Therapists that accept Cash Pay in Washington

I believe therapy works best when you feel truly seen, safe, and understood. My approach is warm, collaborative, and grounded in the belief that meaningful change happens through connection. I work with adults navigating anxiety, grief, life transitions, and the emotional weight of caregiving, relationships, and work stress. Many of my clients come to therapy feeling overwhelmed, stuck, or unsure how to move forward — and together we create space to slow down, make sense of what’s happening, and build tools that actually fit your life. Therapy with me is not about “fixing” you. It’s about helping you reconnect with your strengths, deepen self-compassion, and move toward a life that feels more balanced and authentic. I strive to create a space that is nonjudgmental, affirming, and supportive of your unique story

If you're struggling with grief, life changes, the state of the world, or big existential questions, I may be a good fit for you. I currently keep a very small practice of exclusively telehealth adult clientele primarily dealing with grief, life transitions, the stresses of daily life in our changing world, OCD and phobias, and navigating issues related to identity, belongingness, and a sense of life meaning and purpose. I also love working with folks looking for relief from OCD or phobias using Exposure and Response Prevention (ERP) therapy. Maybe you've tried talk therapies with little or no progress. ERP is a first-line, evidence-based treatment for OCD and phobias with better outcomes than other treatment modalities or meds alone. It's hard work, but it's worth it to get your life back.

Christopher Dane Keil is a Licensed Professional Counselor in Helper, UT who works with individuals and couples across the lifespan. He supports clients facing trauma, anxiety, depression, PTSD, and addiction, especially when intense emotions—like fear, shame, or low self-worth—feel overwhelming or disruptive. Christopher’s approach is warm, validating, and practical. He tailors treatment to each client and blends evidence-based methods, including EMDR and Accelerated Resolution Therapy (ART), to help the brain reprocess painful experiences and reduce symptoms. He also draws from IFS-informed, narrative, ACT, and somatic strategies as needed so clients gain tools that fit their lives. With more than 15 years in the mental health field and a Master’s in Clinical Mental Health Counseling from the University of Phoenix, Christopher’s goal is to help clients build resilience, feel more grounded, and take clear next steps in their healing.

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

Hello and thank you for taking the time to review my page. I am currently accepting new clients for my Telehealth Therapy practice, offering valuable mental health services from the convenience of your own couch. I am grateful for the opportunity to work alongside individuals on their journey to prioritize wellness in their lives. With over 10 years experience providing psychotherapy services to individuals of all ages in various settings—including homes, schools, outpatient clinics, and through online therapy—I strive to meet diverse needs. Please visit my website www.telehealththerapy.org for more information.

We all have the opportunity in our life to start fresh. During the journey, we change, grow, heal, destroy, and can improve our lives. You will experience difficulties, and you are not alone. We are not alone in this world, but we are compelled to isolate ourselves from the fear of experiencing too much pain. I have many years of clinical training with life experiences, including successes and failures, but we are not provided a how to manual at birth. I have a sense of humor, but good sound clinical judgment, so take a leap of faith.

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.

I am an independently licensed clinical social worker in Washington and Oregon. I have four years of experience as a therapist and over a year of experience in independent clinical practice. Coming to this career later in life, I bring valuable life experience, perspective, and a commitment to lifelong learning to my work. I am passionate about social justice, respecting individual differences, and recognizing the unique strengths each person brings. My previous experience as a teacher and a social worker has given me the opportunity to work with people from many backgrounds. It is deeply important to me, , to honor our differences while recognizing our shared humanity, . I am passionate about helping people heal from trauma, navigate life transitions, develop greater self-understanding, and cultivate self-compassion. My goal is to provide a supportive, collaborative space where clients can understand themselves and move toward a life that is authentic and fulfilling.

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.

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.

Hi, I’m a licensed therapist in Washington, Montana, and Florida, and I truly believe caring for your mental health is one of the most important steps toward a steady, fulfilling life. Reaching out isn’t easy, so I’m really glad you’re here. I focus on supporting adults who are looking to expand their ways of coping and understand themselves better. My style is warm, curious, and collaborative—I use proven approaches while also trusting intuition to help you build skills and reconnect with your strengths. You can expect empathy, compassion, and a space where you can show up as your full self.

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.

Thank you for sharing information about yourself. I'm so happy that you reached out for help. I am Michael Creech, a licensed therapist. My goal is to meet you where you are by bringing a compassionate approach backed by formal training and experience and be a part of your goals in the change process. I am very personable as well as professional and I do not believe in one-sided relationships. I have a multidisciplinary, eclectic approach to therapy in which I utilize techniques and principles from a variety of modalities to include Christian based. My counseling is geared toward treating the whole person from a biopsychosocial spiritual standpoint. I view counseling as a calling and not as a career and that it is a collaborative effort in which I learn and grow as a result of every interaction. My clients describe me as a “good listener” and as someone who “makes me think”. Some of the experiences that have contributed to my professional identity and approach to mental health treatment are my formal education at Pensacola Christian College where I received a BA in Pastoral Ministry and Liberty University where I received a MA in Clinical Mental Health Counseling. I have worked as a therapist under regulatory agencies for 6 years and have worked in Christian Ministry since my ministerial ordination in 2003. Demographics I have served have included inpatient and outpatient care, private practice, substance abuse issues, psychotic spectrum disorders, gender identity issues, personality disorders, sex addiction, family and relationship issues, depression, anxiety, PTSD, Spirituality, and men’s issues. My experiences as a combat military veteran, teacher, father, husband, and a person who has experienced my own traumas and failures have contributed to my professional development. I look forward to getting to know you!

