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 122 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: 11/25/2025

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Gianna Leoncavallo

LMHC, 21 years of experience

New to Grow

$125/session

Direct
Open-minded

Specialties

Coping Skills
Mood Disorders
Trauma and PTSD
With over twenty years experience as a therapist, I have always considered it a privilege to be allowed into the most intimate details of my clients' lives, their pain, their sorrows and their joys. Using a collaborative approach, I help clients gain insight into the thoughts and behaviors that may be holding them back. I help clients to draw on their strengths, and to learn coping skills in order to improve their lives, and find greater happiness. I specialize in mood disorders, personality disorders, relationship issues, sexual addiction, grief, trauma and anxiety. Therapy, can be hard but rewarding work, and I honor your trust by providing a safe and supportive environment in which you can share your story and heal.
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Monica Flowers

LICSW, 11 years of experience

$150/session

Direct
Humorous

Specialties

Anxiety
Crisis Intervention
Depression
+6
I’m a mental health professional dedicated to supporting individuals on their wellness journey. With a Master's in Social Work from Florida A&M University and Florida State University, I specialize in various therapeutic approaches that help clients explore their challenges, develop coping strategies, and work towards their goals. With over 10 years of experience in medical and psychiatric social work, I have worked with adolescents, young adults, and the elderly. My passion lies in helping everyone find their best selves and navigate through life's difficulties. I strive to provide a safe and compassionate space for growth and healing. I am currently located in Tacoma, Washington. I am licensed in Florida, Massachusetts, New Mexico, and Washington State.
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Laura Nelson

LMHC, 40 years of experience

New to Grow

$150/session

Specialties

Anxiety
Life Transitions
Older Adults
+9
Laura's holistic health approach, blends Mind, Body and Spirit with an Eco-therapy connecting you to the Earth, Water, Air, and the Fire within you, to bring balance and restorative health. My Holistic Journey began with 30 Years of therapeutic Massage, blending with spiritual teachings, and completing with a clinical mental health degree. I have been through all stages of life with body awareness, positive psychology, mindfulness and gratitude. With celebrations and rituals to transform and empower you.
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Jeffery Clark

LICSW, 7 years of experience

New to Grow

$150/session

Specialties

Child or Adolescent
First Responders/Healthcare Workers
Military/Veterans
+10
Hi! I'm Jeffery Clark. I work with adolescents, Veterans, and first responders/health care workers. Quite the combo, I know! I found that I'm comfortable with being uncomfortable in the therapy space. The patients I often see are those who've tried therapy with some success, but they didn't really 'click' with the therapist. Welcome to my approach! No suits and ties. Handouts optional. Thoughts, feelings, emotions are highly encouraged. Therapy is already hard enough, so I try my best to create a relationship that holds the necessary boundaries while encouraging you through direct and humors engagement. Once we have that relationship locked in, then we can go about figuring out how to obtain those self-defined goals you thought about when you clicked on this profile for the first time.
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Russell Johnson

LMHC, 44 years of experience

$120/session

Direct
Warm

Specialties

Anger Management
Anxiety
Depression
+10
I like working with individuals with a wide array of problems including: depression, anxiety, anger, trauma, relationship problems, behavioral disorders, substance abuse, impulse control problems, low self-esteem, low self-confidence, family problems, life skills deficits, and problems with decision-making. My goal is to help you achieve your goals. I am in the happiness business and I want help you achieve a happy, fulfilling lifestyle. I provide compassionate care and I am an efficient and effective counselor who uses evidence-based approaches like CBT and EMDR. I have an eclectic approach and I am skilled at cognitive-behavioral therapy, interpersonal therapy, psychodynamic therapy, existential therapy, reality therapy, grief therapy, and couples and family therapy. I provide therapy in a supportive, patient, and motivating manner. I do thorough assessments so that I can truly understand your situation and work with you to find solutions to your problems. I try to create an individualized, specific treatment approach for each client. Together, we will identify your challenges and goals - where you want your life to be a month, six months, a year from now. Then, we'll identify options and strategies you can use to get there. You'll leave the session with a better understanding of what you're facing with an "actions I can take right now" approach. There will always be room for suggestions concerning our work together, including keeping each other accountable.
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Elizabeth Newman

