Therapists that accept Cash Pay in Washington

Welcome! I'm Noelle, an LMHC in the state of Washington. Throughout my experience, I have enjoyed employing an integrated approach to helping individuals grow in the art of being human. I greatly value the awe-inspiring complexity that accompanies the human experience, and the powerful impact that can be achieved through a therapeutic relationship rooted in authenticity, respect, curiosity, compassion, and a high level of collaboration. My approach to the therapeutic process is rooted in the integration of somatic and existential techniques, although I may integrate behavioral therapies or other complementary modalities dependent upon a person’s needs. My approach to care is holistic, considering the physical, psychological, social, and spiritual (however you personally define it) as well as the context of your life within your familial, cultural, gender, and socioeconomic systems. While I work with folks seeking therapy for a variety of purposes, I do have special interests and accompanying experience working with people experiencing neurodivergence, trauma, womens’ issues, and with seniors and the queer community. As your counselor, my hope is for you to feel seen, heard and valued in our time together, ultimately leading to a life experience that is more comfortable and fulfilling.

First and foremost, my work is always person-centered; empathy and collaboration are the core of my therapeutic approach. We know that when it comes to your life, you are the expert. Whether you've uncovered it or not, you hold the deepest understanding of your past experiences, future goals, fears, desires, regrets, joys, and every other component of who you are. My role as your therapist is joining you on your journey to self-improvement and understanding, while being fully present and actively listening to ensure you feel heard and understood. As we dive into your mind, I engage by drawing from my education and training to give insight, offer a new perspective, propose solutions for change, identify helpful coping skills, and assist in various ways based on your individual needs.

I take a warm, down-to-earth approach to therapy and work from a trauma-informed lens. I believe our reactions make sense, even when they feel overwhelming or confusing. Together, we slow things down and begin to understand what’s underneath your experiences. I bring in an understanding of how the brain and nervous system respond to stress, helping your reactions feel more understandable and connected to what you’ve been through. I see your reactions as signals worth paying attention to. Rather than only trying to manage them, we take time to understand why they’re showing up and what they might be connected to. From there, we can begin to shift how you respond, building tools that actually support you in a way that feels more grounded and effective.

Hi! I’m Dave McNew, a licensed clinical psychologist. I work to help those with marginalized identities (sexually & gender queer, BIPOC) to heal chronic struggles with trauma, anxiety, and depression. I use my passion for relational healing, mindfulness, and self-compassion to build space in which you can know yourself more fully and live more authentically. I help to cultivate more safety and joy in your relationships with others, and with yourself. I make space for you to face the parts of yourself that are hardest to feel. Where there was pain and confusion, I help you find greater calm, peace, and connection.

Life can feel heavy when addressing past trauma, cycling between emotional highs and lows, or when depression and anxiety make daily tasks difficult. No matter the cause, if you are just trying to keep your head above water, it takes courage to seek change and you don't have to navigate this alone. As a Licensed Independent Social Worker, I partner with clients who are ready to confront behavioral health challenges head-on. I provide evidence-based care for depressive and anxiety-related conditions as well as various mood and trauma-related disorders. Together, we will unpack old patterns, stabilize your moods, and build practical strategies to reach your goals.

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 family-oriented. 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.

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 enjoy using humor in therapy. I feel that the client can be more relaxed with using this type of talk therapy. I was a nurse before I became a clinician and use some of my medical knowledge in your sessions. As a client you can decide how much or how little we focus on each topic. You are in charge of the sessions. I am here to help you balance your life and wishes.

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.

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 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.

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.

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. Dr, Duncan is the principle therapist and evaluator at Lotus Psychological Services, located in Yakima, WA, 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 your 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.

Hi, my name is Vienna Aslanian, and I have been practicing as a licensed therapist since the beginning of 2017. I chose to become a therapist after practicing in the field of social work with children and families. Witnessing the trauma and the way that trauma impacted those individual lives caused me to develop an interest in and concern for individuals struggling with PTSD and childhood trauma. Seeing the intergenerational struggles and hearing people's personal stories on the matter made me interested in the field of therapy. I have always enjoyed listening to people's stories and making a genuine connection with someone. I believe in the healing power of therapy and the importance of the therapeutic relationship. I believe in the importance of active listening and supportive guidance. I believe in the importance of empathy and nonjudgment; I value making you feel cared about and understood. I hold myself to high expectations regarding reliability and consistency in order to provide the best support and care possible. I attend training regularly on the best and most effective practices/therapeutic modalities.

I’m a husband, father, and disabled Air Force veteran who loves working out and gaming. As a trauma-informed therapist with experience in hospice, mobile crisis, and telehealth, I provide a judgment-free zone for our sessions. I’m dedicated to supporting your unique journey with empathy and understanding to help you achieve your best you.

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'm Anabel, a clinical social worker and certified trauma therapist in TX and WA states, working with high-functioning anxiety and PTSD who are quietly drowning. I'm also a wife, a stepmom, a reader, a Swiftie, and a person who has spent years studying the specific kind of exhaustion that comes from being the one everyone else relies on. I work with people who are really good at holding it all together - until they are not. 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 Jeff, a licensed therapist practicing in California and Washington. I specialize in treating ADHD, anxiety, depression, and difficulties in relationships. As a certified ADHD therapist, we will work together in improving your focus, motivation, and time management. Moreover as an RLT trained therapist, I will provide support in resolving difficulties in relationships, emotional distress, and feelings of disconnect and isolation. I understand the importance of connecting with you. Your thoughts, emotions, and experiences are essential to the therapeutic process. I will help you identify and bring insight into core issues in your personal life and relationships. We will work together to discover your best self.

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

I'm a Licensed Mental Health Counselor who knows that you are much more than a diagnosis. Having spent many years working in crisis intervention, suicide prevention, and with people in a variety of difficult legal and personal situations, I tend to be pretty hard to shake. I want to help support you as you seek to control the anxiety, depression, and other stressors that can feel so limiting. I begin from a place of acceptance and positive regard, and utilize evidence-based strategies in collaboration with you, to come together in a plan for meaningful growth. Also, as someone in recovery myself, I welcome those who are looking to move beyond the stifling grip of substance abuse.

Hi my name is Maria Mercedes Giol, I am a licensed Mental Health Counselor in Florida, California, Utah and Washington. I was born and raised in San Juan, Puerto Rico, and completed my Master's in Mental Health Counseling in Miami, Florida. I have lived in sunny (sometimes Florida, lol ) for 29 years and I am a devoted mother to a 17-year-old son and 1 small dog. I enjoy boating with my fiancee, watching sunsets, hiking, bicycling, singing, and making homemade soaps.

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

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.

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.

Also licensed in Oregon, Minnesota, and New York. With over 30 years in the helping professions, I have worked in many settings, including street outreach, community programs, inpatient and outpatient treatment programs, and private practice. I bring a real-world perspective. I specialize in helping people navigate the difficulties of Bipolar Disorder, ADHD, Depression, Anxiety, and Grief. I also have a heart for women navigating the complexities of morbid obesity by providing a space free of judgment. We focus on the person, not just the scale. My background working in impoverished neighborhoods has taught me how people can build resilience and maintain it. I am a cradle Catholic and honor all spiritual journeys, should you want to bring that part of yourself into therapy. We’ll work together to untangle life’s hardest moments with honesty, humor, and a lot of heart.