Online Therapy in Virginia
Somatic, neurodivergent affirming and trauma-informed online therapy for adults across Virginia
Arlington • Alexandria • Fairfax • Richmond • Virginia Beach • Reston • Charlottesville • and statewide
I’m Dr. Katie Carhart, a licensed clinical psychologist offering telehealth therapy for adults throughout Virginia. I work with high-achieving, overwhelmed, and emotionally sensitive adults who want a more integrative approach to understanding themselves, regulating their nervous system, and creating meaningful change.
If you find yourself understanding your patterns intellectually but still feeling stuck in them, therapy can help bridge that gap. Together, we work at the level where real change happens: integrating insight, emotional processing, and nervous system regulation.

What I Help With
Life in Virginia often means balancing demanding professional roles, high expectations, and family responsibilities, particularly in fast-paced regions like Northern Virginia and throughout the state. Many adults who reach out to me are carrying a lot internally, even if they appear composed or successful on the outside.
I support adults navigating:
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Burnout and emotional exhaustion
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Anxiety, chronic stress, and difficulty slowing down
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ADHD or suspected ADHD, including overwhelm, planning struggles, time blindness, and initiation difficulties
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Perfectionism, overthinking, and high internal standards
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Trauma responses such as shutdown, freeze, hypervigilance, or emotional reactivity
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Difficulty setting boundaries or honoring personal needs
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Feeling disconnected, drained, or “not like yourself”
Many people come to therapy when insight alone isn’t enough- when they understand why they’re struggling, but still feel stuck in survival mode.
My Approach (What Makes Therapy With Me Different)
My approach to therapy is integrative, somatic, and neurodivergence-affirming. Below is a brief overview; you can read more about my full approach here.
I blend:
✔ Polyvagal Theory & Nervous System Regulation
Understanding patterns of activation, shutdown, and overwhelm at a physiological level.
✔ Somatic and Embodied Approaches
Helping your body feel safer, calmer, and more grounded so change is sustainable, not forced.
✔ ADHD and Executive Function Support
Shame-free tools for planning, routines, transitions, and follow-through that work with your brain.
✔ Depth-Oriented Insight Work
Exploring underlying beliefs, relational patterns, and emotional themes that shape your experience.
✔ CBT, ACT, and Mind-Body Tools
Skill-based approaches for anxiety, avoidance, and real-world behavior change.
This work integrates insight + nervous system regulation + practical action to support meaningful, lasting momentum—not just understanding.
How Online Therapy Works in Virginia
As a PSYPACT-authorized psychologist, I provide secure telehealth therapy to adults who are physically located anywhere in Virginia at the time of session.
Sessions are held via a secure, HIPAA-compliant platform and typically include:
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90-minute initial intake session
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50-minute weekly or biweekly therapy sessions
Telehealth is especially helpful for adults balancing full schedules, long commutes, caregiving demands, or roles that make in-person therapy difficult to attend consistently.
Therapy Intensives for Virginia Clients
For adults who want focused support without waiting months for progress, I also offer therapy intensives—extended sessions designed to create clarity, regulation, and momentum in a shorter period of time.
Learn more about my intensives here.
Current options include:
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Somatic / Polyvagal Intensive
For burnout, anxiety, chronic stress, trauma responses, or emotional overwhelm. -
Executive Function / ADHD Intensive
For planning struggles, time blindness, avoidance cycles, overwhelm, and follow-through challenges.
Each intensive includes:
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A 4-hour therapeutic deep dive
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Personalized strategies and skills
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A tailored PDF action plan
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A 45-minute follow-up session within 2–4 weeks
These intensives are often a good fit for high-functioning adults whose schedules make weekly therapy challenging.
Psychological Testing & ADHD Evaluations for Virginia Clients
I also provide telehealth-based psychological testing and adult ADHD evaluations for clients located in Virginia, when appropriate. These evaluations are designed to offer thoughtful diagnostic clarity and practical recommendations, particularly for adults whose symptoms have been masked, misunderstood, or misattributed over time.
Learn more about testing and assessment here.
Who I Work Best With
My work is a strong fit for adults who:
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Are high-achieving but internally overwhelmed
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Feel stuck, disconnected, or emotionally overloaded
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Identify as sensitive, intuitive, or neurodivergent
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Have tried therapy before and want deeper, more integrative work
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Appreciate clear tools alongside meaningful insight
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Want to feel more grounded, aligned, and regulated
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Value warm, thoughtful, collaborative support
If you’re ready for change that’s both internal and practical, we can explore whether we’re a good fit.
Insurance & Fees
I am an out-of-network provider in Virginia and can provide detailed monthly superbills for potential reimbursement, depending on your insurance plan. I also partner with Reimbursify to make submitting documentation easier. You have flexibility in choosing session length and therapy format based on your needs.
Other Locations
In addition to Virginia, I work with clients across most PSYPACT-participating states. You can view all locations here.
Ready to Get Started?
If you’re a Virginia adult seeking integrative, somatic, or neurodivergence-affirming therapy, an intensive or evaluation, I’d be honored to support you. You’re welcome to reach out to schedule a free consultation so we can talk through your goals and see whether working together feels like the right next step.