LMHC, 7 years of experience

Frequently rebooked

$150/session

Warm
Authentic
Solution oriented

Specialties

Anxiety
Depression
LGBTQ
+5
Hi. I am a Licensed Clinical Professional Counselor (LCPC) and a Licensed Mental Health Counselor (LMHC). Perspective clients need to know I genuinely care about the people I work with, and have a passion for joining people on their journey to a new self. The fact that you are searching for a therapist shows you would like something to change. This is very brave. We often lose perspective about situations and how we deal with them. This can be a result of things we have buried from our past, or relationships that did not support us in the way we need. I will give you a safe and supportive place to look at your unwelcome patterns and find a way to make your journey more fulfilling. My counseling focus is on adolescents, adults, and elders (65+). My philosophy is client-centered, Mindfulness based, trauma informed, and goal oriented. I have training and experience with Dialectical Behavior Therapy (DBT), Cognitive Behavior Therapy (CBT), and Mindfulness. My areas of focus include trauma, attachment issues, difficulties with distress tolerance and emotional regulation, along with families dealing with Alzheimer's. Your thoughts, feelings, and behaviors are what make you who you are. As we work together to understand these parts of you, we will find a way to alter those thoughts that no longer work for you and strengthen those that are helping you become who you wish to be.
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Catherine Cooper

LMHC, 8 years of experience

$150/session

Intelligent
Solution oriented
Open-minded

Specialties

Anxiety
Women's Issues
Grief
+4
Hi! I am a Licensed Mental Health Counselor in Florida and Washington State. I have a degree in Mental Health Counseling and Marriage and Family Therapy from the University of South Florida. I have additional training in Accelerate Resolution Therapy, experiential therapy, emotion focused therapy. I have been in private practice for over 5 years. I previously worked with veterans and individuals in the criminal justice system. I have experience working with adults, couples, families and adolescence as young as 14.
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Shawn Berthel

LMHC, 12 years of experience

New to Grow

$175/session

Specialties

Anxiety
Depression
Men's Issues
+10
I am a Licensed Clinical mental Health Counselor who has been in professional counseling practice since December 2013, and in private practice since October 2016. I have worked with clients from all walks of life and various situations. I hold a Master of Science degree in Mental Health Counseling from Capella University, awarded in 2012 with Graduate Honors. Additionally, I continuously participate in continuing education, to increase my skills and knowledge in the field, in order to help clients in the most efficient and effective ways possible. In my spare time, I enjoy traveling, going to movies, and spending time with my friends.
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Lydia Davis

LICSW, 18 years of experience

$185/session

Warm
Open-minded
Intelligent

Specialties

Anger Management
Life Transitions
Women's Issues
Hi, my name is Lydia Davis. I am a licensed Independent clinical social worker as well as a licensed clinical social worker in 4 states . I received my masters degree in social work in 2014 and I currently facilitate a women’s DBT group. I am well-versed in Patience with co-occurring Diagnosis. I also have an anger management specialist certificate.
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Patricia Curran

LMHC, 40 years of experience

$90/session

Open-minded
Holistic

Specialties

Depression
Grief
Trauma and PTSD
I am a licensed therapist with many years of experience in different situations. I have worked in private practice, group practices, community mental health and corrections. My areas of strength are with grief and loss, anxiety, depression, relationships and helping clients with their general sense of life struggles. I use a combination of therapeutic approaches while trying to match my clients with what works for them and what they feel comfortable in utilizing.
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Angela Heiligenthal

LP, 20 years of experience

New to Grow

$200/session

Specialties

Life Transitions
Trauma and PTSD
Women's Issues
+6
My name is Dr. Angela Heiligenthal. I am a licensed clinical psychologist with over twenty years of experience. I work with adults who have experienced trauma and/or are in the midst of significant life transitions. Therapy can be a safe and non-judgmental space to open up, reflect, and grow. Each session is tailored to meet your unique needs. My approach is collaborative and culturally responsive, recognizing that you are the expert on your own life. Together, we will work towards achieving your goals. I will provide that safe space to help you overcome pain, empower yourself, and cultivate hope. Therapy can be a journey of healing and growth, and I would feel privileged to walk beside you on that journey.
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Theresa Bowes

LMHC, 1 years of experience

New to Grow

$120/session

Specialties

Coping Skills
Couples Counseling
Grief
+1
My approach is solution focused with the belief that you are coming to me for ideas and strategies that you may not have tried before. It is a collaborative approach that is by invitation. That means if one skill set doesn't work for you, we can explore another which may be more in line with your experience. This is also known as a client centered approach.
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Jacob Hiykel

