

Specialties

Anxiety
Coping Skills
Depression
+5
I've been in the mental health field for around 17 years, licensed in the last 6, and have worked with a variety of clients. I've worked with parents who are struggling with behavioral issues with their children, adults struggling with chronic illness, older adults dealing with aging, and adults in general who are experiencing life transitions that are proving to be difficult to manage. I work to help clients find helpful ways of coping, while also addressing the core of the issues that they are dealing with.
VirtualAvailable

$175/session

Authentic
Open-minded
Direct
Empowering
Intelligent
Solution oriented

Specialties

Perinatal Mental Health
Postpartum
Trauma and PTSD
+10
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 WA, CO, and FL.
VirtualAvailable

$95/session

Authentic
Empowering
Warm
Humorous
Open-minded
Solution oriented
Direct
Intelligent

Specialties

ADHD
Anxiety
Life Transitions
+9
Hi! I'm a Licensed Professional Counselor based on the east coast and licensed in 10 states. I've worked with virtually all populations, but have a passion for supporting young adults in their mission to conquer over thinking and minimize anxiety. I also love to provide hope and guidance to anyone working through a tough transition. Life's stressors can be minimized!
VirtualAvailable

New to Grow

$90/session

Specialties

Anxiety
Couples Counseling
Trauma and PTSD
+3
I have been licensed as a professional counselor since 2005 in Oregon, and in 2007 in WA, and more recently in AZ. I came to the profession after a career in telecommunications business and before that as a research and public librarian. My last 18 years have involved serving military Veterans in civilian readjustment, trauma processing and career preparation. Helping people solve their life problems and seek future-forward opportunities for growth is my true goal. Individuals and couples seeking some sort of help and guidance about their dilemmas and challenges may find my broad, worldly experience very beneficial.
VirtualAvailable

$120/session

Direct
Intelligent
Solution oriented
Warm

Specialties

Anxiety
Child or Adolescent
Life Transitions
+10
Welcome! I am a Licensed Clinical Social Worker that honors client-led sessions to support your wellbeing journey with humility. I seek to support clients in identifying a desired outcome and explore how to build upon their strengths and examples of success to address their emotional, social and psychological wellbeing. I am passionate about working with youth and their caregivers to provide early intervention during the formative years of development to support the youngest in our community and help them flourish. I believe in the impact of recognizing positive feelings and functioning in life, in addition to character strengths and behaviors that help build a meaningful and purposeful life. I recognize the importance of cultural and community strengths to demonstrate how our social environment can benefit our mental health outcomes.
VirtualAvailable

$125/session

Authentic
Solution oriented

Specialties

Anxiety
Trauma and PTSD
Women's Issues
+10
Hello! I’m a Marriage and Family Therapist specializing in trauma, anxiety, depression, and relationship issues. I help adults make sense of what they’re feeling and understand why these patterns keep showing up—especially in relationships. My work is grounded in an attachment-based, trauma-informed approach. Many of the struggles we face as adults are rooted in earlier experiences of emotional inconsistency, neglect, or psychological harm. These experiences can shape how we see ourselves, how safe we feel with others, and how we respond when relationships become stressful. Together, we’ll go beyond just talking about your thoughts. Using a bottom-up approach, we’ll work with your nervous system and emotional responses to create real, lasting change—not just temporary coping.
VirtualAvailable

$100/session

Authentic
Holistic
Humorous

Specialties

ADHD
Anxiety
Depression
+6
I am a Clinical Social Worker dedicated to creating a safe, compassionate space where individuals, military members, veterans, and their families can explore challenges, build resilience, and move toward meaningful change. I work with clients navigating anxiety, depression, life transitions, relationship stress, and emotional overwhelm. My goal is to help clients gain insight, strengthen coping skills, and reconnect with their sense of purpose so they can experience greater balance, confidence, and fulfillment in their daily lives. I am licensed in Alaska, Alabama, Mississippi, Montana, and Washington.
VirtualAvailable

$120/session

Open-minded
Authentic
Warm

Specialties

Anxiety
Coping Skills
LGBTQ
+10
Yes, I’m a Licensed Mental Health Counselor with over 13 years of experience — but first, I’m a human who understands that life can feel overwhelming, confusing, and deeply challenging at times. Therapy isn’t just about talking to someone; it’s about working with someone who understands how complex and challenging life can be. I show up exactly where you are, a safe space free of judgement and profound understanding. I work with adults facing anxiety, relationship stress, life transitions, and the quiet internal battles that don’t always show on the outside. Many of the people I see are capable and responsible, yet feel overwhelmed, stuck in patterns, or unsure how to move forward. I’m deeply dedicated to meeting people exactly where they are — without judgment — while also helping them grow. Therapy with me isn’t just about talking; it’s about understanding yourself more clearly and learning tools you can begin using immediately. I blend practical strategies with deeper emotional work so that insight turns into real-life change. My goal is to help you feel more steady, more self-aware, and more confident navigating your relationships and your life.
VirtualAvailable

