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 166 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: 9/12/2026

$175/session

Warm
Solution oriented
Direct
Specialties
Anxiety
Depression
Trauma and PTSD
+10
Hi, I'm Sara. I help individuals caught in controlling and abusive relationships see through the gaslighting, reconnect with their intuition, and shift from survival to self-trust. I specialize in working with survivors of psychological, emotional, verbal, or physical abuse, narcissistic abuse, coercive control, and domestic violence. I also provide individuals struggling with anxiety, depression, trauma/PTSD, infertility and perinatal mood disorders, with the tools they need to begin healing. In couple's work, my approach focuses on recognizing and unlearning disruptive patterns, learning new strategies to communicate more effectively, and rebuilding emotional safety and connection. I graduated with my M.A in Counseling from Northwestern University in 2020, and am currently a doctoral student in the Counseling Education and Supervision program at University of the Cumberlands.
VirtualAvailable

New to Grow

$120/session

Specialties
Life Transitions
Phobias
Sexual Health
+10
My approach to therapy is rooted in psychodynamic therapy, which means we will look at how your past experiences, early relationships, and unconscious patterns shape how you feel and act today. However, human beings are complex, and a single formula does not fit everyone. I dynamically integrate multiple therapeutic techniques—drawing from cognitive, behavioral, and mindfulness practices—tailoring each session to exactly what your unique situation warrants in the moment.I believe the clinical, sterile reputation of mental health care can often keep people from getting the support they deserve. Because of this, my primary goal is to demystify the therapeutic process and make our sessions feel as comfortable and natural as a genuine conversation.You do not need to worry about clinical jargon, cold assessments, or feeling like a case study. Instead, we will work as collaborative partners in a warm, down-to-earth space, talking through your challenges openly so you can understand yourself deeper and build a clearer path forward.
Available

New to Grow

$85/session

Specialties
ADHD
Anxiety
Autism
+8
Thank you for your interest and congratulations in taking the first steps in reaching your goals and making the changes you want to make! I am a Licensed Professional Counselor (LPC) licensed in the states of Georgia and Washington and live in GA so I am in the EDT timezone. I have worked with clients with a wide range of concerns such as depression, anxiety, life transitions, work related stress, parenting challenges, ADHD, and Autism. I believe that counseling can provide education, support and a plan for the direction you would like to go. Therapy is a safe place where you can explore many emotions, fears and patterns of behavior that are preventing you from healing yourself and living a life where you are content and at peace. Any answers you need about how to live the life that is going to bring you fulfillment, joy and peace, are within you. Healing requires action. You can heal yourself with some bold and decisive moves. Counseling can provide a plan of action. If you are dealing with life transitions, stress, depression or anxiety, it is time to get real with yourself and deal with anything that isn't serving you. Commit to feeding thoughts, words and actions that are going to lead to joy and growth. I look forward to working with you!
Available

New to Grow

$144/session

Specialties
Anxiety
Burnout
Grief
+10
My name is Dr. Jennifer Ambriz and I am an Associate Psychologist, LMHC licensed in Washington state. Thank you for considering working with me! My counseling style reflects client-centered, empathic, strength based, and non-judgmental approaches to foster a therapeutic alliance. My theoretical orientation is Eclectic and I adapt counseling techniques to each unique individual client. The foundation of my clinical skills include Mindfulness based interventions, Holistic approaches, Cognitive Behavior Therapy (CBT), Dialectical behavior therapy (DBT), and Havening Techniques.
Available

$200/session

Empowering
Intelligent
Warm
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

$120/session

Warm
Empowering
Authentic
Specialties
Peer Relationships
Trauma and PTSD
Women's Issues
+4
Hi! I'm Nadia Jomaa and I am a Licensed Clinical Social Worker with a Master's degree in Social Work from Florida State University. As a first-generation Arab-American growing up in Florida, I have struggled with the intersectionality of my identity and finding community. My goal is to empower my clients to embrace their various cultural backgrounds, gender identity, and sexual orientation to be their genuine selves and make space for themselves in their lives. Together we can achieve these and other goals through learning some helpful skills, but also by remaining open, curious and compassionate with ourselves.
VirtualAvailable

$180/session

Authentic
Direct
Humorous
Specialties
Addiction
Anxiety
Trauma and PTSD
+10
I am a Licensed Clinical Social Worker with over 20 years of experience working with adolescents, adults, couples, and families. I help clients navigate trauma, anxiety, depression, addiction, relationship struggles, anger, and difficult life transitions in a practical, supportive, and nonjudgmental environment. My goal is to help clients better understand themselves, break unhealthy patterns, develop healthier coping skills, and move toward lasting emotional healing and stronger relationships.
Available

$200/session

Solution oriented
Authentic
Intelligent
Specialties
Eating Disorders
Life Transitions
Women's Issues
+4
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.
VirtualAvailable

$150/session

Authentic
Warm
Empowering
Specialties
Couples Counseling
LGBTQ
Life Transitions
+4
COUPLES-Please note that most insurances will not cover the cost of couples session unless the reason for counseling is related to the a mental health diagnosis for the insured partner so the sessions will be billed as self pay. I have over 20 years of experience helping adults and couples navigate life's challenges in a safe, supportive, and nonjudgmental environment. My goal is to create a space where you feel heard, respected, and empowered to make meaningful changes that align with your values and goals. As a Certified Sex Therapist and CBT-certified therapist, I use an integrative approach to treatment, tailoring therapy to meet your unique needs rather than relying on a one-size-fits-all model. While Cognitive Behavioral Therapy (CBT) serves as one foundation of my work, I also incorporate evidence-based techniques from other therapeutic approaches to provide individualized care. I have experience working with clients facing anxiety, depression, relationship challenges, intimacy and sexual concerns, LGBTQIA+ issues, military-related experiences, and major life transitions. Whether you're navigating communication difficulties, rebuilding trust, managing stress, exploring your identity, or working toward greater emotional and relational wellness, I am committed to helping you develop practical skills and lasting insight. I believe therapy is a collaborative process built on trust, authenticity, and compassion. Together, we will identify your strengths, explore patterns that may be keeping you stuck, and develop strategies to help you move forward with confidence. My approach is warm, direct, and solution-focused while honoring your pace and individual experiences. Seeking therapy is a courageous step, and I consider it a privilege to walk alongside my clients throughout their journey. I am passionate about helping people build healthier relationships, improve emotional well-being, strengthen resilience, and create fulfilling lives that reflect who they truly are.
VirtualAvailable

