Therapists that accept Cash Pay in Washington

Hi, I’m Kristen Levin, LCSW. Life can feel overwhelming at times, and holding everything together isn’t always easy. If you’re going through a challenging season, feeling stuck, or simply needing space to focus on yourself, therapy can offer support, clarity, and relief. My approach is client-centered and strengths-based, with care tailored to each person’s unique needs and goals. I work collaboratively with clients to better understand their thoughts, emotions, and patterns, while gently guiding, supporting, and challenging them when helpful. I strive to create a safe, trusting, and comfortable environment where you can openly express yourself, process emotions, build coping skills, and develop a stronger sense of self. Together, we work toward meaningful change and a more balanced, fulfilling life. I draw from a range of evidence-based modalities, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Internal Family Systems (IFS), Solution-Focused Therapy, Mindfulness, Motivational Interviewing, and Client-Centered Therapy. Treatment is always collaborative, and we’ll develop a plan together that aligns with your specific goals. I look forward to connecting and supporting you on your journey.

Hello, I’m Ida Ramos, a Licensed Professional Counselor serving clients in Texas and Washington with 11 years experience. I work with adults, couples, and veterans who struggle with anxiety, depression, and life transitions. As a bilingual counselor fluent in English and Spanish, I provide a warm, supportive, and culturally responsive space where clients feel safe and understood. I personalize sessions to meet your needs and focus on building trust in the first few sessions. My compassion and personal experiences guide my work, and I am passionate about helping others experience the healing and growth that counseling can provide.

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 am a licensed psychologist who works with individuals who have experienced traumatic events and are navigating some of the most difficult moments of their lives. I use evidence-based approaches tailored to each client’s unique needs, including EMDR, CBT, and Acceptance and Commitment Therapy (ACT). I enjoy helping people discover their strengths, overcome challenges, and become the best version of themselves.

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. 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.

I’m a licensed therapist with over 18 years of experience helping adults navigate burnout, anxiety, trauma, and life transitions. I work with high-functioning individuals who often appear to have it together on the outside but feel overwhelmed, exhausted, or stuck beneath the surface. Many of my clients are used to pushing through, taking care of others, and managing everything on their own—until it stops working. They come to me looking for more than just coping strategies. They want to understand what’s driving their patterns and experience real, lasting change. My approach integrates EMDR, parts work, and nervous system-focused therapy to help you move beyond surface-level solutions. Together, we work to reduce overwhelm, process unresolved experiences, and shift the patterns that keep you feeling stuck. The impact of this work is more than symptom relief. Clients often begin to feel calmer, more grounded, and clearer in their decisions. They develop a stronger sense of self, improved boundaries, and a greater ability to navigate stress without becoming overwhelmed. My goal is to create a space where you feel supported, understood, and able to make meaningful progress at a pace that feels right for you. You don’t have to keep doing this alone—change is possible, and it can feel more sustainable than you might expect.

Many people come to therapy carrying experiences they've never told another person. Whether you're living with anxiety, depression, trauma, chronic illness, chronic pain, or navigating life as a neurodivergent person, you don't have to carry it alone anymore. I work with children, teens, and adults to create a space where you can be yourself without fear of judgment. Many of my clients have spent years masking who they are, minimizing their pain, or believing they have to handle everything on their own. Others carry experiences they worry are "too much" to share. In our work together, you don't have to hide parts of yourself or worry about being judged or misunderstood. I strive to create a therapeutic relationship where you feel safe enough to be honest, even about the things you've never said out loud. Whether you're processing trauma, navigating difficult life experiences, learning to live with chronic illness, or discovering what it means to be neurodivergent, we'll move at a pace that feels right for you. Together, we'll build practical coping skills, deepen self-understanding, and work toward a life where you feel more connected, empowered, and less alone.

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.

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, I’m a licensed therapist in Washington, Montana, and Florida, and I truly believe caring for your mental health is one of the most important steps toward a steady, fulfilling life. Reaching out isn’t easy, so I’m really glad you’re here. I focus on supporting adults who are looking to expand their ways of coping and understand themselves better. My style is warm, curious, and collaborative—I use proven approaches while also trusting intuition to help you build skills and reconnect with your strengths. You can expect empathy, compassion, and a space where you can show up as your full 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.

