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 178 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: 8/21/2026

New to Grow

$110/session

Specialties
Trauma and PTSD
Anxiety
Depression
+6
Hi, I am Olena. I understand how overwhelming trauma, PTSD, and painful memories can feel. I’ve found that my niche is helping clients who are tired of feeling stuck, caught in old patterns, or reliving the past. You don’t have to keep carrying the weight of painful memories, past experiences, or emotions that feel impossible to manage alone. My approach is compassionate, collaborative, and person-centered. I believe you are the expert on your own life, and therapy should be a safe space where you feel supported, respected, and empowered throughout your healing process. I look forward to hearing your story.
Available

New to Grow

$150/session

Specialties
Anxiety
Coping Skills
Life Transitions
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.
Available

$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

$95/session

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

$110/session

Authentic
Empowering
Open-minded
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

New to Grow

$155/session

Specialties
Anxiety
Depression
Trauma and PTSD
+10
Life can feel overwhelming when you're carrying the weight of anxiety, difficult relationships, or painful experiences from the past. You may find yourself putting others first, struggling with boundaries, or feeling stuck in patterns you can't seem to change. I work with adults who are ready to better understand themselves, heal from past experiences, and create healthier relationships. Together, we'll explore what's keeping you stuck, build on your strengths, and help you move toward a life that feels more balanced, meaningful, and authentic. I specialize in attachment, trauma, anxiety, depression, relationship concerns, and life transitions. I use CBT, DBT, person-centered, mindfulness, and attachment-focused therapies such as Lifespan Integration therapy, tailoring each session to your unique needs. My goal is to help you gain insight, build resilience, and create lasting change.
Available

$140/session

Warm
Authentic
Empowering
Specialties
Anxiety
Grief
Trauma and PTSD
+10
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.
VirtualAvailable

Often rebooked

$140/session

Authentic
Humorous
Direct
Specialties
Anxiety
Depression
Life Transitions
+10
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.
VirtualAvailable

$160/session

Direct
Open-minded
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

New to Grow

$100/session

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

Often rebooked

$150/session

Warm
Authentic
Empowering
Specialties
Anxiety
Life Transitions
Self Esteem
+1
Has everything looked like it’s going well on the outside, but inside you feel like you’re hanging on by a thread? Are you waking up tired regardless of how much sleep you get? Do you see yourself as “the fixer” or “the caretaker” with your loved ones, but feel as though you don’t have any energy left when it comes to taking care of yourself? Does it feel selfish to take care of yourself? Does the thought of disappointing others and telling a loved one “no” fill you with dread? Old belief patterns don’t have to keep you feeling powerless anymore. Reaching out is a big first step in prioritizing your needs. I am committed to supporting you with warmth and compassion every step along the way. Together we can examine ways your old narrative no longer serves you and help foster a more peaceful and purposeful way of living.
VirtualAvailable

$119/session

Solution oriented
Authentic
Empowering
Specialties
Anxiety
Coping Skills
Trauma and PTSD
+9
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.
VirtualAvailable

$120/session

Authentic
Direct
Intelligent
Specialties
Anxiety
Depression
Self Esteem
Hi, I'm Carla, and I'm glad you're here. Reaching out for therapy isn't always easy, and I believe finding the right therapist is an important first step. I work with women who are feeling overwhelmed by anxiety, depression, burnout, low self-esteem, or the constant pressure of trying to hold everything together. Whether you're balancing work, family, relationships, or simply feeling disconnected from yourself, you don't have to navigate it alone. My approach is warm, supportive, and collaborative. I strive to create a space where you feel comfortable being yourself without fear of judgment. At the same time, I believe therapy should be practical. I won't just listen; we'll work together to understand what's keeping you stuck, identify patterns that are no longer serving you, and develop realistic strategies you can use in your everyday life. I primarily use Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and person-centered techniques, tailoring each session to your unique needs and goals. I also value cultural humility and understand how life experiences, family expectations, identity, and personal values can shape the way we experience stress and healing. My goal is to help you feel more confident, develop healthier coping skills, strengthen your self-worth, and create a life that feels more balanced and fulfilling. I believe meaningful change happens one step at a time, and you don't have to have everything figured out before you begin. If you're ready to invest in yourself and start creating lasting change, I'd be honored to walk alongside you on your journey.
Available

$175/session

Authentic
Warm
Solution oriented
Specialties
Coping Skills
Self Esteem
Trauma and PTSD
+10
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.
VirtualAvailable

$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

$225/session

Warm
Authentic
Empowering
Specialties
Anxiety
Depression
Coping Skills
+6
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, Los Angeles, in May 2020. I incorporate a range of therapeutic approaches, including Cognitive Behavioral Therapy (CBT), Emotionally Focused Therapy (EFT), Acceptance and Commitment Therapy (ACT), Motivational Interviewing (MI), and trauma-informed care. I tailor my approach to each client’s unique needs, helping them build resilience, improve relationships, and create meaningful change. In my free time, I enjoy hiking, traveling, reading, painting, journaling, and spending time with family and friends.
VirtualAvailable

$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

$120/session

Authentic
Empowering
Intelligent
Specialties
Anxiety
Life Transitions
Trauma and PTSD
+9
I'm Anabel, a clinical social worker and certified trauma therapist in TX and WA states. I work with people who are really good at holding it all together — until they're not. If you're exhausted in a way that's hard to explain, carrying more than your share, and wondering if this is just what life feels like now — this is the space I built for that. I work with adults who are holding everything together — managing responsibilities, relationships, and internal pressure — while quietly wondering why it all still feels so hard. 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

$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

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

$125/session

Warm
Authentic
Solution oriented
Specialties
Anxiety
Couples Counseling
Obsessive-Compulsive (OCD)
+7
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.
VirtualAvailable

New to Grow

$160/session

Specialties
Anxiety
Depression
Trauma and PTSD
+10
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.
Available

$100/session

Warm
Authentic
Empowering
Specialties
Anxiety
Chronic Illness
Depression
+10
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.
VirtualAvailable

Often rebooked

$150/session

Authentic
Warm
Direct
Specialties
Anxiety
Depression
LGBTQ
+7
I believe that healing happens when we look at the whole picture. Mental wellness isn't just about what is happening in our minds, rather it is deeply connected to our environment, our social structures, and our lived experiences. With a professional background rooted in systemic advocacy, housing case management, and youth mentorship, my practice is built on the understanding that real emotional healing requires a foundation of physical, environmental, and psychological safety. I offer a space that is both deeply compassionate and grounded, where you can feel safe to explore your most authentic self. My communication style is a blend of gentle curiosity and direct, honest reflection, ensuring our sessions feel like a genuine conversation. I believe in meeting you with warmth and a touch of real-world relatability.
Available

$150/session

Warm
Authentic
Intelligent
Specialties
Anxiety
Bipolar Disorder
Trauma and PTSD
+10
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.
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.