Therapists that accept Cash Pay in Washington

I value authenticity, empathy, and self-awareness, both for myself, my clients, and as a critical part of the therapeutic process (I also take advantage of the healing power of laughter whenever possible!). I aim to normalize and validate my clients’ experiences without judgment, and above all, provide the most basic of human needs: to feel seen and heard. My name is Stephanie (or Stevie, either is fine) and I have been providing therapy in NJ exclusively via telehealth for about the last 5 years (prior to that, in person). I have a deep passion and respect for the power of therapy to change lives, which I have been privileged to witness in my work with clients, as well as in my personal life, both through the consistent use of therapy as part of my own self-care, as well as having spent the last 20 years raising two children with special needs. If you have been struggling with symptoms of depression or anxiety, particularly if they are related to a traumatic experience, I would love the opportunity to work with you to reduce your symptoms and help you experience a present that is not overshadowed by your past. I love working with women ages 20 to 30-something who are still in academia or just starting out in their careers, but also love working with women of any age. I frequently work with survivors of child sexual abuse, as well as those struggling with issues related to self-worth, but work with other conditions as well.

I’m a Seattle-based psychotherapist with over a decade of clinical experience. My approach is grounded in Person-Centered Therapy, where you are met with unconditional positive regard in a space that’s affirming, collaborative, and nonjudgmental. I work with adults across the lifespan and welcome individuals from all backgrounds, identities, and relationship structures. I'm especially passionate about supporting members of the queer, LGBTQIA+, polyamorous, ethically non-monogamous, and kink communities. Whether you're facing anxiety, going through a life transition, exploring your identity, or simply looking for a space to feel truly heard — you're not alone. Together, we can explore what healing and self-discovery can look like for you. I do write secondary letters for those seeking gender affirming surgeries. I consider this an essential service to the trans and gender diverse community. My style as a therapist is laid-back but engaged — I’m not a blank wall. I believe therapy works best when it feels like a real relationship, grounded in trust, respect, and genuine care.

I work with adults who struggle with anxiety and are looking for practical tools to feel more in control of their lives. My approach is warm, supportive, and person-centered, meeting you where you are while helping you build lasting coping skills. I incorporate evidence-based approaches such as Cognitive Behavioral Therapy (CBT) and EMDR when appropriate, tailoring treatment to your unique goals, experiences, and pace.

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 Heather Davies, a dedicated counselor with over 20 years of experience helping individuals navigate life's challenges. I earned my BA in Psychology from the University of Texas at Arlington and my MA in Counseling from Dallas Baptist University. My practice focuses on women's issues, parenting support, stress management, anxiety and panic disorders, and depression. Through a compassionate and personalized approach, I strive to create a safe space for healing and growth.

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'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.

Hello, my name is Ace (they/them or ze/hir pronouns) and I am a Licensed Clinical Psychologist who specializes in the intersections of neurodivergence, LGBTQ+ identity, and disability. Have you ever wished you could talk about your concerns without having to give a 101 level lecture first? Are you struggling to find treatment as an Autistic adult or an adult with ADHD? Whether you're undiagnosed, questioning, newly diagnosed, or just looking for some extra support, I'm here to meet you where you're at with tools and strategies that work. I'm a queer, Autistic, non-binary psychologist of color and I've spent the last seven years learning to provide support to members of my communities as they navigate systems of care not built for us. I believe that therapy should be collaborative and consensual, that evidence-based treatment must honor culture and neurotype, and that gender-affirming care is a human right. If you're struggling to build a system of supports and accommodations that will allow you to thrive, if you're questioning your gender or sexuality and need a guide, or if you're just looking for a safer space to process the everyday stresses of your life. You are welcome here.

I am a Licensed Professional Clinical Counselor (LPCC) and have been practicing since 2020. I earned my Master of Arts in Clinical and School Counseling from Loyola Marymount University in Los Angeles. My approach is warm, collaborative, and grounded in evidence-based practices. I help clients better understand the connection between their thoughts, emotions, behaviors, and relationships so they can break unhelpful patterns and respond to life with greater intention. My work often focuses on anxiety, trauma, grief, emotional regulation, relationship concerns, self-esteem, boundaries, and major life transitions. Rather than taking a one-size-fits-all approach, I tailor therapy to each person’s needs and goals, drawing from approaches such as CBT, ACT, DBT-informed skills, Emotionally Focused Therapy, Motivational Interviewing, and trauma-informed care. My goal is to help clients develop greater self-awareness, emotional flexibility, resilience, and confidence while creating meaningful and sustainable change. Outside of therapy, I enjoy hiking, traveling, reading, painting, journaling, and spending time with family and friends.

