About Lacey
Lacey Farrow is a Licensed Professional Counselor (LPC) based in Virginia with 15 years of clinical experience. She uses practical, evidence-informed approaches to help people manage anxiety, phobias, sleep problems, mood shifts, and life transitions. Her style is straightforward and focused on building skills that people can use between sessions.
She commonly draws on cognitive behavioral techniques to help clients spot and change unhelpful thought patterns. Dialectical behavior therapy skills are used for emotion regulation and distress tolerance when feelings feel overwhelming.
Background and approach
Mindfulness practices and trauma-focused methods are offered to reduce reactivity and support healing after difficult experiences. Clients may work on specific problems such as panic, agoraphobia, phobias, substance use, hoarding, or insomnia through structured exercises and worksheets. Sessions can include practical take-home strategies aimed at steady, measurable progress.
Lacey also supports people facing career stress, caregiving and aging concerns, and complicated grief. She has experience with first responder issues, military and veteran-related challenges, dissociation, and several mood and personality concerns. Lacey also lists work with ADHD, impulse control, and co-occurring medical or cognitive issues among her focus areas.
She describes recovery from narcissistic abuse, forgiveness work, and end-of-life counseling in her practice. Lacey emphasizes collaboration. She views each person as the expert on their life and helps them build on existing strengths.
The first sessions typically establish goals and match strategies to what feels most useful to the individual.
How Lacey's Methods Work Online
CBT - Cognitive Behavioral Therapy helps people notice and change thought patterns and behaviors that keep problems going. Online CBT can include worksheets, thought records, and short behavioral experiments that you complete between sessions to track progress.DBT skills - Dialectical Behavior Therapy provides tools for emotion regulation, distress tolerance, and better interpersonal effectiveness. These skills are taught in clear steps and practiced during sessions, which can help when anxiety, impulsivity, or intense emotions interfere with daily life.
Finding the right approach is a collaborative process. The therapist will talk with you about your goals, try strategies that fit your needs, and adjust methods as you make progress. Decisions about which techniques to use are made together, based on what helps you most.
Online formats offer practical flexibility. Video calls let you have a face-to-face conversation and work through exercises together. Phone sessions are useful when bandwidth is limited or you prefer not to be on camera. Live chat and text-based messaging are helpful for brief check-ins, skills coaching, or when you need prompts and reminders between sessions. These options make it easier to schedule care around work, school, or caregiving responsibilities.
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What this therapist 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
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