Therapists in Virginia

Steve has over 15 years experience working primarily with adolescents, young adults, and families. Steve specializes in anxiety/depression, trauma, and substance abuse. Steve utilizes evidence based practice to best serve clients while helping them reach their goals. Steve is very active and enjoys outdoor activities: sailing, kiteboarding, wing foiling, snowboarding, skiing, hiking, snorkeling, scuba diving, swimming, and just enjoying nature.

Hello, my name is Robert. If you are like other people and feeling the pressures of everyday life then the stress from the cares of attempting to live a normal life are working overtime. The pace today is more hectic. People need help. Everyone deserves a safe place and a stable environment. I find the most effective ways to help people feel comfortable with therapy is a welcoming attitude with curiosity about their experiences that have brought the person into the session. My approach is to build a strong therapeutic alliance, provide acceptance, and focus on the present moment without judgment to help people gain the skills for managing complicated situations. Clients have often stated the experience was easy to discuss their issues without worry and they felt non-judged regardless of the situation. We will work together to discover what works, promote healing the whole person, and help understand the dynamics of existing relationships to choose to respond in a rational way to master life to the greatest extent possible. Seeking therapy can feel scary but you’re making the right choice. In our sessions together I’ll meet you with compassion and with evidence-based strategies so you can build resilience, and stability to find the supports you need.

Hi there! I'm a therapist with 10 year’s experience working in mental health. Throughout my career, I've had the privilege of working in both inpatient and outpatient settings, allowing me to gain a well-rounded perspective on mental health. My passion for this work stems from a genuine desire to see people thrive and overcome their challenges. I truly believe that everyone has the capacity to lead fulfilling lives once they tap into their own resilience and inner strength.

Welcome, I'm glad you are here! I'm Aline and I empower you to reconnect with your authentic self, and achieve your goals in counseling. I believe you already possess within you the capacity and resources to resolve your own issues and just need the support in therapy to tap into your strengths to enhance your mental wellness. My goal is to provide a safe therapeutic environment for exploration, understanding of current unhelpful patterns, collaborative problem solving, and building of skills that foster growth.

I am a licensed clinical social worker with a diverse background in mental health care across various settings and states. Outpatient therapy and telehealth therapy services are my primary focus. My approach to therapy is rooted in empathy, understanding, and respect for each client's unique experiences and emotions. I strive to create a safe, supportive space where individuals can explore their challenges, build resilience, and work toward meaningful change.

I’m Patrice Jackson, a Licensed Professional Counselor (LPC) in Virginia. I serve as a compassionate guide for individuals navigating life’s challenges, offering a supportive, judgment-free space where healing and growth can take root. My mission is to empower you to reconnect with your strengths, uncover your potential, and move forward with confidence and clarity. Let's start the healing journey today.

I am a clinical social worker bringing a lifetime of experience to my work, helping clients to identify what's working and what's not; what is going well, and what they would like to change. I am a creative problem solver and excel at helping people get unstuck! I use my experience as a teacher, a human services professional, a small business owner and a clinical social worker to inform my practice and support client growth. I am eclectic in my approach, most often using cognitive behavioral therapy, brief therapy and positive psychology-- however I draw from other approaches and theories to meet the needs of the client. I am trained in trauma-focused CBT, substance abuse treatment and recovery, work with grief and loss, women's issues and strengths-based therapy. I identify as a long-time member of the LGBTQ community and am constantly striving to become more culturally sensitive and aware. I work with persons across the lifespan: ages preschool through seniors. I bring my sense of humor, ability to adapt and switch gears, and my huge heart and compassion to the work that I do!

I’m a Licensed Clinical Social Worker (LCSW), Licensed Clinical Addiction Specialist (LCAS), and Certified Clinical Supervisor (CCS) with over 12 years of experience. I’m licensed in South Carolina, North Carolina, Virginia, Utah, and Maine. I specialize in working with neurodivergent adults, first responders, military personnel, and trauma survivors navigating addiction, burnout, anxiety, and major life transitions. My approach is warm, nonjudgmental, and grounded in trauma-informed, evidence-based care. I believe in honoring each client’s unique identity and special interests while helping them turn pain into power and reconnect with their sense of purpose.

