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

Call 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 your in-network and out-of-network mental health coverage. 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, 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. 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. We are unable to meet unless these forms are completed, so be sure to 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 and teen clients, parents will complete the initial welcome intake packet, with some questionnaires for your child or teen to complete themselves.

Step 5: we meet!

During this initial consultation session, we'll meet and you'll get an initial sense of what it would be like to work together. On your end, you’ll be able to see if it feels like a good fit for you, and on our end, we’ll be able to see if we can accept you as a client. This initial consultation session is different from typical therapy sessions as we'll be gathering information and doing a clinical intake interview on what brings you to therapy, including how your unique biological, psychological, developmental, and social life history may be impacting your current situation.

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.

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. Every client we work with is seen, heard, and met with warmth and positive regard. We work to create a safe, supportive, and nonjudgmental therapeutic environment to help clients navigate what can often be an uncertain and challenging time.

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 your therapist.

Payment and Insurance


Fees will vary based on the type and frequency of therapy 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 each session. 


For clients with BCBS, Carefirst BCBS, Anthem BCBS

We are in-network with Blue Cross Blue Shield (BCBS). This means that if you are using BCBS, we will bill them for you, and you are responsible for your deductible or copay at the time of service. Each person’s level of BCBS insurance coverage is different. For instance, some individuals have copays whereas others have deductibles to meet before coverage will begin. Therefore, we recommend you call the phone number on the back of your insurance card to ask about your copay or deductible amounts, number of maximum visits, and whether any preauthorization is required.

For clients with Cigna, United Healthcare, Aetna, or other forms of insurance

We also see clients with Cigna, United Healthcare, Aetna, Kaiser, APA and other forms of insurance; however, we are considered out-of-network providers with them. This means that you would pay for pocket for our services. We will then provide you with an itemized medical receipt that you can 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. We recommend you call the number on the back of your insurance card to let them know you will be seeing an out-of-network mental health provider, and to inquire about the reimbursement process, whether there is a deductible, and the percent reimbursement you should expect to receive.

For clients who prefer not to use any form of 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. In addition, they are able to have more control over the length, frequency, and type of therapy they receive. At hope+wellness, we like to empower our clients to choose what works best for them. Therefore, private payment for services is available as an option to those who prefer it. 

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. 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 with another client waiting for that time slot (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, due prior to your next appointment. This helps us keep costs reasonable for all clients and to allow us to continue to serve the community. 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. 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 BlueCross BlueShield (BCBS). This means that we will directly bill BCBS on your behalf.

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 itemized statement that you may send to your insurance company for direct reimbursement.

This arrangement allows us to provide high quality care to all patients.

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. On average, we see our clients for 6 months. For clients who are seeking support for a more acute stressor in their lives, therapy may last for a few months. For others who are looking to examine deeper patterns or who are seeking greater support, the process may take 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. In general, therapy works best when it is on a weekly basis so that a strong and effective therapeutic relationship can develop in order to deepen and advance our work so that we can affect the change you desire. Meeting less frequently will result in change that occurs more slowly. We will work together with you to develop a schedule that meets your specific needs and budget.

how long are sessions?

Therapy sessions are 55 minutes in length. Longer 90-minute sessions are also available if a client is experiencing acute stress during that week.

is what i share confidential?

Absolutely — everything you discuss with your therapist is completely confidential with a few exceptions including 1) immediate threat of harm to self or others, 2) suspicion of child or dependent elder abuse, and 3) court subpoena. You and your therapist will discuss this during your first session along with other office policies and any questions you may have.

therapy is an added cost. is it worth it?

Therapy is a financial and time commitment. It is an investment in yourself and in your ability to examine long-standing patterns in order to change and practice new, more effective thoughts and behaviors. Such change isn’t easy, but it can profoundly impact your quality of life, including your sense of self, relationships, work, and health. We all invest in education, our homes, physical health, and our careers. Here at hope+wellness, we believe that therapy is one of the most important investments of them all — in yourself and overall well being. When you feel centered, grounded, and comfortable in yourself and in who you are, the rest of your life can fall into place.

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 in person consultation session 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

what can i expect from my first session?

The first 1-3 meetings are consultation sessions. They are different from the traditional therapy session because it is a time for your therapist to collect any background information and for you to discuss potential goals for therapy together. These first sessions are a time for you to see if it feels like a good fit to work together with your therapist. During this time, you and your therapist will decide if it feels right to continue to move forward in therapy and on the rest of the therapeutic journey. These consultation sessions are fully paid and not complimentary. Therefore, if you would like to ask any questions prior to the first session or see if you feel like a good fit with your therapist in advance of the session, you can schedule a complimentary 15-minute consultation call in advance, email us at, or call or text us at 703-923-8965.

I want things to change in my life. How active is therapy?

At hope+wellness, we believe in tailoring therapy for each individual. Some clients find it therapeutic to talk about their feelings and to explore patterns. Others seek a more active approach, involving interventions, exercises and thoughtful actions to implement outside of therapy. We try to meet each client where they are at and are able to incorporate different approaches if this is what you are looking for as part of therapy. Overall, it is important to consider that you will get out as much as you put in to your work together with your therapist.

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 does online video therapy work?

After a few in-person sessions together, we are able to meet with you over video if you prefer. We conduct online video therapy using secure internet connection and video telemedicine software that is trusted and HIPAA-compliant. A link to the video therapy session will be sent to you prior to your appointment. We recommend that our clients participate in their online video sessions in a closed, private room to ensure privacy. We take your privacy and security very seriously and do everything we can to safeguard your information.

I live in Maryland. Can you do online video therapy with me?

As much as we would love to work with you, we are licensed to practice psychology in Virginia only. That means we are only able to work with residents of Virginia.

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.

request an appointment or ask a question

Contact us today to schedule an appointment or to discuss your interest in therapy using the form below. We're happy to answer any question you might have about our services.

Name *
Guardian Name
Guardian Name
For children under 18, please list the name of any parent/guardian(s).
Scheduling Availibility *
Let us know if you have certain days or times you need to schedule your appointments. If you are flexible, click the 'I'm flexible' option. Currently, there is less availability on weeknights as that is the most common request.
Insurance Type *
How did you find out about us? *
What is bringing you in to therapy? *
Let us know any additional presenting issues, concerns, or areas to work on so that we can help determine fit.