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Top in-person therapists in Nevada who accept cash payments

Melissa Roskos

LCPC

Individual and couples therapist

$95 per session

ADHD, Generalized Anxiety, PTSD, Relationship Issues, Substance & Alcohol Abuse, Trauma

I help adults with anxiety and ADHD who feel overwhelmed, stuck in overthinking, or burned out. My approach is practical and solution-focused, helping clients identify strengths, build strategies, and create meaningful change in everyday life. Many of my clients struggle with overthinking, emotional intensity, or difficulty staying focused despite trying very hard. Together, we focus on small, practical steps that help life start to feel more manageable. I use a practical, goal-oriented approach grounded in Solution-Focused Brief Therapy (SFBT) to help clients create meaningful change. As a board-certified music therapist, I also offer the Bonny Method of Guided Imagery and Music, a creative way to explore emotions and gain insight. Many clients begin to notice progress within 6–8 sessions as we focus on achievable steps and real-life solutions. My goal is to create a space that is both supportive and productive—where you can think clearly, gain perspective, and leave sessions with tools you can actually use.

Virtual and in-person sessions

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Jenny Ledesma

LMFT

Individual therapist

$100 per session

Depression, Generalized Anxiety, Grief, PTSD, Panic, Perinatal Mood and Anxiety Disorders, Relationship Issues

I graduated from the University of Phoenix with a Master’s Degree in Marriage, Family, and Child Therapy and a Bachelor of Science, Major in Psychology from Centro Escolar University in the Philippines. I’ve worked and trained with different agencies dealing with children’s behavior in the system and geriatric cases in skilled nursing facilities. In 2018, I received the Endeavors Extraordinary Therapist Award from the Perry Foundation. I’m licensed by the State of Nevada Board of Examiners for Marriage and Therapy. I’ve also completed training as a Certified Mood and Depression Counselor, Certified Trauma Professional, and Certified Grief and Loss Professional. My turn – to reach out and make a difference. Therapy is personal because we’re all unique. I’ll provide a safe, confidential, supportive, and judgment-free environment, so you can explore coping skills and achieve a more fulfilling and rewarding life. Together, we’ll explore the root cause of the problems affecting the present. We’ll navigate different ways to address the issues, so they’ll no longer continuously impair your life. I’ll assist you in gaining insight into the problem. Together, we’ll build practical skills to help you cope with daily stressors. You have the power To make positive changes and overcome your difficulties. Allow me to join with you to develop your skills and talents, and transform your negative self-perception so you can tackle life’s challenges and make genuine positive change.

Virtual and in-person sessions

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Kayci Cooley

LCSW

Individual therapist

$200 per session

ADHD, Abuse (sexual, emotional, physical), Depression, Generalized Anxiety, Grief, PTSD, Perinatal Mood and Anxiety Disorders, Trauma

Hello! I'm Kayci, a licensed clinical social worker who specializes in working with adults facing challenges like anxiety, depression, and trauma. My practice is based on acknowledgment, acceptance, kindness, and respect. As an EMDR-trained professional, I bring evidence-based expertise to facilitate healing. I integrate diverse modalities tailored to the unique needs of each client, ensuring a personalized approach to their journey. Committed to creating a safe and supportive environment, I empower my clients to navigate and overcome life's obstacles, fostering lasting positive change.

Virtual and in-person sessions

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Ashia McReynolds

LMFT

Individual and couples therapist

$180 – $200 per session

ADHD, Abuse (sexual, emotional, physical), Bipolar Spectrum Disorders, Depression, Generalized Anxiety, PTSD, Personality Disorders, Relationship Issues, Substance & Alcohol Abuse, Trauma

I am a dually licensed Marriage and Family Therapist (LMFT) and Licensed Clinical Alcohol and Drug Counselor (LCADC) and Supervisor (LCADC-S). I am a current Ph.D. Candidate, who has passed all course work and comprehensive examinations, at Northcentral University in MFT with a specialization in military families and veterans. I am trained in Eye-Movement Desensitization Reprocessing (EMDR), Gottman Method Couples Therapy Level 1, a Prepare and Enrich Facilitator, and a Certified Trauma Specialist. Not only do I advocate for change in the lives of my clients, but also, I advocate for mental health care at the legislative level for my profession. I have worked in multiple treatment settings (i.e., private practice, universities, religion-based centers, high schools, group homes, and community agencies). I care and want the best for others as they accomplish their life goals; no matter what obstacles have been placed before them. I believe in expanding thought and collaboration.

Virtual and in-person sessions

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Nikki Luu

LCSW

Individual therapist

$150 per session

Generalized Anxiety, PTSD, Panic, Relationship Issues, Trauma

Nikki Luu is a Licensed Clinical Social Worker specializing in helping individuals who need support in navigating changes within their lives, anxiety, and trauma. She aims to create a space where her clients feel truly heard and supported as they work together to uncover emotional patterns and remove barriers to lasting change. Working with Nikki does not mean just talking about your problems but learning ways to regulate your nervous system and finding practical tools to feeling better. She understands that everyone is unique, therefore, she utilizes a combination of different techniques to meet each client’s individual needs. Nikki works from a person-centered perspective and is IFS and Polyvagal informed.

Virtual and in-person sessions

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