Individual Therapy

Individual therapy is the heart of my practice. Most weeks, most of what I do is sit across from one woman — in my office on Albemarle Avenue or on a video call — and help her make sense of what's happening inside her own head.

What individual therapy looks like with me

Sessions are typically 50 minutes, weekly to start, and we taper as you start feeling steadier. We'll work in person at my Roanoke office or online by secure video — your choice, and you can switch between the two as life requires.

I draw from Cognitive Behavioral Therapy (CBT), person-centered work, solution-focused brief therapy, and trauma-focused approaches. The first few sessions are about understanding what's actually bringing you in. From there, we build a plan together — one that's specific to you, not a worksheet from a manual.

What people come to individual therapy for

• Anxiety that won't turn off
• Depression — the heavy kind and the high-functioning kind
• Life transitions: marriage, motherhood, career shifts, loss, midlife
• OCD and intrusive thoughts
• Self-esteem and the inner critic that won't quiet down
• Relationship patterns and codependency
• Identity work — figuring out who you are underneath all the doing
• Spirituality and faith integration, if you want it
• Grief, including the kinds nobody calls grief

Practical details

• Fee: $175 per session
• Insurance: Aetna, Anthem, BCBS, Optum, Oxford, UnitedHealthcare
• Length: 50 minutes
• Frequency: Weekly to start, less frequent as you stabilize
• Format: In-person (Roanoke) or telehealth (anywhere in Virginia)