Online Therapy

Online therapy in Washington, DC

We’ve offered online therapy since long before 2020 made it necessary, and we kept offering it because it works. Same therapists, same depth, the same 45–50 minute sessions you’d have in person. Before each appointment, a secure link arrives by email. You click it, and you’re in. That’s the whole setup. We see clients across Washington, DC, Maryland, and Virginia, and several of our psychologists can see clients in many other states.

Takes a few minutes. Designed by psychologists, not algorithms.

Accepting new clientsLicensed for DC, Maryland & VirginiaMost clients seen within a week

Your seat is wherever you are.

A reading corner in a DC apartment at dusk: an armchair, a warm lamp, and a laptop open for an online therapy session

What Makes This Different

Not an app. A therapy practice that happens to work online.

Online therapy has come to mean something specific: a subscription, a rotating cast of providers, a chat window. That’s not what this is. When you begin therapy with us, you’re beginning a relationship with one therapist, a licensed clinician at a Washington, DC practice that has been doing this work since 2003. The internet is just how we meet.

Your therapist, every week

Not whoever’s available. Not a new face when an algorithm reshuffles. The same clinician stays with your work, session after session, because in psychotherapy the relationship is the treatment, and relationships take continuity.

Full sessions, real depth

Every session is 45–50 minutes of live video with a licensed therapist, and most of our team is at the doctoral level. No text threads, no twenty-minute check-ins. The kind of sustained attention that lets you get underneath a problem instead of skimming across it.

Everything travels

Psychodynamic therapy, couples work, cognitive behavioral therapy: the evidence-based approaches we practice in person work online too. What matters is the therapist and enough time, not the room.

What to Expect

What an online therapy session actually looks like

01

Before your session

Your session runs through SimplePractice, the secure system we use for scheduling, billing, and video. Before each appointment you’ll receive a link. There’s no account to create and nothing to download. You click the link from your laptop or phone and land in a private video waiting room. (There’s an app if you’d rather use one on your phone, but you don’t need it.) If it’s your first session, that’s genuinely all the technical preparation there is.

02

Your space

You need a space private enough to talk freely. That’s the only real requirement. Our clients take sessions from home offices, bedrooms with the door closed, parked cars on a lunch break. Headphones help, both for the sound and for the feeling of privacy. Wherever you are, the aim is the same as it would be in person: a safe space to say the things you don’t say anywhere else. And there’s no commute, so the travel time and stress just fall away.

03

The session

It’s a full session: the same 45–50 minutes, the same therapist, picked up right where you left off. Some people worry video will feel thin. Honestly, the first few minutes sometimes do, and then the work takes over, the way a phone call with an old friend stops feeling like a phone call. Emotions come through a screen more fully than you’d expect. And if the screen ever does get in the way, your therapist will name it. That’s part of the job.

04

Between sessions, and switching

On the weeks you’d rather sit in the same room, in-person sessions are available depending on your therapist. Plenty of our clients move between the two as life demands.

Where We Can See You

Washington, DC. Maryland. Virginia. And beyond.

With online therapy, licensure is what matters: legally, your therapist has to be licensed in the state where you are during the session, not where we are. We say that plainly because a lot of platforms don’t.

DC, Maryland & Virginia

Every clinician on our team can see clients located anywhere in Washington, D.C., Maryland, or Virginia. Live in the District but take sessions from an Arlington desk? Covered both ways. The DMV is one clinical footprint for us.

Many other states

Several of our psychologists hold PSYPACT credentials, which let them provide virtual psychotherapy to clients in the large majority of US states. If you live outside the DMV, or you’re about to move, just ask. Odds are good we can work together.

Moving or traveling?

Started therapy in DC and took a job across the country? In grad school out of state most of the year? Continuity is usually possible. Tell your therapist what’s coming, and we’ll sort out coverage before you go.

