- 35 years experience
- Values-based work
- Virginia LCSW
About Preston
With 35 years of experience, he has worked in private practice, community mental health clinics, inpatient mental health, and substance abuse settings. He also has a long history of military service, including active duty and National Guard work and time supporting service members through a Military Family Life Consultant role. Those experiences shape how he listens and the kinds of issues he recognizes in people seeking help.
Preston draws on approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Client-Centered Therapy, Existential Therapy, and Motivational Interviewing. He focuses on practical steps people can try between sessions to manage emotions, improve sleep, and reduce addictive behaviors. He also helps people facing end-of-life and hospice concerns consider values, meaning, and day-to-day comfort.
He helps people with a wide range of concerns including eating issues, bipolar mood challenges, compassion fatigue, chronic pain and illness, gender dysphoria, and loneliness. He works with clients to set realistic goals and to build small routines that fit real life.
Preston lives in Virginia, is married, and has four children and eight grandchildren. He describes a strong connection to the natural world and brings that perspective into his work when it fits a person's needs.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
35+ years
Credentials
Virginia, North Carolina
Languages
English
Approaches you can use in online sessions
Acceptance and Commitment Therapy (ACT) focuses on helping people clarify what matters to them and take small actions toward those values even when emotions are strong. It can help with grief, chronic pain, anxiety, and life-direction questions. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behaviors and offers concrete experiments and exercises to reduce symptoms like worry, low mood, and sleep problems. Client-Centered Therapy emphasizes listening and empathy, giving people space to shape the pace and topics of therapy while feeling heard.Picking the right approach is a collaborative process. The therapist will listen to a person’s goals, try out techniques, and adjust the work based on what helps most. Many people use a mix of approaches rather than one single method.
Confirm the current session formats before booking since the biography does not list specific options. Online sessions can make it easier to fit therapy into a busy week, allow shorter check-ins when schedules are tight, and remove travel time. They also let people work with licensed professionals from other places when international work is appropriate. The therapist will discuss how to structure sessions so they fit daily life and the goals a person brings to therapy.
Frequently asked questions
What concerns does he help with?
He helps people manage stress, anxiety, depression, grief, relationship issues, addictions, eating concerns, sleep problems, and many life changes.
What is his therapeutic style like?
Sessions are practical and person-focused, blending acceptance and commitment ideas with cognitive behavioral tools and client-centered listening.
What background informs his work?
He brings 35 years of counseling experience in private practice, community mental health, inpatient settings, and substance abuse care, plus military service supporting service members.
Which credentials and location apply?
He is an LCSW and holds licenses in North Carolina and Virginia, and he practices out of Virginia.
Which languages or international clients are supported?
Sessions are offered in English and he does accept international clients.
What session formats are offered?
Please confirm current session options before booking as session formats are not specified here.
How does cost and billing work?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with him?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.