Preston Page, LCSW

Licensed in Virginia · 35 years in practice

Preston Page is a licensed clinical social worker with decades of experience helping people through stress, anxiety, depression, grief, and relationship concerns.

License and registration

LCSW, Virginia: 0904004829 · expires June 2026
LCSW, North Carolina: C007073 · expires November 2027
NPI: 1063544328 · national provider identifier
Years in practice: 35
Languages: English

Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.

About Preston

Preston Page is a licensed clinical social worker with decades of experience helping people through stress, anxiety, depression, grief, and relationship concerns. He brings a grounded, down-to-earth presence to sessions and focuses on practical steps people can use right away. Preston speaks plainly and aims to make therapy feel manageable for people who are worried or overwhelmed.

He uses approaches like cognitive behavioral techniques and acceptance strategies to help people change unhelpful thoughts and build values-based action.

Background and approach

Sessions are collaborative - he listens, asks what matters most, and works with each person to set realistic goals. Motivational interviewing is part of his toolkit for people facing change or struggling with addictive behaviors. Preston draws on long experience in a range of settings, from independent practice to inpatient mental health and substance use clinics.

That background informs how he supports people through crises, life transitions, and grief. He also has military service in active duty and the National Guard, including work with service members at Fort Bragg as a military family life counselor. He also helps people facing identity and intimacy questions, addiction, chronic illness, and aging concerns.

Preston offers straightforward conversation about difficult topics like gender dysphoria, BDSM and alternative sexual culture, and end-of-life issues. His style is accepting and practical rather than clinical jargon-driven. Preston is based in Virginia and brings 35 years of experience as an LCSW.

He conducts sessions in English and works with international clients through remote session formats listed on the site.

Focus areas and approaches

Everything Preston lists on their public professional profile, in their own terms.

Stress, Anxiety
Eating disorders
Self esteem
Depression
Coping with life changes
Addictions
LGBT
Relationship issues
Family conflicts
Trauma and abuse
Grief
Intimacy-related issues
Sleeping disorders
Anger management
Career difficulties
Bipolar disorder
Compassion fatigue
Aging and geriatric issues
BDSM, kink, and alternative sex culture
Chronic pain, illness, and disability
Coping with natural or human-caused disaster
Dependent personality
Emptiness
Family of origin issues
Forgiveness
Gender dysphoria
Guilt and shame
Hearing impaired
Hospice and end-of-life counseling
Infidelity
Isolation / loneliness
Life purpose
Men's issues
Midlife crisis
Veteran and Armed Forces Issues
Mood disorders
Polyamory / non-monogamous relationships
Prejudice and discrimination
Seasonal Affective Disorder (SAD)
Self-love
Sexuality
Social anxiety and phobia
Trichotillomania

Approaches Preston names

Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.

Online support

Therapeutic approaches adapted for online care

Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings without letting them stop meaningful action. In online sessions this can translate to practical exercises and goal setting people use between meetings to move toward what matters. Cognitive Behavioral Therapy focuses on identifying unhelpful thinking patterns and trying small behavior changes to reduce symptoms, which works well through video or phone coaching and homework assignments.

Finding the right approach is part of the work together. The therapist will listen to goals and preferences, then recommend methods to try. Decisions are collaborative and can shift over time based on what helps most for stress, addiction, relationship strain, or identity concerns.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets the therapist and client talk face-to-face for full conversation and exercises. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and messaging support brief updates, homework check-ins, or ongoing support between sessions. These options make scheduling more flexible and help people fit therapy into busy lives.

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Questions people ask

What concerns does Preston commonly address?

He works with stress, anxiety, depression, grief, relationship and intimacy issues, addictions, eating concerns, sleep problems, and career stress. He also supports people facing identity issues, chronic illness, and end-of-life questions.

What is his general therapeutic style?

Sessions are practical and collaborative with a straightforward tone. He uses techniques to change unhelpful thoughts and build actions that match personal values.

How much clinical experience does he have?

He brings 35 years of experience working in independent practice, outpatient mental health, and inpatient substance use and mental health settings.

What credentials and region are listed for this therapist?

He is a licensed clinical social worker with NC LCSW and VA LCSW credentials and practices out of Virginia.

Which languages and international options are available?

Sessions are offered in English and he accepts international clients for remote work.

How are therapy sessions delivered?

He offers video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.

What does therapy cost?

Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.

How do I begin a therapy relationship?

Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

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