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 189 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: 7/14/2026

New to Grow

$150/session

Specialties

Anxiety
Grief
Trauma and PTSD
+3
I'm Mary, and I'm excited to possibly support you in your journey! I have been described by people who've worked with me as disarming and easy to get along with. I am comfortable working with a diverse range of issues, but I specialize in grief/loss, trauma, in particular the treatment of PTSD and anxiety disorders utilizing CBT and somatic therapies such as EMDR and breathwork. My professional experience includes over 15 years of advocacy, crisis, and mental health care with a wide range of populations.
Available

New to Grow

$125/session

Specialties

ADHD
Anxiety
Depression
+9
In my many years of experience, I have treated a broad range of mental health issues such as depression, anxiety, panic disorder, attention-deficit hyperactivity disorder and post-traumatic stress disorder. I frequently utilize cognitive behavior therapy, dialectical behavior therapy, eye movement desensitization and reprocessing (EMDR) therapy and mindfulness-which is particularly helpful for anxiety-based issues. I will use one or more of the treatment modalities to give you the best outcome in therapy.
Available

New to Grow

$150/session

Specialties

Anxiety
Life Transitions
Self Esteem
+3
I believe everyone has a story worth understanding. With 10 years of experience as a social worker, I help adults navigate anxiety, self-esteem, relationship challenges, and life transitions by building on their strengths, exploring what matters most, and creating meaningful change together. I enjoy working with people who appear to have it together on the outside but feel stuck, overwhelmed, disconnected, or uncertain about where they're headed next. My goal is to help you better understand yourself, strengthen your relationships, and create a life that feels more authentic and fulfilling.
Available

New to Grow

$90/session

Specialties

ADHD
Child or Adolescent
Trauma and PTSD
+7
Hello! I am a licensed mental health counselor that has been actively practicing with a variety of ages and issues for the past 15 years. The bulk of my work has been with children, adolescents, and adults in individual, group, and couple's counseling work. I have done a large amount of extra training in trauma work, neurodivergence, attachment and relational issues. I blend several modalities in order to provide a person centered, strengths-based approach that best fits the individual client. I am a believer that the tools to heal are already inherently inside of all of us, and work to help you find your way to your stability, growth, and comfort.
Available

New to Grow

$120/session

Specialties

Anxiety
Depression
Trauma and PTSD
+10
I will meet you where you are and work tirelessly to assist you in getting to where you want to go. I strive to be warm, compassionate and empathetic as I gently guide you through the healing journey. I recognize that healing is individualized and treatment approaches should be tailored for each person for the best possible outcome potential. I look forward to walking alongside of you as you explore your concerns.
Available

New to Grow

$150/session

Specialties

Anxiety
Depression
Trauma and PTSD
You might be feeling disconnected from those around you, overwhelmed by negative thought patterns, or excessively worrying. Perhaps you struggle with vulnerability at times and have noticed changes in your mood. As a result, you feel hopeless and unsure about where to start to heal. Together, we will work towards understanding the root of these problems and establish attainable goals.
Available

New to Grow

$115/session

Specialties

Addiction
Eating Disorders
Trauma and PTSD
+10
We all experience speed bumps during our life journey. Though it may seem we are "lost, “I believe the powers we are looking for are inside us. One simply needs to be heard, welcome in a safe place, validated and strengthen the emotional "muscles" that have grown weak--just as we exercise our bodies and our minds, we must exercise our emotional and Spiritual parts. I truly believe we cannot experience long term health unless we pay close attention to our Mind, Body and Spirit--the WHOLE SELF. When we honor our truths, we will achieve our Authentic Self! I look forward to walking with you on this indescribable journey to Transformation. May I offer a friendly reminder beautiful; NEVER UNDERESTIMATE THE POWER OF YOU
Available

