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 14 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: 8/15/2026

$95/session

Specialties

Autism
ADHD
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
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$150/session

Authentic
Warm
Empowering

Specialties

Autism
ADHD
Anxiety
+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
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$160/session

Authentic
Warm
Intelligent

Specialties

Autism
ADHD
Anxiety
+6
I am a Licensed Marriage and Family Therapist who practiced for ten years in a nationally recognized outpatient healthcare clinic before beginning my solo practice. After completing my Bachelor’s degree in psychology at Chapman University, I decided to change careers and pursue a Master’s degree in Clinical Psychology with an emphasis in Marriage and Family Therapy. Working for the clinic provided an extraordinary learning environment and allowed me to benefit from collaboration with amazing clinicians who share my passion to help others. I now continue to utilize the skills and experience I've accumulated to share these benefits with my clients.
VirtualAvailable
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$145/session

Intelligent
Authentic
Warm

Specialties

Autism
LGBTQ
Serious Mental Illness
+10
I am a Licensed Clinical Social Worker with over 10 years of experience supporting individuals with complex and high acuity mental health needs. My work is grounded in trauma informed and trauma responsive care, with a strong commitment to creating inclusive, affirming spaces for BIPOC, LGBTQI+, neurodivergent clients, and individuals in rural communities. I work across the lifespan, including children (6+), adults, older adults, families, and couples. My approach is collaborative and empowering, centered on the belief that clients are the experts in their own lives. I often describe my role as “working myself out of a job” helping clients build the insight, skills, and confidence needed to advocate for themselves and navigate systems independently. As a trauma specialist, I use evidence-based and trauma-responsive approaches tailored to each client’s needs. My primary modalities include Trauma-Focused Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing (EMDR), somatic therapy, Internal Family Systems-informed interventions, and psychodynamic therapy. My EMDRIA certification is currently pending. I also have extensive experience using Dialectical Behavior Therapy, Acceptance and Commitment Therapy, exposure-based interventions, mindfulness, and other integrative approaches. I modify interventions to support neurodivergent clients and individuals with intellectual or developmental disabilities, recognizing that therapy should adapt to the client and not require the client to adapt to therapy. To learn more about my clinical approach, specialties, services, book an initial consultation, and private practice, please visit Mapping Resilience Therapy Center at https://mappingresiliencetherapycenter.com/
VirtualAvailable
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$150/session

Direct
Warm

Specialties

Autism
ADHD
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.
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$199/session

Authentic
Direct
Open-minded

Specialties

Autism
ADHD
Crisis Intervention
+6
I'm a Licensed Professional Counselor with over 20 years of experience, currently seeing clients in the states of Arizona and Washington. I hold a Master's in Counseling and a Certificate in Domestic Violence Advocacy from The Seattle School of Theology and Psychology. I self-identify as neurodivergent (AuDHD) and am a committed BIPOC ally. That means I bring both clinical expertise and real lived experience to the work — I understand from the inside what it means to navigate a world that wasn't built with you in mind. My approach is warm, collaborative, and grounded in real-life experience. I specialize in working with adults navigating ADHD, Autism, and the full complexity of being neurodivergent. I also support clients dealing with anxiety, depression, trauma, relationship issues, addiction, and major life transitions. Earlier in my career I worked in severe mental illness, clinical psychiatry, social work with homeless populations, and domestic violence advocacy — giving me a wide and deep foundation to draw from. I use evidence-based therapies including CBT, DBT, and ACT, always through a trauma-informed and strength-based lens. I honor the ways that culture, race, and lived experience shape mental health, and I strive to create a space where your identity is respected and your voice is heard.
VirtualAvailable
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$200/session

Holistic
Solution oriented

Specialties

Autism
ADHD
LGBTQ
+10
I am a fat liberation focused therapist, and a survivor of diet culture, who still struggles with disordered eating. I live and work on Duwamish land, and serve clients all over the tribal land in what is considered Washington State. I live and am part of the 2SQTLBG+ community as a parent and Omni romantic person. I'm a poly and kink friendly therapist, and didn't realize the importance of mentioning this until I had someone say that was the reason they chose me. I believe it's important to be open to learning about relationships outside of my own expectations. I have the good fortune to work with amazing collaborators in fellow therapists, naturopathic doctors, massage therapists, acupuncturists, PCPs, and nurse practitioners. I practice from a lens of learning and compassion for the person you are, whether you are here to heal, or here to learn more about yourself.
Available
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$130/session

