“Why do I keep doing this when I know it’s hurting me?”
ECKHOUSE THERAPY
SPECIALIZED ONLINE THERAPY FOR COMPLEX AND CO-OCCURRING MENTAL HEALTH CONCERNS
When concerns overlap, have been present for a long time, or show up across different parts of your life, effective therapy takes more than symptom management. We take the time to understand the whole picture and tailor treatment to help you create meaningful, lasting change.
Request a Complimentary ConsultationFully virtual · Clinicians practice in DC, Virginia, Maryland, and PSYPACT states
WHEN IT’S NOT JUST A DIAGNOSIS
Maybe it isn’t just anxiety. Or trauma. Or depression. Maybe several things are happening at once, and none of them fully explains why you still feel stuck.
You may have done therapy before. You may understand your patterns, know the coping skills, and have a clear sense of why this keeps happening. But knowing why doesn’t always make it easier to change.
When problems overlap, treating each symptom separately can miss what’s really connecting them. Therapy can help you understand how your symptoms, experiences, relationships, and ways of coping fit together, change the patterns that keep pulling you back, and create change that lasts.
“Why do I keep doing this when I know it’s hurting me?”
ONLINE THERAPY IN FALLS CHURCH, VA
Eckhouse Therapy provides evidence-based therapy for adults facing anxiety, trauma, depression, addiction, relationship difficulties, and other mental health concerns. Our clinicians bring focused expertise to look beyond symptoms and understand what is driving the patterns keeping you stuck, allowing treatment to be precise, individualized, and tailored to what will help you move forward.
Our areas of expertise include:
Substance use can begin to take up more space than you want it to, affecting your relationships, work, and daily life. Addiction therapy can help you understand what keeps the cycle going, break entrenched patterns, and build a more stable, lasting recovery.
Learn More About Addiction Therapy
Trauma can leave you feeling anxious, on edge, disconnected, or stuck in experiences that are technically over but don’t always feel that way. Trauma and PTSD therapy can help you process what happened, understand how it continues to affect you, and regain a greater sense of safety and control.
Learn More About Trauma Therapy
Anxiety, intrusive thoughts, compulsions, and panic can gradually make your world feel smaller. Therapy can help you break cycles of worry and compulsive behavior, face fears with greater confidence, and stop organizing your life around anxiety.
Learn More About Anxiety, OCD, & Panic Therapy
ADHD, autism, and other neurodivergent traits can make everyday life feel overwhelming, especially when you’ve spent years trying to function in ways that don’t fit how your brain works. Neurodivergent-affirming therapy can help you better understand yourself, build strategies around your needs, and create a life that works better for you.
Learn More About Neurodivergent-Affirming Therapy
Low, unpredictable, or difficult-to-manage moods can begin to shape how you see yourself, your relationships, and your daily life. Therapy can help you understand what is contributing to these shifts, build greater stability, and feel more like yourself again.
Learn More About Depression & Mood Disorder Therapy
Intense emotions, difficult relationship patterns, and reactions that feel hard to change can leave you feeling stuck in the same painful cycles. We specialize in borderline personality disorder (BPD) and other personality-related concerns, helping you understand what drives these patterns, regulate emotions more effectively, and build healthier relationships.
Learn More About Borderline Personality Disorder TherapyNo commute.
No waiting room.
Just a private space to focus on you!
WHO WE WORK BEST WITH
Finding the right therapist means finding someone whose expertise and approach align with what you are experiencing and what you hope to change.
Our practice may be a particularly good fit for adults who:
Have tried therapy before but continue to feel stuck in familiar patterns, despite understanding why they happen.
Are navigating trauma, addiction, OCD, anxiety, or other mental health concerns, whether independently or alongside other difficulties.
Want more than insight alone, seeking a therapist who combines deeper understanding with practical, evidence-based treatment.
Value specialized, highly individualized care tailored to your unique needs, experiences, and goals, and are exploring private-pay or out-of-network therapy options.
Prefer the flexibility of online therapy, allowing you to choose a clinician based on expertise rather than proximity.
You do not need multiple diagnoses or previous therapy experience to work with us. What matters is finding the right support for your needs.
Request a Complimentary Consultation
OUR APPROACH
Our therapy is warm and supportive, but also active and engaged. We help you identify patterns, make connections, build practical skills, tolerate difficult emotions, and create meaningful change outside session.
We look beyond a single symptom or diagnosis to understand how your experiences, emotions, relationships, and coping patterns interact.
Understanding the pattern matters, but change comes from learning to respond differently when it shows up. We help you build practical skills, tolerate difficult emotions, and make new choices in those moments.
The goal is not simply to manage symptoms more effectively. It is to change the patterns that keep bringing you back to the same place so progress can last beyond therapy.
WHY ECKHOUSE THERAPY
Research-supported approaches tailored to your needs, goals, and clinical picture.
Expertise in understanding how trauma, addiction, anxiety, depression, OCD, relationship patterns, and other concerns can overlap and reinforce one another.
We tailor treatment to the full picture, drawing from multiple evidence-based approaches rather than forcing every concern into the same framework.
Do any of these patterns feel a little too familiar?
You keep ending up in the same patterns, even when you know exactly how they usually play out.
You're doing everything you’re supposed to be doing, but something still feels off underneath.