I am a licensed professional clinical counselor with over 10 years of experience specializing in treating anxiety related disorders such as , Generalized Anxiety, Obsessive Compulsive Disorder, and Hoarding Disorder. I also work with people experiencing life transitions, grief issues, and women's issues. I have a masters degree in clinical psychology from Azusa Pacific University and enjoy helping clients reach their life goals.

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

I have provided counseling services to clients since 2008 and have experience with a wide range of mental health and behavioral disorders in a variety of treatment settings to include crisis stabilization units, inpatient psychiatric hospitals, inpatient substance abuse treatment centers, outpatient community mental health, and both inpatient and outpatient mental health treatment in correctional settings. As such, I have gained extensive experience working with individuals with complex issues.

Hello! I am an attachment-based, trauma-informed Marriage and Family Therapist. I offer a warm, grounding space where you can slow down and make sense of the patterns that may be keeping you or your relationships feeling stuck. Therapy becomes a place to reconnect with yourself, strengthen your self esteem, self efficacy, relationships, and move toward a life that feels aligned, authentic, and balanced.

Are you carrying pain you don’t talk about—spiritual questions, emotional wounds, or unspoken grief that is causing mood instability and difficulty with relationships or with making decisions? As a licensed mental health counselor and professional counselor with 20 years of experience, I provide trauma-informed psychotherapy, faith-based counseling, and specialized evaluations for clients in Washington and Arizona. My passion is creating a safe, sacred space for those who feel overlooked or misunderstood, helping individuals, couples, and families to heal from anxiety, depression, and trauma. I meet you where you are, blending therapeutic expertise with compassion to help you find your strength and begin again.

Are you a woman facing big decisions? Navigating relationship challenges, family dynamics, parenting difficulties, career pivots? My background shapes how I approach therapy with clients facing such women's issues, which includes years as a licensed mental health counselor, but also as serving in senior leadership within higher education, supporting clients as a transformational coach, and balancing parenting along the way. This mix (and juggling act) gives me a practical understanding of how emotional wellbeing is often shaped by work, caregiving, relationships, and major life responsibilities. Many of the woman I work with are thoughtful, capable, and carrying more than others realize. They often appear highly functional on the outside while privately feeling overwhelmed, depleted, uncertain, or disconnected from themselves. I help clients slow things down enough to understand what is happening beneath the surface, identify what needs attention, and move forward in ways that feel grounded and realistic. I am licensed in Washington, Virginia, and Rhode Island, am a nationally certified counselor, and hold a doctorate in adult and higher education. While my colleagues may call me Dr. T, in counseling I'm just Melanie. I'm here to support you, help you find clarity and calm, offer guidance, levity, and a safe space for tears, perimenopausal rage, or a well placed curse word. Together, we find solutions to the barriers keeping you from your next chapter.

Having someone willing to listen, guide, challenge irrational thinking, and show interest and empathy to your circumstances is what is needed. I have over 32 years of experiences working with adolescents, adults and seniors of all sexual orientations dealing with a variety of issues from self-esteem, trauma, unresolved issues, depression to life struggles.

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.

Hi, I’m Dr. Ebony B. I’m a licensed therapist, healing guide, and space-holder for people who are tired of being the strong one. If you’ve been carrying the weight of emotional pain, burnout, or the pressure to keep showing up for everyone else, this is your space to put it all down and just be. I work with Black women, caregivers, and high-achieving professionals who often feel anxious, overwhelmed, disconnected, or like they’ve lost themselves somewhere along the way. Many of my clients seem to have it all together on the outside but feel exhausted inside. You don’t have to keep holding it in or pretending to be okay. You deserve a space to be real, to rest, and to heal. In our work together, we’ll move at your pace. I help clients understand what they’re feeling, where those emotions come from, and how to care for themselves with more compassion and clarity. We talk through patterns, explore your past, build boundaries, and learn new ways to cope that actually feel good to you. You’ll feel supported, not judged. My style is warm, down-to-earth, and collaborative. We’ll laugh sometimes, reflect often, and create room for honesty, softness, and growth. I honor your lived experience and believe in healing that respects your identity, your story, and your values. You don’t have to do this alone. If you’re ready to feel more like yourself again, I would be honored to walk with you.

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.

I work with teens, emerging adults, and adults who may be feeling stuck, overwhelmed, disconnected, or simply wanting a better understanding of themselves. I believe therapy should be a place where you can show up as you are, feel heard and understood, and explore your experiences without fear of judgment. Together, we can look at the ways you think, feel, and respond to challenges, and begin to understand how those patterns may be affecting your life and relationships. My approach to therapy is warm, accepting, and collaborative. I don’t believe there is a one-size-fits-all approach to healing, so I work with each client to understand their unique experiences, strengths, needs, and goals. I use evidence-based approaches and practical tools to help you build greater self-awareness, develop skills that feel meaningful and manageable, and find healthier ways of navigating life’s challenges. Most importantly, I believe you already have strengths within you that can help you move forward. My role is to walk alongside you, help you uncover what may be underneath the struggles you’re experiencing, and support you in building resilience, confidence, and a deeper understanding of yourself. Therapy can be a place to slow down, make sense of what you’re going through, and create space for meaningful change.

With over 23 years of experience, I have had the privilege of working with a diverse range of individuals and families navigating life’s challenges. My work includes helping people manage anxiety, depression, grief and loss, relationship concerns, and life transitions. I also bring experience supporting military members and others who have experienced trauma, including PTSD and traumatic brain injuries. My approach to therapy is collaborative. I believe that therapy works best when we work together as a team. I strive to create a safe, supportive environment where you can share your story openly and feel heard without judgment. From there, we can explore practical tools and strategies that help you make meaningful and healthy changes in your life. Seeking support can feel like a big step, and I respect the courage it takes to begin the process. My goal is to help you gain insight, develop practical coping skills, and move toward a life that feels more balanced, meaningful, and fulfilling.