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 184 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: 9/1/2026

$150/session

Authentic
Humorous
Direct
Specialties
Anxiety
Depression
Women's Issues
+9
I value authenticity, empathy, and self-awareness, both for myself, my clients, and as a critical part of the therapeutic process (I also take advantage of the healing power of laughter whenever possible!). I aim to normalize and validate my clients’ experiences without judgment, and above all, provide the most basic of human needs: to feel seen and heard. My name is Stephanie (or Stevie, either is fine) and I have been providing therapy in NJ exclusively via telehealth for about the last 5 years (prior to that, in person). I have a deep passion and respect for the power of therapy to change lives, which I have been privileged to witness in my work with clients, as well as in my personal life, both through the consistent use of therapy as part of my own self-care, as well as having spent the last 20 years raising two children with special needs. If you have been struggling with symptoms of depression or anxiety, particularly if they are related to a traumatic experience, I would love the opportunity to work with you to reduce your symptoms and help you experience a present that is not overshadowed by your past. I love working with women ages 20 to 30-something who are still in academia or just starting out in their careers, but also love working with women of any age. I frequently work with survivors of child sexual abuse, as well as those struggling with issues related to self-worth, but work with other conditions as well.
VirtualAvailable
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New to Grow

$155/session

Specialties
Anxiety
Depression
Obsessive-Compulsive (OCD)
+8
I work with teens, emerging adults, and adults who may be feeling stuck, overwhelmed, disconnected, or simply wanting a better understanding of themselves. I believe therapy should be a place where you can show up as you are, feel heard and understood, and explore your experiences without fear of judgment. Together, we can look at the ways you think, feel, and respond to challenges, and begin to understand how those patterns may be affecting your life and relationships. My approach to therapy is warm, accepting, and collaborative. I don’t believe there is a one-size-fits-all approach to healing, so I work with each client to understand their unique experiences, strengths, needs, and goals. I use evidence-based approaches and practical tools to help you build greater self-awareness, develop skills that feel meaningful and manageable, and find healthier ways of navigating life’s challenges. Most importantly, I believe you already have strengths within you that can help you move forward. My role is to walk alongside you, help you uncover what may be underneath the struggles you’re experiencing, and support you in building resilience, confidence, and a deeper understanding of yourself. Therapy can be a place to slow down, make sense of what you’re going through, and create space for meaningful change.
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New to Grow

$175/session

Specialties
Anxiety
Chronic Illness
Life Transitions
+5
I work with adults and teens who are dealing with anxiety, major life changes, health concerns, relationship or family stress, or simply feeling overwhelmed by circumstances they didn’t expect. My style is warm, practical, and direct. I’m an active therapist who will listen carefully, ask questions, offer perspective, and work with you to understand what’s happening and figure out what may actually help.
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$110/session

Solution oriented
Empowering
Authentic
Specialties
Anxiety
Self Esteem
Trauma and PTSD
+7
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.
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New to Grow

$175/session

Specialties
Addiction
Bipolar Disorder
Older Adults
+2
Hello. I am happy you are checking out my profile for the possibility of working together. I was first licensed as a Marriage Family Therapist in California in 2006. I have over 20 years experience working with individuals who are suffering from PTSD, which includes anxiety and depression. My primary expertise is in substance Use Disorders. I believe this is the starting place for healing if one is concerned about their use of mind altering substances.
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$119/session

Solution oriented
Authentic
Empowering
Specialties
Anxiety
Coping Skills
Trauma and PTSD
+9
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.
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$160/session

Direct
Open-minded
Authentic
Specialties
Anxiety
Couples Counseling
Trauma and PTSD
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.
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$150/session

Authentic
Warm
Direct
Specialties
Anxiety
Depression
LGBTQ
+7
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.
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$200/session

Intelligent
Authentic
Direct
Specialties
Mood Disorders
Personality Disorders
Trauma and PTSD
+8
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, personality disorders, 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.
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$120/session

Intelligent
Authentic
Direct
Specialties
First Responders/Healthcare Workers
Military/Veterans
Trauma and PTSD
+4
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.
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$140/session

Warm
Authentic
Empowering
Specialties
Anxiety
Grief
Trauma and PTSD
+10
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.
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$100/session

Open-minded
Warm
Specialties
Anxiety
Depression
Trauma and PTSD
+10
Hi! I’m Ana-Lisa, a Licensed Mental Health Counselor who works with adults, teens, and couples navigating anxiety, ADHD, relationship challenges, life transitions, stress, and feeling overwhelmed. I believe therapy should be a place where you can show up exactly as you are without feeling judged or pressured to have everything figured out. My approach is warm, down-to-earth, and collaborative, and together we’ll work toward meaningful changes that fit your life!
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$150/session

Warm
Authentic
Intelligent
Specialties
Anxiety
Bipolar Disorder
Trauma and PTSD
+10
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.
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$120/session

Warm
Authentic
Empowering
Specialties
ADHD
Anxiety
Military/Veterans
+10
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.
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$95/session

Specialties
ADHD
Autism
LGBTQ
+8
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.
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$150/session