Who You'd Work With

Therapists who work online, because all of ours do

Every therapist at our practice sees clients by secure video; this isn’t a separate telehealth team. Most are taking new clients, and each brings a different style and specialty for the challenges people arrive with. That range is the point: the right therapist depends on what you’re working on and how you like to work.

Keith Clemson, Ph.D., LPC

Keith Clemson, Ph.D., LPC

Licensed Professional Counselor, Practice Co-Founder

Rebuilding emotional connection and trust in relationships

EFTAttachment-BasedFamily SystemsCouples
Michael Burrows, Ph.D.

Michael Burrows, Ph.D.

Psychology Associate

Identity, self-esteem & the patterns that keep you stuck

PsychodynamicRelationalSelf-Esteem
Dominique Harrington, MA.Ed., LPC

Dominique Harrington, MA.Ed., LPC

Licensed Professional Counselor

Rewriting the stories that shape how you see yourself

NarrativeRelationalCouples
Kevin Malley, MS, LPC

Kevin Malley, MS, LPC

Licensed Professional Counselor

Anxiety, purpose & finding what matters, ages 14 and up

ExistentialRelationalTeens (14+)Couples
Kevin Isserman, Psy.D.

Kevin Isserman, Psy.D.

Psychologist

Exploring who you are & building deeper, more honest relationships

PsychodynamicPerson-CenteredLGBTQ+ Affirming
Jessica Hilbert, Psy.D.

Jessica Hilbert, Psy.D.

Psychologist

Understanding the different aspects of yourself, and what they need

IFSRelationalCouples
Paul Rizzo, Psy.D.

Paul Rizzo, Psy.D.

Psychologist

Anxiety, purpose & making sense of where you are right now

ExistentialHumanisticPerson-Centered
Rob Drinkwater, Ph.D.

Rob Drinkwater, Ph.D.

Psychologist

Life's bigger questions: meaning, family & what comes next

ExistentialGrief & Loss
Dana Treistman, Ph.D.

Dana Treistman, Ph.D.

Psychologist

Practical strategies for anxiety, stress & the transitions that throw you off

CBTMindfulness
Regan Mayo, Ph.D.

Regan Mayo, Ph.D.

Psychologist

When life hasn't gone as planned, understanding the deeper why

PsychodynamicDepth-OrientedGrief & Loss
Thomas Lindquist, Psy.D.

Thomas Lindquist, Psy.D.

Charlotte · Video sessions

Jessica Groleau, Ph.D.

Jessica Groleau, Ph.D.

Charlotte · Video sessions

Paula Keeton, Ph.D.

Paula Keeton, Ph.D.

Charlotte · Video sessions

Colton Brown, Ph.D.

Colton Brown, Ph.D.

Charlotte · Video sessions

Not sure who to choose?

Tell us what you're working on and we'll help you find the right therapist.

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What We Help With

Everything we do in person, we do online

Most of the people who come to us are ambitious, high-functioning adults who’ve hit something they can’t think through on their own. We start with what’s working, not just what’s hard, and we take personal growth as seriously as symptom relief. And all of it is available online: individual therapy, couples work, every specialty below.

Anxiety & Stress

Generalized anxiety, social anxiety, panic, OCD, and perfectionism, including the high-functioning kind nobody at work can see, plus practical skills you can develop between sessions.

Couples & Marriage

Communication, trust repair, disconnection, affair recovery. EFT- and Gottman-trained. And yes, couples therapy works over video, whether you’re side by side or in two different places.

Depression & Mood

Depression, mood disorders, burnout, and grief, including the kind of low that doesn’t always look like depression from the outside.

Trauma & PTSD

Complex trauma, PTSD, and childhood experiences, working through what happened so it stops running the show.

Career, Identity & Life Transitions

Career changes, life direction, young adult identity, self-esteem, and the particular DC stress of performing and not feeling it.

LGBTQ+ Affirming

Coming out, identity, relationship issues, and family dynamics, with affirming therapists who genuinely understand what you’re navigating.

