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Preston Page

Preston Page, LCSW

Therapist in Virginia

Helping people live by their values

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Areas of expertise

Also works with

AddictionsLGBTRelationship issuesFamily conflictsTrauma and abuseGriefIntimacy-related issuesSleeping disordersAnger managementCareer difficultiesBipolar disorderCompassion fatigue

Additional focus areas

Aging and geriatric issuesBDSM, kink, and alternative sex cultureChronic pain, illness, and disabilityCoping with natural or human-caused disasterDependent personalityEmptinessFamily of origin issuesForgivenessGender dysphoriaGuilt and shameHearing impairedHospice and end-of-life counselingInfidelityIsolation / lonelinessLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMood disordersPolyamory / non-monogamous relationshipsPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-loveSexualitySocial anxiety and phobiaTrichotillomania

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Existential TherapyMotivational InterviewingNarrative TherapySolution-Focused Therapy

Experience

35+ years

Credentials

Virginia, North Carolina

Languages

English

  • Trauma and abuse focus
  • Practical therapy tools
  • 35 years experience

About Preston

Preston Page is a licensed clinical social worker with 35 years of experience helping people manage stress, anxiety, depression, and trauma and abuse. He uses straightforward conversation and practical tools to help people become more like the person they want to be. Sessions are conversational and focused on the issues you bring in.

He combines several approaches to fit each person’s needs. Cognitive Behavioral Therapy helps identify unhelpful thoughts and change behavior. Acceptance and Commitment Therapy supports values-based action even when emotions are difficult. Client-Centered Therapy creates a respectful space where the client’s experience guides the work.

Preston has worked in private practice, community mental health clinics, inpatient mental health, and substance abuse settings. He also served in the US Army and National Guard and worked with active duty service members, including time at Fort Bragg. Those experiences shape his practical, down-to-earth style.

He describes a connection to the natural world that he calls spiritual, though it may not match others’ definitions. Outside of work he is married and has four children and eight grandchildren. He is known for a relaxed presence and a full beard that sometimes gets him called Santa.

People come to him for help with grief, relationship strain, addiction concerns, sleep problems, chronic illness issues, and questions about identity, including gender dysphoria and LGBT concerns. He also supports those facing life transitions, career stress, and compassion fatigue.

How his approaches fit with online work

Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings and still move toward what matters to them. It is useful for anxiety, depression, and life changes where values and action matter. Cognitive Behavioral Therapy focuses on identifying unhelpful thought patterns and changing behaviors to reduce symptoms and improve daily functioning. Client-Centered Therapy emphasizes a respectful, nonjudgmental relationship where the client’s experience guides the pace and focus of sessions.

Finding the right approach is a collaborative process. He will talk with each person about goals and preferences and adapt methods as the work evolves. The therapist and client decide together which strategies feel most helpful and when to try different tools.

Session formats are not specified in the original biography, so confirm current options before booking. Many people find online sessions helpful because they can fit therapy into a busy day, reduce travel time, and make it easier to continue work while managing family and job responsibilities. Others like a shorter check-in when schedules are tight or audio-only meetings when bandwidth is limited. Discuss scheduling and format preferences when you complete the matching questionnaire so arrangements match your daily routine.

Frequently asked questions

What kinds of problems does Preston help with?

He works with stress, anxiety, depression, trauma and abuse, grief, relationship and intimacy issues, sleep problems, addictions, and a wide range of other concerns listed in his profile.

What is his therapy style like?

Sessions are conversational and person-centered. He blends practical techniques from cognitive behavioral work with acceptance-based and client-led methods.

How long has he been practicing?

He brings 35 years of experience across private practice, community mental health, inpatient mental health, and substance abuse settings.

Where is he licensed and based?

He holds LCSW credentials and practices in Virginia with licensure noted for North Carolina and Virginia as listed in his profile.

Which languages are offered for sessions?

Sessions are offered in English.

Can he work with international clients?

He accepts international clients according to the information provided in his profile.

How are fees and payment handled?

Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.

How do I begin working with him?

Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule based on therapist availability.

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