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 187 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: 8/6/2026

$110/session

Authentic
Solution oriented
Warm

Specialties

Anxiety
Child or Adolescent
Depression
+10
Greetings, my name is Jacky Jaeok Kim and my Korean name translates to “pearl of wisdom” in my native tongue. I’m also a 1st generation Korean immigrant to the US, a proud dog mom, an insatiable polymath, a technology advocate, and a person of many facets with a lifetime’s worth of stories under my belt. As a former DACA recipient and survivor of SA, I carry a deep understanding of resilience and hope with me in everything I do. I have 11 years of experience in the mental health/medical field and community-based work. My journey began advocating for the civil rights and safety of individuals in the criminal justice system with Orleans Public Defenders. From there, I expanded my work to serve diverse populations in juvenile justice, education, hospital systems and more. A formative experience in my career was a summer spent fly-fishing and working alongside grizzlies in Katmai National Park, where I was in complete reverence to Mother Nature and the remoteness of the Alaskan wilderness. This eventually led me to the Yukon-Kuskokwim region of Western Alaska upon receiving my MSW, where I worked as an itinerant social worker among the Yup’ik population. This experience deepened my respect for the indigenous way of life and reinforced my life’s commitment to providing meaningful, excellent patient care and therapy in rural settings.
VirtualAvailable

$110/session

Solution oriented
Empowering
Authentic

Specialties

Anxiety
Self Esteem
Trauma and PTSD
+7
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.
VirtualAvailable

$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

$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

$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

$150/session

Direct
Warm

Specialties

ADHD
Autism
Trauma and PTSD
+8
I use play, mindfulness, emotionally-focused, and Attachment and Commitment in my practice. I am a strong believer that one of the only ways to come back from overwhelm is to do nothing, and the best way to do nothing is to play. I completed my internship in 2020 with the organization Child Abuse Prevention Association providing trauma informed care to adults and children via telehealth. After graduation I was a school based therapist working primarily with elementary children and their families. In that time I developed a specialty with neurodivergence. I have spent the last year working with neurodivergent children, teens, and adults here in Washington.
Available

New to Grow

$120/session

Intelligent
Warm

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

$175/session

Authentic
Warm
Empowering

Specialties

Life Transitions
Mood Disorders
Spirituality
+6
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.
VirtualAvailable

$150/session

Warm
Authentic
Open-minded

Specialties

Anxiety
Depression
Trauma and PTSD
+6
Hi, my name is Vienna Aslanian, and I have been practicing as a licensed therapist since the beginning of 2017. I chose to become a therapist after practicing in the field of social work with children and families. Witnessing the trauma and the way that trauma impacted those individual lives caused me to develop an interest in and concern for individuals struggling with PTSD and childhood trauma. Seeing the intergenerational struggles and hearing people's personal stories on the matter made me interested in the field of therapy. I have always enjoyed listening to people's stories and making a genuine connection with someone. I believe in the healing power of therapy and the importance of the therapeutic relationship. I believe in the importance of active listening and supportive guidance. I believe in the importance of empathy and nonjudgment; I value making you feel cared about and understood. I hold myself to high expectations regarding reliability and consistency in order to provide the best support and care possible. I attend training regularly on the best and most effective practices/therapeutic modalities.
VirtualAvailable

$150/session

Authentic
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

New to Grow

$120/session

Specialties

Anxiety
Depression
Women's Issues
+7
I offer help and support for women and teen girls who feel a constant hum of anxiety, are weighed down by depression, and/or have a harsh inner critic that longs for the freedom of a peaceful mind. You may be feeling stuck, unsure how to move forward, and in need of a safe, judgment-free space where your feelings are heard, understood, and validated. In therapy with me, you’ll receive compassionate support and evidence-based tools to better understand yourself, quiet self-criticism, feel stronger and empowered to develop healthier ways of coping with difficult transitions. My goal is to help minimize your suffering so you can feel hope again.
Available

Often rebooked

$150/session

Solution oriented
Direct
Intelligent

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

$150/session

Authentic
Warm
Intelligent

Specialties

Anxiety
Bipolar Disorder
Trauma and PTSD
+10
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