LMFT, 8 years of experience

Frequently rebooked

$100/session

Authentic
Humorous
Open-minded

Specialties

LGBTQ
Spirituality
Trauma and PTSD
+8
I am a husband, father, and twin brother (I have and identical twin sister). I am also a reiki master and hypnotherapist. When I am not conducting psychotherapy (talk therapy), I enjoy conducting past life regressions to help people resolve past life trauma. I also use hypnotherapy to heal trauma. Hypnotherapy is not covered by most insurances and may result in cash pay. I enjoy helping people identify their wants and needs so they can then identify their goals and dreams. I believe we all have had experiences that have stifled our self-confidence which then causes us to doubt our ability. I enjoy helping people discover that part of themselves that is hidden as a result. I believe the world is a collective of people. We need to take care of ourselves, each other, and the animals we share this planet with. I DO NOT CURRENTLY ACCEPT COUPLES FOR MARRIAGE COUNSELING.
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Sierra Rose

LMHC, 19 years of experience

$150/session

Specialties

Grief
Life Transitions
Obsessive-Compulsive (OCD)
+8
If you're struggling with grief, life changes, the state of the world, or big existential questions, I may be a good fit for you. I currently keep a very small practice of exclusively telehealth adult clientele primarily dealing with grief, life transitions, the stresses of daily life in our changing world, OCD and phobias, and navigating issues related to identity, belongingness, and a sense of life meaning and purpose. I also love working with folks looking for relief from OCD or phobias using Exposure and Response Prevention (ERP) therapy. Maybe you've tried talk therapies with little or no progress. ERP is a first-line, evidence-based treatment for OCD and phobias with better outcomes than other treatment modalities or meds alone. It's hard work, but it's worth it to get your life back.
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Brooke Malensek

LMHC, 13 years of experience

$100/session

Holistic
Intelligent

Specialties

ADHD
Anxiety
Coping Skills
+9
I am a Licensed Professional Counselor in Maine, Missouri, Oregon, and Washington with over 12 years of experience. I work with individuals navigating ADHD, stress, anxiety, depression, anger management, motivation, self-esteem, and confidence. My goal is to create a supportive, nonjudgmental space where you feel safe to share your thoughts and experiences openly. I believe seeking therapy is a brave step toward growth and healing, and I am committed to empowering you with the tools and strategies you need to build a more balanced, fulfilling life.
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Junae Ilimaleota

LMHC, 13 years of experience

New to Grow

$175/session

Open-minded
Humorous

Specialties

Coping Skills
Mood Disorders
Trauma and PTSD
+9
I am a Licensed Mental Health Counselor in the state of Washington and began my education at the University of Washington receiving a Bachelor of Arts Degree in Psychology. I went on to receive a Master of Arts Degree in Clinical Psychology from Argosy University in Seattle, Washington. After spending 8 years in the United States Army, I felt I could continue to serve my community and country by more intimately assisting those in need. I wanted to first understand "why do people do the things they do?" and second, learn how to help those people use their freedom to enjoy the life they want to live. I have worked in the mental health and social services field since 2008 with experiences that range from being a Court Appointed Special Advocate for children, a Behavioral Support Specialist for youth with disabilities and at-risk youth, a Child and Family Therapist, and an Adult Therapist for adults with serious (chronic) mental illness and substance use. I have been in private practice since 2019 continuing to help individuals and families with a variety of mental health needs.
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Mike Wiley Jr

LMHC, 10 years of experience

$225/session

Direct
Solution oriented

Specialties

Anxiety
Family Conflict
Life Transitions
+3
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.
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Reshma Antony

LMHC, 1 years of experience

New to Grow

$120/session

Specialties

Anxiety
Self Esteem
Trauma and PTSD
+10
I’m a Licensed Mental Health Counselor who helps adults and young adults manage anxiety, trauma, and relationship challenges. I’m a trauma-informed therapist who integrates EMDR, Acceptance and Commitment Therapy (ACT), and CBT to help clients move from survival to growth. I work best with clients who want to understand themselves more deeply, heal from the past, and take active steps toward meaningful change in their relationships and daily life.
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Patricia Jones

LICSW, 7 years of experience

$120/session

Solution oriented
Empowering
Warm

Specialties

Addiction
Anxiety
Depression
+10
Hi, I'm a Licensed Clinical Social Worker. I graduated with my Master's Degree from Rutgers University. I have experience working with teens, and adult dealing with depression, anxiety, substance abuse, self-esteem, self -harm, ADHD, life changes and other challenges. I specialize in working with teens, women and men who are experiencing depression, anxiety, stress, relationship issues, negative self-image and trauma. I work with clients to help them discover their true self. I will meet you where you are in your journey, and will you facilitate the changes you need to reach your fullest potential. If your tired of your emotional rollercoaster consider coming to see me.
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Beatriz Huda