Warm
Authentic
Direct

Specialties

Autism
Anxiety
Chronic Illness
+10
Many people come to therapy carrying experiences they've never told another person. Whether you're living with anxiety, depression, trauma, chronic illness, chronic pain, or navigating life as a neurodivergent person, you don't have to carry it alone anymore. I work with children, teens, and adults to create a space where you can be yourself without fear of judgment. Many of my clients have spent years masking who they are, minimizing their pain, or believing they have to handle everything on their own. Others carry experiences they worry are "too much" to share. In our work together, you don't have to hide parts of yourself or worry about being judged or misunderstood. I strive to create a therapeutic relationship where you feel safe enough to be honest, even about the things you've never said out loud. Whether you're processing trauma, navigating difficult life experiences, learning to live with chronic illness, or discovering what it means to be neurodivergent, we'll move at a pace that feels right for you. Together, we'll build practical coping skills, deepen self-understanding, and work toward a life where you feel more connected, empowered, and less alone.
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$200/session

Warm
Authentic
Open-minded

Specialties

Autism
ADHD
Anxiety
+10
I am an advocate for Diversity, Equity, and Inclusion, a passionate partner in your healing process. As a clinician, I believe strongly in meeting you where you are. Even if it is a place you have never opened the doors for another. I gained my education at New York University and have experience working in many major diverse communities across the United States. This practice experience and armed me with the humility to connect with all cultures, intersections, and identities.
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$150/session

Open-Minded
Warm

Specialties

Autism
Depression
Trauma and PTSD
+10
As a multi-state BIPOC licensed professional counselor with extensive experience in various treatment modalities, I specialize in providing virtual therapy services to adolescents and adults. My practice focuses on addressing a wide range of mental health challenges. Over the years, I have honed my clinical skills to effectively assess and treat the complex psychological and emotional impacts of trauma. I am dedicated to utilizing evidence-based approaches tailored to the virtual therapy setting, ensuring that clients receive compassionate and comprehensive support from the comfort and convenience of their own environment. My therapeutic approach integrates a deep understanding of trauma, mood disorders, cultural sensitivity, and ethical considerations, fostering a safe and healing space where clients can explore their experiences and work towards healing and recovery. Through collaborative and client-centered therapy, I aim to empower individuals to regain a sense of control, resilience, and hope in their lives. I am committed to ongoing professional development and strive to stay abreast of the latest advancements in trauma treatment to provide the highest standard of care to my clients. In my virtual practice, I emphasize the importance of creating a therapeutic alliance built on trust and respect, facilitating meaningful therapeutic work that supports clients in achieving their goals and improving their overall well-being.
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New to Grow

$90/session

Specialties

Autism
ADHD
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.
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New to Grow

$130/session

Specialties

Autism
Chronic Illness
Health/Medical Issues
+10
I’m passionate about supporting adults navigating life with anxiety, depression, chronic illness, disability, complex family dynamics, grief, and life transitions. I also work a lot with clients who are neurodivergent or part of the LGBTQ+ community. I know how important it is to feel truly seen, heard, and understood. I combine personal life experiences with evidence based strategies to help you achieve your treatment goals.
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$120/session

Specialties

Autism
ADHD
Anxiety
+10
I believe therapy works best when you feel safe, supported, and understood. My goal is to build a strong therapeutic relationship where you can be yourself without fear of judgment. Together, we'll explore the challenges you're facing, identify patterns that may be keeping you stuck, and develop practical skills to help you move forward. I tailor therapy to your unique needs rather than taking a one-size-fits-all approach. I use a variety of evidence-based techniques to find what works best for you and your goals. My experience includes working in public and nonprofit mental health settings with both children and adults. If it is important to you, I am also happy to incorporate your Christian faith into counseling while blending faith-based principles with evidence-based care.
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New to Grow

$100/session

Specialties

Autism
ADHD
Child or Adolescent
+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.
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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. For example, your selected specialty, Autism, is filtering therapists in Washington that work with patients with similar concerns.

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.