Therapists that accept Cash Pay in Washington

I take a warm, down-to-earth approach to therapy and work from a trauma-informed lens. I believe our reactions make sense, even when they feel overwhelming or confusing. Together, we slow things down and begin to understand what’s underneath your experiences. I bring in an understanding of how the brain and nervous system respond to stress, helping your reactions feel more understandable and connected to what you’ve been through. I see your reactions as signals worth paying attention to. Rather than only trying to manage them, we take time to understand why they’re showing up and what they might be connected to. From there, we can begin to shift how you respond, building tools that actually support you in a way that feels more grounded and effective.

Hi! I am a Licensed Professional Clinical Counselor (LPCC) based in CA. I received my Masters Degree from Nova Southeastern University in Florida in 2011. I have dedicated my career to working with adults and adolescents struggling with anxiety, depression and managing different life stressors. Making the decision to start therapy and recognizing that you want to make changes in your life is a big step and my goal is to create a safe and supportive environment for you and help you reach your goals.

I have a passion for helping individuals who have been wounded physically, emotionally and spiritually to become whole and restored. During my professional career I have worked with individuals of all ages who suffer from traumatic experiences, mood disorders, chronic illness, grief and loss, crisis intervention and a host of other issues. I am a certified premarital/marital counseling facilitator with PREPARE/ENRICH. I believe in the mind, body, spirit approach and finding balance in those areas. I work with individuals to find balance in life and to become more whole through exploring the various areas of their lives.

I'm a warm, direct, occasionally irreverent therapist who believes growth happens through honest connection, curiosity, and a little humor. My background in trauma work taught me that understanding our patterns matters, but learning to challenge them is where change begins. Clients seeking to understand where to interrupt their patterns and how to do so often enjoy working with me. My experience includes years working with people navigating complex trauma, shame, difficult relationships, emotional avoidance, and deeply ingrained survival strategies. I've worked with individuals who have spent much of their lives feeling misunderstood, judged, or defined by their worst moments. That experience shaped my belief that accountability and compassion aren't opposites. We can understand why we developed a behavior without deciding that we have to keep it. My approach is collaborative, active, and experiential. I draw from Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and other evidence-based approaches, but I don't believe meaningful change happens simply because we can name a concept. We'll explore how your patterns show up in real life, examine the assumptions and emotions underneath them, and experiment with new ways of responding. I especially enjoy working with people who are curious about themselves, even when they don't quite know where to begin. You don't need to arrive with perfect insight, the right words, or a clear roadmap. Just a willingness to get curious about what's happening and consider what might be possible. You're the expert on your experiences. My role is to bring another perspective, help you notice what might be difficult to see from the inside, and support you in deciding what you'd like to do differently. And yes, sometimes I'll challenge you. But I'll never ask you to do something difficult without respecting how difficult it actually is.

I enjoy using humor in therapy. I feel that the client can be more relaxed with using this type of talk therapy. I was a nurse before I became a clinician and use some of my medical knowledge in your sessions. As a client you can decide how much or how little we focus on each topic. You are in charge of the sessions. I am here to help you balance your life and wishes.

Are you feeling overwhelmed and need support? Are you struggling with anxiety or having trouble in your relationships? Maybe you're finding it difficult to achieve your goals? It can be exhausting to navigate the obstacles life throws at us. I understand how difficult and scary it can be to take the first step and begin the healing process. In our sessions, I'll meet you where you are with compassion and evidence-based practices so we can identify what's not working and find a way to help you meet your goals for a healthier, happier life. I offer telehealth counseling services for individual adults of all ages and all walks of life who reside in the state of Kentucky. My therapeutic approach is primarily strengths-based, applied within evidence based interventions such as cognitive behavioral, psychodynamic, motivational interviewing, and mindfulness therapies. My goal as a therapist is to create a comfortable and welcoming environment for you to explore and express your thoughts and feelings. Let's work together!

Hi! I’m Dave McNew, a licensed clinical psychologist. I work to help those with marginalized identities (sexually & gender queer, BIPOC) to heal chronic struggles with trauma, anxiety, and depression. I use my passion for relational healing, mindfulness, and self-compassion to build space in which you can know yourself more fully and live more authentically. I help to cultivate more safety and joy in your relationships with others, and with yourself. I make space for you to face the parts of yourself that are hardest to feel. Where there was pain and confusion, I help you find greater calm, peace, and connection.