LMHC, 10 years of experience

$175/session

Warm
Authentic
Empowering

Specialties

Anxiety
Depression
Life Transitions
+10
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.
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Tiffany Lopez

LICSW, 8 years of experience

$100/session

Authentic
Open-minded
Warm

Specialties

Anxiety
Life Transitions
Trauma and PTSD
+7
Hello! I am a Licensed Clinical Social Worker, licensed to practice in multiple states. I have experience working in a variety of mental health settings and have found my passion working as an outpatient therapist. In our work together you can expect to be met with a therapeutic alliance that promotes safety, empathy, compassion, and value, as a human being.
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Debi Douglas

LMHC, 15 years of experience

Frequently rebooked

$150/session

Warm
Authentic
Solution oriented

Specialties

Anxiety
Coping Skills
Grief
+7
Great to meet you! Self-care is something I wholeheartedly believe in. I hold a master's degree in counseling psychology and have been helping others since 2009. The fundamental aspect of therapy is helping others to overcome life toughest seasons; addressing issues that may become a stumbling block. Life challenges can eventually lead to mental discomfort. Helping others for many years, I apply different treatment modalities that will assist you in reaching your therapy goals.
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Barb Adams

LMHC, 14 years of experience

New to Grow

$150/session

Warm
Direct

Specialties

Anxiety
Couples Counseling
Depression
+6
Congrats on deciding on therapy! Choosing a therapist is a daunting task. I have over 14 years of experience with couples, families, children and individuals. I believe you are the expert on you. I bring the outside perspective to help highlight challenges, find new ways of interacting with your self and others. I use humor, straight talk and empathy to build trust and find solutions.
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Jessica Gonzalez

LMHC, 5 years of experience

$120/session

Authentic
Warm
Empowering

Specialties

ADHD
Anxiety
Trauma and PTSD
+2
I am a Spanish-speaking, first-generation mental health therapist with extensive experience since 2017 in both inpatient and outpatient community mental health settings. I specialize in various therapeutic approaches, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Motivational Interviewing, Trauma-Focused Therapy, and Multicultural Therapy. I work with a diverse range of clients, helping them navigate mental health challenges, develop coping strategies, and improve their overall well-being. My culturally sensitive approach has significantly impacted my clients' lives, empowering them to achieve personal growth and resilience.
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Marla O'Malloy

LMHC, 35 years of experience

$100/session

Authentic
Warm

Specialties

Depression
LGBTQ
Trauma and PTSD
+2
Hi, I'm Marla. My goal in counseling is to create a safe and affirming space where clients can explore their true selves and needs with openness and support. Personal growth can bring awareness to what parts of ourselves need to be nurtured, accepted, healed, and supported. I saw how using experience, strength, hope, and empathy could bring about significant and insightful changes in a person’s way of life. So, let's work together to change your life! As someone who has lived their life in the gray area, often not fitting into socially created boxes, I’ve learned a lot about the importance of making space for all of my client’s identities, roles, and experiences in counseling. I am a sex-positive therapist skilled in the areas of sexuality and relationship structure minorities including consensual non-monogamy, BDSM/kink, leather, and those who practice alternative spiritualities. My specialization also includes anxiety, depression, trauma, and other mood disorders, as well as addictions including gaming and gambling. I enjoy working with those in recovery, using both my clinical skills and my lived experience. I received my Master of Education in Agency and Community Counseling from Xavier University in Cincinnati, OH, and currently hold an active Licensed Professional Clinical Counselor (LPCC-S) license and Licensed Independent Chemical Dependency Counselor Supervisor (LICDC-CS) in Ohio. I am in the process of obtaining my endorsement in disordered gambling. To further support my clients, I am also pursuing my certification from the World Professional Association for Transgender Health (WPATH). I believe in the power of creating a therapeutic environment where you can feel seen, heard, and understood. You are in charge! Together, we can navigate the complexities of your experiences and work towards meaningful change. If you're ready to take the next step, I'm here to support you on your journey.
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Frequently asked questions

Why filter by Washington rather than a city like Seattle?

When looking for online therapy, you can see anyone that is credentialed in the state. 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.

Will my therapist take insurance?

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.

How does the Specialty Filter work? Can I find a therapist that focuses on a specific issue?

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.

What are the "Clients say I’m" badges?

Grow Therapy asks patients about their experience with therapists after they have had a certain number of sessions. After enough responses, we add those characteristics to their profiles to help you find the best online therapists for you. We're still working on collecting this information from all our therapists.

Why use Gender, Age, and Identities filters?

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.

What to expect during your first session?

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.