About Lacey
Lacey Farrow is a Licensed Professional Counselor (LPC) in Virginia with 15 years of clinical experience. She centers sessions on practical tools and clear steps to help people manage anxiety, mood shifts, sleep problems, addictive behaviors, and the everyday stress of life changes. Lacey writes worksheets and practices that clients can use between sessions to keep progress moving.
Her approach blends Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) techniques to teach coping skills and emotional regulation.
Background and approach
She also incorporates mindfulness practices and trauma-focused methods when addressing complex stress, PTSD, or histories of abuse. These tools are used to reduce overwhelming thoughts and to build routines that support better sleep and steadier moods. Lacey has worked with people facing depression, bipolar concerns, grief, anger, eating struggles, and self-esteem issues.
She also helps with addiction and recovery-related challenges, impulsivity, and career stress. ADHD is listed among her focus areas and she offers strategies that help with attention, organization, and daily task management. Her background includes work with aging and geriatric issues, hospice and end-of-life counseling, first responder concerns, and co-occurring conditions.
She draws on fifteen years of practice to tailor sessions to each person's situation and goals. Lacey believes clients bring expertise about their own lives and that therapy is a collaborative effort. To begin, she asks people to complete a short matching questionnaire and then schedule sessions that fit their timing.
Sessions may use a variety of formats so that care can align with each person's routine and needs.
Using CBT, DBT, and Mindfulness Online
CBT focuses on changing patterns of thinking and behavior that contribute to anxiety, depression, or sleep problems. Sessions identify unhelpful thoughts, test them with simple experiments, and build tasks to practice new habits between meetings.DBT teaches skills for managing intense emotions and improving relationships. It offers short, concrete strategies for grounding, distress tolerance, and better emotional balance when things feel overwhelming.
Mindfulness therapy brings attention to the present moment through short exercises and breathing practices. It helps reduce reactivity and can support people coping with trauma, stress, or impulsivity.
Finding the right mix of approaches is a collaborative process. The therapist will work with each person to decide which methods match their goals, needs, and day-to-day life. Together they adjust strategies as progress is made or priorities shift.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets people use visual cues for skills practice, phone works well when bandwidth or camera use is limited, chat is useful for quick check-ins, and messaging supports short, ongoing contact between sessions. These options help fit therapy into work, school, or caregiving schedules and make regular follow-up easier.
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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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