Room for what's difficult. Space for what's possible.

Individual online therapy for adults in Virginia and Ohio

You don't have to wait until everything feels manageable to begin making meaningful changes.Sometimes it's hard to know where to start.Maybe you've been overthinking everything. Maybe you're exhausted from trying to meet everyone's expectations. Maybe you've been feeling disconnected, overwhelmed, or unlike the person you remember being.Or maybe life looks fine from the outside, but something doesn't feel quite right.You don't have to arrive with a clear explanation of what's wrong or a plan for how to fix it.We can start with what's happening.

A threshold can be both a limit and a beginning. A limit is the point at which something becomes difficult to sustain. A beginning is an invitation to step toward what matters now.

WORKING TOGETHER

What to expect.

I’m Elise Angelos, PhD, a licensed professional counselor. I believe good therapy involves more than having someone listen, although feeling genuinely heard is an important part of the process.
I'm an engaged therapist. I ask questions, share observations, offer perspective, and sometimes challenge you to consider something differently.We might explore a longstanding pattern, make sense of a difficult experience, or practice a new way of responding. My approach is warm and exploratory, but I'm not afraid of hard conversations.
I don't expect therapy to be a perfectly linear process. I do believe it should be meaningful, collaborative, and connected to your actual life.

MORE ABOUT WORKING WITH ME →

MEET ELISE

The counseling practice of
Elise Angelos, PhD.

I provide individual therapy for adults in Virginia and Ohio. My approach is grounded in Acceptance and Commitment Therapy (ACT), with room for thoughtful questions and honest conversations. We’ll practice responding more flexibly to difficult thoughts and feelings and taking steps toward what matters to you.

LEARN MORE ABOUT ME →

Elise Angelos, PhD, counselor at Threshold Counseling & Consulting

ABOUT ELISE

Thoughtful questions. Honest conversations. A different way forward.

PhD, LPC, LPCC, LICDC

I'm a licensed professional counselor providing individual therapy to adults in Virginia and Ohio.I believe meaningful change begins with understanding ourselves, recognizing patterns that aren't serving us, and learning to respond differently. My approach is warm, collaborative, and grounded in evidence-based practices, particularly Acceptance and Commitment Therapy (ACT).My goal is to help you navigate life's challenges with greater flexibility, make choices that reflect your values, and build a life that feels meaningful to you.

PRACTICAL & EVIDENCE-BASED

COLLABORATIVE & CLIENT-CENTERED

COMPASSIONATE & NONJUDGMENTAL

BACKGROUND & TRAINING

Grounded in experience.
Committed to your growth.

I hold a PhD in Counselor Education and Supervision. I’m licensed as a Professional Counselor in Virginia (LPC) and a Professional Clinical Counselor in Ohio (LPCC), with an additional Ohio license as an Independent Chemical Dependency Counselor (LICDC).My clinical approach is grounded primarily in ACT, with other evidence-based interventions incorporated as appropriate. I pay attention to the context in which change needs to happen: relationships, work, parenting, recovery, and everyday demands.

EXPLORE MY APPROACH →

Clinical background

Experience that informs the work.

My background includes mental health and addiction counseling in outpatient and residential settings. I’ve worked with individuals and groups, with experience in assessment, treatment planning, and supporting people facing overlapping concerns.

My experience with research has strengthened my commitment to evidence-based practice and to asking thoughtful questions about what helps, for whom, and under what circumstances. I bring that perspective into therapy by drawing on research, considering your preferences and experiences, and paying attention to whether our work is helping you make meaningful changes.

Education

A foundation in counseling.

2018–2022

PhD, Counselor Education and Supervision

University of the Cumberlands

2014–2016

MEd, Clinical Mental Health Counseling

Ohio University

2011–2014

BA, Psychology

Ohio University

Publications & Research

Angelos, E., & Baggs, A. (2023). Mindfulness misconceptions in counselor education and supervision: Mitigating vicarious trauma among counselors-in-training. Journal of Counselor Preparation and Supervision, 17(2), Article 10.

READ ARTICLE ↗

Angelos, E. (2022). Lived experiences of K9 officers with trauma and the human-animal bond: A transcendental phenomenological study [Doctoral dissertation, University of the Cumberlands].

VIEW DISSERTATION ↗

A bit more personally.

Outside of work, I’m a wife, a mom to two young children, and an avid reader. I enjoy time outdoors, good coffee, and time at home with my family.

