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 179 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.

Find therapists near you in

SeattleSpokaneOlympia

Availability updated: 10/7/2026

New to Grow

$105/session

Specialties
ADHD
Anxiety
Depression
+10
Hello, my name is Val Golovanov. (LMHC) I believe positive transformation happens when there is collaboration for solutions, health in relationships, strengths are affirmed, and weaknesses are challenged. I offer an accepting, comfortable, and welcoming atmosphere in our therapeutic relationship. We will work together to determine the best treatment for your needs. You can expect a respectful and passionate professional who is dedicated to you and your goals. My goal is to foster a safe space and seek positive change in all areas of your life. It takes courage, resilience, and humility to begin counseling and I am excited to be a part of your unique journey. Looking forward to meeting you!
Available

$150/session

Authentic
Direct
Intelligent
Specialties
Addiction
Anxiety
Family Conflict
+10
I bring a strong foundation in race-based trauma work and a client-centered and holistic healing approach. I’m especially passionate about supporting Black men and women on their journeys through the 21st-century Diaspora. As a Licensed Professional Counselor (LPC) in Oregon, and Licensed Mental Health Counselor (LMHC) in Washington state, I’m a compassionate therapist who believes deeply in healing, growth, and personal transformation. You don’t have to face life’s challenges alone. Please Note: Therapy does not FIX anything! Therapy is an act of courage and self-love. I have extensive experience working with adults from ALL ethnic, racial, and socio-economic backgrounds. I am particularly passionate about formulating alliances that will inform and strengthen the individual on their individual and collective journey in the 21 Century. Therapy is not a bad word. I would love to help you identify the right approach for your healing.
Available

Often rebooked

$175/session

Authentic
Empowering
Warm
Specialties
ADHD
Life Transitions
Trauma and PTSD
+8
I am authentically me, and I show up as a human first. I believe everyone carries their own stories, strengths, and struggles. I meet each person with openness and without judgment. I understand difficult things because I've lived through them. I bring personal, lived experience with trauma, neurodivergence, complex family dynamics, and the ripple effects addiction can have on those close to it. This isn't just clinical knowledge to me, it's something I've walked through myself. In a world that can feel unsafe or unwelcoming to those who are "different," I strive to be a safe place for you. My goal is simple: to help you feel truly seen, heard, and feel better. Your healing and your journey are my passion. I’ve been married to my best friend for over 26 years, and together we have an adult daughter, two beloved fur babies, and tortoise. Outside of the therapy room, you’ll most likely find me out in nature, kayaking, walking trails, or simply enjoying the calm. My family and I love playing all kinds of board games, and I also enjoy reading, painting, and watching movies or mindless TV when I need to recharge. At the heart of everything I do is a deep belief that healing happens in safe, authentic connection and I am honored every time someone invites me to be part of that journey.
VirtualAvailable

New to Grow

$150/session

Specialties
Domestic Violence
First Responders/Healthcare Workers
Trauma and PTSD
+4
I am a licensed psychologist who works with individuals who have experienced traumatic events and are navigating some of the most difficult moments of their lives. I use evidence-based approaches tailored to each client’s unique needs, including EMDR, CBT, and Acceptance and Commitment Therapy (ACT). I enjoy helping people discover their strengths, overcome challenges, and become the best version of themselves.
Available

$100/session

Empowering
Authentic
Direct
Specialties
Addiction
Anger Management
Anxiety
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.
Available

$200/session

Empowering
Intelligent
Solution oriented
Specialties
Mood Disorders
Personality Disorders
Trauma and PTSD
+8
Trevor Duncan, PsyD, is a Licensed Mental Health Counselor with over 13 years of experience helping teens and adults navigate a wide range of emotional, behavioral, and serious mental health challenges. Throughout his career, he has worked with individuals facing anxiety, depression, trauma, personality disorders, mood disorders, life transitions, and other complex mental health concerns, providing compassionate and evidence-based care tailored to each person's unique needs. Beyond his professional role, Trevor is a father, grandfather, brother, and son who understands the importance of connection, family, and personal growth. He believes that meaningful change occurs through authentic relationships, empathy, and a collaborative therapeutic process. His goal is to create a safe, supportive environment where clients feel heard, respected, and empowered to make positive changes in their lives. When he's not working with clients, Trevor enjoys spending time outdoors and riding his bicycle. His appreciation for nature, movement, and balance informs his holistic approach to wellness and mental health. Whether you are facing significant challenges or simply seeking personal growth, Trevor is committed to helping you build resilience, develop practical coping skills, and create a more fulfilling life.
Available

$160/session

Authentic
Direct
Empowering
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

$200/session

Solution oriented
Authentic
Empowering
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

