Washington, DC · Telehealth in DC, MD, VA, NJ, and NY
Healing doesn't wait until you're ready. Neither do we.
Depth-oriented, trauma-informed psychotherapy for adults. In-network with CareFirst, Cigna, and UnitedHealthcare.
What brings people here
People come to us at all kinds of turning points. Some are carrying something heavy. Some just feel stuck. You don't need to have the right words for it yet. Choose what fits, or just reach out.
- Anxiety
- Depression
- Grief and loss
- Relationships and attachment
- LGBTQ+ affirming care
- Coming out
- College and young adults
- Trauma (Somatic Experiencing)
- Psychedelic integration
We also help with burnout and work stress, caregiving, pregnancy and parenthood, life transitions, and shame and self-worth.
How getting started works
Step 1
Send a Confidential Inquiry
A short, private message. No need to explain everything.
Step 2
Talk about fit
We reach out to set up a time and check your insurance.
Step 3
Begin at your pace
Sessions by secure video, or in person in DC when available.
Our Services
What We Offer
Depth-oriented, evidence-based care for individuals navigating complex challenges. All services available via secure telehealth across DC, MD, VA, NJ, and NY.
Individual Therapy
Depth work for adults navigating anxiety, depression, relationship patterns, life transitions, and grief.
Depression Therapy
Help for low mood, emptiness, and feeling stuck, by video across five states or in person in DC.
Anxiety Therapy
Help for worry, panic, and a mind that won't slow down, by video across five states or in person in DC.
LGBTQ+ Affirming Therapy
Affirming, depth-oriented care for LGBTQ+ adults — identity, relationships, minority stress, and trauma.
Somatic Experiencing Therapy
Body-oriented trauma healing that works with the nervous system, not just the mind. Certified SEP practitioner.
Psychedelic Integration Therapy
Clinically grounded support for processing ketamine-assisted therapy and plant medicine experiences.
Clinical Supervision
LICSW supervision for associates and contractors seeking independent licensure in DC, MD, VA, NJ, and NY.
Remote & Telehealth Therapy
HIPAA-compliant teletherapy across DC, MD, VA, NJ, and NY. Same depth of care, more privacy and flexibility.
Before You Decide
Not sure therapy is for you?
Most people think about it for a long time before reaching out. These resources are for that moment.
Read this before you decide
Wondering if you need counseling or psychotherapy?
Take our self-guided assessment to explore what kind of support might be right for you.
Self-Guided Assessment →Free Resource
Ready to deepen your connections?
This practical empathy guide includes:
- · The four components of empathic response
- · Real-world practice scenarios
- · Proven phrases for reflective listening
"Asking for help isn't the hard part. Believing you deserve it is."
Joseph W. LaFleur Jr., LICSW, MBA
Clinical Director & Principal
Ready When You Are
Take the Next Step, Privately
Ask a confidential question first, or go straight to our secure patient portal to begin intake — whichever feels right for you.
Preparing for the End of Life — With Clinical Support
Death is the most intimate event any of us will face — and most people arrive at it without ever having explored what dying means to them, what they want it to look like, or what they need to say before it happens.
Trained in both Somatic Experiencing (SEP) and psychedelic-assisted therapy (Integrative Psychiatry Institute certificate), Joseph W. LaFleur Jr. brings a clinical perspective uniquely suited to this work — integrating body-based trauma processing with the existential and mortality-related material that surfaces in psychedelic experiences, including esketamine nasal spray and sublingual ketamine troches.
Our End-of-Life Planner and Journal is a clinically informed resource designed to support clients in exploring their values, documenting their wishes, processing their relationship to mortality through somatic and psychoanalytic frameworks, and anchoring psychedelic integration work in practical, relational action.
This is not a checklist. It is a therapeutic companion — built for people who want to approach the end of life with the same depth, intentionality, and care they bring to living.
- Somatic reflection prompts grounded in body-based awareness of mortality
- Values clarification rooted in felt sense, not abstraction
- Structured space for letters, legacy work, and relational repair
- Comprehensive accounts and access documentation for survivors
- Psychedelic integration section for clients working with ketamine-assisted therapy
- Designed to extend the therapeutic process between sessions
Your Privacy
What you share here stays private. Our intake and records are secure and HIPAA-compliant, and we never share your information without your written consent.