Online Therapy in Virginia for Burnout, Anxiety, and Insomnia

I'm Yael Eiserike, a licensed clinical social worker, and I'm licensed in Virginia. I provide online therapy by secure video to people in Northern Virginia, Richmond, and across the state. I work on burnout, anxiety, insomnia, and high-functioning depression, which can look like a flat, low-grade numbness while everything on paper is fine.

I used to be a lawyer. I passed the California Bar and practiced employment defense litigation before I became a therapist, so I know what a billable hour costs and how easy it is to start treating exhaustion as normal. Many of my clients are attorneys, and many aren't.

What I help with

Burnout is not a synonym for tired. It's often a stretch of hitting every deadline while feeling nothing about it, and I explain it on my page about therapy for burnout. Anxiety in people who perform well often hides inside the habits that make them good at their work, like rereading, rechecking, and replaying, and you can read about high-functioning anxiety therapy.

For insomnia I use CBT-I, a structured treatment for chronic insomnia that works on the habits and thought patterns that keep you awake. My page on CBT-I for insomnia explains how it works, and if you wake in the middle of the night, you might start with my post on waking up at 3 a.m. High-functioning depression rarely stops a person from working, which is why it's hard to name. I describe it on my page about high-functioning depression therapy, and in a post on whether it counts as a real diagnosis.

What working together looks like

Sessions are 50 minutes by secure video, and I offer early morning and evening appointments. I use cognitive behavioral therapy as the foundation, so sessions have a direction and you work on things between sessions as well as during them. For anxiety I use exposure-based work, and for depression I lean on behavioral activation, because engagement tends to come before mood improves. I'm certified in CBT-I, and sessions are available in English and Spanish.

I'll be direct with you, and when something isn't serving you I'll say so, with warmth. You can read more about how I work on my about page.

If your life crosses state lines

If you live in Virginia and work in D.C., or the other way around, the rule that matters for therapy is where you are when we meet. I'm licensed in Virginia, Washington, D.C., and California, so if you're in any of those places, we can meet. If you spend part of the week in D.C., I have a page on online therapy in Washington, D.C.

All of my sessions are by video, and I don't offer in-person appointments. If in-person care is what you're looking for, I'd rather you know that before we start.

Fees and scheduling

I'm not in-network with any insurance company. I can give you a superbill to request out-of-network reimbursement. I'd rather talk through fees by phone. You can pay with an HSA, debit, or credit card.

Questions people ask about online therapy in Virginia