Often rebooked

$150/session

Warm
Authentic
Challenging
Specialties
Anxiety
Life Transitions
Self Esteem
+10
You may look like you have things together on the outside while privately feeling stuck, overwhelmed, disconnected, or uncertain about what comes next. I work with adults navigating anxiety, self-esteem, relationship challenges, and life transitions, including people who are used to being capable, dependable, or successful but are struggling beneath the surface. With more than 10 years of experience as a social worker, I offer a collaborative and down-to-earth space to better understand the patterns shaping your life and relationships. Together, we'll build on your strengths, explore what matters most to you, and work toward changes that feel meaningful and sustainable.
Available

$150/session

Authentic
Warm
Solution oriented
Specialties
Anxiety
Coping Skills
Depression
+10
Hi, I’m Kristen Levin, LCSW. Life can feel overwhelming at times, and holding everything together isn’t always easy. If you’re going through a challenging season, feeling stuck, or simply needing space to focus on yourself, therapy can offer support, clarity, and relief. My approach is client-centered and strengths-based, with care tailored to each person’s unique needs and goals. I work collaboratively with clients to better understand their thoughts, emotions, and patterns, while gently guiding, supporting, and challenging them when helpful. I strive to create a safe, trusting, and comfortable environment where you can openly express yourself, process emotions, build coping skills, and develop a stronger sense of self. Together, we work toward meaningful change and a more balanced, fulfilling life. I draw from a range of evidence-based modalities, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Internal Family Systems (IFS), Solution-Focused Therapy, Mindfulness, Motivational Interviewing, and Client-Centered Therapy. Treatment is always collaborative, and we’ll develop a plan together that aligns with your specific goals. I look forward to connecting and supporting you on your journey.
VirtualAvailable

Often rebooked

$95/session

Authentic
Intelligent
Specialties
ADHD
Autism
LGBTQ
+8
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.
Available

$130/session

Warm
Solution oriented
Humorous
Specialties
Anxiety
Chronic Illness
Trauma and PTSD
+10
Many people come to therapy carrying experiences they've never told another person. Whether you're living with anxiety, depression, trauma, chronic illness, chronic pain, or navigating life as a neurodivergent person, you don't have to carry it alone anymore. I work with children, teens, and adults to create a space where you can be yourself without fear of judgment. Many of my clients have spent years masking who they are, minimizing their pain, or believing they have to handle everything on their own. Others carry experiences they worry are "too much" to share. In our work together, you don't have to hide parts of yourself or worry about being judged or misunderstood. I strive to create a therapeutic relationship where you feel safe enough to be honest, even about the things you've never said out loud. Whether you're processing trauma, navigating difficult life experiences, learning to live with chronic illness, or discovering what it means to be neurodivergent, we'll move at a pace that feels right for you. Together, we'll build practical coping skills, deepen self-understanding, and work toward a life where you feel more connected, empowered, and less alone.
Available

$90/session

Direct
Warm
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

$150/session

Warm
Open-minded
Authentic
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

$150/session

Authentic
Empowering
Solution oriented
Specialties
Anxiety
Coping Skills
Depression
+8
Clients shouldn't have to be in therapy forever! Together, we'll co-create a balanced approach combining active listening with practical techniques, helping you reclaim your narrative and overcome obstacles. My clinical and holistic approach aims for deeper alignment and fulfillment—think more water, less soda. As an LCSW, I'm trained in EMDR, certified in Theta Healing, Reiki, Transformational Life Coaching, and Therapeutic Touch, and am a Master Practitioner in Neuro Linguistic Programming, Hypnotherapy, and Time Line Therapy. I provide a compassionate, judgment-free space to explore your wants, needs, and emotions. You know yourself best, and our work is about uncovering your truths rather than imposing mine. Together, we'll determine the tools and approaches that best suit your needs, ensuring you feel heard, validated, and empowered. The goal is to help you confidently manage challenges independently over time. We'll walk side-by-side, with you gradually taking the lead and me offering steady support. If you have pressing concerns, those always take precedence. Our sessions focus on understanding HOW you think, not just WHAT you think, exploring both conscious and unconscious beliefs and emotions. You'll leave with clear, actionable steps, such as mindfulness exercises, creative writing prompts, meditation, and breathwork techniques to regulate emotions and reclaim your narrative. Therapy isn't about fixing what's "broken" but enhancing alignment and fulfillment while overcoming obstacles. By focusing on your goals and measuring progress, we can eliminate stigma, leaving shame behind and empowering you toward greater self-awareness and fulfillment.
VirtualAvailable

