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 145 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: 3/31/2026

New to Grow

$250/session

Specialties

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

$200/session

Authentic
Open-minded
Empowering
Intelligent
Solution oriented
Warm

Specialties

ADHD
Trauma and PTSD
Women's Issues
+3
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.
VirtualAvailable

New to Grow

$120/session

Specialties

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

New to Grow

$175/session

Specialties

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

Often rebooked

$165/session

Warm
Direct
Authentic
Solution oriented

Specialties

Anxiety
Depression
Trauma and PTSD
Hi, I'm Sara. I specialize in working with individuals struggling with anxiety, depression, trauma/PTSD, perinatal mood disorders, and survivors of psychological, emotional, verbal, or physical abuse and/or domestic violence. I work with individuals who feel stuck, lonely, or overwhelmed, even when they are doing their best to cope. Many are exhausted from carrying the emotional weight of their relationships while struggling with self-doubt, heavy expectations, or the effects of emotional, psychological, or physical abuse. I also support women and couples navigating infertility, pregnancy loss, and perinatal mood and anxiety disorders. I offer a warm, trauma-informed, culturally affirming space to slow down and feel understood. My work supports immigrants, second-generation individuals, BIPOC, and others navigating emotional pain, faith, family expectations, or relationship strain. Therapy is paced with care, helping you release self-blame, build compassion, and feel safer within yourself.
VirtualAvailable

$115/session

Empowering
Warm
Authentic
Intelligent
Solution oriented

Specialties

Anxiety
Depression
Self Esteem
+4
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 28 years and I am a devoted mother and girlfriend to a 16-year-old son and two small dogs. I enjoy boating with my family, watching sunsets, hiking, bicycling, singing, and making homemade soaps.
VirtualAvailable

$150/session

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

Specialties

Anxiety
Depression
Trauma and PTSD
+6
Hi, my name is Vienna Aslanian, and I have been practicing as a licensed therapist since the beginning of 2017. I chose to become a therapist after practicing in the field of social work with children and families. Witnessing the trauma and the way that trauma impacted those individual lives caused me to develop an interest in and concern for individuals struggling with PTSD and childhood trauma. Seeing the intergenerational struggles and hearing people's personal stories on the matter made me interested in the field of therapy. I have always enjoyed listening to people's stories and making a genuine connection with someone. I believe in the healing power of therapy and the importance of the therapeutic relationship. I believe in the importance of active listening and supportive guidance. I believe in the importance of empathy and nonjudgment; I value making you feel cared about and understood. I hold myself to high expectations regarding reliability and consistency in order to provide the best support and care possible. I attend training regularly on the best and most effective practices/therapeutic modalities.
VirtualAvailable

$120/session

Intelligent
Warm

Specialties

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

$120/session

Authentic
Open-minded

Specialties

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

$125/session

Empowering
Warm
Authentic
Solution oriented
Intelligent
Direct
Humorous
Open-minded

Specialties

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

New to Grow

$90/session

Specialties

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

New to Grow

$160/session

Specialties

Anxiety
Coping Skills
Depression
+9
I help teens and adults cope with stress, express themselves honestly, and explore personal meaning and purpose. I have experience working with teens and adults in private practice and other settings, using my skills as a therapist to help people find relief, direction, motivation, and meaning. I use relational psychodynamic methods, with insights from CBT and others. My focus is on a person's feelings, which are the gateway to the unconscious, although thoughts and thinking are also important. By exploring feelings we can attain greater self understanding, and this can help us to find solutions and coping skills to deal with our problems.
VirtualAvailable

New to Grow

$100/session

Specialties

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

New to Grow

$135/session

Specialties

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

$125/session

Solution oriented
Authentic
Humorous
Open-minded
Warm
Challenging
Direct
Intelligent

Specialties

Anxiety
Depression
LGBTQ
+10
I have been a therapist since 2009 and have experience working with clients across a wide range of identities and challenges. It is important to me to maintain an affirming, supportive, and open space for all people. Show up just as you are. No shame. No embarrassment. No taboos. My communication style is very relaxed, casual and I enjoy using humor, when appropriate. However, I will provide you with direct feedback and observations in a kind gentle way. Clients who have worked with me have described me as being personable, disarming, and like they were talking to someone they have known for a long time.
VirtualAvailable

$120/session

Direct
Solution oriented

Specialties

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

$100/session

Authentic
Holistic
Humorous

Specialties

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

Often rebooked

$100/session

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

Specialties

Anxiety
Child or Adolescent
Trauma and PTSD
+8
Hello! I am a licensed clinical social worker with 4 years of experience as a therapist I have experience in helping clients across the lifespan with stress and anxiety, trauma and abuse, anger management, motivation, self esteem, and confidence. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. I became a therapist to help people find healing, peace, confidence and fulfillment. One of my mentors described being a therapist as being a Sherpa-a guide through the wilderness of life, and I love that metaphor. Whatever your peak looks like, I want to help you get there.
VirtualAvailable

$125/session

Authentic
Solution oriented

Specialties

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

$135/session

Direct
Warm

Specialties

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

$150/session

Authentic
Empowering
Warm

Specialties

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

$110/session

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

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.
VirtualAvailable

$125/session

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

Specialties

Life Transitions
Trauma and PTSD
Women's Issues
+4
Hi, and welcome to a safe space for you to be able to express your thoughts and feelings. I am here to support you on your healing journey, provide validation, and help you grow by educating, processing, and calling out behaviors and areas in need of growth. In this walk, you are not alone. I am ready to walk with you.
VirtualAvailable

New to Grow

$185/session

Specialties

Anxiety
Depression
Trauma and PTSD
+8
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.
VirtualAvailable

New to Grow

$150/session

Specialties

Anxiety
Depression
Trauma and PTSD
+8
If you're feeling overwhelmed by anxiety, haunted by past trauma, or burdened by depression, you're the client I'm here to support. Through a holistic and collaborative approach, I help my clients to untangle complex emotions and develop practical tools for lasting change. My passion is to help clients discover a renewed sense of peace, clarity, and the internal strength to live more fully and joyfully, reclaiming their well-being.
VirtualAvailable
Frequently asked questions

Why filter by Washington rather than a city like Seattle?

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

Will my therapist take insurance?

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

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

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

Why use Gender, Age, and Identities filters?

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

What happens during the first therapy session?

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