Clinical Social Work/Therapist, MBA, LICSW, CGP Verified
Verified
Washington, DC 20009
As our lives evolve, we inevitably experience periods of loss, frustration and conflict that signal the need for better understanding and change. Are you experiencing a major life change or challenge? Job loss, relationship breakups, divorce, death, disappointment, or other crisis? Is your relationship less than you had hoped? Your angry, sad, anxious or lonely feelings may feel overwhelming, but you do not have to go through this alone. We can work together to help you develop an inner awakening and awareness to a more comfortable relationship with yourself, your life, and others. I can walk the journey with you.
HIV / AIDS Allied
(202) 656-7987
Verified
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Washington, DC 20009
HIV / AIDS Allied
As our lives evolve, we inevitably experience periods of loss, frustration and conflict that signal the need for better understanding and change. Are you experiencing a major life change or challenge? Job loss, relationship breakups, divorce, death, disappointment, or other crisis? Is your relationship less than you had hoped? Your angry, sad, anxious or lonely feelings may feel overwhelming, but you do not have to go through this alone. We can work together to help you develop an inner awakening and awareness to a more comfortable relationship with yourself, your life, and others. I can walk the journey with you.
Photo of Tifphane Riley,
Washington, DC 20017
I am a Couple and Family Therapist as well as a Sex Therapist specializing in with over 10 years of experience providing individual, couple, group and family psychotherapy. As as social justice driven therapist, I have expertise in working with the LGBTQ community, Heterosexual couples, non-monagamous individuals/couples, communities of color, health issues,grief & loss, trauma survivors, and couples dealing with a variety of issues from infidelity to sexual dysfunction.
HIV / AIDS Allied
(202) 915-7149
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Washington, DC 20017
HIV / AIDS Allied
I am a Couple and Family Therapist as well as a Sex Therapist specializing in with over 10 years of experience providing individual, couple, group and family psychotherapy. As as social justice driven therapist, I have expertise in working with the LGBTQ community, Heterosexual couples, non-monagamous individuals/couples, communities of color, health issues,grief & loss, trauma survivors, and couples dealing with a variety of issues from infidelity to sexual dysfunction.
Photo of Adele Natter, Clinical Social Work/Therapist
Clinical Social Work/Therapist, MSW, LICSW, LCSW-C Verified
Verified
Washington, DC 20016
I take a serious approach to serious problems. Behaviors you've tried to stop, such as anger outbursts, self-criticism, and self-doubt, damage your life, work, and relationships. My therapy approach is collaborative, interactive, and intensive. We form a partnership to get to the root of the problem and give you relief as quickly as possible. We use your strengths to heal the broken parts and achieve the goals you identify, in an atmosphere of safety and acceptance in which you can be yourself without fear of shame, blame, or judgment. Take charge of your life -- contact me today!
HIV / AIDS Allied
(301) 485-6794
Verified
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Washington, DC 20016
HIV / AIDS Allied
I take a serious approach to serious problems. Behaviors you've tried to stop, such as anger outbursts, self-criticism, and self-doubt, damage your life, work, and relationships. My therapy approach is collaborative, interactive, and intensive. We form a partnership to get to the root of the problem and give you relief as quickly as possible. We use your strengths to heal the broken parts and achieve the goals you identify, in an atmosphere of safety and acceptance in which you can be yourself without fear of shame, blame, or judgment. Take charge of your life -- contact me today!