Common questions about online therapy

Online counseling raises practical questions that in-person care doesn't: about security, state lines, and whether it actually works. These are the ones new clients ask most before a first video session.

From Our Practice

Some situations genuinely benefit from being in the same room. When that's true for you, your therapist will say so. We'd rather tell you than have you wonder.

Is online therapy as effective as in person therapy?
For most people and most concerns, yes. We’ve provided online counseling for years, long enough to watch the same depth of work happen over video that happens in our therapy rooms: for anxiety, depression, relationship challenges, grief, and much of what brings people to us. We’d tell you if we thought otherwise. Some situations genuinely benefit from being in the room, and if your therapist believes yours is one of them, they’ll say so directly. We’d rather be honest with you about that.
What platform do you use? Is it secure?
Sessions run on SimplePractice, a HIPAA-compliant platform built for healthcare. It’s encrypted video, not consumer conferencing software. You get a secure link before each session; there’s no account to create, nothing to download, and an optional phone app if you prefer one. What you say in session stays as private online as it does in person.
Which states can you see me in?
Every clinician on our team can see clients located in Washington, D.C., Maryland, or Virginia. Several of our psychologists also hold PSYPACT credentials, which allow virtual psychotherapy with clients in the large majority of US states. What matters legally is where you are during the session. So if your situation is complicated (split time between states, an upcoming move), just ask, and we’ll confirm before you commit to anything.
How much does online individual therapy cost?
The same as in person. Individual therapy ranges from $230–$300 per session and couples therapy from $275–$350, depending on the clinician. We’re an out-of-network practice: you pay at the time of your session, and we file the reimbursement paperwork with your insurance for you. Telehealth sessions are eligible for out-of-network reimbursement the same way in-person sessions are, and most clients end up paying $75–$125 per session after reimbursement.
Do you accept insurance?
We don’t bill insurance directly, but most plans include out-of-network mental health benefits, and we handle the claims paperwork on your behalf. Coverage varies by plan, so it’s worth checking your out-of-network benefits before your first session. If cost is the barrier, the Capital Therapy Project offers reduced-fee therapy with supervised clinicians.
Can I switch between online and in person sessions?
Anytime. Plenty of our clients do both: video most weeks, in person when they want the room. Same therapist either way, nothing to re-explain and no paperwork to switch. Just tell your therapist which you’d prefer that week.
Does couples therapy work online?
Yes, and we do a lot of it. Both partners on one couch sharing a screen, or in two different cities on two screens: both work. Several of our clinicians are trained in Emotionally Focused Therapy and the Gottman Method, two of the most established couples approaches, and that work translates to video better than most people expect.
What if my internet connection drops mid-session?
It happens, and it’s never a crisis. Rejoin through the same link and the session picks back up; if video won’t recover, your therapist will call you and you’ll finish by phone. You won’t lose a session to a shaky internet connection.
What do I need on my end?
A laptop or phone, a reasonably steady internet connection, and a private-enough space to talk. Headphones help. That’s the entire list. No software to install, no technical skills required beyond clicking a link.
What if I'm not sure what kind of therapy I need?
That’s the most common way people arrive. There are more than 3,000 therapists in Washington, so the hard part is less about finding one and more about finding the right one. You don’t need a diagnosis to start, and you don’t need to know whether you want CBT, psychodynamic therapy, or something else; helping you figure that out is our job. The best way to begin is simply to tell us what’s going on. We’ll recommend the therapist whose expertise and style fit, with support at every step, and you’ll see available appointment times right away.

You've already done the hardest part: thinking about it. The rest can start wherever you are.

Begin online therapy

Tell us a little about what you’re looking for: what feels stuck, what you hope will change. We’ll find you the right therapist and a way forward, online, in person, or both.

Get Started →

Takes a few minutes · No commitment

What many clients pay
$75 – $125
per session, once out-of-network benefits kick in
Full fee: Individual $230–$300 · Couples $275–$350
What you pay depends on your plan's out-of-network benefits. We'll file the claims for you.