Online CBT Therapy Throughout Virginia
Rob Young, PsyD
Licensed Clinical Psychologist
Adults with anxiety, OCD, PTSD, and relationship problems; kids and teens with OCD and anxiety (one parent must attend all sessions).
Meredith Vizzinni, MS
Licensed Professional Counselor
Adults with anxiety, panic, social anxiety, and adjustment to major life changes.
John Snyder, MS
Licensed Professional Counselor
Adults with anxiety, depression, insomnia, chronic pain, social anxiety, anger, trauma, addictions, grief, and major life changes such as divorce and relocation.
Anna Harris, MSW
Supervisee in Clinical Social Work
Children (10+), teens, and adults with anxiety, panic attacks, depression, trauma, stress, and adjustment to major life changes. Supervised by Mike Pease. Expected license October 2026.
Byra Cicollo, MSW
Licensed Clinical Social worker
Relationship problems, intimate partner abuse, trauma/PTSD, parenthood, pregnancy, and postpartum anxiety and depression.
Jenny Heatwole, MSW
Supervisee in Clinical Social Work
Relationship difficulties, phobias (including driving), LGBT populations, anxiety, depression, OCD.
Ariel Diehl, MSW
Licensed Clinical Social Worker
Anxiety, relationship problems, and adjustment to major life changes, depression, stress, social anxiety.
Mike Pease, MSW
Licensed Clinical Social Worker
Trauma/PTSD, adjustment to major life changes, OCD, addiction, depression, anxiety, grief, and anger management.
Health Insurance Accepted
- Anthem Blue Cross Blue Shield, including HealthKeepers, Anthem Federal, and most out-of-state plans.
- Aetna
- Tricare East
- We do not accept Anthem HealthKeepers Plus or other Medicaid and Medicare plans.
- Click here to learn more about fees and insurance.
Who We Work With
- Adults
- Children 10+
- We do not work with clients who are court-ordered to attend therapy, or who are seeking therapy in relation to a criminal or civil proceeding, including child custody disputes.
Real Cognitive Behavioral Therapy is hard to find in most of Virginia. So do it online.
If you have searched for a cognitive behavioral therapist near you, you probably know that true CBT specialists are rare outside of Virginia’s largest metro areas. But every therapist at our practice is licensed to see clients anywhere in the state. Whether you live in Roanoke, Blacksburg, Lynchburg, the Shenandoah Valley, or a town too small to have a therapist at all, you can work with a CBT specialist at our practice – no commute, no settling for whoever happens to have an office nearby.
Real CBT, Not Just Talk
Our therapists create structured treatment plans and follow them, so your therapy feels intentional and purposeful. CBT gets to the root of problems, the thinking and coping habits that are holding you back, and addresses them in ways that last, so you don’t need us forever. Click here to learn more about what CBT is.
Online Therapy Is Effective
Research has consistently found that CBT delivered by video produces outcomes comparable to in-person treatment for anxiety, depression, OCD, PTSD, and insomnia.
One study even found that Cognitive Processing Therapy — a form of CBT specialized for PTSD — worked better over video than in person, probably because we need to take a lot of notes when administering Cognitive Processing Therapy, and that is easier when administered online. Clients who have done both formats often tell us they notice no difference.
What You Need
A private space where you can talk freely, a computer, tablet, or phone with a camera and microphone, and good internet connectivity. You must be physically located in Virginia at the time of your session, since our therapists are only licensed in Virginia.
We use a secure, HIPAA-compliant, easy-to-use video platform that works on a computer, tablet, or phone.
We’re Better Than Better Help
Why not just download BetterHelp or Talkspace? They have shorter wait times and more therapists to choose from.
Because BetterHelp, Talkspace, and LifeStance are all publicly traded companies – or they’re owned by one. Grow Therapy, Headway, and SonderMind are partially owned by venture capitalists. Their purpose is to make profit for investors – not to help people. We call that a conflict of interest. They have a vested interest in hiring therapists who will accept lower pay because they have a hard time finding clients on their own. And they have little interest in making sure that you get the right therapist for you.
We are owned by a Licensed Clinical Psychologist who works in our offices in Charlottesville and Richmond, Virginia. Our number one concern is that you get quality care. We will not put our profits ahead of your welfare. You getting better means us losing your business. And that is the way that we think it should be. You can read about our mission and what drives us here.
If we have an opening, and it is with a therapist who does not have the skills and experience to help you, we will place you on a relatively short wait list. When we put people on wait lists, even for two weeks, they often move on, and we lose money. We will not sacrifice the welfare of our clients for money. Venture capitalists and shareholders will. A lot of people find that it is better to wait for one of our therapists than to find someone immediately on a corporate app.
We Frequently Work with Clients Throughout Virginia
Most of our therapists live in Charlottesville or the suburbs of Richmond. But some of us live in the valley – Grottoes and Staunton, specifically. One of us grew up in the rural outskirts of Harrisonburg, one spent 3 years in Lexington, and one spent most of her life in rural Louisiana. If you are more comfortable working with someone from one of these areas, just tell our scheduler Cindy, and she will try to make it happen.
Our online clients come from all over Virginia. We work with clients from the Roanoke Valley, including Roanoke and Salem, and throughout the New River Valley, including Blacksburg, Christiansburg, and Radford. We work with clients in Lynchburg and across the Shenandoah Valley, from Lexington through Staunton, Waynesboro, and Harrisonburg up to Winchester. In the northern Piedmont, we see clients in Culpeper and in Fauquier, Rappahannock, Clarke, and Warren counties, and in the Fredericksburg area, including Stafford and Spotsylvania counties. And if you live somewhere that is not listed here, that is exactly the point. As long as you are in Virginia, you can see us.
If you are in the Charlottesville or Richmond areas and would prefer to meet in person, we also have offices in Charlottesville, Richmond, and North Chesterfield, and you can switch between in-person and virtual sessions whenever it is convenient.
Frequently Asked Questions
Is online CBT as effective as in-person therapy?
Yes. Multiple studies have found that CBT delivered by video works as well as in-person CBT for anxiety, depression, OCD, PTSD, and insomnia. The structured, skills-based nature of CBT translates especially well to video.
Do I have to live near Charlottesville or Richmond?
No. Our therapists are licensed throughout Virginia, so you can see us from anywhere in the state, whether that is Danville, Winchester, or anywhere in between. The only requirement is that you are physically in Virginia at the time of your session.
Do you see children or teens online?
In addition to adults, Anna (10+), Jenny and Ariel (12+), and Dr. Young (all ages – see his profile for details) work with kids and teens – though it can be difficult to engage with children online. Only certain children and teens will be able to do it effectively without becoming distracted, and we cannot continue therapy if it is highly unlikely to be effective.
Is online therapy covered by insurance?
Usually, yes. Anthem, Aetna, and Tricare East generally cover teletherapy the same way they cover in-person sessions. It is important that you verify with your insurer. If they ask, the “Place of Service Code” is 10 and the service code is 90837.
What do I need for my sessions?
A private space, a device with a camera and microphone, and good internet connectivity. Before your first session, make sure your connection is reliable. A wired connection or strong Wi-Fi signal makes a real difference.
Can I ever meet my therapist in person?
If you are ever near Charlottesville, Richmond, or North Chesterfield, most of our therapists can see you in one of our offices, and you can switch between virtual and in-person sessions whenever it is convenient.
How to Get Started
Complete our New Client Contact Form and tell us a little about what you are looking for, and our practice manager will match you with a therapist who fits your needs, schedule, and insurance. Our waitlist is typically short. You can also call 434-566-0113, extension 9.