Photo of Eye In Me - Therapy For The Strong Friend, Clinical Social Work/Therapist
Clinical Social Work/Therapist, LICSW, LCSW-C, CPC Verified
Verified
Office is near:
Washington, DC 20059
I get it... you are holding EVERYTHING and EVERYBODY together. You are the super friend that everyone calls when their life is falling apart. They love you because you are at the top of your game and on most days, you have it ALL together. ​On the other hand...there are those days when you are FALLING APART and you don't have anyone strong enough to support you as you piece yourself back together. You try to reach out and talk to your friends but their best advice is, "I know you will figure it out. You need somebody to LISTEN, SUPPORT AND ENCOURAGE you too. Every Strong Friend needs a Strong Life Coach or a Strong Therapist! ​
HIV / AIDS Allied
(240) 623-5449
Verified
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Office is near:
Washington, DC 20059
HIV / AIDS Allied
I get it... you are holding EVERYTHING and EVERYBODY together. You are the super friend that everyone calls when their life is falling apart. They love you because you are at the top of your game and on most days, you have it ALL together. ​On the other hand...there are those days when you are FALLING APART and you don't have anyone strong enough to support you as you piece yourself back together. You try to reach out and talk to your friends but their best advice is, "I know you will figure it out. You need somebody to LISTEN, SUPPORT AND ENCOURAGE you too. Every Strong Friend needs a Strong Life Coach or a Strong Therapist! ​
Photo of Infinite Zen Holistic Psychotherapy, Clinical Social Work/Therapist
Clinical Social Work/Therapist, LMSW, LICSW Verified
Verified
Washington, DC 20003
Are you experiencing feelings of depression, anxiety, loneliness, issues with intimacy and sexual desire? Perhaps you lack self-compassion, you are self-conscious, or maybe you're unsure about the future of your relationships. Today you've taken the first step towards wellness. An important aspect of therapy is examining our interactions, relationships, our thoughts and feelings in a safe non-judgmental space. A positive therapeutic relationship promotes healing with compassionate self-exploration. I am a sex-positive, BDSM/KINK, LGBTQIA+ affirming therapist. Let's work together! Contact me today!
HIV / AIDS Allied
(202) 816-6098
Verified
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Washington, DC 20003
HIV / AIDS Allied
Are you experiencing feelings of depression, anxiety, loneliness, issues with intimacy and sexual desire? Perhaps you lack self-compassion, you are self-conscious, or maybe you're unsure about the future of your relationships. Today you've taken the first step towards wellness. An important aspect of therapy is examining our interactions, relationships, our thoughts and feelings in a safe non-judgmental space. A positive therapeutic relationship promotes healing with compassionate self-exploration. I am a sex-positive, BDSM/KINK, LGBTQIA+ affirming therapist. Let's work together! Contact me today!
Photo of Interventionist,
Office is near:
Washington, DC 20001
Hello, my name is Joani Gammill. Thank you for taking the brave step of looking for help. I am called when you have a loved one that needs help for an addiction, whether that be a substance like alcohol, heroin, prescription drugs or a process addiction like gambling, but is resistant to getting the treatment they need. As a former RN, I have worked for seven years in an alcohol and drug rehab before doing interventions. I have doing loving, respectful interventions for 15 years now. My fees for the industry are the lowest you will find. Reach out and call me at (443)-926-4519.
HIV / AIDS Allied
(443) 594-6080
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Office is near:
Washington, DC 20001
HIV / AIDS Allied
Hello, my name is Joani Gammill. Thank you for taking the brave step of looking for help. I am called when you have a loved one that needs help for an addiction, whether that be a substance like alcohol, heroin, prescription drugs or a process addiction like gambling, but is resistant to getting the treatment they need. As a former RN, I have worked for seven years in an alcohol and drug rehab before doing interventions. I have doing loving, respectful interventions for 15 years now. My fees for the industry are the lowest you will find. Reach out and call me at (443)-926-4519.
Psychologist, PhD Verified
Verified
Washington, DC 20016
Clients come to me when they are dissatisfied with their lives and/or overwhelmed by a situation or stressor. I view therapy as a collaborative endeavor and work together with you to develop a treatment which incorporates your strengths, needs and life experiences. I also respect your wish to work on a specific area of concern short-term and/or to address a variety of complex issues over time. During the treatment, my clients report that they feel safe, supported and challenged by me, and that their lives are highly enriched by the experience. (See actual reviews by clients at Healthgrades.com.)
HIV / AIDS Allied
(240) 813-4351
Verified
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Washington, DC 20016
HIV / AIDS Allied
Clients come to me when they are dissatisfied with their lives and/or overwhelmed by a situation or stressor. I view therapy as a collaborative endeavor and work together with you to develop a treatment which incorporates your strengths, needs and life experiences. I also respect your wish to work on a specific area of concern short-term and/or to address a variety of complex issues over time. During the treatment, my clients report that they feel safe, supported and challenged by me, and that their lives are highly enriched by the experience. (See actual reviews by clients at Healthgrades.com.)