Often rebooked

$150/session

Authentic
Solution oriented
Warm
Specialties
Anxiety
Family Conflict
Perinatal / Postpartum
+10
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.
VirtualAvailable

$140/session

Authentic
Humorous
Open-minded
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

$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

$150/session

Warm
Authentic
Empowering
Specialties
Anxiety
Life Transitions
Women's Issues
+9
I am so glad you are here. It takes courage to reach out and I want you to feel welcomed from the very first moment. You deserve a space where you can breathe, feel supported, and be met with genuine care. Clients often tell me they feel comfortable with me quickly. I show up with warmth, calm presence, and real curiosity about who you are. I listen closely to your words and also to the emotions and meaning underneath. There is room here for laughter, honesty, vulnerability, and relief. I work from a strengths based and holistic perspective because you are so much more than your struggles. I see your resilience, creativity, and the ways you have cared for others and pushed through when life felt heavy. I help you reconnect with those strengths so you can feel more grounded and confident in yourself. I also support the mind body connection. As a registered yoga instructor and mindfulness practitioner, I guide gentle grounding practices and nervous system awareness when it feels helpful. These tools can create internal steadiness that supports healing long after you leave the session. Professionally, I am a Licensed Independent Clinical Social Worker with years of experience supporting people through anxiety, stress, grief, and life transitions. My background in clinical leadership means I know how to remain steady in complex emotional moments while holding hope when things feel uncertain. I believe therapy works best when we do it together. You are the expert on your own life. My role is to walk beside you with empathy, encouragement, and the belief that change is possible. You do not need to have everything figured out. Come as you are. Here, you can feel seen and supported as you move toward a life that feels meaningful, aligned, and fully yours.
VirtualAvailable

$160/session

Authentic
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

$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

New to Grow

$125/session

Specialties
Anger Management
Anxiety
Depression
+6
My name is LeNeice, and I am available to assist you with becoming better able to address your mental health needs. My primary areas of specialization are Adjustment Problems; Anger Management; Anxiety; Depression; Trauma/PTSD; and Domestic Violence. In addition, I also provide treatment for First Responders; Grief; Multi-Cultural Issues; Racial Trauma; Relationships; Stress-including Workplace, Veterans & more. As a Licensed Clinical Social Worker (LCSW-AZ/LICSW-WA), I earned a Master of Social Work (MSW) Degree from the University of Illinois, Urbana-Champaign (UIUC). Additionally, I have 8.5 years of formal experience as a Behavioral Health Professional (BHP).
Available

$150/session

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

New to Grow

$150/session

Specialties
ADHD
First Responders/Healthcare Workers
Personality Disorders
+10
I’m a clinician who helps people explore new ways of overcoming challenges and building a life that feels aligned with their values. My practice is grounded in creating a safe, non‑judgmental space where you can show up authentically, reflect openly, and feel supported as you work toward meaningful change. I’m here to walk alongside you with curiosity, compassion, and a belief in your capacity to grow.
Available

$120/session

Intelligent
Authentic
Direct
Specialties
First Responders/Healthcare Workers
Military/Veterans
Trauma and PTSD
+4
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.
Available

$110/session

Authentic
Empowering
Warm
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

$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

$90/session

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

New to Grow

$90/session

Specialties
Addiction
LGBTQ
Mood Disorders
+9
My training is broad, my approach is flexible, and my perspective is wide. I offer an open, thoughtful, and positive counseling style that respects individuality and promotes empowerment through knowledge, genuineness, and connection. Together, we can create meaningful change and lasting growth. If this sounds like a good match for you, please call or email my office to schedule an appointment.
Available

$150/session

Direct
Solution oriented
Authentic
Specialties
Addiction
Obsessive-Compulsive (OCD)
Trauma and PTSD
+10
Hello! My name is Max Croteau and I have had the pleasure of being a licensed professional counselor for almost 10 years now. In this time, I have been able to mold my style of understanding, accepting while also challenging and motivational into a successful model of growth and change for those who choose to work with me. I truly am a believer that therapy can sometimes be a side-by-side process, or it can be a process where one guides and the other follows, but ultimately the choice is up to you. I don’t want you to live a life that I tell you to live. I want to help you find a life that is truly a genuine fit for yourself and one that you can see yourself living without even having to think about it. I’ve specialized in addiction, OCD, trauma therapy, family and couples counseling and various other topics in the world of mental health. One important factor that I have found is that each person has their own individual story and their journey will be just as individualized. No matter how similar, we are all different. A cookie cutter approach to the rest of your life is not something that you will get from me. I will truly meet you where you are and work with you every step of the way to achieve the success that you are looking for. I always guarantee every person I work with that therapy may not be easy, but in the end, it will be incredibly worthwhile. I’d love to start and/or continue that journey. Growth has no final destination, just the journey. It’s up to you what path you’d like to take.
VirtualAvailable

$119/session

Authentic
Solution oriented
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
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.