Young woman working on laptop in a cozy space, representing online anxiety therapy in Maryland and Virginia
Virtual Therapy in Maryland and Virginia

Ready to quiet the overthinking & feel comfier in your skin?

Therapy with me isn’t about helping you shut your thoughts down (if only it were that simple!)

It’s about allowing the thoughts to be there without letting them call the shots. There are effective strategies to directly target this, and I can help with that.

Queer therapist Lori Zastrow, offering grounded, personalized mental health care online
 Lori Zastrow, LCPC

helping anxious overthinkers get out of their own heads…and yes, I was the president of that club before I became a therapist.

I use an informed approach to Dialectical Behavior Therapy (DBT) and Acceptance and Commitment Therapy (ACT) to help folks reduce stress, build emotional resilience, and strengthen their relationships.

I draw from:

  • Extensive experience studying, practicing, and teaching mindfulness-informed approaches to anxiety

  • A M.A. in Psychological Counseling from Columbia University, grounded in evidence-based clinical training

  • A commitment to showing up with curiosity, authenticity, and a kind sense of humor that helps make the hard stuff feel more manageable

Treatment FAQs

  • Unlike therapies that focus on controlling or avoiding certain thoughts and feelings, DBT/ACT teaches you to embrace your thoughts and feelings as part of the human experience. It’s unique in its commitment to values-based living and mindfulness.

  • Each session will vary depending on the client and the particular goals we are working towards on a given day. Sessions can include conversation, experiential exercises, and mindfulness practices.


    In a typical session, we'll work together to explore your values, how you handle difficult thoughts and feelings, and develop strategies for moving toward the life you want. A session will usually wrap up with us deciding what your homework will be for the week.

  • Informed DBT/ACT is versatile and has been applied to a wide range of issues, from anxiety and depression to stress and relationship problems. If you’re looking for a way to live a more mindful and value-driven life, Informed DBT/ACT might be a good fit for you. Feel free to reach out to me with any questions.

  • The length of therapy depends on your individual needs and goals. Some people see significant changes in a few months, while others might engage in therapy longer.  Typically folks are seen for 6-12 months.

  • The frequency of therapy sessions varies based on your individual needs and goals. Many people start with weekly sessions to build momentum and establish a strong therapeutic relationship. 

    Over time, as you start to notice changes, you might decide to meet less frequently. We’ll continually assess what’s working best for you!

  • Starting therapy is as simple as reaching out for an initial consultation. During this call, we can discuss your goals and how therapy might help. From there, we’ll schedule our first session and begin the journey together.

Therapy office in Maryland and Virginia offering anxiety treatment for professionals.
You deserve more than just “pushing through it”

You hold space, offer support, and care deeply.

Anddddd your needs matter, too. Getting support for you isn’t indulgent, it’s important!

My Core Values

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Authenticity

Visual brand symbol for online anxiety therapy practice in Maryland and Virginia.

I show up as a real human-warm, honest, and a little irreverent when it helps.

I’ll hold space for the heavy stuff while gently challenging the patterns that keep you stuck.

Curiosity

Visual brand symbol for online anxiety therapy practice in Maryland and Virginia.

I’m here to get curious about what’s actually going on, not to label or fix you.

Together, we’ll explore your patterns, emotions, and thoughts non-judgmentally.

Balance

You don’t need to choose between accepting yourself or change.

I bring practical tools to help you build steadiness, set limits, and make space for your needs, without shutting down what makes you, you.

Cactus image reflecting the balance of vulnerability and resilience in LGBTQ+ mental health care
Let's get this party started!

Ready to ease anxiety with evidence based support?