I am a person-centered therapist with a deep commitment to creating a supportive and non-judgmental environment. I firmly believe that you are the expert of your own experiences and that our work together should revolve around your needs and goals. As a sex-positive therapist, my goal is to create an environment that is open and affirming towards discussions surrounding sexuality, traditional and nontraditional relationships, and sexual identity. As a geek-aware therapist, I understand the power of pop culture, gaming, technology, and all things nerdy. I embrace your passions, whether it's delving into the world of comic books, discussing the latest sci-fi TV series, or exploring video game narratives. Geek culture provides a rich tapestry of themes and references that we can utilize to deepen our therapeutic conversations and make the process more engaging and relatable to you. My passions lie in working with young adults, and couples, and with the challenges and pressures men face.

I’m a dedicated therapist with a passion for helping individuals navigate life’s challenges with compassion and evidence-based support. I work with children and adults seeking to address anxiety, stress, depression, coping skills, ADHD, anger, or relationship concerns, tailoring my approach to each person’s unique circumstances. Through therapy, I aim to foster self-awareness, build coping strategies, and strengthen resilience, ultimately helping you find greater balance and fulfillment in your everyday life.

Hellooo! I am a Licensed Clinical Psychologist living in Virginia. I received my doctorate in Clinical Psychology from Regent University in 2008. I have lived in many different places but mostly I grew up in eastern North Carolina and Europe. Having parents from western New York and southern West Virginia, I was raised in a "northern" household in a "southern" environment. I like to think these contrasts in my life have helped me learn to adapt and identify with many different types of people. While I value the privilege of being an American, I love what other nationalities contribute to my world. Standing beside my clients and walking with them through their difficult times is one of my greatest joys.

I focus on treating a variety of issues, such as anxiety, depression, relationship issues, career goals, and codependency, with the goal to minimize symptoms. We will work on a treatment plan with goals to help you start feeling better. You do not have to suffer and I can help you turn the corner to finally gaining insight and feeling much better.

Hi there! My name is Ryan Ellison, I am a licensed professional counselor in the state of Virginia and I have 3 years of work in the field of mental health. I have worked with clients in managing depression, stress and anxiety, family conflicts, trauma and abuse, & self esteem amongst other things. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to ensure to meet your unique and specific needs. It takes courage to seek out a more fulfilling and happier life towards change. I am here to support & empower you in that journey!!! I love working with people who are navigating issues of trauma, anxiety, confusion, and depression!

Hello! I am an Licensed Professional Counselor (LPC) based out of Lynchburg VA where I received my Masters in Clinical Mental Health Counseling. For 4 years I have been practicing with this degree as well as practicing therapy techniques previously before receiving my degree. I focus on helping individuals challenge the parts of their life that cause the most distress and becoming empowered in order to continue practicing healthy coping and thought regulation. I strive to help those around me achieve a version on themselves that is less impacted by their struggles and more focused on their strengths.

Hello, I am Licensed Clinical Social Worker based in Virginia. I have been in the mental health field since 2021. I enjoy working with individuals ages (10-64 years old) and families. I find myself utilizing skills that can meet the client where they are in their journey. I can assist clients to navigate their goals and help them in the process.

Hi I am Joseph Wall, I am a LPC ( Licensed Professional Counselor) in PA and VA as well as a LMFT ( Licensed Marriage and Family Therapist) In Virginia . I specialize in Relational issues in Marriages, Couples, Families, and for Individuals . I focus on attachment based interventions , helping people become Safe, Secure and Stable in the world around them.

Welcome… my name is Ife Michelle Milligan. I am a Licensed Clinical Social Worker, as well as a Certified Holistic Life Coach. I graduated from Columbia University School of Social Work in 1996. In my 29 years of providing services and therapy for clients, I have enjoyed the opportunities to witness growth and transformation. I believe in the power of change. It has been and continues to be an honor to hold space for others, while they overcome challenges and improve their lives. ••• “ I will not rescue you, for you are not powerless. I will not fix you, for you are not broken. I will not heal you, for I see you in your wholeness. I will walk with you through the darkness as you remember your light.” Sheree Bliss Tisley ••• I look forward to supporting you on your journey of healing.

Hi, I’m Samantha! I’ve been a clinician for over twelve years and truly love what I do. I’m passionate about helping clients tap into their strengths, overcome challenges, and move toward the life they want. My background includes working with people of all ages in schools, juvenile justice, and long-term care settings. As a mom, I know how rewarding—and overwhelming—life can be. I bring that real-life perspective into my work, along with compassion, curiosity, and a sense of humor. Outside of work, I enjoy audiobooks, organizing (it’s therapeutic for me!), and family time. Fun fact: I have a degree in Philosophy and studied Japanese in high school!

