About Preston
Preston Page is a licensed clinical social worker with 35 years of practice. He focuses on helping people manage stress, anxiety, depression, and addictive behaviors. He uses down-to-earth language and a practical style to help people feel understood and move forward.
He blends Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and client-centered listening. That combination helps people notice what matters, change unhelpful patterns, and act toward chosen values. Sessions are straightforward and aimed at real-life changes like better sleep, coping with grief, or handling relationship strain.
How Preston works
Preston has worked across independent practice, community mental health, inpatient psychiatry, and substance-use programs. He also provided military-focused counseling and spent many years serving active duty personnel and veterans. Those roles shaped his ability to address trauma, compassion fatigue, and life transitions.
He is comfortable talking about identity and sexuality and offers support for people dealing with gender dysphoria, LGBT concerns, kink and alternative sexual cultures, and intimacy-related issues. He also addresses aging and geriatric matters, chronic illness, pain, and end-of-life concerns in a respectful way. Preston lives in Virginia and speaks English.
He describes a personal connection to the natural world and brings a calm, human presence to sessions. People looking for practical tools and steady guidance may find his approach helpful.
Preston lists 7 ways of working on the entry:
What Preston works with
The areas below are the ones Preston selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- 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
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 35 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Virginia |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches you can use online
Acceptance and Commitment Therapy helps people notice thoughts and feelings without getting stuck in them and encourages action toward personal values. It can be useful for anxiety, depression, and coping with life changes. Cognitive Behavioral Therapy focuses on identifying and changing unhelpful thoughts and behaviors to reduce symptoms like anxiety, low mood, or sleep problems. Client-Centered Therapy emphasizes a respectful, nonjudgmental relationship where the therapist listens closely and follows the person's lead to build insight and self-direction.Finding the right approach is part of the work. Preston will collaborate with each person to pick methods that match their goals and preferences. Over time the plan can shift based on what is helpful and what needs more attention.
Online therapy offers practical flexibility. Video calls allow face-to-face conversation when visual cues matter. Phone sessions can be a good option when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging let people keep momentum between sessions and fit support into busy days. These options make it easier to get consistent care while balancing work, family, and travel.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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