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 174 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: 8/12/2026

$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

$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

New to Grow

$150/session

Specialties

Anxiety
Men's Issues
Obsessive-Compulsive (OCD)
+6
I specialize in Men's OCD and anxiety counseling in all its forms. Using ERP and ACT (the gold-standard treatments for OCD and anxiety), combined with a humanistic approach, I build a treatment plan tailored specifically to you, starting in session one. With nearly a decade of experience helping people break free from anxiety or OCD, I know that real progress is possible, and it often comes faster than people expect. Ready to start expanding your world?
Available

New to Grow

$175/session

Specialties

Anger Management
Anxiety
Coping Skills
+10
I want to work with you to gain the tools and strategies to help you move past the area that is of concern. I believe that we must find the positive and the good in each day, even if it's small, to give us the power and motivation to move forward. It is not always easy, but it is definitely worth it.
Available

$95/session

Specialties

ADHD
Autism
LGBTQ
+8
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.
Available

$120/session

Authentic
Warm
Empowering

Specialties

Anxiety
Coping Skills
LGBTQ
+10
Yes, I’m a Licensed Mental Health Counselor with over 14 years of experience — but first, I’m a human who understands that life can feel overwhelming, confusing, and deeply challenging at times. Therapy isn’t just about talking to someone; it’s about working with someone who understands how complex and challenging life can be. I show up exactly where you are, a safe space free of judgement and profound understanding. I work with adults facing anxiety, relationship stress, life transitions, and the quiet internal battles that don’t always show on the outside. Many of the people I see are capable and responsible, yet feel overwhelmed, stuck in patterns, or unsure how to move forward. I’m deeply dedicated to meeting people exactly where they are — without judgment — while also helping them grow. Therapy with me isn’t just about talking; it’s about understanding yourself more clearly and learning tools you can begin using immediately. I blend practical strategies with deeper emotional work so that insight turns into real-life change. My goal is to help you feel more steady, more self-aware, and more confident navigating your relationships and your life.
VirtualAvailable

$150/session

Intelligent
Solution oriented

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

New to Grow

$150/session

Specialties

Anxiety
Coping Skills
Life Transitions
I work with adults who struggle with anxiety and are looking for practical tools to feel more in control of their lives. My approach is warm, supportive, and person-centered, meeting you where you are while helping you build lasting coping skills. I incorporate evidence-based approaches such as Cognitive Behavioral Therapy (CBT) and EMDR when appropriate, tailoring treatment to your unique goals, experiences, and pace.
Available

$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

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

$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

$120/session

Intelligent
Authentic
Solution oriented

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

$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

$110/session

Authentic

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

$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

New to Grow

$100/session

Specialties

Child or Adolescent
Life Transitions
Mood Disorders
+7
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.
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 19 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

New to Grow

$90/session

Specialties

ADHD
Autism
Trauma and PTSD
+10
Hello, my name is Megan, and I am a licensed mental health counselor in the state of WA who has been practicing for 10 years in the PNW. I specialize working with neurodivergent (ADHD/ ASD) individuals and their families, trauma survivors and those who struggle with depression/ self worth and anxieties. I want to commend you for having the courage and willingness to embark on this therapeutic journey to improve your well-being because taking the first step can feel uncomfortable and filled with uncertainty. I believe building a trusting therapeutic relationship is the foundation to be able to heal, develop healthy skills and have agency over your life. I aim to cultivate a safe, collaborative, and empowering space which allows you, the client, to uncover and identify personal strengths, values and interests. As well as, explore various difficulties and obstacles in your life that have made it challenging to live life effectively. My focus is not to “fix” you, nor have an agenda of how you “should” be living your life, but to walk along beside you, support you in meeting you where you are at and working on creating the life you imagined for yourself utilizining a variety of theraputic apparoaches which best meets your needs.
Available

$125/session

Authentic
Intelligent
Warm

Specialties

Anxiety
Depression
Trauma and PTSD
+10
My name is Dr. Christine Gomes. I am a licensed clinical psychologist and I specialize in trauma treatment. I believe that we are healthiest when we turn toward ourselves with love and compassion and accept ourselves for who we truly are. I have special interests in relational and religious trauma, as well as working with people with addiction issues, severe depression, anxiety disorders, and suicidal thoughts and actions. No matter where you are in your healing journey, I hope to join you and help you see that you are not alone in the struggle. You are your greatest healer, and I will be your guide along the way.
Available

$150/session

Warm
Authentic
Empowering

Specialties

Coping Skills
Life Transitions
Self Esteem
+2
Hi, I'm Daphne, a Licensed Professional Counselor and State-Approved Clinical Supervisor with over 12 years of experience helping adults build healthier relationships with themselves, strengthen emotional resilience, and navigate life's challenges with greater confidence. I work best with individuals experiencing anxiety, depression, stress, life transitions, relationship concerns, self-esteem issues, and mood-related concerns. Whether you're feeling stuck, overwhelmed, or simply looking to better understand yourself, therapy can provide a supportive space to gain insight, develop practical coping skills, and create meaningful, lasting change. My approach is collaborative, compassionate, and tailored to your unique needs. I integrate Internal Family Systems (IFS), Dialectical Behavior Therapy (DBT), and Cognitive Behavioral Therapy (CBT) to help clients increase emotional awareness, improve coping, strengthen relationships, and move toward the life they want to build. I work best with clients who are curious about themselves, open to learning new perspectives, and ready to actively participate in the therapeutic process. Together, we'll identify realistic goals, build on your existing strengths, and develop strategies that support lasting growth and emotional well-being. Clients often report improved emotional regulation, stronger self-understanding, healthier relationships, and increased confidence. I aim to honor your story while helping you build resilience and practical tools for long-term growth. Please note: Requests for letters, evaluations, or documentation outside of standard therapy services require additional fees and are not billable to insurance. ESA letters are available after intake and two additional therapy sessions.
VirtualAvailable

$150/session

Authentic
Warm
Empowering

Specialties

ADHD
Anxiety
Parenting
+10
Hi there, I'm Leslie. Do you often find yourself overwhelmed by the demands of a busy life? Maybe you feel like something is "off" that you cannot quite identify. You may feel disconnected and experience frequent low moods. You might be someone who has been diagnosed or self-identified as neurodivergent, or you may be raising a neurodivergent child and feeling lost in coping with your feelings about how to navigate that challenge. You might be stuck in (or exiting) a romantic relationship that does not serve you, but you are struggling to find your path forward. Whatever the source of your anxiety, I am here to help! I support individuals across a spectrum of ages and circumstances to understand how to find their footing in their daily lives. I use a unique person-centered behavioral approach that is affirming and includes action steps to access change. When you meet with me, you will hear "real talk" grounded in evidenced-based techniques. Together we will discover a path to a more manageable daily life that fits your specific circumstances. Congratulations on taking the step to seek support through therapy. l look forward to working together!
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

$160/session

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

$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

$120/session

Warm
Empowering
Authentic

Specialties

School Issues
Trauma and PTSD
Women's Issues
+8
Do you feel disconnected from your relationships and unsure of where to turn? Are you someone who is living with hurts from your past? Are you a parent searching for a better way to connect with your child? Or, maybe you are a teen who can't seem to figure out how you fit into your world. Whether you are struggling with depression, anxiety or trauma-related symptoms, I can help you embrace mental wellness through an impactful and transformative process. I offer an accessible, affirming and safe environment for you to discover the best version of yourself. I provide services using an online format that is secure, convenient and tailored to your needs. Are you ready to take the first step to a peaceful, purposeful life? Let's work together to uncover obstacles and barriers to living your best life.
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.