My name is Percival Fisher, Jr. However, you can call me "Percy" and I have been providing individual and group psychotherapy for 12 years. I am here to assist you in reaching your goals in therapy. I provide a safe, warm, and interactive space to talk about your presenting issues. I have experience providing therapy to individuals experiencing depression, anxiety, anger, trauma, "coming out"/LGBTQIA-related issues, and family conflicts.

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'm not just a therapist. I'm a coffee enthusiast who starts each day with a pour-over and a quiet moment before the world wakes up. I'm an outdoor lover who believes fresh air and moving my body are non-negotiable whether that's a hike, 4x4ing, hitting the resort/ backcountry, a walk with the family, or just standing in the backyard feeling the sun. And I'm a family man. A partner. A parent. Someone who knows what it's like to be pulled in ten directions and still want to show up fully for the people around me. That life outside the office isn't separate from my work. It's what keeps me refreshed, grounded, and able to come back to this chair with presence and energy. I don't just talk about balance I live it, imperfectly and intentionally. The work I've done reflects that same groundedness. I've been shaped by a wide range of experiences: residential treatment settings where the stakes were high and the progress was hard-won. Outpatient practice where life happens between sessions jobs, kids, marriages, breakdowns and breakthroughs. I've sat with clients across the entire lifespan, from geriatric patients navigating legacy and loss to teens just beginning to ask who they are. That breadth taught me something: suffering doesn't discriminate by age, and neither does healing. Whether you're sixteen or sixty, whether you're processing trauma or just trying to feel less alone, the fundamentals are the same. You want to be seen. You want to be understood. And you want a way forward that actually fits your life. That's what I'm here for.

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

I am a licensed psychologist and I view therapy as a collaborative, structured process tailored to each patient's unique physiological, psychological, and situational needs. Every client's journey is unique — I start by listening carefully to your story and the specific challenges bringing you to therapy. From there, we work as a team to identify the sources of your stress and build practical strategies that empower you to thrive in your day-to-day life. Whether we draw on present-focused skills, learn to navigate tough emotions, or process deeper memories — we decide the best path forward together. Grounded in a comprehensive lifespan perspective, my goal is to foster long-term resilience, functional recovery, and health optimization through evidence-based practice.

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, 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.

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 fiancee, watching sunsets, hiking, bicycling, singing, and making homemade soaps.

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.

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.

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 licensed in Washington, Wisconsin, Iowa, and Florida. My approach to therapy is with mutual respect, positive regard, and focus on steps toward goal attainment with an interactive exchange, I will tailor a plan based on your individual needs which may include distress tolerance, mindfulness, emotional regulation, and interpersonal effectiveness. I will provide assistance for you in recognizing your wants and needs ensuring that our communication is open and you are able to effectively express yourself in a safe, relaxed, and non-judgmental forum. I offer a safe and empathetic space to process and work through challenges, including trauma, adjustments, behavior issues, depression, anxiety, education, employment, grief and loss, relationship issues and many other personal growth, joy, and life inhibitors.Together we can develop a plan to promote emotional, mental, spiritual, and physical growth.

I'm a Licensed Mental Health Counselor who knows that you are much more than a diagnosis. Having spent many years working in crisis intervention, suicide prevention, and with people in a variety of difficult legal and personal situations, I tend to be pretty hard to shake. I want to help support you as you seek to control the anxiety, depression, and other stressors that can feel so limiting. I begin from a place of acceptance and positive regard, and utilize evidence-based strategies in collaboration with you, to come together in a plan for meaningful growth. Also, as someone in recovery myself, I welcome those who are looking to move beyond the stifling grip of substance abuse.

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.

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.

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.

Also licensed in Oregon, Minnesota, and New York. With over 30 years in the helping professions, I have worked in many settings, including street outreach, community programs, inpatient and outpatient treatment programs, and private practice. I bring a real-world perspective. I specialize in helping people navigate the difficulties of Bipolar Disorder, ADHD, Depression, Anxiety, and Grief. I also have a heart for women navigating the complexities of morbid obesity by providing a space free of judgment. We focus on the person, not just the scale. My background working in impoverished neighborhoods has taught me how people can build resilience and maintain it. I am a cradle Catholic and honor all spiritual journeys, should you want to bring that part of yourself into therapy. We’ll work together to untangle life’s hardest moments with honesty, humor, and a lot of heart.

Hi, I am a Licensed Counselor offering online individual therapy for adults. Life brings difficult thoughts, feelings, and hard situations that can pull you away from what matters most. You do not have to navigate these experiences alone. My approach centers primarily on Acceptance and Commitment Therapy (ACT). Instead of trying to battle with the pain or challenges you are experiencing, we will work together to change how you relate to it.