$150/session

Authentic
Humorous
Open-minded
Specialties
Anxiety
Depression
Life Transitions
+10
I grew up in Las Vegas, NV in a big, blended family. During my internship and following graduation, I worked at an inpatient treatment facility for teens dealing with high suicidality, self-harming behaviors, and psychosis. It was during this time that I began to recognize how much work can be done to prevent crises before they strike, rather than trying to figure it all out afterwards. Also, it isn't just big things like suicide that can be prevented-working to decrease stress, anxiety, increase fulfillment..these are worthwhile too. If you feel nervous/weird/awkward/anxious about therapy, that’s normal. All I can say is, you matter. You are an important part of the world. Let’s work together and see if maybe, just maybe, things could get a little better.
Available

$225/session

Authentic
Solution oriented
Direct
Specialties
Anxiety
Family Conflict
Life Transitions
+3
Mike is a Clinical Therapist and Mental Performance Coach, and the Founder of MadeMind Wellness & Performance, a private practice serving adults in Georgia, Illinois, and Washington state. He works with clients to help them build stronger coping skills, emotional intelligence, and personal values—supporting them in creating more fulfilling relationships, careers, and daily lives. With over a decade of experience as a therapist and mental coach, including roles as Director of Mental Performance for the NFL’s Chicago Bears and numerous college sports teams, Mike combines clinical expertise and performance coaching to guide clients through challenges, strengthen resilience, and discover their capacity to thrive.
VirtualAvailable

$120/session

Warm
Authentic
Empowering
Specialties
ADHD
Anxiety
Military/Veterans
+10
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.
VirtualAvailable

$175/session

Authentic
Humorous
Solution oriented
Specialties
Career Counseling
Life Transitions
Women's Issues
+8
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.
VirtualAvailable

$85/session

Solution oriented
Intelligent
Authentic
Specialties
Addiction
Anxiety
Depression
+10
Hello! I'm delighted you're taking the courageous step of seeking support. As an independently licensed therapist with over 20 years of practice, I bring a wealth of experience and a deep commitment to helping individuals and couples achieve their desired mental health outcomes. My educational foundation includes a Master of Clinical Social Work with a focus on Mental Health and Addictions Practice from Indiana University, and a Ph.D. from Western Michigan University. I'm licensed to practice across multiple states, including Michigan, Oregon, Illinois, Texas, and Washington, allowing me to serve a broad range of clients. My passion is helping adults successfully navigate challenges such as: • Stress • Mood Disorders (including anxiety and depression) • PTSD, anger management • Substance Use Disorders and other co-occurring conditions I also work with couples who are facing relationship challenges, guiding them toward stronger connection and communication. Ready to start your journey toward better mental health and a more fulfilling life? I look forward to partnering with you.
VirtualAvailable

New to Grow

$100/session

Specialties
Anxiety
Child or Adolescent
Coping Skills
+3
Hi, I’m a therapist who is passionate about helping individuals, couples, and families navigate life’s challenges with support, compassion, and practical tools for growth. I strive to create a warm, nonjudgmental space where clients feel safe being themselves and working through difficult emotions, relationship struggles, stress, anxiety, or life transitions. My approach is collaborative and down-to-earth, and I believe therapy should feel supportive, empowering, and tailored to each person’s unique needs and experiences.
Available

$250/session

Intelligent
Authentic
Solution oriented
Specialties
Couples Counseling
Depression
Trauma and PTSD
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.
VirtualAvailable

Often rebooked

$200/session

Empowering
Solution oriented
Authentic
Specialties
Anxiety
Depression
Trauma and PTSD
+10
I am a Licensed Clinical Social Worker and private practice therapist with over 13 years of experience supporting individuals, couples, and families. My approach is compassionate, collaborative, and grounded in evidence-based care. As an African American therapist, I am passionate about helping clients heal from trauma, navigate life transitions, build healthier relationships, and achieve meaningful personal growth. I am known for being empathetic, encouraging, authentic, and committed to creating a safe space where clients feel heard and supported.
Available

$120/session

Authentic
Warm
Empowering
Specialties
Anxiety
Life Transitions
Trauma and PTSD
+9
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.
Available

$150/session

Authentic
Open-minded
Warm
Specialties
ADHD
LGBTQ
Women's Issues
+10
Welcome! I'm excited to embark on this journey of self-discovery and growth with you. Here, you'll find a safe, non-judgmental space where you can explore your thoughts, feelings, and experiences openly and honestly. Whether you're seeking support for issues related to sex, kink, polyamory, or identity within the LGBTQ+ community, know that you're in a welcoming and affirming environment. I understand the importance of embracing diversity and celebrating the richness of human experience. My goal is to empower you to navigate these aspects of your life with confidence and authenticity. Together, we'll work collaboratively to explore your goals and develop strategies to help you live a more fulfilling and authentic life. You're not alone on this journey. I'm here to walk alongside you, offering guidance, support, and compassion every step of the way. Your courage in seeking help is a testament to your strength and resilience, and I'm honored to be a part of your healing process. Thank you for trusting me with your care. I look forward to working with you and helping you create positive change in your life.
Available
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.