- Practical coping skills
- Service life experience
- Focus on daily living
About Preston
He has worked across settings, including private practice, local mental health clinics, inpatient mental health, and substance abuse programs. He also served 23 years in the U.S. Army, including active duty and National Guard, and has experience supporting service members as a Military and Family Life Counselor at Fort Bragg and other locations.
In sessions he focuses on everyday changes that matter - sleep, eating, relationships, coping with grief, and managing addiction or chronic illness. He also addresses concerns such as self-esteem, intimacy-related issues, trauma and abuse, and career challenges. Additional interests include aging and geriatric issues, hospice and end-of-life counseling, and topics related to gender and sexuality.
Preston uses approaches like Acceptance and Commitment Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy, Existential Therapy, and Motivational Interviewing. Those methods are mixed to match what each person needs in the moment. He prefers straightforward conversation and practical steps people can try between meetings.
He lives in Virginia, is married, and has four children and eight grandchildren. Outside of work he describes a personal connection to the natural world and keeps a notable beard that often earns him the nickname Santa.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
35+ years
Credentials
Virginia, North Carolina
Languages
English
How Preston’s approaches fit into online work
Acceptance and Commitment Therapy (ACT) encourages noticing difficult thoughts and choosing actions that match personal values. It can help with anxiety, depression, and finding purpose when life feels stuck. Client-Centered Therapy focuses on empathic listening and supporting the person’s own pace of change, which can help build trust and clarity about goals. Cognitive Behavioral Therapy (CBT) looks at unhelpful thinking and behavior patterns and offers practical exercises to change them, useful for problems like sleep, anger, and addictive behaviors.Choosing an approach is part of the work together. Preston will talk with each person about their needs, goals, and preferences and tailor methods collaboratively. He adapts techniques as sessions progress so people can test what helps and adjust plans over time.
Session formats are not specified in the biography, so confirm current options before booking. In general, online therapy can make it easier to fit counseling into a busy day, allow shorter check-ins when needed, and remove travel time so sessions can happen from many locations. Licensed professionals can use different methods over video or phone to guide skill practice, process emotions, and set manageable steps for change.
Frequently asked questions
What kinds of concerns does Preston help with?
He works with a wide range of issues including stress, anxiety, depression, eating and sleep problems, addictions, grief, trauma, and relationship or intimacy-related concerns.
What is his general therapeutic style?
He blends practical, down-to-earth conversation with goal-focused techniques from several therapies to help people try new ways of coping between sessions.
How long has he been practicing?
Preston has 35 years of counseling experience across private practice, community mental health, inpatient settings, and substance abuse programs.
Where is he based and what are his credentials?
He practices in Virginia and holds the LCSW credential, with licensure in NC LCSW and VA LCSW noted in his background.
Which languages are offered for sessions?
Sessions are offered in English.
Can people outside the United States work with him?
International clients are accepted; confirm any cross-border details when you begin the matching process.
How does billing or cost work?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
What are the first steps to start working together?
Use the Start Therapy button, complete the short matching questionnaire, and schedule based on therapist availability.