Hello, My name is Keith, I have been working with youth and adolescents in the mental health field for about thirteen years. I have worked with young people suffering from traumatic experiences (PTSD), to include physical, sexual, and emotional abuse. I have assisted young people with symptoms associated with depression and anxiety. Also, I have experience in assisting young people with self-esteem/self-worth issues. I have helped young people who are suicidal and with individuals suffering from psychotic disorders. Further, I have assisted young people with tension within the home setting and ways he or she can navigate these feelings in a healthy manner. Personally, I have two daughters that are my world and a very spoiled elderly dog. I enjoy sports, working out, and being outdoors. I have been described as very easy going and easy to talk to. In my practice, the client comes first, and the conversation goes where he or she would like it to.

Hello, I am a Licensed Clinical Social Worker (LCSW) in Virginia and have 14 years of experience working with clients with a variety of mental health disorders and life stressors, including anxiety, depression, substance use disorders, life transitions, family conflicts, and chronic illness. In therapy, I help clients develop insight into themselves and provide tools to help them make positive changes in their lives.

Hi there! I'm a Licensed Clinical Social Worker (LCSW) based in North Carolina with licenses in both North Carolina and Virginia. I earned my Master's degree from Columbia University and have over a decade of experience in the social work field. I'm passionate about supporting people as they work toward their goals and grow into the best version of themselves.

Do you feel at times your distressing emotions are a non-stop express train in that it seems impossible to stop the train? Are there times you feel overwhelmed by your negative thoughts? Is it a challenge for you to manage your emotions? As an LMHC, I help individuals develop healthy ways to cope with stress, regulate their emotions, and learn to identify/change unhelpful thought patterns that negatively influence their behavior and emotions.

Hi! I'm a Licensed Clinical Social Worker (LCSW) and provide virtual counseling services to those residing in FL, MD, MI, and VA. I received my Masters from the University of Michigan and have been practicing for 15 years. I specialize in women-specific counseling, addressing the unique challenges that women face, including issues related to self-esteem, confidence, fertility, pregnancy and postpartum concerns, anxiety, grief, stress and life transitions. I also specialize in working with women and families with a connection to adoption.

I am a Licensed Clinical Social Worker (LCSW) with over 20 years of experience in the mental health health field and 8 years in private practice. As a certified sex therapist through AASECT, I specialize in supporting individuals and couples navigating intimacy, relationship challenges and personal growth. My approach is warm, relational, and grounded in evidence-based practices like Emotionally Focused Therapy, Dialectical Behavior Therapy, Cognitive Behavior Therapy and Integrative Behavioral Couple Therapy. I specialize in working with couples to strengthen their connection, improve communication, and navigate challenges together. I integrate couples therapy with sex therapy to help partners deepen emotional and physical intimacy, address concerns around desire and sexual functioning, and foster a more fulfilling relationship. I feel it is important to offer clients practical tools and exercises they can use outside of therapy, because real change happens not just in the session, but daily life. These strategies help reinforce what we explore together, support continued growth between sessions, and empower clients to manage challenges as they arise. Whether it's mindfulness practices, communication techniques, journaling prompts, or coping skills, these resources give clients something tangible to hold onto as they build confidence and resilience on their own path. I view therapy as a collaborative process-an active partnership between client and therapist. We work together to explore challenges, identify goals, and create meaningful changes. While I bring clinical insight and guidance, the client brings their lived experience, wisdom, and willingness to grow.

Hello, I am a licensed professional counselor with eight years of experience, based in Virginia. My journey in mental health began with a master's degree from South University, where I developed a strong foundation in therapeutic practices. I am dedicated to supporting individuals in overcoming challenges and fostering healing, personal growth, utilizing evidence-based approaches tailored to each client's unique needs.