Photo of The Barker Adoption Foundation, Clinical Social Work/Therapist
Clinical Social Work/Therapist, LCSW-C, LICSW Verified
Verified
Office is near:
Washington, DC 20011
Touched by Adoption? The Barker Foundation recognizes that adoption is a lifelong journey, with normal developmental challenges and tasks. We will walk with you through and support you through your journey. Whether you are an adoptive parent with a child that is struggling emotionally or academically; a birth parent who is seeking understanding, reflection, or search and reunion; or an adoptee looking for support- we are here for you.
HIV / AIDS Allied
(240) 245-2720
Verified
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Office is near:
Washington, DC 20011
HIV / AIDS Allied
Touched by Adoption? The Barker Foundation recognizes that adoption is a lifelong journey, with normal developmental challenges and tasks. We will walk with you through and support you through your journey. Whether you are an adoptive parent with a child that is struggling emotionally or academically; a birth parent who is seeking understanding, reflection, or search and reunion; or an adoptee looking for support- we are here for you.
Clinical Social Work/Therapist, LICSW Verified
Verified
Washington, DC 20006
I am a gay psychotherapist, and enjoy and have had success working with both LGBTq and heterosexual adult clients. A warm and supportive environment allows for the gradual development of a professional relationship between client and therapist that can provide an important basis for their work together. Individuals often come into my practice dealing with feelings of depression and anxiety, as well as the impact of trauma, that affect both their ability to have a positive self-image and sense of identity, and to move ahead in their life. I support a client around reducing these blocks in their life.
HIV / AIDS Allied
(202) 759-8326
Verified
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Washington, DC 20006
HIV / AIDS Allied
I am a gay psychotherapist, and enjoy and have had success working with both LGBTq and heterosexual adult clients. A warm and supportive environment allows for the gradual development of a professional relationship between client and therapist that can provide an important basis for their work together. Individuals often come into my practice dealing with feelings of depression and anxiety, as well as the impact of trauma, that affect both their ability to have a positive self-image and sense of identity, and to move ahead in their life. I support a client around reducing these blocks in their life.
Photo of Kim V. Chisolm, Clinical Social Work/Therapist
Clinical Social Work/Therapist, LCSW, MSW, CSAC, SAP Verified
Verified
Office is near:
Washington, DC 20003
One of the keys to successfully managing stress is to participate in a stress-management group. This can be a powerful modality in the process of addressing issues that trigger stress. Group members will participate in an intimate group format that is ongoing and topic-driven. This design facilitates education, open discussion and connection with others. This is a great group for people who are interested in managing stress from a Bio-psychosocial spiritual perspective.******* I am a Licensed Clinical Social Worker and a Certified Substance Abuse Counselor in the state of Virginia. My clinical population includes both adults and adolescents. I specialize in the following clinical areas: addictive disorders, co-dependency, depression, anxiety, stress management, grief issues, gay and lesbian issues, relationship conflicts, and overall wellness. I have over 25 years of experience as a therapist and have utilized my clinical expertise in outpatient, inpatient, detoxification, EAP, and Emergency Services settings. Feel free to contact me for Substance Abuse Evaluations, DOT/SAP Evaluations, individual and group needs.
HIV / AIDS Allied
(703) 436-9970
Verified
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Office is near:
Washington, DC 20003
HIV / AIDS Allied
One of the keys to successfully managing stress is to participate in a stress-management group. This can be a powerful modality in the process of addressing issues that trigger stress. Group members will participate in an intimate group format that is ongoing and topic-driven. This design facilitates education, open discussion and connection with others. This is a great group for people who are interested in managing stress from a Bio-psychosocial spiritual perspective.******* I am a Licensed Clinical Social Worker and a Certified Substance Abuse Counselor in the state of Virginia. My clinical population includes both adults and adolescents. I specialize in the following clinical areas: addictive disorders, co-dependency, depression, anxiety, stress management, grief issues, gay and lesbian issues, relationship conflicts, and overall wellness. I have over 25 years of experience as a therapist and have utilized my clinical expertise in outpatient, inpatient, detoxification, EAP, and Emergency Services settings. Feel free to contact me for Substance Abuse Evaluations, DOT/SAP Evaluations, individual and group needs.
