Therapists that accept Cash Pay in Washington

Choosing a cash pay option for mental health care can provide flexibility and access to quality support without the constraints of insurance networks. With 184 verified therapists in Washington who accept cash pay, you can explore therapeutic approaches such as cognitive behavioral therapy, solution-focused therapy, and supportive counseling to address a range of concerns, including anxiety, depression, and ADHD. Each Grow Therapy-verified therapist that has a cash pay option listed below is currently welcoming new clients and has availability soon, offering you a straightforward path to compassionate, accessible care on your terms.

Availability updated: 8/9/2026

$200/session

Authentic
Direct
Empowering

Specialties

Mood Disorders
Personality Disorders
Trauma and PTSD
+8
Dr. Trevor Duncan, PsyD, is a Licensed Mental Health Counselor with over 10 years of experience helping teens and adults navigate a wide range of emotional, behavioral, and serious mental health challenges. Throughout his career, he has worked with individuals facing anxiety, depression, trauma, 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.
Available

New to Grow

$175/session

Specialties

Anger Management
Anxiety
Coping Skills
+10
I want to work with you to gain the tools and strategies to help you move past the area that is of concern. I believe that we must find the positive and the good in each day, even if it's small, to give us the power and motivation to move forward. It is not always easy, but it is definitely worth it.
Available

New to Grow

$150/session

Specialties

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

New to Grow

$100/session

Specialties

Child or Adolescent
Life Transitions
Mood Disorders
+7
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.
Available

New to Grow

$90/session

Specialties

ADHD
Autism
Trauma and PTSD
+10
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.
Available

New to Grow

$130/session

Specialties

Addiction
Anger Management
Child or Adolescent
+9
I’m Kira Watley, LPC, LCDC, and owner of The Wellness Spot. I support clients navigating anxiety, depression, trauma, substance use, life transitions, and relationship stress. My practice offers a compassionate, culturally responsive space where clients can feel heard, supported, and empowered to heal. I have an extensive background working with multiple populations. I am here to support you through this journey.
Available

New to Grow

$150/session

Specialties

Anxiety
Depression
Trauma and PTSD
+10
I have been practicing for over three years, in addition to two years of practicum experience, and I hold a Master’s in Social Work. I am also nearing completion of my Doctorate in Social Work. As my ideal client, you are someone who recognizes the challenges you are facing and is motivated to seek support, guidance, and resources to work through them.
Available

$150/session

Direct
Warm

Specialties

ADHD
Autism
Trauma and PTSD
+8
I use play, mindfulness, emotionally-focused, and Attachment and Commitment in my practice. I am a strong believer that one of the only ways to come back from overwhelm is to do nothing, and the best way to do nothing is to play. I completed my internship in 2020 with the organization Child Abuse Prevention Association providing trauma informed care to adults and children via telehealth. After graduation I was a school based therapist working primarily with elementary children and their families. In that time I developed a specialty with neurodivergence. I have spent the last year working with neurodivergent children, teens, and adults here in Washington.
Available

New to Grow

$125/session

Specialties

Anxiety
Life Transitions
School Issues
+6
Hi, I'm Stephanie, and I am glad you're here. My background includes working in a variety of healthcare and school settings, which has given me a deep understanding of the impact of stress, burnout, and life challenges can have on your overall well-being. These experiences have shaped my compassionate, practical approach to helping individuals navigate difficult seasons and create meaningful change. I provide telehealth therapy for adults throughout Washington who are experiencing anxiety, stress, burnout, depression, and the challenges of balancing work, relationships, and personal well-being. I specialize in helping clients navigate periods of stress, uncertainty, and crisis. I view therapy as a collaborative partnership where we work together to identify obstacles, build on strengths, and create meaningful change that aligns with your values and goals.
Available

New to Grow

$160/session

Specialties

Anxiety
Couples Counseling
Trauma and PTSD
Psychotherapy provides a safe place to discuss fears, thoughts, and difficult decisions we as humans must make during our journey in life. I believe we are capable of making life changes with the right tools. I am here to listen without judgement. I believe we all have a story to share. Being heard is one of the most important aspects of communication. My passion is working with clients who have experienced some form of trauma in their lives. By sharing your story, we can begin to process the trauma from experience to a new understanding, while remaining in the present.
Available

