About Lacey
Lacey Farrow is a Licensed Professional Counselor in Virginia with 15 years of clinical experience. She focuses on practical tools that help people manage stress, anxiety, sleep problems, depression, addiction, trauma, and life transitions. She brings straightforward methods into sessions, teaching skills and using worksheets to reinforce learning between meetings.
Lacey draws on Cognitive Behavioral Therapy and Dialectical Behavior Therapy to help people change unhelpful thoughts and build coping skills.
Background and approach
Mindfulness practices and trauma-focused work are offered when they fit the person's needs. Her background includes work with mood disorders, grief, burnout, compulsive behaviors like hoarding, and late-life concerns related to aging and cognitive decline. She also has experience supporting first responder issues, substance use and process addictions, and people managing impulsivity or complex trauma.
Sessions emphasize collaboration and steady skill-building. Lacey aims to help people reclaim resilience, improve sleep and daily functioning, and move toward clearer goals. Worksheets and practical exercises are common parts of the process.
People who choose her practice can expect direct, calm guidance and a focus on what helps in everyday life. She encourages small, attainable steps and supports clients as they practice new ways of coping and relating to challenges.
How evidence-based approaches work online
Many of her core techniques translate well to online sessions. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing them with practical actions and homework. It can help with anxiety, depression, sleep problems, and unhelpful behavior patterns. Dialectical Behavior Therapy (DBT) teaches emotion regulation, distress tolerance, and interpersonal effectiveness skills through step-by-step practice and coaching useful during high stress or intense emotions.Choosing the right approach is a collaborative process. The therapist will discuss symptoms, goals, and preferences, then try approaches that fit. Sessions often include skill practice, worksheets, and follow-up tasks so the person can judge what helps most over time.
Online therapy offers flexibility and accessibility through video calls, phone sessions, live chat, or text-based messaging. Video is helpful for full conversations and skill demonstrations. Phone sessions work well when internet or bandwidth is limited. Live chat and text-based messaging are useful for brief check-ins, coaching, or when shorter, more frequent contact fits a schedule. These options make it easier to fit regular sessions into a busy life and to keep practicing skills between appointments.
Questions people ask
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What this counselor works with
Most often
Also listed
- Addictions
- ADHD
- Aging and geriatric issues
- Anger management
- Bipolar disorder
- Career difficulties
- Co-morbidity
- Coaching
- Commitment issues
- Compassion fatigue
- Coping with life changes
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Drug and alcohol addiction
- Eating disorders
- Emptiness
- Family conflicts
- First responder issues
- Forgiveness
- Guilt and shame
- Hearing impaired
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Intellectual disability
- Isolation / loneliness
- Life purpose
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Sleeping disorders
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Trichotillomania
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 15 years
- Licensed
- Virginia
- Languages
- English