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 184 verified therapists in Washington who accept cash pay, you can explore therapeutic approaches such as cognitive behavioral therapy, solution-focused therapy, and supportive counseling to address a range of concerns, including anxiety, depression, and ADHD. Each Grow Therapy-verified therapist that has a cash pay option listed below is currently welcoming new clients and has availability soon, offering you a straightforward path to compassionate, accessible care on your terms.

Availability updated: 9/2/2026

$100/session

Warm
Authentic
Open-minded
Specialties
ADHD
Autism
Depression
+4
I’m Gwendolyn Barnhart, PhD, PsyD, EdD, a licensed clinical psychologist with a cross-jurisdictional private practice serving Washington, Oregon, Hawaii, Alaska, British Columbia, and PSYPACT states. I have vast experience working with neurodivergence, intellectual and developmental disabilities, in multicultural settings. I primarily serve clients who identify with autism and ADHD. As an AuDHD psychologist, I bring lived experience alongside clinical expertise, which helps me create spaces that feel safer, clearer, and more attuned to neurodivergent needs.
VirtualAvailable

New to Grow

$175/session

Specialties
Anxiety
Chronic Illness
Life Transitions
+5
I work with adults and teens who are dealing with anxiety, major life changes, health concerns, relationship or family stress, or simply feeling overwhelmed by circumstances they didn’t expect. My style is warm, practical, and direct. I’m an active therapist who will listen carefully, ask questions, offer perspective, and work with you to understand what’s happening and figure out what may actually help.
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

$200/session

Intelligent
Authentic
Direct
Specialties
Mood Disorders
Personality Disorders
Trauma and PTSD
+8
Trevor Duncan, PsyD, is a Licensed Mental Health Counselor with over 13 years of experience helping teens and adults navigate a wide range of emotional, behavioral, and serious mental health challenges. Throughout his career, he has worked with individuals facing anxiety, depression, trauma, personality disorders, mood disorders, life transitions, and other complex mental health concerns, providing compassionate and evidence-based care tailored to each person's unique needs. Beyond his professional role, Trevor is a father, grandfather, brother, and son who understands the importance of connection, family, and personal growth. He believes that meaningful change occurs through authentic relationships, empathy, and a collaborative therapeutic process. His goal is to create a safe, supportive environment where clients feel heard, respected, and empowered to make positive changes in their lives. When he's not working with clients, Trevor enjoys spending time outdoors and riding his bicycle. His appreciation for nature, movement, and balance informs his holistic approach to wellness and mental health. Whether you are facing significant challenges or simply seeking personal growth, Trevor is committed to helping you build resilience, develop practical coping skills, and create a more fulfilling life.
Available

New to Grow

$100/session

Specialties
ADHD
Attachment Issues
Autism
+10
I've always wanted to have those deeper conversations, about what matters most to people. Personal talks are the most important talks we ever have. And most people don't spend that much time talking it through with anyone. This might be the best use of an hour you've got. We'll see what we can come up with.
Available

$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

$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

Often rebooked

$150/session

Authentic
Warm
Empowering
Specialties
Anxiety
Depression
Trauma and PTSD
Hi, I’m Valerie Harris-Reamer. I’m a Licensed Marriage and Family Therapist Do you turn to food, alcohol, or drugs to deal with feeling lonely or rejected, or to cope with added stress and anxiety? Have you lost the joyful feelings that you used to have in life? Do you feel fear-stricken, even in the “comfort” of your own home? Do you feel like there are so many things to manage and your forever-growing “to-do list” leaves you feeling completely overwhelmed? I work with women who have experienced tough stuff in their childhood and feel like they have lost their way. Sometimes we turn to food, alcohol, and drugs or, we withdraw from friends and family, just to cope. Does this sound like you? These coping skills affecting our lives as adults often stem from hurts that happened during childhood and were never healed. My goal is to help you stop engaging in patterns that started from what you learned as a way of survival. You will get encouragement and a toolbox of practical actions you need to find your way to living your best life. I believe that you are worthy of love and care. I believe that therapy should address the whole person – their mind, body, and spirit. I believe that loving and accepting ourselves for who we are, scars and all, is one of the most courageous things we can do. Start making yourself a priority and begin enjoying your life. Let's do this!
VirtualAvailable

New to Grow

$175/session

Specialties
Addiction
Bipolar Disorder
Older Adults
+2
Hello. I am happy you are checking out my profile for the possibility of working together. I was first licensed as a Marriage Family Therapist in California in 2006. I have over 20 years experience working with individuals who are suffering from PTSD, which includes anxiety and depression. My primary expertise is in substance Use Disorders. I believe this is the starting place for healing if one is concerned about their use of mind altering substances.
Available

