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.

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.

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.

Welcome! I’m Ronica Sobiech. Thank you for taking a moment to get to know me. Scheduling that first appointment for mental health can be tough. It is the hardest part of the journey. Finding a provider that fits your personality and needs can also be a challenge. Take a moment to get to know me to determine if you feel we will be a good fit to help you be a better version of you. I am a Licensed Independent Clinical Social Worker (LICSW) with over 17 years of experience providing clinical counseling to active-duty military service members, retirees, and their families. I graduated in 2003 from the University of Washington, School of Social Work. I have extensive experience assisting clients with a broad range of concerns, including crisis intervention, life transitions, anxiety, depression, grief and loss, self-esteem, and trauma/PTSD.

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.

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.

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!

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.

I believe that change happens when people are given the proper guidance and tools needed to pursue their goals while also giving them the autonomy to pull on their own strengths and qualities that will get them to the finish line. I provide clients with a space full of compassion and support to help them overcome obstacles and move forward in life. My therapeutic experience mostly consists of services provided to adult and adolescent clients struggling with depression, anxiety, trauma, family conflict, and stress related issues. I tailor various therapeutic modalities such as, Cognitive Behavioral Therapy, Solution Focused, Positive Psychology and Motivational Interviewing according to the client’s individual needs and wants. I believe that everyone is entitled to pursue and live a fulfilling and happy life. I believe that a large part of wellness is having healthy, meaningful relationships, not just with others, but with ourselves.

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. Dr, Duncan is the principle therapist and evaluator at Lotus Psychological Services, located in Yakima, WA, 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.

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.

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.

Hello! I'm delighted you're taking the courageous step of seeking support. As an independently licensed therapist with over 20 years of practice, I bring a wealth of experience and a deep commitment to helping individuals and couples achieve their desired mental health outcomes. My educational foundation includes a Master of Clinical Social Work with a focus on Mental Health and Addictions Practice from Indiana University, and a Ph.D. from Western Michigan University. I'm licensed to practice across multiple states, including Michigan, Oregon, Illinois, Texas, and Washington, allowing me to serve a broad range of clients. My passion is helping adults successfully navigate challenges such as: • Stress • Mood Disorders (including anxiety and depression) • PTSD, anger management • Substance Use Disorders and other co-occurring conditions I also work with couples who are facing relationship challenges, guiding them toward stronger connection and communication. Ready to start your journey toward better mental health and a more fulfilling life? I look forward to partnering with you.

Hi! I'm a queer feminist who cares deeply about uplifting my community. I believe that my job is all about helping others be unapologetically themselves. I do not believe in the concept of "cringe" and I encourage my clients to really examine shame and unpack how this emotion has attached so deeply into our understanding of self. I have been serving the queer, neurodivergent, sex-positive, and polyamorous community for years. If you fall under with any of those or are wondering if you do, you're in the right place!

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.

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.

Renee Tong, LCSW, LISW is a highly skilled and compassionate clinical therapist dedicated to providing exceptional mental health care and support to adults over age 18, and seniors and is LGBTQ-friendly. Her private practice began in 2007. With a wealth of experience and a profound understanding of human behavior, Renee is committed to helping her clients navigate life's challenges and achieve personal growth. Renee earned her Master's degree in Social Work from Barry University, Florida, equipping her with a solid foundation in evidence-based therapeutic techniques and theories. She went on to obtain her clinical licensure as a Licensed Clinical Social Worker (LCSW), demonstrating her commitment to professional excellence and ethical practice. She is currently licensed in the following states: Florida, Arizona, Virginia, Massachusetts, North Carolina, South Carolina, Washington, Oregon, Ohio, and Kansas. Throughout her career, Renee has successfully assisted clients from diverse backgrounds and with a wide range of mental health concerns. Her expertise spans various areas, including life transitions, anxiety, depression, trauma, relationship issues, grief and loss, self-esteem struggles, Stress and worry, Caregiver stress, PTSD, Trauma, ACOA (Adult Child of Alcoholic or Drug Addict), addictions, Relapse Prevention, Dual Diagnosis, Grief, Shame and Guilt, Abandonment issues, Betrayal, Codependency, Toxic Relationships, Postpartum Depression, and Infertility-informed. By employing a holistic and client-centered approach, Renee fosters a safe and non-judgmental space for individuals to explore their emotions, thoughts, and experiences. Renee's therapeutic style combines empathy, active listening, and collaboration, ensuring that each client's unique needs and goals are addressed effectively. She employs evidence-based interventions such as cognitive-behavioral therapy (CBT), mindfulness techniques, solution-focused therapy to promote personal insight, resilience, inner child wound work, narrative therapy, attachment style theory method along with client center humanistic approach towards positive change.

I help clients navigate emotional struggles and transform their lives with compassionate, evidence-based therapy. I take a client centered approach to therapy, tailoring each session to your unique needs and goals. I use Cognitive Behavioral Therapy (CBT) to help you identify and reshape unhelpful thought patterns. I am straightforward, compassionate, and understanding. I will always be truthful and upfront, with the goal of creating a supportive, safe, non-judgmental environment.

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.

Hello! I am Jeff, a licensed therapist practicing in California and Washington. I specialize in treating ADHD, anxiety, depression, and difficulties in relationships. As a certified ADHD therapist, we will work together in improving your focus, motivation, and time management. Moreover as an RLT trained therapist, I will provide support in resolving difficulties in relationships, emotional distress, and feelings of disconnect and isolation. I understand the importance of connecting with you. Your thoughts, emotions, and experiences are essential to the therapeutic process. I will help you identify and bring insight into core issues in your personal life and relationships. We will work together to discover your best self.

I have been practicing for over three years, in addition to two years of practicum experience, and I hold a Master’s in Social Work. I am also nearing completion of my Doctorate in Social Work. As my ideal client, you are someone who recognizes the challenges you are facing and is motivated to seek support, guidance, and resources to work through them.

I am a Licensed Clinical Social Worker with over ten years of experience. I am licensed in the states of New York, New Jersey and Washington. I have committed my career to studying and treating the impacts of trauma. My identity as an Indigenous American informs my unique perspective on the impacts of generational trauma. Drawing from my own cultural background as well as a diverse toolkit of therapeutic approaches, I specialize in supporting clients from various cultural backgrounds, helping them navigate the complexities of their unique life experiences.

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.

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.

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.