$120/session

Warm
Empowering
Humorous

Specialties

Anxiety
Depression
Family Conflict
+10
Hello and welcome. My name is Monica Grewal. I’m a licensed Marriage and Family Therapist and I use systems thinking in my practice to foster dynamic and healthy relationships within families and couples. As a postmodern therapist, I embrace the idea that no single truth prevails, and acknowledge the fluidity of identity within the ever-changing landscapes of human experience. My mission is to create a space where inclusivity thrives, each voice is heard and respected, and healing comes from within the interconnectedness of our stories and shared experience. Drawing from my own rich tapestry of life experience as a queer immigrant woman of color, I understand the profound impact that culture and intersectionality can have on one's perspective. In my practice, I wholeheartedly embrace the client's worldview, celebrating their unique experiences and identities, while gently encouraging them to explore alternative narratives and possibilities. In the therapy room, we work together as empathetic co-authors to compose narratives that reflect your values, goals, and aspirations. I act as an enthusiastic coach, cheering from the sideline as you learn to identify strengths and skills that have been hidden or overlooked, and celebrate with you when you integrate these into their self-talk, amplifying resilience and potential for positive change. By setting clear, achievable, and trackable goals, we navigate the complex ecosystem of emotions, beliefs, and behaviors, ensuring sustainable progress and working toward a sense of homeostasis. Through the lens of narrative therapy, we dissect communication patterns, uncovering missed opportunities for connection and understanding, and challenge the dominant stories that have shaped your lives. Together, cautious and determined, we walk through the labyrinth of emotions, uncovering treasures buried in half-healed wounds. Clients learn to navigate and impact their inner landscapes, finding solace and strength in their process of self-discovery.
Available

$100/session

Open-minded
Warm
Authentic

Specialties

Anxiety
Mood Disorders
Serious Mental Illness
+10
With 15 years of clinical experience, I am dedicated to supporting you on your journey toward healing and personal growth. I have extensive experience working in the field with all developmental ages. My approach is deeply client-centered—I believe that every person’s story is unique, and my role is to provide a safe, nonjudgmental space where you feel heard and empowered. Together, we will work collaboratively to identify your strengths, overcome challenges, and develop strategies tailored to your goals. Whether you are seeking support for anxiety, depression, life transitions, or simply want to improve your overall well-being, my commitment is to help you build resilience and find lasting change. I look forward to being a partner in your growth and supporting you every step of the way. I am passionate about building authentic relationships with my clients and believe that trust and openness are essential to the therapeutic process. I strive to create a warm, approachable environment where you can feel comfortable being yourself and working towards meaningful change. My approach to helping you navigate through your challenges can be insightful and motivational. I incorporate evidence-based techniques that are tailored to your needs. You don’t have to deal with your challenges alone. I encourage you to take that first step towards a more fulfilling life.
VirtualAvailable

Often rebooked

$175/session

Authentic
Open-minded
Warm

Specialties

Perinatal Mental Health
Postpartum
Trauma and PTSD
+10
Being a mom can be beautiful, and brutally overwhelming. If you’re carrying invisible weight while trying to hold everything (and everyone) together, you’re not alone. Hi, I'm Olivia Lauzon, LCSW/LICSW and Certified Perinatal Mental Health provider. I specialize in working with mothers navigating trauma, anxiety, burnout, and the deep identity shifts that come with parenthood. Whether your trauma is recent or rooted in childhood, becoming a mom has a way of bringing it to the surface. The sleepless nights, the mental load, the pressure to “do it all,” it can stir up old wounds in ways no one prepared you for. I am licensed to see clients in CO, FL, and WA.
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

$175/session

Authentic
Solution oriented
Warm

Specialties

Anxiety
Depression
Trauma and PTSD
+3
Dr. Maria Williams, Ph.D., LMHC, LPC I am a licensed therapist with over nine years of experience providing compassionate, evidence-based behavioral health care to adolescents and adults. I am dedicated to helping individuals navigate life’s challenges, heal from difficult experiences, and create meaningful, lasting change. I earned her Doctor of Psychology with a minor in Addictions, along with a Master of Counseling Psychology. My clinical experience spans both inpatient and outpatient settings, where she has supported individuals with a wide range of mental health and substance use concerns. I provide collaborative, strengths-based approach to therapy, helping clients build practical coping skills, strengthen emotional resilience, and gain deeper insight into their experiences. She strives to create a safe, supportive environment where clients feel heard, understood, and empowered to make meaningful progress.
VirtualAvailable