$150/session

Authentic
Empowering
Warm

Specialties

Anxiety
Career Counseling
Life Transitions
I work with adults navigating anxiety, stress, and major life transitions—especially those who are used to holding everything together for everyone else. In therapy, we approach your story like a collaborative puzzle: you bring the pieces, and together we make sense of the bigger picture so you can slow down, reconnect with yourself, and grow. I support clients experiencing depression, anxiety, and chronic life stress by offering a warm, practical, and personalized space for reflection and healing. My approach blends compassion with actionable strategies, helping you build insight, strengthen coping skills, and create meaningful, sustainable change. If you’re feeling overwhelmed and looking for a therapist who understands the pressure of balancing work, relationships, and daily responsibilities, I’m here to help you move toward clarity and calm.
VirtualAvailable

New to Grow

$150/session

Specialties

Anxiety
Bipolar Disorder
Couples Counseling
+9
My passion is to help people live a better life. That may look like setting boundaries, working through a loss, or life transition or helping you change a pattern of behavior that is keeping you stuck. My goal is to help you feel better so you can lie the live you have always dreamed of! Contact me today and we can start on your journey together!
VirtualAvailable

$150/session

Warm
Open-minded
Authentic
Empowering
Humorous
Intelligent
Direct
Solution oriented
Open-Minded
Challenging
Holistic
Solution oriented

Specialties

Anxiety
Depression
Trauma and PTSD
+6
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.
VirtualAvailable

New to Grow

$125/session

Specialties

Anxiety
Depression
First Responders/Healthcare Workers
+10
I’m a licensed therapist who is passionate about helping individuals find balance, clarity, and healing in the midst of life’s challenges. I specialize in working with adults—particularly women and helping professionals—who are navigating anxiety, burnout, life transitions, and emotional overwhelm. My approach is warm, collaborative, and grounded in evidence-based practices, while also honoring the importance of each client’s unique experiences, values, and cultural background. I use an integrative style that may include Cognitive Behavioral Therapy (CBT), attachment-based work, mindfulness, and, for those who desire it, faith-based counseling. I believe that therapy should be both practical and meaningful—providing you with tools you can use in your daily life while also creating space for deeper insight and lasting change. My goal is to create a supportive, nonjudgmental environment where you feel seen, heard, and empowered. Together, we will work to help you better understand yourself, strengthen your coping skills, and move toward a more grounded, intentional, and fulfilling life.
VirtualAvailable

$150/session

Warm
Authentic
Humorous
Open-minded
Solution oriented
Intelligent
Direct
Empowering
Open-Minded
Challenging
Holistic
Solution oriented

Specialties

Depression
Grief
Trauma and PTSD
+10
Hi, I'm Quinn! If you're feeling overwhelmed, uncertain, or alone... I see you. Most of us are these days. Seeking help is hard and incredibly brave. I've never lost appreciation for the vulnerability and trust it takes to reach out for help. Life can be so hard sometimes, but you don't have to go through it alone. Whether you're dealing with depression, anxiety, relationship issues, or just want to get back to feeling like yourself again, I can help. If trauma, loss, or illness have brought you here for support, I am highly experienced in those areas as well. For the past ten years, I have worked as an embedded consultant and individual therapist for military special operation forces. In this role, my focus has been on PTSD/combat stress, work-life balance, and stress reduction with a mostly male population. If you're looking for a no bs, candid, and down to earth therapist, it's me you're looking for.
VirtualAvailable
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New to Grow

$175/session

Open-minded
Solution oriented

Specialties

ADHD
Anxiety
Couples Counseling
+4
Hi, My name is Lindsay Emerson and I am passionate about helping people experiencing healing and freedom in their lives! I desire to see couples thrive in fulfilling relationships through deeper connection, effective communication, and healthy conflict resolution. I also help individuals with ADHD, depression, anxiety, and those who have experienced trauma and PTSD. Healing takes time and your personal story matters. You can expect to gain valuable tools to better equip you for the challenges you may be facing personally or with close relationships.
VirtualAvailable

$135/session

Authentic
Challenging
Direct
Empowering
Intelligent
Warm

Specialties

LGBTQ
Serious Mental Illness
Trauma and PTSD
+10
I am a Licensed Clinical Social Worker with over 10 years of experience supporting individuals with complex and high acuity mental health needs. My work is grounded in trauma informed and trauma responsive care, with a strong commitment to creating inclusive, affirming spaces for BIPOC, LGBTQI+, neurodivergent clients, and individuals in rural communities. I work across the lifespan, including children (6+), adults, older adults, families, and couples. My approach is collaborative and empowering, centered on the belief that clients are the experts in their own lives. I often describe my role as “working myself out of a job” helping clients build the insight, skills, and confidence needed to advocate for themselves and navigate systems independently.
VirtualAvailable
Frequently asked questions

Why filter by Washington rather than a city like Seattle?

When looking for online therapy, you can see anyone that is credentialed in Washington. We want you to find the best fit, therefore, Grow Therapy shows available therapists across Washington from Spokane to Tacoma! If you’d rather see someone in-person, you can change the filter from virtual and find a therapist near you in Washington.

Will my therapist take insurance?

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.

How does the Specialty Filter work? Can I find a therapist that focuses on a specific issue?

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.

Why use Gender, Age, and Identities filters?

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.

What happens during the first therapy session?

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.