Photo of Arielle Mesa, Clinical Social Work/Therapist
Clinical Social Work/Therapist, LGSW, RYT Verified
Verified
Washington, DC 20009
Are you seeking support through a difficult time or looking to mend unresolved past wounds? Do you want to better understand yourself, your intimate relationships, and your connection to the world and beyond? I am here to support you in exploring and becoming more firmly grounded in these deeper components of your life. With exploration, you may find the need to make certain shifts. I can serve as a trusted guide through such transformations. I specialize in supporting those carrying the weight of developmental trauma, sexual violence, complicated grief and bereavement, anxiety, depression, and big life transitions.
HIV / AIDS Allied
(202) 793-7584
Verified
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Washington, DC 20009
HIV / AIDS Allied
Are you seeking support through a difficult time or looking to mend unresolved past wounds? Do you want to better understand yourself, your intimate relationships, and your connection to the world and beyond? I am here to support you in exploring and becoming more firmly grounded in these deeper components of your life. With exploration, you may find the need to make certain shifts. I can serve as a trusted guide through such transformations. I specialize in supporting those carrying the weight of developmental trauma, sexual violence, complicated grief and bereavement, anxiety, depression, and big life transitions.
Photo of Deborah Leah Rotter, Clinical Social Work/Therapist
Clinical Social Work/Therapist, LCSW, NBCCH, BCD Verified
Verified
Office is near:
Washington, DC 20007
I am sorry, but at this time, my practice is full and I'm not accepting new patients. I have over 25 years' experience successfully helping people with depression, anxiety, OCD, phobias, low self-esteem, relationship and many other issues. I am trained in several therapy modalities including mindfullness-based cognitive behavioral, clinical hypnotherapy, and traditional talk therapy. Using knowledge in brain science and mind/body connection, I can teach you simple techniques for immediate emotional and/or physical relief as well as help with stress, chronic fatique, and fibromyalgia.
HIV / AIDS Allied
(703) 468-8587
Verified
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Office is near:
Washington, DC 20007
HIV / AIDS Allied
I am sorry, but at this time, my practice is full and I'm not accepting new patients. I have over 25 years' experience successfully helping people with depression, anxiety, OCD, phobias, low self-esteem, relationship and many other issues. I am trained in several therapy modalities including mindfullness-based cognitive behavioral, clinical hypnotherapy, and traditional talk therapy. Using knowledge in brain science and mind/body connection, I can teach you simple techniques for immediate emotional and/or physical relief as well as help with stress, chronic fatique, and fibromyalgia.
Photo of The Bowen Center, Licensed Professional Counselor
Licensed Professional Counselor, PhD, LPC, CRC Verified
Verified
Washington, DC 20007
The Bowen Center for the Study of the Family Clinic is a non-profit organization that has been offering the community affordable psychotherapy to individuals and families for over 35 years. Our experienced clinicians help the client devote his or her best thinking and energy to working on self in the broader context of important relationships.
HIV / AIDS Allied
(202) 601-3485
Verified
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Washington, DC 20007
HIV / AIDS Allied
The Bowen Center for the Study of the Family Clinic is a non-profit organization that has been offering the community affordable psychotherapy to individuals and families for over 35 years. Our experienced clinicians help the client devote his or her best thinking and energy to working on self in the broader context of important relationships.
Photo of Janet Osherow, Clinical Social Work/Therapist
Clinical Social Work/Therapist, MSW, LICSW Verified
Verified
Washington, DC 20016
CURRENTLY ACCEPTING NEW TELE HEALTH PATIENTS. WILL OFFER PRIORITY & DISCOUNT TO FRONT LINE WORKERS DURING COVID-19. I have been working with families for more than 20 years and as a Clinical Social Worker since 2006. My clients would describe me as warm and compassionate with a no nonsense approach. I provide therapy to children, adolescents, adults and families. My broad range of experience includes addressing depression, anxiety, low self-esteem, behavioral issues and coping with chronic illness and trauma, including working with families with HIV/AIDS, cancer and other illnesses. I provide both individual and family therapy.
HIV / AIDS Allied
(301) 494-3476
Verified
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Washington, DC 20016
HIV / AIDS Allied
CURRENTLY ACCEPTING NEW TELE HEALTH PATIENTS. WILL OFFER PRIORITY & DISCOUNT TO FRONT LINE WORKERS DURING COVID-19. I have been working with families for more than 20 years and as a Clinical Social Worker since 2006. My clients would describe me as warm and compassionate with a no nonsense approach. I provide therapy to children, adolescents, adults and families. My broad range of experience includes addressing depression, anxiety, low self-esteem, behavioral issues and coping with chronic illness and trauma, including working with families with HIV/AIDS, cancer and other illnesses. I provide both individual and family therapy.