Authentic
Empowering
Solution oriented
Specialties
Anxiety
Coping Skills
Depression
+8
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.
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$100/session

Warm
Authentic
Empowering
Specialties
Anxiety
Chronic Illness
Depression
+10
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.
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$120/session

Authentic
Warm
Empowering
Specialties
Anxiety
Life Transitions
Trauma and PTSD
+9
I'm Anabel, a clinical social worker and certified trauma therapist in TX and WA states. I work with people who are really good at holding it all together — until they're not. If you're exhausted in a way that's hard to explain, carrying more than your share, and wondering if this is just what life feels like now — this is the space I built for that. I work with adults who are holding everything together — managing responsibilities, relationships, and internal pressure — while quietly wondering why it all still feels so hard. My practice, Surviving to Thriving, exists for people who are ready to stop white-knuckling their way through life and start actually living it.
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New to Grow

$150/session

Specialties
Anxiety
Men's Issues
Obsessive-Compulsive (OCD)
+6
I specialize in Men's OCD and anxiety counseling in all its forms. Using ERP and ACT (the gold-standard treatments for OCD and anxiety), combined with a humanistic approach, I build a treatment plan tailored specifically to you, starting in session one. With nearly a decade of experience helping people break free from anxiety or OCD, I know that real progress is possible, and it often comes faster than people expect. Ready to start expanding your world?
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$180/session

Authentic
Humorous
Direct
Specialties
Anxiety
Depression
Life Transitions
+10
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.
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$125/session

Authentic
Solution oriented
Challenging
Specialties
Anxiety
Trauma and PTSD
Women's Issues
+10
Hello! I am an attachment-based, trauma-informed Marriage and Family Therapist. I offer a warm, grounding space where you can slow down and make sense of the patterns that may be keeping you or your relationships feeling stuck. Therapy becomes a place to reconnect with yourself, strengthen your self esteem, self efficacy, relationships, and move toward a life that feels aligned, authentic, and balanced.
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$150/session

Warm
Open-minded
Authentic
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.
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$199/session

Authentic
Direct
Open-minded
Specialties
ADHD
Crisis Intervention
Depression
+6
I'm a Licensed Professional Counselor with over 20 years of experience, currently seeing clients in the states of Arizona and Washington. I hold a Master's in Counseling and a Certificate in Domestic Violence Advocacy from The Seattle School of Theology and Psychology. I self-identify as neurodivergent (AuDHD) and am a committed BIPOC ally. That means I bring both clinical expertise and real lived experience to the work — I understand from the inside what it means to navigate a world that wasn't built with you in mind. My approach is warm, collaborative, and grounded in real-life experience. I specialize in working with adults navigating ADHD, Autism, and the full complexity of being neurodivergent. I also support clients dealing with anxiety, depression, trauma, relationship issues, addiction, and major life transitions. Earlier in my career I worked in severe mental illness, clinical psychiatry, social work with homeless populations, and domestic violence advocacy — giving me a wide and deep foundation to draw from. I use evidence-based therapies including CBT, DBT, and ACT, always through a trauma-informed and strength-based lens. I honor the ways that culture, race, and lived experience shape mental health, and I strive to create a space where your identity is respected and your voice is heard.
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$125/session

Authentic
Warm
Specialties
Anxiety
Obsessive-Compulsive (OCD)
Trauma and PTSD
+10
I am an ABCSW Board Certified expert psychotherapist licensed in multiple states, EMDR trauma treatment specialist, and New York University affiliated researcher with 17 years of experience helping people live happier and healthier lives. I have successfully assisted a diverse spectrum of clients heal the traumatic wounds of the past and unlock the limitless potential of the future. On the other side of trauma, I am also proud to offer assistance with performance enhancement therapy and executive coaching using the science of industrial-organizational psychology.
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$110/session

Authentic
Empowering
Warm
Specialties
Anxiety
Depression
Mood Disorders
+3
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.
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Frequently asked questions

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.

When booking you’ll be asked to verify with your Member ID. However, if you don’t have any of the insurances available you can select cash. Our therapists will have their cost of appointment on their profile. Individual session costs will vary.

The specialty filter is optional. You don’t need to check any boxes to see a provider. However, fit is very important when selecting an online therapist. If you have knowledge or experience to recognize what specialties you may need.

Finding a provider with a similar life experience can be beneficial because it can be easier to establish rapport and potentially be understood quicker and clearer.

Your first therapy session is for you and your therapist to meet each other and to ask any questions that you have about the counseling process. This is where you can expect your therapist to do the same as they will ask questions to gain insight into your specific situation. In this first session the therapist is doing their part to gather as much information so they can better assess if they are able to meet your therapeutic needs. Depending upon your provider's specialty, you may also discuss the methods the therapist will use. For additional information on therapy methods, please visit the Grow Therapy Help Center.Some people feel nervous before their first appointment, and that is totally normal! Coming prepared with a list of questions for your therapist may help. Remember, you're taking a brave step by seeking therapy, and it is okay to be nervous as you try something new.