$130/session

Warm
Authentic
Direct

Specialties

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

$180/session

Authentic
Warm
Intelligent

Specialties

Anxiety
Depression
Trauma and PTSD
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.
VirtualAvailable

$100/session

Authentic
Empowering
Warm

Specialties

First Responders/Healthcare Workers
Life Transitions
Trauma and PTSD
+9
Now Accepting New Clients. Navigating through the journey of life we inevitably run into hindrances that challenge our momentum. Change is hard and can often be sudden and unpredictable, leaving us without the proper tools to cope with these changes. We have to learn to acclimate to our surroundings on our terms. Whether it's a traumatic response, addiction, grief and loss, anxiety, loss of confidence, feeling lost and overwhelmed, feelings of depression or stagnation, there's hope. It takes courage to look into a mirror and see who's looking back, it takes strength to want to make a change and hope to inspire change. My goal is to inspire Hope. To inspire people to look inward and see what is there, what already exists. I want to see people believe in themselves. My goal is to assist people in regaining a strong and confident sense of self.
VirtualAvailable

Often rebooked

$240/session

Warm
Authentic
Intelligent

Specialties

Anxiety
Life Transitions
Trauma and PTSD
+6
As a first-generation Filipina-American liberation psychologist licensed in California, Washington, and Hawaii, I bring over 21 years of experience supporting individuals through anxiety, depression, major life transitions, and the lasting effects of intergenerational trauma. My approach combines the best of evidence-based therapy with innovative practices such as psychedelic harm reduction, integration therapy, and ketamine-assisted psychotherapy. Clients often describe me as both warm and direct - someone who creates a safe, non-judgmental space while also helping them move toward real change. Together, we’ll focus on building clarity, resilience, and balance across mind, body, and soul. PLEASE NOTE: I do not work with clients involved in active legal cases, including disability claims or litigation-related documentation, and I do not provide letters for work accommodations, disability, or leave-of-absence requests.
VirtualAvailable

$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

Often rebooked

$150/session

Warm
Authentic
Intelligent

Specialties

Anxiety
Life Transitions
Trauma and PTSD
+3
Painful experiences often lead people to develop protective strategies to manage overwhelming emotions. These strategies may appear as perfectionism, emotional avoidance, anger toward loved ones, or repeated involvement in unhealthy relationships. While they can offer temporary relief, they often create disconnection from oneself and others, contributing to feelings of loneliness, shame, anxiety, and depression. I am dedicated to helping individuals strengthen their sense of self worth and process traumatic experiences that contribute to insecure attachment and unhelpful patterns. I believe that although emotional wounds often occur within relationships, healing also takes place through safe and supportive connection. With compassion, courage, and a willingness to explore difficult experiences, meaningful and lasting change is possible. Healing can happen, and there is always hope.
VirtualAvailable

$120/session

Authentic
Open-minded
Warm

Specialties

Anxiety
LGBTQ
Trauma and PTSD
+2
Are you feeling stuck, unworthy, unmotivated or hopeless? You have goals and you try to move forward, because you know you have a lot to offer, but something always seems to get in the way of your career and your relationships. You feel like you are never enough, like you don’t belong. You wonder how things would be different if you were white, straight, able-bodied or cis-gendered. Every piece of self-help advice you read must be filtered through the lens of being marginalized and having less privilege. You wish someone could understand you. You know logically how you “should” feel and you try to cope, but you find that you just can’t change by willpower alone. It is not that you lack the willpower at all, it is something else. How you talk to yourself matters. A few logistical things to mention. I'm not currently taking new clients, but will open up at some point in June. Please remain in communication with scheduling. If you book yourself, be aware that I may need to change the appointment to find a time if I'm not free. (Grow calender isn't always up to date with my other calenders.) Please complete any intake paperwork prior to your appointment.
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.