Photo of Therapeutic Links Behavioral Health Services,
Washington, DC 20036
Are you looking for a therapist who will assist you in achieving stability by overcoming personal and professional adversities, and will empower you in your continual growth and fulfillment? My name is Beza and I have 12 years of working collaboratively with my clients to address a broad variety of challenges including difficulty with moods, anxiety, intergenerational trauma, body image/self-esteem issue, relationship/attachment issues, addiction/medication seeking behavior, criminal activities/ recidivism, and behavioral management concerns.
HIV / AIDS Allied
(202) 831-3273
Verified
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Washington, DC 20036
HIV / AIDS Allied
Are you looking for a therapist who will assist you in achieving stability by overcoming personal and professional adversities, and will empower you in your continual growth and fulfillment? My name is Beza and I have 12 years of working collaboratively with my clients to address a broad variety of challenges including difficulty with moods, anxiety, intergenerational trauma, body image/self-esteem issue, relationship/attachment issues, addiction/medication seeking behavior, criminal activities/ recidivism, and behavioral management concerns.
Photo of TLM Therapy Solutions, LLC, Licensed Clinical Professional Counselor
Licensed Clinical Professional Counselor, LCPC, LPC Verified
Verified
Office is near:
Washington, DC 20002
Change is a process that takes time. We will work together to take small steps to help you to achieve your goals. You may be experiencing various emotions from feeling stuck, anxious, or unsure about your future. Covid -19 has taken an emotional toll on everyone. I have worked with adolescents and adults providing counseling services for over 16 years. Let me help you to achieve your goals to live a full and abundant life.
HIV / AIDS Allied
(443) 792-0105
Verified
View

Office is near:
Washington, DC 20002
HIV / AIDS Allied
Change is a process that takes time. We will work together to take small steps to help you to achieve your goals. You may be experiencing various emotions from feeling stuck, anxious, or unsure about your future. Covid -19 has taken an emotional toll on everyone. I have worked with adolescents and adults providing counseling services for over 16 years. Let me help you to achieve your goals to live a full and abundant life.
Photo of Amanda Slatus, Clinical Social Work/Therapist
Clinical Social Work/Therapist, MSW, LICSW Verified
Verified
Washington, DC 20002
Therapy is a unique experience for each person. It helps you learn yourself, your relationships (past and present), and how you interact with the world. It is a place of self healing and understanding. It is a place to find safety and refuge to manage stress,anger, guilt, anxiety, overwhelming feelings, trauma, interpersonal conflict, and significant life events. I work with youth and adults to help address these issues. I am trained as a psychodynamic therapist, practicing from a relational standpoint. I use several clinical approaches such as cognitive behavioral therapy, attachment theory, and trauma focused therapy as needed.
HIV / AIDS Allied
(667) 217-1023
Verified
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Washington, DC 20002
HIV / AIDS Allied
Therapy is a unique experience for each person. It helps you learn yourself, your relationships (past and present), and how you interact with the world. It is a place of self healing and understanding. It is a place to find safety and refuge to manage stress,anger, guilt, anxiety, overwhelming feelings, trauma, interpersonal conflict, and significant life events. I work with youth and adults to help address these issues. I am trained as a psychodynamic therapist, practicing from a relational standpoint. I use several clinical approaches such as cognitive behavioral therapy, attachment theory, and trauma focused therapy as needed.
Photo of Wendy M. Webb, Clinical Social Work/Therapist
Clinical Social Work/Therapist, LCSW-C, LICSW Verified
Verified
Office is near:
Washington, DC 20012
Are you looking for a warm, supportive environment in which to navigate life transitions and challenges? Using interactive, compassionate listening and a dash of gentle humor, I will collaborate with you to identify and hone your strengths, deepen your resilience and self-awareness, solve problems, and explore possibilities. I bring to this process 25 years of clinical practice experience and a joy in serving as a psychotherapist. I also provide clinical supervision and consultation to social workers who seek licensure in the state of MD or who wish to deepen their clinical skills. Please call or e-mail for additional information.
