Starting therapy is a very personal decision. My experience is that for many people, sitting down with a therapist one-on-one is the first time in their lives that they’ve had a space fully devoted to them. It’s a very important and transformative experience when you’re with the right therapist.
Individual therapy is about more than symptom relief. It’s a chance for you to slow down, understand yourself more deeply, and begin to experiment with new ways of approaching your life. Many psychological challenges can be healed in this way, including stress, depression, trauma, relationship struggles, and painful life transitions. All of this happens once you’re in a safe, engaged space where you don’t have to carry your struggles alone.
As a therapist, you can expect me to be attentive and involved. I both listen and ask questions while also offering you reflections to help you gain clarity. Individual therapy becomes a collaborative process where you bring your experiences and insights and I bring my perspective and therapeutic tools to the process. Together, we work toward greater steadiness, resilience, and fulfillment in your daily life.
Therapy gives us space to look at how past and present experiences have shaped the way you respond to stress and relationships today. Making those connections often brings relief on its own and creates a clearer path toward healthier choices in the present.
If you’ve been hurt, dismissed, misunderstood, or shamed in the past, it can feel risky to open up. Our sessions offer a new kind of relationship, one where you can practice sharing your feelings and discover that they can be received with care. Over time this helps reduce shame, rebuild trust, and increase your ability to connect authentically with others.
Alongside deeper exploration, therapy often involves learning practical strategies to help your daily life feel less overwhelming. In our sessions we might:
Starting therapy can feel intimidating, especially when anxiety, depression, burnout or stress have you feeling depleted. My goal is to make the process feel clear and supportive from the start so you know what to expect and don’t feel alone.
In my practice, I often meet professionals in Washington, DC who are navigating the demands of high-pressure fields like law, consulting, or government. Some are in seasons of transition such as beginning a new career, adjusting to parenthood, or working to strengthen their relationships. Others come in feeling stuck in cycles of perfectionism, procrastination, withdrawal, or the heightened anxiety that high-pressure environments can bring. What unites these different stories is a shared wish for relief and a readiness to reflect, grow, and create change.
While every client’s story is unique, certain themes show up again and again in individual therapy. Working one-on-one gives us space to look at the full picture, not just one symptom, but the ways different struggles weave together.
You don’t have to fit neatly into a category to benefit from therapy. These are simply some of the challenges that come up most often and whatever brings you in, we’ll work with it in a way that feels relevant to your life.
My work is integrative, drawing on several well-established approaches so I can respond to what each client needs most in the moment:
There are many skilled licensed psychologists practicing in Washington, DC. Clients often say what feels different in our work is the care and respect they experience in session. My own time as a therapy client taught me firsthand what it means to trust someone with your most vulnerable thoughts. I know what it’s like to feel anxious, insecure, or frustrated during therapy and that lived experience has helped me know how to work sensitively with others to create the safety needed to turn therapy into a place of real healing. That experience has also given me a deep appreciation for how transformative therapy can be and I feel a great privilege to assist those who are seeking a more fulfilling life for themselves.
Choosing to start therapy is a meaningful step. Whether you’re navigating stress, depression, trauma, or simply want to better understand yourself, individual therapy in Washington, DC offers a steady place to sort through it. My role is to walk alongside you listening closely, asking questions, and working together to create lasting change.
If you’re ready to explore what one-on-one therapy could look like for you, I’d be glad to talk. Reach out today to schedule a consultation.
Contact: 571-882-1648 | dralexafram@gmail.com
Office: 1701 K Street NW, Suite 900, Washington, DC 20006
(Above Farragut North at K & 17th ST NW)
If you’re feeling stuck, overwhelmed, or unsure how to handle challenges on your own, therapy can help. Some clients come to address specific concerns like depression, trauma, or stress; others simply want a place to better understand themselves.
Therapy can support you with many concerns, including stress, depression, trauma, grief, relationship struggles, self-esteem, perfectionism, and major life transitions. You don’t need a specific diagnosis to benefit; what matters is that you want support.
I see therapy as a collaborative process. I listen closely, ask questions, and offer reflections that help you see patterns more clearly. Depending on your needs, I draw on a range of well-established therapeutic approaches, but what matters most is responding to what you need at the moment.
It varies. Some clients see improvement in a matter of weeks, while others continue therapy for months or longer to work on deeper patterns. We’ll talk openly about your goals and adjust along the way.
Most clients begin with weekly sessions. As therapy progresses, we may decide together to shift to another schedule that supports your needs.
Yes. Everything we discuss in therapy is confidential within legal and ethical limits. Confidentiality is a cornerstone of creating a safe, trusting space.
Every therapist works differently. Many clients who felt discouraged by past experiences find that a new relationship, different tools, and a more collaborative process can make therapy feel more effective and meaningful.
Yes. I see clients both in-person and online for residents of Washington, DC, and virtually for clients in PSYPACT states.
I am an out-of-network provider. Many clients receive partial reimbursement through their insurance with a superbill I provide.
Bring a sense of what feels most difficult right now. There’s no need to rehearse, just come as you are.
An initial phone consultation can help you get a sense of my presence and therapeutic approach. If that consultation feels encouraging, a first session can give a deeper sense of our fit. You should feel respected, understood, and safe to share.
Yes. Sometimes it’s about finding the right therapist, timing, or approach. Many clients who felt discouraged before have found therapy effective here.