New to Grow

$150/session

Specialties

Anxiety
Depression
Trauma and PTSD
+10
I am a Licensed Clinical Social Worker and private practice therapist with over 13 years of experience supporting individuals, couples, and families. My approach is compassionate, collaborative, and grounded in evidence-based care. As an African American therapist, I am passionate about helping clients heal from trauma, navigate life transitions, build healthier relationships, and achieve meaningful personal growth. I am known for being empathetic, encouraging, authentic, and committed to creating a safe space where clients feel heard and supported.
Available

New to Grow

$110/session

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

New to Grow

$150/session

Specialties

Dissociative Disorders
Parenting
Trauma and PTSD
+8
Hello! I'm John, a compassionate and grounded therapist. I especially love working with parents in all stages of life. Parenting is a challenging job - nobody can trigger us quite like our kids! As a parent myself, I know how hard it can be to stay grounded and provide loving, consistent boundaries when our kids (babies/tots/teens/adults) are pushing our buttons. My approach will be tailored to your needs; I use somatic tools to help your body learn what calm and safety feel like, cognitive tools to help change the way you think/see/approach situations, and recognize patterns you learned when you were very young so that you can start to identify and interrupt those patterns as they happen so you can notice your reaction and choose how to respond differently. I'm also EMDR-trained and have found it to be yet another helpful tool that allows our brains to heal so we're less reactive and better able to be the parents we desire to be. I see change as a marathon, not a sprint. We'll first focus on immediate symptom reduction. Once you're not constantly blowing up/shutting down, we can move toward deeper, lasting change. It took x number of years for you to get where you are; you won't change established patterns overnight. We'll work on helping you find compassion for yourself in this process. You're human; you won't be perfect. Real change starts to happen when you make the same old mistake, remember that you're on a healing journey, extend yourself some grace, do the necessary repair work, and try again.
Available

New to Grow

$160/session

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

$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
Warm
Empowering

Specialties

Anxiety
Chronic Illness
Trauma and PTSD
+8
Have you been a go-getter all your life, only to find that you feel resentful and burnt out? Imagine what it would be like to rediscover a sense of ease and balance in your life. What would you give to feel excited about your career, family, friends, or hobbies again? I enjoy blending mind & body healing modalities to help clients achieve wellness at all levels. My holistic style can help you build resilience to better manage life's many stresses.
VirtualAvailable

New to Grow

$200/session

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 bicycles. 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

$120/session

Specialties

Addiction
Anxiety
Domestic Violence
+10
I provide a trauma informed practice using cognitive behavioral therapy. I am excellent at building on my patient's strengths. I am non-judgmental and I have a strong belief that everyone has worth. My job is to help you grow at your own pace. I have worked with a wide variety of people and have enjoyed learning from my patients. I am optimistic about your ability to grow.
Available

New to Grow

$120/session

Specialties

ADHD
Anxiety
Family Therapy
+10
I work together with clients to help them understand the environmental, biological, and social situations that have shaped them and to find a path forward. After graduating from Loma Linda University, I have worked with adults, adolescents, and families to help clients reach their goals. My background includes working for the Navy, addiction treatment, in-home family therapy, school counseling, in-depth assessments, and teaching.
Available

New to Grow

$150/session

Specialties

Anxiety
Depression
Obsessive-Compulsive (OCD)
+2
I specialize in working with people struggling with OCD by utilizing the Exposure Response Prevention modality. My practice can deal with a lot of taboo topics so I try to approach most sessions with kindness, warmth, understanding, and HUMOR. :) I believe that we all go through struggles in our life and could use a little help. I'm here when you're ready...
Available

