Burnout doesn’t just happen overnight. It creeps in quietly—through exhaustion, disconnection, and the feeling that no matter how much you give, it’s never enough. Whether you're burned out from work, social obligations, or caregiving roles, the emotional toll is real. And you’re not alone. In my Virginia-based therapy practice (offered remotely across the state), many clients come in feeling overwhelmed by the constant push to keep going—even when their minds and bodies are

Whether you're in Richmond, Charlottesville, Arlington, or a rural town in Southwest Virginia, online therapy makes access to quality care possible from the comfort of your home. I offer secure, HIPAA-compliant video sessions to anyone residing in Virginia. All you need is a quiet space, a device, and a willingness to explore.

The biopsychosocial model is one of the most effective ways to approach therapy, offering a holistic understanding of mental health that goes beyond just the mind or body. By addressing all three components—biological, psychological, and social—this model provides a well-rounded, personalized treatment plan that can truly support lasting healing.

At its core, psychotherapy is a structured, collaborative process between a client and a trained mental health professional. It’s a safe space where you can explore your thoughts, emotions, relationships, and behaviors without fear of judgment or quick fixes. Unlike coaching or advice-giving, psychotherapy aims to help you understand yourself more deeply, uncover hidden patterns, and develop healthier ways of relating to yourself and others.

A key benefit of walk and talk therapy is its ability to reduce the stress and anxiety often associated with discussing difficult emotions. A study published in the Journal of Health Psychology (2016) found that walking during therapy sessions improves mood and reduces anxiety. The researchers concluded that physical activity, such as walking, promotes psychological well-being by boosting serotonin levels and fostering a sense of connection between the body and mind.

By using calming techniques and fostering social connection, we can return to a state of calm and reestablish balance in our nervous system. Polyvagal Theory suggests that these responses are governed by the autonomic nervous system (ANS), specifically the vagus nerve, which regulates physiological states of arousal. The theory posits that our ANS operates on a continuum from safety to danger, and the body shifts between states of calm and activation based on perceived threat

Finding a therapist who is the right fit for you can sometimes feel daunting. The therapeutic relationship is crucial to your success. Embarking on therapy is a brave step toward healing and growth. By taking the time to find a therapist who is the right fit for you, you're investing in your mental health and future well-being. Remember, the right therapist is out there, and with a little patience and research, you'll find the partnership that best supports your journey to we

Mental health counseling is a collaborative process between a therapist and a client that aims to facilitate positive change. Embarking on the journey of mental health counseling can feel daunting, but it's a brave and empowering step towards taking control of your mental health. If you're in Virginia, Cohesive Counseling offers compassionate, personalized mental health counseling tailored to your unique journey.

Grief is the emotional response to loss, encompassing a wide range of feelings from deep sadness to anger, and even relief or peace. Loss is not limited to the death of a loved one; it can include the end of a relationship, loss of health, or any significant life change. Grief is a deeply personal and non-linear process, with no "right" way to grieve.

Identifying a covert narcissist can be challenging, given their ability to mask their true intentions under a veil of vulnerability or humility. However, by understanding the signs and behaviors typical of covert narcissism, we can better protect ourselves from their manipulative tactics and seek healthier, more reciprocal relationships. Awareness and education are key to navigating these complex dynamics, and resources are available for those needing support or guidance.

Post-Traumatic Stress Disorder (PTSD) has long been recognized as a debilitating condition stemming from a single traumatic event. However, as our understanding of trauma deepens, the distinction between Classic PTSD and Complex PTSD (C-PTSD) becomes crucial for both diagnosis and treatment.

Understanding these physiological responses to stress and danger offers profound insights into various mental health conditions, including anxiety, depression, PTSD, and trauma. Polyvagal Theory explains why individuals in states of chronic stress or who have experienced trauma may struggle with emotional regulation and social connections.