Online Therapy in Virginia
Online therapy for high-achieving, sensitive, or neurodivergent adults across Virginia
Arlington • Alexandria • Fairfax • Richmond • Virginia Beach • Reston • Charlottesville • and statewide
I’m Dr. Katie Carhart, a licensed clinical psychologist offering online therapy for adults throughout Virginia. I work with high-achieving, overwhelmed, and emotionally sensitive adults who want a deeper, more integrative approach to understanding themselves, regulating their nervous system, and creating sustainable change.
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Whether you’re navigating burnout, anxiety, ADHD, chronic stress, emotional intensity, or patterns of perfectionism and people-pleasing, therapy can help you reconnect with yourself and build a life that feels aligned and grounded, not just productive.

What I Help With
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Life in Virginia often means balancing demanding professional roles, high expectations, family responsibilities, and constant pressure to stay composed. Many adults who reach out to me are carrying a lot internally, even if they appear put-together on the outside.
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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”
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Many people come to me when insight alone isn’t enough: they know why they’re struggling, but they still feel stuck in survival mode.
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My Approach (What Makes Therapy With Me Different)
Therapy with me is integrative, somatic, and neurodivergence-affirming: designed for adults who want both emotional depth and practical tools. I blend:
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✔ Polyvagal Theory & Nervous System Regulation
Understanding 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.
✔ ADHD and Executive Function Support
Shame-free tools for planning, routines, transitions, and follow-through.
✔ Depth-Oriented Insight Work
Exploring underlying beliefs, relational patterns, and emotional themes that shape your experience.
✔ CBT, ACT, and Mind-Body Tools
For real-world coping and behavior change.
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My approach integrates insight + nervous system regulation + action to create meaningful momentum, not just understanding.
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How Online Therapy Works in Virginia
As a PSYPACT-authorized psychologist, I provide secure telehealth therapy to adults anywhere in Virginia, including Northern Virginia, Richmond, Virginia Beach, and rural communities.
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Sessions are held via a secure, HIPAA-compliant platform:
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90 minute initial evaluation
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50-minute weekly or biweekly sessions
Telehealth is ideal for adults with full schedules, long commutes, caregiving demands, or roles that make traditional therapy difficult to attend.​
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Therapy Intensives for Virginia Clients
If you want focused support without waiting months for progress, I offer two specialized therapy intensives:​
• Somatic / Polyvagal Reset Intensive
For burnout, anxiety, chronic stress, trauma responses, or emotional overwhelm.​
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• Executive Function / ADHD Reset Intensive
For planning struggles, overwhelm, time blindness, avoidance, and follow-through challenges.​
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Each intensive includes:
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a 4-hour therapeutic deep dive
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personalized strategies & 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 are ideal for high-functioning adults wanting clarity, regulation, and momentum.​​
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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 but want something deeper
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appreciate clear tools and 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.
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Insurance & Fees
I am an out-of-network provider in Virginia and can provide detailed monthly superbills for reimbursement depending on your insurance plan. I also parter with Reimbursify to make it easier for you to submit documentation for reimbursement. You have full flexibility in choosing the session length and therapy format that best supports your needs.
Ready to Get Started?
If you’re a Virginia adult seeking integrative, somatic, or neurodivergence-informed therapy, I’d be honored to support you.​
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