First steps toward getting started

Step 1: Explore

Take a look around our website, read about our work and approach in working with clients and see if you'd be interested in working together. 

Step 2: look into your insurance benefits

We encourage all individuals looking to work with a psychologist to contact the phone number listed on the back of your insurance card to inquire about your mental health insurance benefits. It is helpful to have a good understanding of what both your in-network and out-of-network benefits are, as this information will help inform your search. For example, patients are often surprised to learn that they are able to see therapists that are out-of-network with their insurance company. In these cases, patients pay the therapist directly, then submit the receipt to their insurance company for reimbursement.

When you call your insurance company, you are welcome to use the following questions as a helpful guide toward understanding your mental health benefits: Does my plan cover mental health visits? How many sessions can I receive in one year? Is there a copay and how much is it? Do I have a deductible I have to satisfy? If so, what is it? Do I have out-of-network coverage? At what rate would sessions be reimbursed?

Step 3: Contact us to schedule an appointment

Once you're ready, click here to schedule an appointment with us using our confidential online patient portal. You can also call us at 703-923-8965 or email us at if you prefer. We're happy to answer any questions you might have about therapy or our services. You don't need to know your diagnosis, just that you have concerns that you'd like help with. 

Step 4: complete an initial welcome packet

Once you have your first appointment scheduled with us, we will email you an initial welcome intake packet to complete on our patient portal. The welcome intake packet includes forms and information on our office and policies, insurance and fees, as well as initial questions to help us better understand your concerns and goals for therapy. Please complete this packet at least 48 hours prior to your appointment. This gives us enough time to review your forms in advance and prepare for our session together. 

Information for Parents

*For all child clients, parents will complete the initial welcome intake packet. Your child may be asked to complete a paper questionnaires at a later session.

Step 5: we meet!

During this initial session, we'll meet and you'll get an initial sense of what it would be like to work together and you’ll be able to see if it feels like a good fit for you. This initial session may be longer than typical sessions as we'll be gathering information and doing a clinical interview on what brings you to therapy, including how your unique biological, psychological, developmental, and social life history may be impacting your current situation. We'll also discuss any questions you may have about therapy or office policies.

During this initial session, we'll determine if our services would be appropriate for you given your specific needs. If we determine that an outside referral would better meet your needs, we'll provide you with actionable recommendations and refer you to appropriate clinicians in the community. However, if therapy with us would be beneficial, we'll discuss goals together and a plan for therapy going forward.

Information for Parents

*For children younger than 13, the initial session is typically parents only. The second session is then spent primarily with your child.

*For children older than 13, the initial session is with both parents and teens, followed by time spent primarily with your teen. The second session will then primarily be spent with parents.

*Parents should bring any relevant documentation to the initial appointments, including any of their child's recent test reports, IEPs, report cards, and/or teacher reports.

step 6: therapy

Therapy will involve evidence-based approaches to target the specific struggles you are experiencing, where you'll be supported in working toward your identified goals.

Step 7: wrapping up

In your final sessions, we'll review your goals and reflect on progress made. We'll discuss a plan going forward so that you can maintain your progress following treatment and maintain success. We have an open door policy which means that you're always welcome to come back for future sessions to check in and connect with us, or if other events in life have emerged which you would like support for. We're happy to help! 

our office

serving falls church, mclean, tysons corner, arlington, vienna, alexandria, and great falls

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The hope+wellness

We believe that therapy has the power to transform the lives of both clients and their therapists. We are committed to delivering a high level of personal care. This is how health and wellness should be: exceptional, transformational — being truly cared for, with high intention and detail. This is no ordinary psychotherapy practice. We strive to provide the highest quality of care in a compassionate and sensitive manner, built upon a genuine relationship between you and Dr. Victoria. The number of clients at our practice is limited so that each person can exclusively receive a high caliber of care. Clients at our practice also enjoy direct access to Dr. Victoria, virtual care options, an online patient portal, and longer appointments.

Fees and Insurance


Fees will vary based on the type and frequency of treatment services. We understand how difficult it can be to find high quality care for reasonable costs and are happy to fully explain our costs and billing procedures. If you have questions, please don't hesitate to contact us. We're happy to help.


We accept payment by cash, check, health savings account (HSA) cards, Visa, Mastercard, or Discover credit card on file. Payment is due at the end of each session. 


As people have different preferences, we've structured our services to flexibly meet them:

For those not interested in using insurance:

Some people prefer not to use insurance in order to avoid sharing health information with health insurance organizations, which require assignment of diagnoses in order to authorize treatment. They prefer private payment in order to keep care especially private and confidential. Private payment for services is thus available as an option to those who prefer it. 

