Andrea Dilley-Frame, LPC

Andrea Dilley-Frame is a Licensed Professional Counselor (LPC) in Virginia with 20 years of clinical experience. She focuses on helping people manage stress, anxiety, depression, mood disorders, trauma, and addiction. Her approach is straightforward and practical, aimed at helping people feel steadier in daily life.

She works with people who struggle with communication problems, workplace stress, and family of origin issues. She also helps those coping with abandonment, attachment issues, codependency, and control struggles. Many clients seek help for drug and alcohol addiction, self-harm concerns, and post-traumatic stress.

Andrea uses a mix of approaches to shape sessions around each person's needs. She draws on cognitive behavioral techniques to change unhelpful thinking and DBT skills for emotion regulation. Attachment-based ideas guide work on relationship patterns and how early experiences affect present reactions.

Sessions aim to be practical and collaborative. Andrea helps people set clear goals, try new ways of coping, and track what changes over time. She explains things plainly and offers tools that can be used between visits.

People often come to address a single problem or several at once. Andrea supports exploration of how mood, behavior, and relationships connect. Her goal is to help people gain steadier routines and healthier ways of relating to themselves and others.

Using practical approaches in online therapy

Andrea commonly uses cognitive behavioral therapy, which focuses on identifying and changing unhelpful thoughts and behaviors to reduce symptoms like anxiety and depression. CBT sessions teach specific skills and homework tasks that people can practice between meetings.

She also draws on attachment-based therapy to look at how early relationships shape current patterns. This work helps people notice repeating dynamics in close relationships and try different ways of connecting that feel safer and more satisfying.

Finding the right approach is part of the work together. Andrea will review needs, goals, and preferences and then suggest ways of combining methods. Clients and the therapist decide collaboratively which tools to use and how to pace progress.

Online sessions are offered by video call, phone, live chat, or text-based messaging to fit different schedules and needs. Video calls let people work face-to-face from a distance, phone sessions can be easier when bandwidth is limited, live chat can suit brief check-ins, and text messaging supports ongoing check-ins between sessions. These options make it easier to fit therapy into work, family, and travel routines.