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Specialized Telehealth Psychology for Complex Lives

A private, fully virtual psychology practice serving adults navigating high-pressure careers, sexuality, identity, and major life transitions.

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The Practice

Psychological Works LLC is my telehealth psychology practice, based in Blacksburg, Virginia. I work with adults and couples on anxiety, burnout, relationships, sexuality, identity, and life transitions.

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Many of my clients work in demanding professions. Others come to me because of my experience with LGBTQ+ concerns, sexuality, or relationship difficulties. You don’t need to have a clearly defined problem before we talk.

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Appointments provide time to examine what’s troubling you, understand recurring patterns, and work toward changes that matter to you. My approach combines careful exploration with practical strategies when they’re useful.

All sessions take place through secure telehealth. I accept several insurance plans and offer self-pay appointments.

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This is an outpatient practice. I do not provide crisis intervention, emergency services, or intensive psychiatric stabilization. If you need a higher level of care, this practice would not be an appropriate fit.

Areas of Focus

The practice specializes in work related to:

  • Human sexuality and relationship complexity

  • High-pressure professional roles and leadership strain

  • Identity exploration and development

  • Life transitions and reinvention

  • Ethical dilemmas and interpersonal conflict

  • Emotional regulation and relational patterns

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Clients often seek support not because they're "falling apart," but because they want to function at a higher level—internally and relationally.

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Approach

​Clinical work within the practice is grounded in:

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  • Depth-oriented psychological understanding

  • Clear ethical frameworks

  • Direct, thoughtful dialogue

  • Respect for complexity

  • Attention to power, identity, and relational dynamics

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Treatment is collaborative but not passive. Insight is important, but insight alone is not enough. The goal is integration — alignment between internal values, external choices, and relational life.

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The practice maintains a limited caseload to ensure discretion, consistency, and individualized attention.

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Who This Practice Is For

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This practice may be a good fit for adults who:

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  • Are reflective and motivated for meaningful work

  • Hold significant responsibility or leadership roles

  • Are navigating complex relational or sexual dynamics

  • Value privacy and depth

  • Prefer a contained, structured therapeutic environment

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It may not be the right fit for people seeking short-term crisis stabilization or highly structured behavioral programs. When appropriate, referrals are provided to ensure the right fit for care.

 

Tracy Cohn, PhD, LCP
Psychological Works LLC

Address

PO B0X 484

Blacksburg, VA 24063

Contact

©2026 by Psychological Works LLC

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