$120/session

Intelligent
Authentic
Direct
Specialties
First Responders/Healthcare Workers
Military/Veterans
Trauma and PTSD
+4
I am a licensed mental health counselor and military veteran. My practice focuses on supporting adults navigating trauma, PTSD, anxiety, depression, organizational stress, organizational betrayal, and high-stress occupational experiences. I work with veterans, first responders, public safety professionals, healthcare professionals, and individuals seeking practical, collaborative, and trauma-informed care. My approach is direct at times, supportive, and grounded in evidence-based treatment, including CBT, DBT skills, EMDR, Trauma-Focused CBT, and strength-based therapy. I help clients better understand their experiences, develop healthier coping strategies, and move toward healing, resilience, and meaningful change.
Available

$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

$175/session

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

$200/session

Warm
Empowering
Authentic
Specialties
Anxiety
Life Transitions
Parenting
+9
Hello and welcome to my practice! I believe that mind, body, and spirit are all interconnected. Mental health is not a destination, but a process. It's about how you drive, not where you are going. I am here as a Licensed Clinical Social Worker, in practice since 2012, I specialize in treating anxiety, depression, life transitions, women's issues, and parenting. I am proud of you for taking the first step towards therapy. Change can be hard and taking this first step is not always easy. I aim to provide a safe, judgment free space to anyone looking for help and wanting positive change. We will address your thoughts and feelings at a pace that works best for you. My therapy style is supportive, reassuring, accepting, and genuine. In our therapeutic relationship, I will provide tools you need to reach your goals. You will do all the heavy lifting, but I will be here to support and encourage change.
VirtualAvailable

$150/session

Warm
Authentic
Intelligent
Specialties
Anxiety
Bipolar Disorder
Trauma and PTSD
+10
Are you carrying pain you don’t talk about—spiritual questions, emotional wounds, or unspoken grief that is causing mood instability and difficulty with relationships or with making decisions? 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
Authentic
Empowering
Specialties
ADHD
Anxiety
Military/Veterans
+10
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.
VirtualAvailable

$225/session

Warm
Authentic
Empowering
Specialties
Anxiety
Coping Skills
Depression
I am a Licensed Professional Clinical Counselor (LPCC) and have been practicing since 2020. I earned my Master of Arts in Clinical and School Counseling from Loyola Marymount University in Los Angeles. My approach is warm, collaborative, and grounded in evidence-based practices. I help clients better understand the connection between their thoughts, emotions, behaviors, and relationships so they can break unhelpful patterns and respond to life with greater intention. My work often focuses on anxiety, trauma, grief, emotional regulation, relationship concerns, self-esteem, boundaries, and major life transitions. Rather than taking a one-size-fits-all approach, I tailor therapy to each person’s needs and goals, drawing from approaches such as CBT, ACT, DBT-informed skills, Emotionally Focused Therapy, Motivational Interviewing, and trauma-informed care. My goal is to help clients develop greater self-awareness, emotional flexibility, resilience, and confidence while creating meaningful and sustainable change. Outside of therapy, I enjoy hiking, traveling, reading, painting, journaling, and spending time with family and friends.
VirtualAvailable

$110/session

Authentic
Empowering
Warm
Specialties
Anxiety
Depression
Mood Disorders
+3
I'm Ashley Cross, a Licensed Clinical Social Worker and Board-Approved Clinical Supervisor with over 15 years of experience helping adults navigate anxiety, depression, bipolar disorder, life transitions, stress, and other emotional challenges. I believe therapy should be a place where you feel safe, supported, and free from judgment. My approach is compassionate, collaborative, and tailored to your unique needs and goals. Together, we'll work to better understand the challenges you're facing, build effective coping skills, and create meaningful, lasting changes that support your overall well-being and help you move toward a more balanced and fulfilling life.
Available

$119/session

Solution oriented
Authentic
Empowering
Specialties
Anxiety
Coping Skills
Trauma and PTSD
+9
With over 23 years of experience, I have had the privilege of working with a diverse range of individuals and families navigating life’s challenges. My work includes helping people manage anxiety, depression, grief and loss, relationship concerns, and life transitions. I also bring experience supporting military members and others who have experienced trauma, including PTSD and traumatic brain injuries. My approach to therapy is collaborative. I believe that therapy works best when we work together as a team. I strive to create a safe, supportive environment where you can share your story openly and feel heard without judgment. From there, we can explore practical tools and strategies that help you make meaningful and healthy changes in your life. Seeking support can feel like a big step, and I respect the courage it takes to begin the process. My goal is to help you gain insight, develop practical coping skills, and move toward a life that feels more balanced, meaningful, and fulfilling.
VirtualAvailable