You rely on avoidance, control, checking, substances, or shutting down just to get through difficult moments.
Relationships keep bringing up the same conflicts, fears, or frustrations.
Past experiences are still shaping how you feel, respond, or connect with other people.
You look capable on the outside while feeling anxious, exhausted, disconnected, or overwhelmed on the inside.
You can understand a pattern inside and out, know exactly why it is not helping, and still find yourself doing it again. Frustrating? Very. Unusual? Not at all.
Therapy should make a difference in how you live. We help you understand what keeps the cycle going, how the pieces connect, and how to respond differently when old patterns show up.
Over time, that can mean feeling more grounded, more connected in your relationships, and more able to make choices that help you build a life that feels worth living.
More steady in your emotions
More connected in your relationships
More able to respond instead of repeat old patterns
A life that feels more like your own
When several things feel tangled together, knowing where to start can be difficult. You do not need to have the right diagnosis, the perfect explanation, or a clear plan before reaching out.
A consultation gives us a chance to understand what is happening, answer your questions, and see whether Eckhouse Therapy feels like the right fit.
Request a Complimentary ConsultationFREQUENTLY ASKED QUESTIONS
What can I expect during my first appointment?
Your first appointment is an opportunity for us to understand what’s bringing you to therapy, what you’ve been carrying, and what you want to be different. Your clinician will take time to learn about your history, current concerns, relationships, and the patterns that may be contributing to where you feel stuck.
Over the first one to three sessions, you and your clinician will work together to develop a treatment plan that reflects your goals, needs, and the areas that feel most important to address. You’ll begin talking about what treatment could look like, which approaches may be most helpful, and what meaningful progress would look like for you.
Just as importantly, these early sessions give you a chance to experience your clinician’s style and ask questions. Therapy works best when you feel understood, comfortable being honest, and confident in the person you’re working with.The goal is for you to come away with a clearer understanding of what may be happening, how therapy can help, and what the next steps could look like.
How frequent are sessions?
Most clients begin with a 60–90 minute initial evaluation, which gives your clinician time to understand what’s bringing you to therapy, learn more about your history and current concerns, and begin identifying the kind of support that may be most helpful.
After that, psychotherapy sessions are often 45 minutes and scheduled weekly, especially at the beginning of treatment. However, there is no one-size-fits-all schedule. The length and frequency of sessions are tailored to your needs, goals, symptoms, and stage of treatment.
Together, you and your clinician will determine a rhythm that feels clinically appropriate and sustainable. As therapy progresses, session frequency may also change based on your progress, current needs, and treatment goals.
How do I schedule an appointment?
Getting started is simple. You can contact us through our website, by email, or by phone to request an appointment or ask about availability.
If you’d like to get a sense of whether we’re the right fit before scheduling, we offer a complimentary phone consultation. This gives you a chance to ask questions, share a little about what you’re looking for, and learn more about how we may be able to help.
If you decide to move forward, we’ll help you schedule your initial appointment and provide access to our secure client portal, where you can complete forms, view upcoming appointments, and manage future scheduling.
Our goal is to make the process feel clear, straightforward, and comfortable from the very beginning.
Do you treat children and adults?
Eckhouse Therapy works with adults ages 18 and older through individual and couples therapy, and also provides support for families and loved ones affected by addiction.
Our clinicians specialize in working with adults navigating concerns such as addiction and recovery, trauma, anxiety, OCD, mood concerns, relationship difficulties, and longstanding or overlapping patterns that can affect daily life and relationships.
At this time, we do not provide individual therapy for children or adolescents. This allows us to maintain a focused level of expertise in the populations and concerns we are best equipped to treat.
How much does therapy cost, and do you accept insurance?
Eckhouse Therapy is an out-of-network practice and does not bill insurance directly.
The initial diagnostic evaluation is 60–90 minutes and costs $405. Ongoing individual therapy sessions are typically 45 minutes and cost $285 per session.
Payment is due at the time of service. We provide monthly superbills that you may submit to your insurance company for possible out-of-network reimbursement. The amount reimbursed depends on your individual insurance plan and out-of-network benefits.
If you plan to use out-of-network benefits, we recommend contacting your insurance company directly to ask about your deductible, reimbursement rate, and any requirements for submitting claims.
Does Eckhouse Therapy offer in-person appointments?
Eckhouse Therapy is a fully virtual practice, and all therapy sessions are provided through secure telehealth.
Online therapy allows you to access specialized care from a private, comfortable setting without the added time and stress of commuting. For many clients, this makes it easier to fit therapy into a busy life while still creating the consistency and privacy that meaningful treatment requires.
Our clinicians are intentional about creating a therapeutic experience that feels personal, connected, and clinically expert, even through a screen. Teletherapy allows you to receive specialized, individualized care from a space that feels comfortable and private, without sacrificing the depth of the therapeutic relationship.
How do I cancel an appointment?
We understand that schedules change and sometimes an appointment needs to be moved or cancelled. If you need to make a change, please contact your clinician by email, phone, or secure message through the client portal as soon as possible.
We ask for at least 24 hours’ notice when cancelling or rescheduling an appointment. This allows your clinician to offer that time to another client and helps us maintain consistent availability for everyone we work with.
Appointments cancelled or rescheduled with less than 24 hours’ notice are charged the full session fee.