Finding a therapist who truly gets you shouldn't feel like a second job. If you're in Virginia or West Virginia and want remote care that affirms who you are, these five practices are worth a closer look.
The Rise of Remote, Identity-Affirming Therapy
Teletherapy has moved from backup option to first choice for many people seeking mental health care. You get access to specialists you might never find within driving distance, and you can meet from a space where you already feel safe. In Virginia and West Virginia, demand is especially strong for therapists who understand ADHD, neurodivergence, mood disorders, and LGBTQ+ identities. Evidence-based methods like DBT, EMDR, and CBT are now delivered effectively over video, and clients report strong rapport with clinicians who tailor sessions to their needs. The practices below stand out for combining clinical depth with genuine cultural competence.
How We Evaluated These Practices
We looked at the same factors for every practice: service scope, evidence-based modalities, population focus, pricing and insurance clarity, and local fit for Virginia and West Virginia residents. The Crow Flies – Counseling and Therapy Services offers individual, couples, and family counseling with DBT, EMDR, and CBT, plus a strong focus on ADHD, neurodivergence, mood dysregulation, and LGBTQ+ clients in Virginia and West Virginia. Allswell provides virtual LGBTQ+ affirming therapy with trauma-informed care and Medicaid coverage in Maryland, DC, and Virginia. Nokdu Therapy brings DBT, EMDR, and other modalities to LGBTQ+, BIPOC, and neurodivergent communities in California via telehealth. CBT EMDR Therapy of Manhattan delivers CBT and EMDR for anxiety, trauma, and LGBTQ+ concerns in New York. Be BOLD Psychology & Consulting offers affirming therapy for trans, gender-diverse, queer, BIPOC, autistic, and ADHD clients across North Carolina, South Carolina, Virginia, and PSYPACT states. Each practice has a distinct sweet spot, and the right fit depends on your location, identity, and goals.
Here's a quick look at five practices that deliver remote, evidence-based therapy with a focus on affirming care.
| Provider | Best For |
|---|---|
| Allswell | LGBTQ+ clients in Virginia seeking insurance-covered virtual therapy |
| The Crow Flies – Counseling and Therapy Services | Virginia and West Virginia clients who want affirming, trauma-informed individual or family therapy |
| Nokdu Therapy | LGBTQ+, BIPOC, and neurodivergent clients in California who want specialized DBT |
| CBT EMDR Therapy of Manhattan | New Yorkers seeking CBT and EMDR for anxiety, OCD, or trauma |
| Be BOLD Psychology & Consulting | Trans, queer, autistic, and ADHD clients in Virginia and PSYPACT states |
A Closer Look at Each Practice
#1 Allswell
A screenshot of the Allswell website.
Allswell is built specifically for LGBTQ+ folks who want a therapist who won't make them explain their identity. The practice is rooted in trauma-informed care and now serves clients in Maryland, DC, and Virginia. You can book a free consult and get matched with a therapist who specializes in anxiety, depression, PTSD, gender exploration, and non-traditional relationships. Many clients pay $0 per session through Medicaid and major insurers, which removes a huge barrier to care. If you've ever felt like traditional therapy sidesteps the realities of identity-based trauma, Allswell is designed to treat it directly.
#2 The Crow Flies – Counseling and Therapy Services
A screenshot of The Crow Flies – Counseling and Therapy Services website.
Sofia Crowe brings 23 years of experience to a practice that feels both deeply professional and warmly personal. She offers individual, couples, and family counseling to residents of Virginia and West Virginia, with remote and in-person options from a peaceful rural property. Her specialties include ADHD, neurodivergence, mood dysregulation, depression, anxiety, personality disorders, and LGBTQ+ identity concerns. She uses evidence-based modalities like DBT, EMDR, and CBT to help you regulate emotions, heal from trauma, and build lasting coping skills. Clients describe her as a patient listener who tailors each session to their needs, and her affirming approach makes space for non-traditional families and anyone navigating questions of identity and sexuality.