$110/session

Authentic

Specialties

Anxiety
Depression
Mood Disorders
+3
I'm Ashley Cross, a Licensed Clinical Social Worker and Board-Approved Clinical Supervisor with over 15 years of experience helping adults navigate anxiety, depression, bipolar disorder, life transitions, stress, and other emotional challenges. I believe therapy should be a place where you feel safe, supported, and free from judgment. My approach is compassionate, collaborative, and tailored to your unique needs and goals. Together, we'll work to better understand the challenges you're facing, build effective coping skills, and create meaningful, lasting changes that support your overall well-being and help you move toward a more balanced and fulfilling life.
Available

$100/session

Warm
Authentic
Open-minded

Specialties

ADHD
Autism
Depression
+4
I’m Gwendolyn Barnhart, PhD, PsyD, EdD, a licensed clinical psychologist with a cross-jurisdictional private practice serving Washington, Oregon, Hawaii, Alaska, British Columbia, and PSYPACT states. I have vast experience working with neurodivergence, intellectual and developmental disabilities, in multicultural settings. I primarily serve clients who identify with autism and ADHD. As an AuDHD psychologist, I bring lived experience alongside clinical expertise, which helps me create spaces that feel safer, clearer, and more attuned to neurodivergent needs.
VirtualAvailable

$110/session

Solution oriented
Empowering
Authentic

Specialties

Anxiety
Self Esteem
Trauma and PTSD
+7
Hello, I'm Kim. Are you looking for ways to build a life worth living? I am happy and privileged to be a part of your journey for change. I have a passion for helping clients find an emotional balance and happiness in their lives. I will work with you to reach your goals through an open-minded and caring alliance. I work with you to help you build a life worth living, guiding you to the goals and contentment you seek. We will work together in a supportive environment on this journey toward change. I believe in helping clients find ways to jumpstart their change in a goal-oriented manner. Clients and I work together to set goals that help them move forward. Using cognitive-behavioral therapy and other counseling methods, I will help you find the path for change that works for you in an understanding and caring environment. Whether you are dealing with trauma, anxiety, depression, life changes, or relationship issues, I would be honored to help you discover a path to healing. Congratulations on taking the first step toward therapy and a happier future.
VirtualAvailable

New to Grow

$100/session

Specialties

Depression
First Responders/Healthcare Workers
Life Transitions
+2
I'm Sean, and I use he/him pronouns. I'm a mental health counselor with experience working with individuals facing difficult life circumstances and choices, as well as challenges such as anxiety and depression. I work from a mixed existential and humanistic framework, which means I think therapy works when we create an accepting and supportive atmosphere that invites you to explore your own experiences more fully to enable greater awareness and thus more freedom of choice. I may at times suggest specific actions if I think they might be helpful, but they are always optional. To me the most powerful things that happen in therapy happen through the shared understanding we build collaboratively, through you exploring your own experience. Therapy is something that is created between therapist and client not something someone does to you.
Available

New to Grow

$150/session

Specialties

Anxiety
Depression
Trauma and PTSD
You might be feeling disconnected from those around you, overwhelmed by negative thought patterns, or excessively worrying. Perhaps you struggle with vulnerability at times and have noticed changes in your mood. As a result, you feel hopeless and unsure about where to start to heal. Together, we will work towards understanding the root of these problems and establish attainable goals.
Available

$200/session

Open-minded
Warm

Specialties

ADHD
Anxiety
Autism
+10
I am an advocate for Diversity, Equity, and Inclusion, a passionate partner in your healing process. As a clinician, I believe strongly in meeting you where you are. Even if it is a place you have never opened the doors for another. I gained my education at New York University and have experience working in many major diverse communities across the United States. This practice experience and armed me with the humility to connect with all cultures, intersections, and identities.
Available

$125/session

Authentic
Warm
Intelligent

Specialties

Anxiety
Depression
Trauma and PTSD
+10
My name is Dr. Christine Gomes. I am a licensed clinical psychologist and I specialize in trauma treatment. I believe that we are healthiest when we turn toward ourselves with love and compassion and accept ourselves for who we truly are. I have special interests in relational and religious trauma, as well as working with people with addiction issues, severe depression, anxiety disorders, and suicidal thoughts and actions. No matter where you are in your healing journey, I hope to join you and help you see that you are not alone in the struggle. You are your greatest healer, and I will be your guide along the way.
Available

New to Grow

$130/session

Specialties

Chronic Illness
Health/Medical Issues
LGBTQ
+10
I’m passionate about supporting adults navigating life with anxiety, depression, chronic illness, disability, complex family dynamics, grief, and life transitions. I also work a lot with clients who are neurodivergent or part of the LGBTQ+ community. I know how important it is to feel truly seen, heard, and understood. I combine personal life experiences with evidence based strategies to help you achieve your treatment goals.
Available