Greetings, My name is Louise, I am located in Virginia, and I hope this message finds you well. I am married, the mother of one grown child, and the grandmother of one. I want to introduce myself as someone who is passionate about helping others overcome life's challenges. If you've experienced childhood trauma, the loss of a loved one, or are struggling with work/life balance, I would be honored to collaborate with you. Using evidenced-based tools, we can explore your biopsychosocial and spiritual world to find your resources and areas to strengthen. My goal is to help you feel more at peace and understand why you react to certain situations the way you do. During our time together, I will provide a safe, empathetic, and objective environment for you to explore these areas of your life. With a background in teaching, biochemistry, and mental health treatment, as well as personal life experiences, I am here to help you discuss areas that are stressing you and utilize tools that will grow your toolbox. I look forward to the opportunity to work with you. Take care!

I am a Licensed Professional Counselor in VA with 14+ years of experience in the field of mental health serving all over the state. I earned a Bachelor of Science Degree in Psychology from Old Dominion University and a Master of Education Degree in Family Therapy from The College of William and Mary. Additionally, I am a Registered Clinical Supervisor for LPC Residents. My clients have described me as relatable and knowledgeable during our work together. I have experience working with children, teens, young adults, older adults, and families to support them through crises, life changes, behavioral challenges, emotional issues, and a variety of other stressors. I am most passionate about empowering those who don't feel seen or like they have a voice.

I provide psychotherapy tailored to your unique needs, using evidence-based interventions to address your mental health challenges. Whether you’re seeking traditional talk therapy or a more integrated approach, my customizable services empower you to decide the focus while I guide you every step of the way. My psychotherapy style is designed around your goals, addressing factors that may impact your mental health, such as stress, relationships, and sleep. With options like nutrition guidance, cognitive behavioral therapy for sleep, stress management tools, and collaboration with your healthcare providers, I take an integrated approach to help you achieve meaningful and lasting change.

I am a licensed professional counselor with over 25 years of experience in the areas of coaching, training, leadership, and mentoring industries. I love to meet the client where they are and allow them to help me follow them and where they desire to go. I counsel and offer the freedom for clients to grow in their own ways and become themselves in the process on a deeper scale.

Hi! I'm a Licensed Professional Counselor (LPC) based in Virginia. I am originally from Ohio and am also licensed as an LPCC there. I received my Master's Degree in Clinical Mental Health Counseling from the University of Dayton, Ohio and have been working in mental health for more than 10 years! I have worked in inpatient hospital settings, crisis management and intervention, community agencies, and private practice.

I am a Graduate of Howard University and UNC Charlotte, I have a BA in Psychology and a Masters in Social Work. I have a passion for working with individuals, couples and families who seek change to become happier, healthier and gain control over obstacles that are weighing them down. I have several years of experience in working with children, adults, and families, on a broad array of issues ranging from depression, anxiety, bipolar, ADHD, schizophrenia, substance abuse and trauma. I provide culturally competent care and use a Strength Based Approach when working with clients. I also specialize in helping African American males deal with oppressive systems and obstacles.

Hello! I'm a Licensed Clinical Social Worker (LCSW) based in Virginia. I received my Masters from Radford University in 2016 and have been practicing for about 10 years. I help adults and teenagers who are struggling with different issues such as anxiety, depression, life transitions, relationship issues, low self-esteem, etc. find an improved quality of life. No problem is too big or small to talk about.

Hello! I am License Clinical Professional Counselor, specializing in the treatment of Depressive Disorders, Anxiety Disorders, and Trauma-Related Disorders. Presenting advanced counseling skills through the techniques of Cognitive Behavioral Therapy, Cognitive Processing Therapy, Humanistic Therapy. I offer the support of hearing the client's lived experiences, emotions, and perspective. The therapeutic environment is cultivated with reflective listening, open-ended questions, and experiential exercises. I partner with you to support healthy behavior activation and change to guide you in achieving optimum wellness.

I am a compassionate and dedicated therapist with experience working with individuals of all ages, including those struggling with depression, anxiety, bipolar disorder, autism, and various mental health conditions. My approach is tailored to each individual, utilizing a variety of evidence-based modalities such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Motivational Interviewing, Solution-Focused Therapy, and other therapeutic techniques. By focusing on building resilience, enhancing coping skills, and promoting positive change, I help clients overcome challenges and develop a deeper sense of self-awareness and empowerment. My goal is to support individuals in creating lasting change, improving their mental well-being, and achieving a fulfilling, balanced life

Welcome! I am Yulia, a Clinical Social Worker licensed in Virginia, Alabama, and Missouri with over 8 years of experience in mental health in a variety of settings. I am here to help you overcome challenges that you are currently facing. Our life journey may surprise us with many joyful and positive experiences, but there are certainly times when we stumble upon disappointments, stressful life events, health concerns, loss of a loved one, or traumatic experiences that bring us down to our knees and make us question the fairness of life itself and our place in it. If you can relate, you have come to a right place and I applaud you for finding strengths to reach out for help.