New to Grow

$120/session

Specialties

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

New to Grow

$150/session

Specialties

Anxiety
Coping Skills
Trauma and PTSD
+10
I believe therapy should be a place where you feel heard, supported, and empowered to create meaningful change. My approach is warm, collaborative, and goal-focused, blending compassion with practical strategies to help you move forward with confidence. Whether you're feeling overwhelmed by anxiety, navigating the effects of trauma, or facing a major life transition, I strive to create a safe, nonjudgmental space where healing and growth can occur. As a Licensed Mental Health Counselor (LMHC), I have extensive experience working with adults, veterans, and families facing a wide range of mental health challenges. My professional background includes serving as a crisis response trauma therapist, supporting individuals during some of the most difficult moments of their lives. I also have specialized training in adoption competency, helping adoptive families, birth families, and adoptees navigate the unique emotional experiences that can accompany adoption. In addition, I have experience as a parent educator, partnering with caregivers to strengthen relationships, improve communication, and build healthy family dynamics. My work with veterans and their families has given me a deep appreciation for the unique challenges associated with military service, including trauma, transitions, relationship stress, and reintegration. I integrate Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy, Motivational Interviewing, and trauma-informed care to create individualized treatment plans that are practical and effective. Clients often describe me as approachable, supportive, and structured. Together, we'll identify your goals, build coping skills, and develop strategies that help you regain a sense of control, strengthen resilience, and create lasting change. No matter where you are in your journey, my goal is to meet you with compassion, respect, and evidence-based care that helps you move toward the life you want to live.
Available

New to Grow

$150/session

Specialties

Anxiety
Chronic Illness
Coping Skills
+7
Hello! I am a licensed social worker (LICSW) who has been working in the medical setting for 9 years, helping patients and their families navigate chronic medical conditions. Because of my role at the hospital, I am also a Certified Clinical Transplant Social Worker (CCTSW), meaning I have expertise in organ transplant. I have realized over my time in the hospital setting that the moments that bring me the most fulfillment are the ones where I am engaged 1:1 and providing individuals with support, therapeutic intervention, encouragement, and coaching. I decided to open a therapy practice to allow me to provide this support outside the hospital. To this end, I completed a year-long therapist training program in Expressive Arts Therapy at Seattle's Northwest Creative & Expressive Arts Institute. I am working towards becoming a Registered Expressive Arts Therapist (REAT). Outside of work, I love being outdoors with my family, going on adventures with my nieces, thrift-store wandering, having soul-enriching conversations with friends, and finding opportunities to dance.
Available

Often rebooked

$175/session

Authentic
Solution oriented
Warm

Specialties

Anxiety
Depression
Trauma and PTSD
+9
I have been licensed for 35 years. I received my degree in clinical psychology from George Fox University. I specialize in PTSD, depression and anxiety. I use EMDR and CBT to address trauma. I enjoy helping people discover stories they have been living that no longer work for them. Hope is an essential quality to have as you embrace new narratives and ways of being in the world. I am committed to honesty and compassion as you discover new ways of being. I employ a style that is relational and collaborative. Faith has been an important part of my journey and I am comfortable incorporating that into your work if you desire.
VirtualAvailable

$100/session

Authentic
Empowering
Humorous

Specialties

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

$125/session

Authentic
Warm
Holistic

Specialties

Chronic Illness
Foster Care/Adoption
Trauma and PTSD
+10
I’m a trauma and attachment therapist offering a warm and supportive space for clients navigating depression, anxiety, neurodivergence, Complex PTSD, relational wounds and the long‑term impact of overwhelming experiences. I integrate evidence‑based treatments like CPT, TF‑CBT and DBT skills with an attuned, relational approach. My goal is to help clients feel understood, empowered and capable of real healing. Prior to my clinical career, I spent 22 years as a journalist. It is a foundation that now meaningfully strengthens my work as a trauma and attachment therapist. My journalism background honed my ability to listen deeply, ask precise and attuned questions, analyze complex narratives and hold emotionally charged stories with steadiness and respect. These skills translate directly into high‑fidelity, evidence‑based trauma treatment - enhancing my assessment accuracy, my capacity to identify cognitive and thematic patterns and my ability to support clients in reconstructing their narratives with clarity, agency and coherence.
Available

Often rebooked

$175/session

Authentic
Open-minded
Empowering

Specialties

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

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
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.