HIV / AIDS Allied
(240) 847-5103
Verified
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Office is near:
Washington, DC 20012
HIV / AIDS Allied
Are you looking for a warm, supportive environment in which to navigate life transitions and challenges? Using interactive, compassionate listening and a dash of gentle humor, I will collaborate with you to identify and hone your strengths, deepen your resilience and self-awareness, solve problems, and explore possibilities. I bring to this process 25 years of clinical practice experience and a joy in serving as a psychotherapist. I also provide clinical supervision and consultation to social workers who seek licensure in the state of MD or who wish to deepen their clinical skills. Please call or e-mail for additional information.
Photo of Axis Healthcare Group ,
Office is near:
Washington, DC 20015
2020 has been a tough year as we face this challenging time in our history. We’ve had to grapple with the longevity of the coronavirus disease 2019 (COVID-19) and the uncertainty it brings. Challenges, which are further confounded by a complicated and divisive political climate make this a time of grief, trauma, loss, and difficult transitions for many. Physical distancing measures, forced adoption of new technology, and disruption of our routines, though necessary to reduce the spread of COVID-19, bring additional struggles with preventing isolation, remaining engaged with social supports, and coping with stress and anxiety. Please talk with a provider if you are finding yourself overwhelmed or if you are experiencing changes in sleeping, eating, or irritability, whether or not your challenges can be explained by current situations We have immediate openings for therapy and medication management appointments. .
HIV / AIDS Allied
(301) 945-7782
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Office is near:
Washington, DC 20015
HIV / AIDS Allied
2020 has been a tough year as we face this challenging time in our history. We’ve had to grapple with the longevity of the coronavirus disease 2019 (COVID-19) and the uncertainty it brings. Challenges, which are further confounded by a complicated and divisive political climate make this a time of grief, trauma, loss, and difficult transitions for many. Physical distancing measures, forced adoption of new technology, and disruption of our routines, though necessary to reduce the spread of COVID-19, bring additional struggles with preventing isolation, remaining engaged with social supports, and coping with stress and anxiety. Please talk with a provider if you are finding yourself overwhelmed or if you are experiencing changes in sleeping, eating, or irritability, whether or not your challenges can be explained by current situations We have immediate openings for therapy and medication management appointments. .
Marriage & Family Therapist, LMFT, LCMFT Verified
Verified
Washington, DC 20006
Sasha empowers families, couples and individuals to overcome personal obstacles to improve their relationships and themselves. Research shows that unhealthy relationships can cause both emotional and physical stress, whereas healthy relationships can enhance and improve overall well-being. I am passionate about helping you weather a difficult storm.
HIV / AIDS Allied
(202) 599-6927
Verified
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Washington, DC 20006
HIV / AIDS Allied
Sasha empowers families, couples and individuals to overcome personal obstacles to improve their relationships and themselves. Research shows that unhealthy relationships can cause both emotional and physical stress, whereas healthy relationships can enhance and improve overall well-being. I am passionate about helping you weather a difficult storm.

See more therapy options for Washington

HIV / AIDS Allied Therapists
HIV Counseling in Washington for HIV Clients

If you're HIV positive are looking for help with being HIV in Washington these HIV therapists provide therapy for individuals with HIV in Washington and counseling for HIV or HIV clients. These professionals are sensitive to the issues of living with HIV in Washington or Washington HIV life, including HIV couples, marriage to someone with HIV, sex with someone who has HIV, teens with HIV, or parents of someone with HIV. And Washington HIV therapists can link you to HIV support in Washington or Washington HIV support groups.

AIDS Counseling in Washington for AIDS Clients

If you have AIDS and are looking for help in Washington these AIDS therapists provide therapy for individuals with AIDS in Washington and counseling for AIDS or AIDS clients. Not all those listed here are gay, or have Aids themselves. They are sensitive to the issues of living with AIDS in Washington or Washington AIDS life, including AIDS couples, marriage to someone with AIDS, sex with someone who has AIDS, teens with AIDS, or parents of someone with AIDS. And Washington Aids therapists can link you to Aids support in Washington or Washington AIDS support groups.

How can I tell if a therapist is right for me?
Therapists in Washington are able to work with a wide range of issues. They offer in person sessions as well as Teletherapy in Washington

For example, if you're seeking a marriage counselor in Washington you'll find that most therapists are trained in marriage counseling or couples counseling in Washington and couples therapy. And they welcome families for family counseling in Washington or family therapy in Washington.