Preston Page, LCSW

Preston Page is a licensed clinical social worker with 35 years of experience helping people find clearer ways to manage stress, anxiety, depression, eating concerns, and relationship difficulties. He uses straightforward methods to help clients work toward goals they set for themselves. Clients can expect a calm, down-to-earth presence in sessions.

He draws on cognitive behavioral therapy to help people notice patterns of thought and behavior and try different ways of responding. Acceptance and Commitment Therapy is part of his approach too, helping people notice what matters to them and take steps that match their values. He also brings client-centered listening to make space for each person’s priorities.

Preston has worked in private practice, community mental health clinics, inpatient mental health, and substance use settings. He also spent many years as a military family life counselor and served in the U.S. Army and National Guard, including service during the Vietnam era. That background shaped his practical approach to coping and resilience.

He supports people facing a wide range of issues, including grief, trauma and abuse, addictions, intimacy-related concerns, living with chronic pain or illness, and end-of-life matters. He also works with concerns such as gender dysphoria, kink and alternative sex culture, and issues related to aging and caregiving.

Sessions are offered in English and can be scheduled from Virginia. Preston combines direct feedback with collaborative problem solving so people leave sessions with specific steps to try between meetings.

Evidence-based approaches for online therapy

Preston commonly uses cognitive behavioral therapy to help people identify unhelpful thoughts and try different behaviors. CBT is often used for anxiety, depression, sleep problems, and many everyday stressors because it focuses on concrete skills and trial-and-error practice.

He also draws on Acceptance and Commitment Therapy, which helps people clarify what matters to them and take committed steps toward those values even with uncomfortable feelings. Client-centered therapy is part of his way of listening closely and shaping sessions around each person’s priorities.

Finding the right approach is part of the work. Preston collaborates with each person to choose methods that fit their goals and comfort level. He will check in about what’s working and adjust strategies together as progress unfolds.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for a full session and visual cues, phone can be simpler when bandwidth is limited, live chat can work for brief check-ins, and messaging is helpful for ongoing support or quick reflections between meetings. These options make it easier to fit therapy into a busy life and to keep momentum between sessions.