Lacey Farrow

Compassionate CBT-focused counseling for life transitions

LPC Virginia

Experience: 15 years in practice
Focus areas: Stress, Anxiety, Trauma and abuse, Grief
Approaches: Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT)
Languages: English

About Lacey

Lacey Farrow is a Licensed Professional Counselor (LPC) in Virginia who centers her work around cognitive behavioral approaches to help clients manage mood, stress, and trauma.

Background and approach

With 15 years of clinical experience, she blends practical skills training with mindfulness and somatic-informed practices to address issues such as anxiety, depression, sleep disturbances, substance and process addictions, and complex trauma. She emphasizes worksheets and structured techniques to reinforce learning between sessions and support measurable progress.

Her practice welcomes exploration of a broad range of concerns including grief, relationship and family difficulties, anger and self-esteem challenges, bipolar disorder, ADHD, and life transitions. Lacey also brings attention to aging and geriatric issues, co-morbidity, hoarding, hospice and end-of-life counseling, and other specialized needs.

She frames therapy as a collaborative process that draws on clients' strengths and lived experience to build resilience and practical coping tools for everyday life.

Evidence-Informed Approaches for Flexible Online Care

Lacey often uses Cognitive Behavioral Therapy to help clients identify and change unhelpful thinking and behavior patterns, which can be useful for treating anxiety, depression, sleep problems, and many day-to-day stressors. She also integrates Dialectical Behavior Therapy skills to teach emotion regulation, distress tolerance, and interpersonal effectiveness strategies that support people struggling with intense emotions or relationship difficulties.

Choosing the right approach is part of the therapeutic work. She collaborates with clients to determine which methods fit their goals, preferences, and presenting concerns, and adjusts techniques over time so treatment feels practical and tailored rather than prescriptive.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, which allow for scheduling flexibility and continuity of care across different life demands. These formats make it possible to practice skills between sessions and maintain momentum during transitions, while keeping the focus on accessible, skills-based treatment delivered by a licensed professional.

Frequently asked questions

What concerns does she commonly address?

Lacey works with a wide range of concerns including stress, anxiety, trauma and abuse, grief, sleep problems, depression, addictions, relationship and family issues, eating and anger concerns, self-esteem, career challenges, bipolar disorder, coping with life changes, compassion fatigue, and ADHD.

What therapeutic approaches does she use in sessions?

She uses Cognitive Behavioral Therapy (CBT) alongside Dialectical Behavior Therapy (DBT) techniques and mindfulness practices, and incorporates trauma-focused strategies when relevant to the client's needs.

How long has she been practicing?

She brings 15 years of counseling experience to her practice, applying that background across a variety of clinical concerns and populations.

What are her credentials and where is she licensed?

She holds the LPC credential and is licensed in Virginia with licence number VA LPC 0701015449.

Does she offer services in other languages or to international clients?

Sessions are provided in English, and she is not currently accepting international clients.

In what formats are sessions offered?

Available session formats include video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and needs.

How are fees and billing handled?

Cost varies based on location and therapist availability, and sessions are provided through a subscription model that can be canceled at any time.

What are the first steps to begin therapy?

To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule a session according to therapist availability.

Areas of expertise

Primary focus

Stress, Anxiety Trauma and abuse GriefSleeping disordersDepression

Also works with

AddictionsRelationship issuesFamily conflictsEating disordersAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigue ADHD

Additional focus areas

Aging and geriatric issuesCo-morbidityCommitment issuesDisruptive Mood Dysregulation Disorder (DMDD)DissociationDrug and alcohol addictionEmptinessFirst responder issuesForgivenessGuilt and shameHearing impairedHoardingHospice and end-of-life counselingImpulsivityIntellectual disabilityIsolation / lonelinessLife purposeVeteran and Armed Forces IssuesMood disordersNarcissismObsessions, compulsions, and OCD Panic disorder and panic attacksParanoiaPersonality disordersPhobias Post-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSocial anxiety and phobiaSomatizationTraumatic brain injuryTrichotillomaniaWomen's issuesWorkplace issues

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyTrauma-Focused Therapy

Experience

15+ years

Licensed

Virginia

Languages

English