Hi! I'm a Licensed Clinical Social Worker (LCSW) based in Virginia. I love working with couples experiencing relationship issues, and individuals who are struggling with addiction as well as those who need help managing their symptoms of anxiety, depression, trauma and PTSD. I want to take a moment to acknowledge your first step towards this empowering, confusing and possibly scary journey towards bettering your mental health.

Hi, my name is Stephen As a Christian do you ever feel like you are letting God down, or like you are not being faithful enough because you have real-life problems? Problems In your relationship, emotionally, behaviorally, or even with substance abuse. Is it hard to be kind to yourself? I help individuals manage their anxiety, depression, or burnout by addressing the needs of your body, mind, and spirit using the bible. I integrate current counseling theories with sound biblical principles to help develop a stronger relationship with God, and a stronger you. Whether you are dealing with being overwhelmed, relationship issues, or cycles of anxiety and depression, I am here to help. Seeking therapy can seem scary and maybe even against some of the teachings you've learned in church, but you are making the right choice. You deserve a safe space to heal and grow. In our sessions together I will meet with you, and your spouse if you want, with compassion and evidence-based techniques while using biblical principles so you can overcome the hang-ups and habits holding you back. The research says that 1 in 4 people in the United States, at any given time, have mental health issues. This does not exclude the church. The average church in Virginia has 250 members attending on any given Sunday. That means that at least fifty people in your church service last Sunday are struggling with some type of mental illness or emotional problem. I work with churches to help them with ministering to the hurting, please let me help you.

Hi! I am a Licensed Clinical Psychologist who has been working with adults since 2010. I served as a military psychologist for a decade and specialize in Veterans mental health. I also have a significant amount of experience working with non-military clients. My goals for you in therapy are your goals. We will work together to ensure you are improving your quality of life! No problem is too small; your goals are my goals!

Hi! I'm a Licensed Professional Counsellor (LPC) based in Virginia. I received my Masters from South University of Florida and have been practicing for 10 years. I would love to assist you in your journey to wellness. I have experience working with individuals struggling with chronic pain, using CBT to address cognitive factors contributing to pain perception. I strive to be inclusive and sensitive to the needs of LGBTQ+ individuals.

Hi! I'm a Licensed Clinical Social Worker (LCSW) based in Virginia with 7 years of mental health experience. My work experience includes working for Community Services Board (CSB), school system, telehealth outpatient therapy, crisis intervention and prevention, and Veteran's Hospital. I have experience working with people of all ages and walks of life to provide them tools and strategies to become the best versions of themselves.

You are enough! I'm Vanessa, a Licensed Professional Counsellor (LPC) in Virginia. I received my Master's from Liberty University and have been in the mental health field for 9 years. I assist individuals with overcoming and managing depression, anxiety, self-esteem, and phase-of-life issues to develop a positive self-image by rebuilding self-esteem and developing practical techniques and skills for relationship problems.

My name is Dave Rogers, and I have been counseling professionally for over 30 years. I have worked at inpatient and residential treatment centers for Eating Disorders, and addictions, and as you can imagine - worked with families and loved ones impacted by these extremely difficult problems. I am so fortunate to have worked with gifted teams of professionals who taught me everything I know. I have also worked extensively as an outpatient therapist since 2011 when I opened my private practice. I heard a statement early in my career that impacted my practice of therapy greatly: "People don't care what you know, until they know you care". Research continues to verify that the quality of the therapy relationship is the foundation for all the other work. So - I do my very best to make a comfortable and supportive relationship from the start, because people often come to therapy with apprehension, fear, or bad experiences with therapy that cause them to be reluctant, or hesitant to open up and address their struggles and pain. One of my early goals in therapy is to listen so well, that the client says "you get me". I do my best to help clients heal, change, grow, and work toward contentment with themselves and life, as much as possible.

My name is Maria. I have been practicing therapy for 19 years. I have worked in a variety of settings such as, a hospital emergency room seeing individuals struggling with mental health issues. I have also work with children and adults. I feel privileged to have you allow me into your life and share your experiences and struggles with me.

