About Preston
Preston Page is a licensed clinical social worker (LCSW) with 35 years of counseling experience. He focuses on practical ways to manage stress and anxiety while helping people navigate life changes and difficult emotions. He uses straightforward conversation to help clients clarify values and choose actions that fit who they want to be.
Sessions often include problem-solving, breathing and coping techniques, and work on unhelpful thinking patterns. People bring concerns such as depression, grief, eating struggles, sleep problems, anger, and addiction.
Background and approach
Preston has worked across settings including independent practice, local mental health clinics, inpatient mental health, and substance abuse clinics. He also spent many years providing services for active duty service members and veterans, including work at Fort Bragg and other military facilities.
He describes a personal connection to the natural world and brings that grounded perspective into sessions when it fits a client's style. He also supports people dealing with relationship strain, intimacy questions, identity issues, and caregiving or end-of-life concerns. Preston speaks English and works with clients in Virginia and with international clients as appropriate.
He offers several formats for contact and focuses on helping each person take clear steps toward better daily functioning and more meaningful choices.
Therapeutic approaches that translate to online care
Acceptance and Commitment Therapy, or ACT, focuses on clarifying values and taking small actions that matter. It helps people who feel stuck by shifting the focus from fighting thoughts to building a meaningful life. Cognitive Behavioral Therapy, or CBT, looks at how thoughts, feelings, and behaviors interact and teaches practical tools to change unhelpful patterns. It is often helpful for anxiety, depression, sleep problems, and anger. Client-Centered Therapy centers on listening, empathy, and supporting a person's own goals rather than directing them; it can help people rebuild confidence and self-esteem.Finding the right mix of approaches is part of the work. Preston will collaborate with each person to choose techniques that fit their goals, values, and everyday life. If something doesn't fit, he adjusts the plan so sessions stay useful and focused on real changes.
Online sessions use video calls, phone sessions, live chat, or text-based messaging to make care more flexible. Video works well for in-depth conversations and exercises, phone can be easier when bandwidth is limited, and text or chat allow short check-ins between sessions. These options help people fit therapy into busy days, handle travel or relocation, and keep continuity when schedules change.
Questions people ask
What kinds of concerns can Preston help with?
What is his therapy style like?
What experience does he bring to therapy?
Where is he licensed and practicing?
Which languages are supported for sessions?
What session formats are available?
How does pricing work for sessions?
How do I begin a therapy match?
What this therapist works with
Most often
- Stress, Anxiety
- Eating disorders
- Self esteem
Also listed
- Addictions
- Aging and geriatric issues
- Anger management
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Career difficulties
- Chronic pain, illness, and disability
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Emptiness
- Family conflicts
- Family of origin issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hearing impaired
- Hospice and end-of-life counseling
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Mood disorders
- Polyamory / non-monogamous relationships
- Prejudice and discrimination
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self-love
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Trauma and abuse
- Trichotillomania
- Veteran and Armed Forces Issues
Therapeutic approaches
- Experience
- 35 years
- Licensed
- Virginia, North Carolina
- Languages
- English
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