For those planning on using insurance:

  • We are out-of-network with all insurance with the exception of Carefirst BlueCross BlueShield (BCBS), including the BCBS Federal Employee Program (FEP). This means that we will bill BCBS for you, and you are responsible for your deductible or copay at the time of service.

  • If you have other forms of insurance, you can seek treatment with us and we will provide you with a bill that you may send to your insurance company for direct reimbursement. You would then apply what they pay toward the total cost of your care, so that your only out-of-pocket responsibility is the difference. Many clients receive between 50% to 80% of the cost of their sessions after their deductible is met.

Across all of our work with clients, our mission is to bring exceptional care and support to all people struggling with depression, mood, anxiety, and stress disorders. We invite you to read about our mission, vision, and values.

Cancellation Policy

We hold your appointment specifically for you. We schedule a limited amount of appointments in order to work deeply with each person and provide you with excellent care. It is difficult to fill a late cancellation (i.e., less than 48-hour advance notice) or no-show (i.e., when a client misses an appointment without cancelling it).

Thus, we ask that you call our office at least 48 hours in advance if you are unable to show up for an appointment. We charge a cancellation fee of $100 for all appointments cancelled with less than 48 hours notice. This helps us keep costs reasonable for all clients. Thank you for understanding!

do you take insurance?

Across all of our work with clients, we are fueled by the desire to bring exceptional care and support to people struggling with depression, mood, anxiety, and stress disorders. In line with this mission, our practice merges a traditional and private pay medicine model. This hybrid model allows us to provide high quality care while also allowing us to care for patients who must rely on traditional insurance programs.

We are thus currently an in-network provider with Carefirst BlueCross BlueShield (BCBS). This means that we will directly bill BCBS on your behalf and are considered in-network.

We are an out-of-network provider with other insurance carriers. This means that you can come seek treatment with us and we will provide you with a specific type of statement that you may send to your insurance company for direct reimbursement.

This arrangement allows us to provide high quality care to all patients. We will also be offering concierge services not covered by traditional insurance; please stay tuned!

how long can I expect to be in therapy?

The period of time is open-ended and unique to each individual given the specific goals and needs they'd like to work on. Generally the period could be weeks, months, or longer. Once treatment has ended, we have an open door policy, where clients are welcome to come back months or years later for services or just to check in. 

how frequent are sessions?

Sessions are generally once a week. We will work together with you to develop a schedule that meets your specific needs. 

how long are sessions?

Typical therapy sessions are 45-55 minutes.

how will I know if you're the right therapist for me?

This is a great question as many studies underscore the important role that the therapeutic relationship plays in successful outcomes. We encourage you to meet with different prospective therapists in your local area to get the information you need to make your decision. You can use our initial interview to ask questions and get a sense of what would be like to work together. If you're interested in learning more about the importance of the therapeutic relationship, check out this article

i'm divorced. are there special considerations for seeking therapy for my child?

Our policy is to have the permission of both parents before evaluating or treating a child, unless the presenting parent can demonstrate that he/she has sole legal custody or sole medical decision-making authority.

In cases of a divorce, custody, legal issues, or a missing parent, please notify us in advance of making an appointment. We’re happy to help answer any questions you may have in seeking help and support for your child.

I am looking for a minority therapist. do you only work with women and children?

We’re glad you found us. It can be tough to find a therapeutic fit sometimes given each of our unique life backgrounds and preferences. We individualize care for each person given their unique, specific needs and life circumstance, and work with individuals across the lifespan, including women, men, children, teens, young adults, and adults. We are an open and affirming practice, and welcoming of everyone regardless of race, gender identity, religion, sexual orientation, age, or ability. We are woman and minority owned and passionate about diversity.

how did hope+wellness get its name?

Dr. Victoria’s own family life was significantly affected by bipolar disorder, a genetic illness with multiple members affected. hope+wellness represent the two things we held fast to in life’s most difficult times. We believe that hope isn’t something in the future. Hope is real and it’s present now.

i'm interested. what now?

Read our Starting page for information on our intake process. Click here to make an appointment online, or contact us at 703-923-8965 or We're happy to answer any questions you might have!

We're glad you found us. 

We strive to help people overcome adversity and find their way to health, happiness, and new possibilities. We can help you take the first step toward a healthy, meaningful, and fulfilling life. Contact us today to schedule an appointment using the online, phone, or email options below. We're happy to answer any question you might have about our services.





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