Hello, I am a licensed Clinical Social Worker in the state of Virginia. I received my Masters from Fordham University and I am also a Ph.D. student. I enjoy helping clients rewire their brains and the body to alleviate anxiety, relational conflict, depression, or trauma. My dream clients have a hard time controlling their thoughts or behaviors and want a better understanding of how to make lasting changes.

I am a Licensed Professional Counselor in the state of Virginia, dedicated to helping individuals cultivate meaningful, fulfilling lives. With over a decade of experience, I have devoted my career to guiding clients on their journey toward healing, growth, and self-discovery. My passion for supporting others began at a young age, shaping my approach to therapy as a safe, compassionate space where individuals feel truly seen, heard, and empowered.

Welcome! I'm Zena Jones Take a moment to acknowledge you've taken the first step towards bettering your mental health because, let's be honest - starting therapy can be empowering, confusing, or scary, all at the same time. I strive to create a safe and welcoming environment that allows clients to explore obstacles with concerns related to anxiety, depression, or self-care. I focus on helping clients develop assertive communication & boundaries with themselves and those around them that can help improve their quality of life. Counseling can foster personal development in whatever way you may be seeking and help build the life you so deeply deserve. If that's what you're looking for, I'm here when you're ready to share.

Do you ever feel stressed out or on edge? Do your thoughts seem to spin out of control or lead to fear of future situations? Does that worry prevent you from being present in the moment or keep you from getting restful sleep at night? If you are ready to regain control of your thoughts and live a more present and fulfilled life then you have come to the right place. Hi! I’m Sarah Theimer, a licensed professional counselor (LPC) and Certified Clinical Trauma Professional level 2 (CCTP-II) in Virginia. I am also a Christian and the proud wife of a first responder. I provide anxiety and trauma treatment, helping adults breakthrough the cycle of worry and trauma to live a more present and fulfilled life. To help you reach your goals, I use a two-fold approach by teaching you tools to help cope with everyday stressors and manage the intensity of emotions while exploring past experiences which have/are impacting the way you currently feel/behave. As a therapist, I strongly believe in exploring past hurts and experiences to help you better understand what led you to this point and assist in treating the root causes of the anxiety and trauma. I aim to keep sessions goal oriented and structured to assist individuals in meeting their goals. I earned my master’s degree from Lynchburg College in Clinical Mental Health Counseling. I have eight years of experience in the mental health field and have worked in settings to include substance use clinics, inpatient mental health settings, and corrections facilities throughout my time in the mental health field. I have training in and utilize evidence-based approaches to include cognitive behavioral therapy (CBT), cognitive processing therapy (CPT), and eye movement desensitization and reprocessing therapy (EMDR).

Hello! I'm Hannah. I am a Licensed Professional Counselor (LPC) based in Virginia. I received my Master's in Counseling and Human Development from Radford University and have been practicing for 5 years. I enjoy assisting people from all walks of life in achieving their therapy goals. Every client is different, so I take an eclectic approach to therapy to tailor it to the individual's needs.

Hi, I'm Amanda, I am grateful to assist clients work through trauma and emotional dysregulation. I am currently licensed in Kentucky, Virginia, Texas and Florida and reside in Lexington, KY. I specialize in trauma therapy, specifically surrounding attachment and early childhood traumas, as well as specific traumatic events. I have 8 years experience working with people of all ages, and I am currently working specifically with adults. I utilize an integrative combination of Attachment, Internal Family Systems, EMDR, Polyvagal Theory, and Mindfulness.

I have 25 plus years combined experience working within a medical system, academic system, as well as in private practice. I have extensive training in Mindfulness, Neuropsychotherapy, Insight Dialogue, Mind Body Connections therapy, Interpersonal Presence, and Sustainable Compassion Training to promote resilience. I am very good at recognizing gifts and strengths in others, even for those who may have temporarily lost sight of their own strength and wisdom. My role is collaborative and respects the pace and preferences of clients. For clients who are interested I offered customized guided exercises designed to turn down the internal alarm response, and turn on the restorative relaxation response. These include exercises to cultivate awareness, positive imagery, progressive muscle relaxation, and compassionate re-appraisal. Recorded guided exercises can be made available for practice in between sessions.