- Values-based work
- Practical skills
- Respectful listening
About Preston
He draws on a range of approaches to tailor sessions to each person’s needs. That can mean working on patterns of thought and behavior, clarifying personal values, or using a listening-first style to reflect what matters most to the client. Sessions usually focus on immediate problems like anxiety, depression, relationship strain, grief, or coping with life changes.
Preston’s background includes work in independent practice, community mental health clinics, inpatient mental health, and substance abuse settings. He also spent many years supporting service members, having served in the US Army and National Guard and worked with active duty soldiers and airmen, including time at Fort Bragg.
He aims to help people become the person they want to be. That can include addressing addictions, intimacy-related issues, eating concerns, infertility related stressors, or chronic health and aging challenges. He also works with issues such as trauma and abuse, family of origin concerns, gender dysphoria, and compassion fatigue.
Preston lives in Virginia, is married, and has four children and eight grandchildren. He often brings a grounded, nature-oriented perspective into sessions and describes a personal spiritual connection to the natural world.
How these approaches shape online therapy
Acceptance and Commitment Therapy (ACT) focuses on identifying personal values and taking small committed steps toward them, which can help with anxiety, depression, grief, and life transitions. Client-Centered Therapy emphasizes a listening-first stance where the therapist reflects and supports the client’s own pace and goals, useful for building self-esteem and working through identity or relationship concerns. Cognitive Behavioral Therapy (CBT) targets specific thought and behavior patterns and uses practical exercises to reduce symptoms and improve coping with stress and mood issues.Choosing the right approach is part of the work in early sessions. The therapist will talk with each person about goals, history, and preferences and then recommend methods that fit those needs. This is a collaborative process that can change as goals evolve.
Because session formats are not listed in the biography, confirm current online and in-person options before booking. Online work can make it easier to fit therapy around work, caregiving, or medical appointments, reduce travel time, and allow for shorter check-ins when schedules are tight. Licensed professionals can use these methods effectively through conversation, values exercises, and behavioral homework to help clients move toward clearer goals.
Frequently asked questions
What concerns does this therapist address?
He works with a wide range of issues including stress, anxiety, depression, relationship and intimacy concerns, grief, trauma, addictions, eating issues, and life changes.
What is his general therapeutic style?
Sessions blend practical skill-building with attentive listening, helping people clarify values and change unhelpful behaviors through concrete steps.
How much experience does he have?
He has 35 years of counseling experience across independent practice, mental health clinics, inpatient settings, and substance abuse work.
What are his credentials and where is he based?
He holds the LCSW credential and practices in Virginia with licensure noted for NC LCSW and VA LCSW.
In which languages are sessions offered?
Sessions are offered in English.
Can people outside the country work with him?
He accepts international clients; confirm any regional requirements when scheduling.
How are fees and billing handled?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
What steps do I take to begin working together?
Choose the continue button on this profile, complete a short matching questionnaire, and schedule according to therapist availability.