Lacey Farrow, LPC - Therapist in Virginia

CBT and DBT informed
Focus on sleep
Hands-on tools

About Lacey

Lacey Farrow is a Licensed Professional Counselor (LPC) in Virginia with 15 years of clinical experience. She works with people facing stress, anxiety, sleep problems, mood concerns, and substance or process addictions. Her style is practical and goal-focused, with an emphasis on helping clients take small, doable steps forward.

In sessions she uses Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) approaches alongside mindfulness practices. Worksheets and hands-on exercises are used to reinforce what is discussed between meetings. She also integrates somatic techniques to help people who carry tension and hyperarousal in their bodies.

Her work includes support for trauma and complex trauma, grief, burnout, and transitions such as aging-related changes. She helps people facing difficult emotions like shame, guilt, emptiness, and frustration, and those trying to cope with impulsivity or attention differences. Sleep and rest concerns are part of the issues she addresses in therapy.

People can expect a collaborative process that emphasizes strengths and practical skills. Lacey encourages clients to notice progress in small steps and to apply tools outside sessions. The overall aim is to restore routine, regain confidence, and make daily life feel more manageable.

She offers services in English and has experience with a wide range of clinical presentations, including work related to first responder issues, hospice and end-of-life counseling, intellectual disability, and hoarding. Lacey centers each plan on the individual client and their immediate goals.

Approaches that translate to online therapy

CBT focuses on identifying unhelpful thoughts and testing them with real-life experiments. It often uses worksheets and homework to change patterns that keep problems like insomnia and anxiety going. DBT teaches skills for regulating emotions, tolerating distress, and improving moment-to-moment coping. It can help when emotions feel overwhelming or sleep is interrupted by strong mood swings.

Choosing an approach is a shared process. The therapist will talk with the client about their goals, symptoms, and daily routines, and together they will try methods that fit those needs. Plans are adjusted as progress is noted or goals change so the work stays practical and relevant.

Confirm the specific session options before booking because formats are not listed here. Online therapy can make it easier to fit sessions into a busy week, reduce travel time, and allow focused check-ins during work breaks or evenings. Some tools used in therapy, such as worksheets, guided mindfulness, and short somatic exercises, move well to remote sessions and can be practiced between meetings to support sleep and daily routines.

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 fatigueADHD

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 / loneliness Life purposeVeteran and Armed Forces IssuesMood disordersNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPost-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

Credentials

Virginia

Languages

English

Frequently asked questions

What kinds of concerns does Lacey address?

Lacey works with stress, anxiety, depression, trauma and abuse, sleep difficulties, addictions, grief, self-esteem, and related concerns listed in her profile.

How would you describe her therapeutic style?

Her style is practical and collaborative, using CBT and DBT-informed techniques plus mindfulness and somatic exercises to teach skills you can use day to day.

What is her professional background?

She is a Licensed Professional Counselor with 15 years of counseling experience across a wide range of clinical issues.

Where is Lacey based and licensed?

She is licensed in Virginia and provides services with that professional credential.

Which languages are supported?

Sessions are offered in English.

Can international clients work with her?

International clients are not currently accepted.

How are fees and payment handled?

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

How do I get started with therapy?

Click the Start Therapy button, complete a short matching questionnaire, and schedule based on the therapist's availability.