New to Grow

$150/session

Specialties

Anxiety
Health/Medical Issues
Life Transitions
+6
When life shifts, your body often feels it first. You might experience a "heavy" fatigue, or a nervous system that feels permanently stuck in "fight or flight." It can be difficult to find the best tools to manage life's challenges, but learning how to regulate your mind and body can significantly improve your quality of life. I'm Meghan, a Counselor specializing in Somatic-Informed Therapy. I believe that true resilience isn't just "mind over matter"—it's learning to listen to what your body is telling you. My approach combines traditional clinical insight with somatic (body-based) tools and mind-body techniques. We won't just analyze your stress; we will work to discharge it from your nervous system. Whether you are navigating something new or seeking new coping tools, I provide a grounded space to help you reconnect with yourself.
Available

$100/session

Warm
Empowering
Solution oriented

Specialties

Anxiety
Depression
Trauma and PTSD
+10
My name is Meghan Jensen, and I am a Licensed Clinical Professional Counselor (LCPC) in 13 states, where I support clients, couples, and families in navigating a variety of life's challenges. Over the past eight years, I have worked in residential treatment, school counseling, and intensive outpatient settings. I am passionate about working with children, adolescents, adults, couples, and families by helping them navigate anxiety, trauma, depression, stress, and life transitions. I believe in creating a collaborative strengths-based therapeutic environment that empowers individuals and families to build resilience and develop meaningful, lasting change. I earned my Master's Degree in Counseling from the University of Wyoming with an emphasis in Play Therapy and Psychotherapy and am currently pursuing my PhD in Developmental Psychology. My clinical training includes Adlerian and Child-Based Play Therapy, Internal Family Systems, Dialectical Behavior Therapy, and Trauma-Focused Cognitive Behavioral Therapy. I enjoy integrating evidence-based approaches to meet each client's unique needs.
Available

New to Grow

$125/session

Specialties

ADHD
Anxiety
Depression
+9
In my many years of experience, I have treated a broad range of mental health issues such as depression, anxiety, panic disorder, attention-deficit hyperactivity disorder and post-traumatic stress disorder. I frequently utilize cognitive behavior therapy, dialectical behavior therapy, eye movement desensitization and reprocessing (EMDR) therapy and mindfulness-which is particularly helpful for anxiety-based issues. I will use one or more of the treatment modalities to give you the best outcome in therapy.
Available

$120/session

Authentic
Warm
Empowering

Specialties

Anxiety
Coping Skills
LGBTQ
+10
Yes, I’m a Licensed Mental Health Counselor with over 14 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

$150/session

Direct
Empowering

Specialties

Anxiety
Grief
Trauma and PTSD
+3
I'm Mary, and I'm excited to possibly support you in your journey! I have been described by people who've worked with me as disarming and easy to get along with. I am comfortable working with a diverse range of issues, but I specialize in grief/loss, trauma, in particular the treatment of PTSD and anxiety disorders utilizing CBT and somatic therapies such as EMDR and breathwork. My professional experience includes over 15 years of advocacy, crisis, and mental health care with a wide range of populations.
Available

New to Grow

$100/session

Specialties

ADHD
Child or Adolescent
Trauma and PTSD
+7
Hello! I am a licensed mental health counselor that has been actively practicing with a variety of ages and issues for the past 15 years. The bulk of my work has been with children, adolescents, and adults in individual, group, and couple's counseling work. I have done a large amount of extra training in trauma work, neurodivergence, attachment and relational issues. I blend several modalities in order to provide a person centered, strengths-based approach that best fits the individual client. I am a believer that the tools to heal are already inherently inside of all of us, and work to help you find your way to your stability, growth, and comfort.
Available

$150/session

Intelligent
Solution oriented

Specialties

Eating Disorders
Life Transitions
Women's Issues
+4
I have 15 years experience working with a wide breadth of individuals. I have a speciality in helping individuals with food struggles, negative body image, anxiety, and depression. I also enjoy working with women's issues in postpartum and perimenopause. I use an integrative strengths-based approach with CBT, psychodynamics and Family Systems techniques. I can help you replace self-destructive behaviors with acceptance and self-love, while offering practical tools for managing emotions and challenging negative thoughts. My approach focuses on building resilience and fostering self-compassion for lasting change.
VirtualAvailable
Frequently asked questions

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

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

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

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

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