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PP Portrait of Preston Page

Preston Page

Experienced LCSW blending CBT and compassion

LCSW Virginia

Experience
35 years in practice
Focus areas
Stress, Anxiety, Eating, Self esteem
Approaches
Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages
English
Continue with Preston

About Preston

Preston Page brings a long career grounded in practical, evidence-informed methods to his work as a licensed clinical social worker.

Background and approach

He uses Cognitive Behavioral Therapy alongside acceptance-based and client-centered approaches to help people clarify values, change unhelpful patterns, and build skills for managing stress, anxiety, mood changes, and compulsive behaviors.

With 35 years of clinical experience, he draws on a range of techniques to address issues such as eating concerns, addictions, trauma, grief, intimacy-related difficulties, and career or life transitions.

He has practiced across diverse settings including independent practice, community mental health, and inpatient treatment for mental health and substance use, which informs a flexible clinical style tailored to each person’s needs.

Preston emphasizes collaboration and respect for clients’ identities and experiences, and he works with a wide list of focus areas from relationship and family matters to chronic illness, end-of-life support, gender dysphoria, and issues related to isolation or purpose.

He is licensed in North Carolina and Virginia as an LCSW and offers services from Virginia while accepting international clients.

Evidence-Informed Approaches Delivered Online

Preston uses Cognitive Behavioral Therapy to help clients identify and shift thinking and behavior patterns that contribute to distress; this practical, skills-focused approach often helps with anxiety, depression, sleep issues, and unhelpful coping habits. He also integrates Acceptance and Commitment Therapy, which emphasizes clarifying personal values and learning to accept difficult feelings while committing to meaningful action, a useful fit for people facing life transitions, chronic illness, or persistent emotional pain.

Finding the right therapeutic approach is a collaborative process. The therapist will work with each client to assess needs, try approaches that match goals and preferences, and adjust methods as progress unfolds to ensure the treatment fits the person rather than expecting the person to fit a single technique.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, which make scheduling more flexible and allow work to continue from home, work, or while traveling. These formats support continuity of care and make it easier to access licensed professionals when in-person visits are not practical, while still focusing on practical tools and reflective work to meet therapeutic goals.

Frequently asked questions

What kinds of concerns does Preston help with?
He works with a broad range of challenges including stress, anxiety, depression, eating and sleep problems, addictions, trauma and grief, intimacy-related issues, career concerns, and compassion fatigue.
What is his general therapeutic style?
He blends Cognitive Behavioral Therapy with acceptance-oriented and client-centered techniques to combine practical skills training with exploration of values and meaning.
How extensive is his clinical experience?
Preston has 35 years of experience across independent practice, local mental health clinics, and inpatient mental health and substance abuse settings.
What are his professional credentials and location?
He is an LCSW licensed in North Carolina (NC LCSW C007073) and Virginia (VA LCSW 0904004829) and offers services from Virginia.
Can people who live outside the US work with him?
He accepts international clients and provides services to people outside the United States.
Which session formats are available?
Sessions may be conducted by video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences.
How are fees and payment handled?
Cost varies with location and therapist availability; services use a subscription model that can be canceled at any time.
What should I do to begin working together?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule a session according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyEating disordersSelf esteemDepressionCoping with life changes

Also works with

AddictionsLGBTRelationship issuesFamily conflictsTrauma and abuseGriefIntimacy-related issuesSleeping disordersAnger managementCareer difficultiesBipolar disorderCompassion fatigue

Additional focus areas

Aging and geriatric issuesBDSM, kink, and alternative sex cultureChronic pain, illness, and disabilityCoping with natural or human-caused disasterDependent personalityEmptinessFamily of origin issuesForgivenessGender dysphoriaGuilt and shameHearing impairedHospice and end-of-life counselingInfidelityIsolation / lonelinessLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMood disordersPolyamory / non-monogamous relationshipsPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-loveSexualitySocial anxiety and phobiaTrichotillomania

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Existential TherapyMotivational InterviewingNarrative TherapySolution-Focused Therapy

Experience

35+ years

Licensed

Virginia, North Carolina

Languages

English