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Psychotherapy

Psychotherapy: Intentional Growth for Complex Lives

Psychotherapy

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You may be doing well at work and still finding other parts of life difficult. Anxiety follows you home. A relationship feels strained. You keep returning to the same questions about yourself, even when you can see the pattern.

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I work with adults dealing with anxiety, burnout, relationship difficulties, and questions about identity and sexuality. Many of my clients are professionals or students. I also regularly work with gay men and other LGBTQ+ clients, including transgender adults, and people in consensually nonmonogamous relationships.

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Alongside my clinical practice, I’m a university professor with 20 years of experience teaching and conducting research. I know academic life from the inside—the pressure to perform, the uncertainty, and how easily work can take over. That experience also informs my work with people in other demanding careers.

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How I Work

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We start with what brought you in and what you would like to be different. Some people have a specific concern. Others know they have been unhappy or stuck for a while but have trouble putting it into words. Either is a reasonable place to begin.

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My approach is integrative. We may work on practical ways to manage anxiety, have a difficult conversation, or change a habit. We may also spend time understanding why a particular situation keeps happening or why something affects you as much as it does.

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I listen closely, ask questions, and share what I’m noticing. We’ll talk about what seems helpful and adjust as we go. You can expect thoughtful conversation, honest feedback, and room to disagree with me.

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Telehealth Appointments

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I offer psychotherapy exclusively through secure telehealth, serving clients in Blacksburg, Roanoke, and throughout Virginia. I can also work with clients in 42 participating PSYPACT states.

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I accept insurance. If I’m out of network with your plan, I can provide a superbill for you to submit for possible reimbursement.

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Getting Started

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If you’re interested in working together, contact me with a little about what brings you to therapy. We can talk about what you’re looking for and whether the practice would be a good fit.

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Values

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The Approach: Value-Driven Action

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You may already understand quite a bit about yourself and still find yourself repeating the same patterns. We’ll look at how those patterns developed, what keeps them going, and how they affect your relationships and decisions today.

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My approach is primarily integrative--blending approaches as needed. I also use practical strategies drawn from cognitive-behavioral therapy and other approaches when they’re useful. There is room to think carefully, work on specific skills, and talk about things you may find difficult to say elsewhere. We’ll decide together what needs attention.

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Areas of Focus

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My practice is grounded in cultural humility and genuine inclusivity, and includes:

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  • Identity & relationships — care for LGBTQ+ individuals, along with poly-affirming and kink-aware perspectives

  • High-stakes careers — professionals, veterans, and academics navigating complex systems and outsized pressure

  • Sexual wellness — counseling focused on sexual identity and related concerns

  • Partnership transitions — including premarital and "pre-partnering" counseling for couples building something together from a clear foundation

 

Take the Next Step

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Choosing a therapist is a real decision, and it's worth taking seriously. Look around the rest of the site to get a sense of my background and approach.

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If you're ready, I'd be glad to talk.

 

Please schedule a consultation or check the FAQ if you have questions first.

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Ready to begin? To discuss how we can work together or to ask further questions, please schedule a consultation 540-230-5958. 

Tracy Cohn, PhD, LCP
Psychological Works LLC

Address

PO B0X 484

Blacksburg, VA 24063

Contact

©2026 by Psychological Works LLC

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