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

Hello, my name is Megan, and I am a licensed mental health counselor in the state of WA who has been practicing for 10 years in the PNW. I specialize working with neurodivergent (ADHD/ ASD) individuals and their families, trauma survivors and those who struggle with depression/ self worth and anxieties. I want to commend you for having the courage and willingness to embark on this therapeutic journey to improve your well-being because taking the first step can feel uncomfortable and filled with uncertainty. I believe building a trusting therapeutic relationship is the foundation to be able to heal, develop healthy skills and have agency over your life. I aim to cultivate a safe, collaborative, and empowering space which allows you, the client, to uncover and identify personal strengths, values and interests. As well as, explore various difficulties and obstacles in your life that have made it challenging to live life effectively. My focus is not to “fix” you, nor have an agenda of how you “should” be living your life, but to walk along beside you, support you in meeting you where you are at and working on creating the life you imagined for yourself utilizining a variety of theraputic apparoaches which best meets your needs.

Hi, I'm Sara. I help individuals caught in controlling and abusive relationships see through the gaslighting, reconnect with their intuition, and shift from survival to self-trust. I specialize in working with survivors of psychological, emotional, verbal, or physical abuse, narcissistic abuse, coercive control, and domestic violence. I also provide individuals struggling with anxiety, depression, trauma/PTSD, infertility and perinatal mood disorders, with the tools they need to begin healing. In couple's work, my approach focuses on recognizing and unlearning disruptive patterns, learning new strategies to communicate more effectively, and rebuilding emotional safety and connection. I graduated with my M.A in Counseling from Northwestern University in 2020, and am currently a doctoral student in the Counseling Education and Supervision program at University of the Cumberlands.

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.

Welcome to my practice! I am a Licensed Marriage and Family Therapist in California and licensed in WA with more than 20 years of experience providing individual, couples, and family therapy. My areas of expertise include depression, anxiety, anger issues, and self-harm ideation and behaviors. I want to get to know you and what might be happening with you that you are seeking counseling for. Many times people come to therapy when they are in some type of distress. Sometimes this is conscious and sometimes not. If you are struggling or distressed for some reason or grieving a loss in life, ( or not sure but something has changed) I would like to see how we can work in therapy. The way we work will depend on the issues you bring to therapy. I have experience with different approaches to therapy including but not limited to HUMANISTIC THERAPY (includes the importance of personal responsibility, and a positive, non-judgmental approach), STRUCTURAL FAMILY SYSTEMS (includes the importance of family structure and healthy boundaries), GOTTMAN (includes helping couples communicate better, resolve conflicts constructively, and create a shared sense of meaning), CBT (generally includes a short-term approach that helps you identify and change negative or unhelpful patterns of thinking and behavior to improve your mood and overall well-being). Please see my calendar with Grow to sign up for an appointment today.

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.

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

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 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.

Hi! I'm a queer feminist who cares deeply about uplifting my community. I believe that my job is all about helping others be unapologetically themselves. I do not believe in the concept of "cringe" and I encourage my clients to really examine shame and unpack how this emotion has attached so deeply into our understanding of self. I have been serving the queer, neurodivergent, sex-positive, and polyamorous community for years. If you fall under with any of those or are wondering if you do, you're in the right place!

I will meet you where you are and work tirelessly to assist you in getting to where you want to go. I strive to be warm, compassionate and empathetic as I gently guide you through the healing journey. I recognize that healing is individualized and treatment approaches should be tailored for each person for the best possible outcome potential. I look forward to walking alongside of you as you explore your concerns.

Mike is a Clinical Therapist and Mental Performance Coach, and the Founder of MadeMind Wellness & Performance, a private practice serving adults in Georgia, Illinois, and Washington state. He works with clients to help them build stronger coping skills, emotional intelligence, and personal values—supporting them in creating more fulfilling relationships, careers, and daily lives. With over a decade of experience as a therapist and mental coach, including roles as Director of Mental Performance for the NFL’s Chicago Bears and numerous college sports teams, Mike combines clinical expertise and performance coaching to guide clients through challenges, strengthen resilience, and discover their capacity to thrive.

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.

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.