$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

$110/session

Authentic
Warm
Solution oriented
Specialties
Anxiety
Depression
Men's Issues
+10
I’m a husband and dad to three boys (ages 16, 13 and 8), and family is a huge part of my life. We live on a 20-acre homestead where we raise chickens, goats, pigs, and cows, and we spend a lot of time in the garden. Life on the farm keeps me grounded and reminds me daily of the value of patience, hard work, and slowing down to enjoy what really matters. Faith and community are also central for me. I’m actively involved in my church, and I see my work as an extension of that calling to walk alongside others. I’ve always had an entrepreneurial streak. Alongside my therapy work, I am starting a tech start-up, I’ve run an online store, and I even dabble in Bitcoin mining. I enjoy the challenge of building things from the ground up and thinking outside the box. I also read a lot, and my libertarian leanings have been shaped by writers like Murray Rothbard. The conservative/libertarian focus on freedom, personal responsibility and low time preference connects deeply with how I approach life and therapy: we’re at our best when we are free to live with responsibility in society, own our choices, and pursue truth apart from coercion. When it comes to therapy itself, I integrate my faith with practical, proven methods. I use Christian Counseling, CBT, Reality Therapy, Motivational Interviewing, and the Gottman Method to help people grow emotionally, spiritually, and relationally. My goal is to give you a space where your values are respected, your faith is honored, and you feel equipped to face life’s challenges with hope and clarity. If you’re looking for a therapist who understands the importance of faith, family, freedom, and practical tools for change, I’d love to walk with you on your journey.
VirtualAvailable

$140/session

Empowering
Intelligent
Open-minded
Specialties
Anxiety
Coping Skills
Depression
+8
I'm a board-licensed therapist with extensive experience working with teens and adults. I believe that therapy is characterized by safety, trust, respect, and an emphasis on education and self-discovery. I have had the pleasure of conducting therapy with people of various ages and backgrounds. I have served in various clinical settings (e.g., inpatient psychiatric, outpatient counseling, addictions, etc.). My specializations include working with those who have experienced life-altering anxiety, depression, trauma, relationship challenges, substance use, and chronic stress.
VirtualAvailable

Often rebooked

$150/session

Warm
Solution oriented
Empowering
Specialties
Anxiety
Coping Skills
Depression
+7
Hi, I’m Kyra. I’m a Licensed Mental Health Counselor (LMHC) in Washington, I support adults and parents navigating anxiety, depression, trauma, burnout, and life transitions who feel stuck, disconnected, or worn down. As a mom, former military spouse, and current law enforcement spouse, I understand the invisible load of high-stress roles and the pressure to hold everything together. My lived experience allows me to approach therapy with empathy, cultural understanding, and deep respect for the challenges faced by individuals and families in high-stress roles. I use an eclectic, person-centered approach, drawing from multiple therapeutic modalities to meet you where you are and support you in reaching your goals. Therapy is not one-size-fits-all, and I believe your care should reflect your unique experiences, strengths, and needs. Even when you feel stuck, movement is possible. My role is to partner with you in a judgment-free space where you can regroup, build confidence, and reconnect with your strengths. You don’t have to navigate this alone.
VirtualAvailable

$75/session

Warm
Authentic
Humorous
Specialties
Anxiety
Depression
Family Therapy
+9
Hi there! I'm Nadine. I am a bubbly, kind, and caring therapist. I go above and beyond for my clients, and I am so glad that you have taken this step in your healing journey. Deciding to begin, try, explore, or re-start therapy can be a nerve-wracking choice to make. Then you are given this huge task of choosing a therapist. Ugh! So, why choose me? Well, first of all, I am a normal person. I am not stuffy or a therapist that just tells you that you are always right. I am a human that speaks with you like you are also human! I have a great memory, I am engaging, and I like to think I also make therapy fun! If you feel like we might be a good fit, why not give meeting with me a try? If we aren't the right fit, no worries. I just want you to get the help that you feel is right for you. Hopefully we meet soon!
Available

$115/session

Solution oriented
Warm
Authentic
Specialties
Anxiety
Depression
Self Esteem
+3
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 family, watching sunsets, hiking, bicycling, singing, and making homemade soaps.
VirtualAvailable

$100/session

Authentic
Empowering
Specialties
Addiction
Anger Management
Anxiety
I am a compassionate and experienced licensed clinical social worker committed to creating a safe, supportive, and nonjudgmental environment where clients feel heard and understood. I use evidence-based approaches, including Cognitive Behavioral Therapy (CBT), Motivational Interviewing, solution-focused techniques, and strengths-based interventions. I support clients navigating anxiety, depression, stress, trauma, relationship concerns, and life transitions while helping them develop healthier coping skills, build resilience, increase self-awareness, and create meaningful, lasting change.
Available
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.