Welcome! I'm a Licensed Professional Counselor with over 12 years of experience helping adolescents and adults navigate anxiety, OCD, depression, stress, relationship concerns, life transitions, and self-esteem challenges. I provide a warm, supportive, and nonjudgmental environment where clients feel heard and empowered. My approach is collaborative and individualized, drawing from Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), Reality Therapy, and Motivational Interviewing to help clients build practical skills, overcome challenges, and create lasting 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.

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.

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

I am a compassionate and experienced licensed clinical social worker committed to creating a safe, supportive, and nonjudgmental environment where clients feel heard and understood. I use evidence-based approaches, including Cognitive Behavioral Therapy (CBT), Motivational Interviewing, solution-focused techniques, and strengths-based interventions. I support clients navigating anxiety, depression, stress, trauma, relationship concerns, and life transitions while helping them develop healthier coping skills, build resilience, increase self-awareness, and create meaningful, lasting change.

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.

I am an LPC with a PhD in psychology from Walden University. I have been counseling for almost 20 years. Before that, I was a teacher working with students with emotional concerns and their families. I know that it can be very difficult to take the first step to seek counseling. My intent the moment you “walk through the door” is for you to feel safe, cared for, listened to, and above all, understood. I am not here to judge or condemn. We all have our stuff. Life gets messy. Life can be complicated. I grew up in a Christian family riddled with dysfunction; alcoholism, addiction, anxiety, chronic pain, depression, suicidal ideation, and chronic medical issues. I have also worked in the educational sector with children with behavior issues, ADHD, ODD, OCD, attachment disorder, autism, as well as anxiety and depression. I am a people person. I am empathetic, I listen, I am real, and I can help.

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 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 am a licensed mental health counselor and military veteran. My practice focuses on supporting adults navigating trauma, PTSD, anxiety, depression, organizational stress, organizational betrayal, and high-stress occupational experiences. I work with veterans, first responders, public safety professionals, healthcare professionals, and individuals seeking practical, collaborative, and trauma-informed care. My approach is direct at times, supportive, and grounded in evidence-based treatment, including CBT, DBT skills, EMDR, Trauma-Focused CBT, and strength-based therapy. I help clients better understand their experiences, develop healthier coping strategies, and move toward healing, resilience, and meaningful change.

Hi, I’m Kyra. I’m a Licensed Mental Health Counselor (LMHC) in Washington, I support adults and parents navigating anxiety, depression, trauma, burnout, and life transitions who feel stuck, disconnected, or worn down. As a mom, former military spouse, and current law enforcement spouse, I understand the invisible load of high-stress roles and the pressure to hold everything together. My lived experience allows me to approach therapy with empathy, cultural understanding, and deep respect for the challenges faced by individuals and families in high-stress roles. I use an eclectic, person-centered approach, drawing from multiple therapeutic modalities to meet you where you are and support you in reaching your goals. Therapy is not one-size-fits-all, and I believe your care should reflect your unique experiences, strengths, and needs. Even when you feel stuck, movement is possible. My role is to partner with you in a judgment-free space where you can regroup, build confidence, and reconnect with your strengths. You don’t have to navigate this alone.

I identify as a strength-based, person-centered therapist, and I believe that everyone has inherent assets that can be utilized towards individual goals and aspirations. I believe in engaging in inclusive, authentic professional relationships that respect, honor and enhance our unique motivations and perspectives. I am committed to creating a nurturing and inspiring environment, and providing the support and guidance that promotes health, healing and harmony.

I’m a Licensed Clinical Social Worker who believes healing happens when we slow down and reconnect with ourselves. I work with adolescents, adults, and older adults navigating anxiety, depression, and major life transitions. My approach blends evidence-based therapies like CBT, ACT, and Motivational Interviewing with grounding, mindfulness, and experiential work. I focus on practical tools you can use in real life, not just insight. My goal is to help you feel steady, confident, and more aligned with who you want to be.

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.

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.