Therapists that accept Cash Pay in Washington

I have provided counseling services to clients since 2008 and have experience with a wide range of mental health and behavioral disorders in a variety of treatment settings to include crisis stabilization units, inpatient psychiatric hospitals, inpatient substance abuse treatment centers, outpatient community mental health, and both inpatient and outpatient mental health treatment in correctional settings. As such, I have gained extensive experience working with individuals with complex issues.

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.

My name is LeNeice, and I am available to assist you with becoming better able to address your mental health needs. My primary areas of specialization are Adjustment Problems; Anger Management; Anxiety; Depression; Trauma/PTSD; and Domestic Violence. In addition, I also provide treatment for First Responders; Grief; Multi-Cultural Issues; Racial Trauma; Relationships; Stress-including Workplace, Veterans & more. As a Licensed Clinical Social Worker (LCSW-AZ/LICSW-WA), I earned a Master of Social Work (MSW) Degree from the University of Illinois, Urbana-Champaign (UIUC). Additionally, I have 8.5 years of formal experience as a Behavioral Health Professional (BHP).

I’m a clinician who helps people explore new ways of overcoming challenges and building a life that feels aligned with their values. My practice is grounded in creating a safe, non‑judgmental space where you can show up authentically, reflect openly, and feel supported as you work toward meaningful change. I’m here to walk alongside you with curiosity, compassion, and a belief in your capacity to grow.

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.

I am a Licensed Clinical Social Worker with over 20 years of experience working with adolescents, adults, couples, and families. I help clients navigate trauma, anxiety, depression, addiction, relationship struggles, anger, and difficult life transitions in a practical, supportive, and nonjudgmental environment. My goal is to help clients better understand themselves, break unhealthy patterns, develop healthier coping skills, and move toward lasting emotional healing and stronger relationships.

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.

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.

I am so glad you are here. It takes courage to reach out and I want you to feel welcomed from the very first moment. You deserve a space where you can breathe, feel supported, and be met with genuine care. Clients often tell me they feel comfortable with me quickly. I show up with warmth, calm presence, and real curiosity about who you are. I listen closely to your words and also to the emotions and meaning underneath. There is room here for laughter, honesty, vulnerability, and relief. I work from a strengths based and holistic perspective because you are so much more than your struggles. I see your resilience, creativity, and the ways you have cared for others and pushed through when life felt heavy. I help you reconnect with those strengths so you can feel more grounded and confident in yourself. I also support the mind body connection. As a registered yoga instructor and mindfulness practitioner, I guide gentle grounding practices and nervous system awareness when it feels helpful. These tools can create internal steadiness that supports healing long after you leave the session. Professionally, I am a Licensed Independent Clinical Social Worker with years of experience supporting people through anxiety, stress, grief, and life transitions. My background in clinical leadership means I know how to remain steady in complex emotional moments while holding hope when things feel uncertain. I believe therapy works best when we do it together. You are the expert on your own life. My role is to walk beside you with empathy, encouragement, and the belief that change is possible. You do not need to have everything figured out. Come as you are. Here, you can feel seen and supported as you move toward a life that feels meaningful, aligned, and fully yours.

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.

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!

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.

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.

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 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.

My training is broad, my approach is flexible, and my perspective is wide. I offer an open, thoughtful, and positive counseling style that respects individuality and promotes empowerment through knowledge, genuineness, and connection. Together, we can create meaningful change and lasting growth. If this sounds like a good match for you, please call or email my office to schedule an appointment.

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've always wanted to have those deeper conversations, about what matters most to people. Personal talks are the most important talks we ever have. And most people don't spend that much time talking it through with anyone. This might be the best use of an hour you've got. We'll see what we can come up with.

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

I am a licensed professional counselor with experience working with mental health, trauma, addiction, grief, and couples counseling. I am here to walk alongside you and see the world as you see it. I believe that with support, people can change their beliefs, thoughts, and behaviors in order to live productively and joyfully. It is my hope to build trust in a therapeutic relationship by providing safe and nonjudgmental therapy. My desire is for you to feel comfortable in relating your goals and needs. I will collaborate with you in understanding what will work best for you to reach those goals and get your needs met. Through knowledge, encouragement, support, and relationship, I will help you reach your full potential.

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.

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.

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?

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!

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.