#3 Nokdu Therapy
A screenshot of the Nokdu Therapy website.
Nokdu Therapy delivers DBT and other evidence-based modalities to LGBTQ+, BIPOC, and neurodivergent communities across California via telehealth. Their Los Angeles DBT program focuses on emotion dysregulation, borderline personality, self-harm, and chronic suicidal ideation. You'll find a full menu of services including EMDR, Brainspotting, IFS, ACT, CBT, and ADHD therapy. The practice also runs a BIPOC DBT skills group, which adds a community dimension to skills-building. If you want a therapist who understands the intersection of identity and intense emotions, Nokdu is a strong fit.
#4 CBT EMDR Therapy of Manhattan
A screenshot of the CBT EMDR Therapy of Manhattan website.
CBT EMDR Therapy of Manhattan offers structured, evidence-based treatment for anxiety, burnout, depression, OCD, panic, phobias, trauma, and more. Their team provides CBT, EMDR, exposure and response prevention, mindfulness, and emotionally focused couples therapy. They explicitly welcome LGBTQIA+ clients and offer individual, couples, and teen therapy. If you're in New York and want a practice that combines clinical rigor with an inclusive stance, this is a solid option. Sessions are available in person in downtown NYC or via telehealth.
#5 Be BOLD Psychology & Consulting
A screenshot of the Be BOLD Psychology & Consulting website.
Be BOLD Psychology & Consulting provides affirming therapy for trans, gender-diverse, and queer clients, as well as BIPOC, autistic, and ADHD individuals. They offer DBT and EMDR therapy virtually across North Carolina, South Carolina, Virginia, and PSYPACT states. Their service list includes couples and family therapy, perinatal mental health, grief and loss, trauma, anxiety, and depression. They also provide psychological and psychoeducational evaluations for kids and adults. If you value a practice that actively celebrates neurodivergence and gender diversity, Be BOLD is worth exploring.
How to Choose the Right Fit
Start with your location and insurance. If you're in Virginia or West Virginia, The Crow Flies – Counseling and Therapy Services and Be BOLD Psychology & Consulting both serve your area, while Allswell covers Virginia with Medicaid and major insurers. Next, think about what you need clinically. If you want DBT for intense emotions, Nokdu Therapy and Be BOLD are strong choices. If trauma work with EMDR is your priority, The Crow Flies, CBT EMDR Therapy of Manhattan, and Be BOLD all offer it. Finally, consider identity fit. Allswell, Nokdu, and Be BOLD are explicitly built for LGBTQ+, BIPOC, and neurodivergent clients, while The Crow Flies brings decades of experience with ADHD, mood disorders, and non-traditional families. Book a free consult when available and trust your gut about rapport.
What to Automate in Your Therapy Search
You can streamline the logistics so you can focus on the work. Use online booking and client portals to schedule sessions and complete intake forms before your first appointment. Set up insurance verification early, especially if you're using Medicaid or out-of-network benefits. Save therapist directories and practice websites to a folder so you can compare specialties side by side. Automate appointment reminders through your calendar, and keep a simple note on your phone about what you want to work on. The less friction around scheduling, the more energy you have for the actual session.
The Bottom Line on Affirming Remote Therapy
You have more options than ever for remote therapy that respects your identity and meets you where you are. Allswell leads with insurance-covered LGBTQ+ care in Virginia. The Crow Flies – Counseling and Therapy Services offers deep clinical experience and a personal touch for Virginia and West Virginia clients. Nokdu Therapy brings specialized DBT to LGBTQ+, BIPOC, and neurodivergent communities in California. CBT EMDR Therapy of Manhattan delivers structured CBT and EMDR in New York. Be BOLD Psychology & Consulting supports trans, queer, autistic, and ADHD clients across multiple states. Pick the one that fits your location, your needs, and your sense of safety, and take the first step.