What It's Like to Work with Me

I take an active, collaborative role in therapy. I ask meaningful questions, explain useful concepts, and guide exercises so you can practice new skills in the session, not just talk about them.We’ll pay attention to how you respond to difficult thoughts, feelings, and situations, and explore whether those responses help you move toward the life you want. That may mean practicing a different relationship with a thought, making room for an uncomfortable feeling, or taking a step toward something important. I’ll offer honest feedback and invite you to try something different when it could help, with room for your questions and disagreement.Together, we’ll choose practical things to try between sessions, reflect on what you notice, and adjust. There’s space to process what you’re going through while building flexibility and taking action in the direction of your values.REQUEST A CONSULTATION →

If you think we might be a good fit,
I’d love to hear from you.

INDIVIDUAL TELEHEALTH THERAPY

Individual therapy.
Meaningful change.

Online therapy for adults in Virginia and Ohio, with space to work through what’s difficult and practice new ways of responding in everyday life.Ohio scheduling and payment options are confirmed directly.

What brings you here?

Anxiety and moodAnxiety, depression, persistent worry, perfectionism, or feeling disconnected.

Relationships and life transitionsRelationship difficulties, people-pleasing, setting boundaries, changing roles, and competing demands.

Recovery and personal growthAddiction recovery, the impact of a loved one’s substance use, and questions about identity or self-worth.

Getting started

01
ConnectRequest a consultation through Headway.

02
Talk it throughDiscuss what you’re looking for, availability, fees, and insurance.

03
Decide togetherConsider whether working together makes sense.

A place to begin.

MY APPROACH

More flexibility.
More room to choose.

My work is grounded primarily in
Acceptance and Commitment Therapy (ACT).

A practical approach to meaningful change.

How can you respond to difficult thoughts and feelings in ways that help you live the life you want?

01

Notice what is happening

Explore the thoughts, emotions, habits, and circumstances shaping your responses.

02

Respond with more flexibility

Practice noticing thoughts without automatically following them, making room for feelings, and returning to the present.

03

Move toward what matters

Clarify your values and translate them into specific, workable actions.

A foundation, not a script.

I’ll explain what we’re trying and why, incorporate other evidence-based interventions as appropriate, and invite your feedback.

Meaningful conversations.
Practical work.

RESOURCES

A few useful places
to begin.

A closer look at ideas we may explore in therapy.You don’t need to read or complete anything before reaching out.

PREPARING FOR YOUR FIRST SESSION →

LEARN

Understand ACT

An introduction from the Association for Contextual Behavioral Science.

EXPLORE ACT →

PRACTICE

Try an exercise

Free worksheets, videos, and other materials from Russ Harris, author of The Happiness Trap.

VIEW FREE RESOURCES →

Bring it into the conversation.

If something resonates, confuses you, or doesn’t seem useful, we can discuss it together.

Resources support our work. They do not replace individualized care. External sites have their own privacy policies and may offer paid products.

Read about my approach.

LET’S CONNECT

Let’s start with
a conversation.

You don’t need a polished explanation of what is wrong.A sense that something needs to change is enough to start the conversation.

REQUEST A CONSULTATION →

Book through
Headway

Request a consultation, review appointment options, and check insurance information.

Have a question first?

(540) 802-5938

Leave a brief message with your name and callback number.SEEKING CARE IN OHIO?
Ohio insurance credentialing is in progress. Please contact me to confirm current scheduling and payment options.

Before scheduling

We’ll clarify fees, insurance options, and telehealth requirements. You must be located in a state where I am licensed at the time of each session.

A note about privacy

Keep initial messages brief and avoid detailed clinical information. Reaching out does not establish a therapist-client relationship.

Urgent needs

This practice does not provide emergency or crisis services. Messages are not monitored continuously. If you are in immediate danger, contact emergency services or go to the nearest emergency department.

Preparing for therapy

Your first
session.

A few practical details to help you prepare for our first conversation.

Your appointment link and paperwork will come through Headway.

A notebook, mug, and laptop beside a sunlit window
Before we meet

Three things to check.

01

Complete your forms.

Complete the intake and consent forms you receive through Headway before your appointment. Let me know if you have difficulty accessing or completing them.

02

Find a private space.

Choose somewhere you can speak freely without being overheard. Headphones can help with privacy and sound quality.

03

Check your setup.

Check your internet connection, camera, and microphone before joining. Have your session link and appointment time handy.

For telehealth, you must be physically located in Virginia or Ohio at the time of your session.

What we’ll talk about.

Our first session includes questions about what brings you to therapy, relevant parts of your history, and what you’d like to work toward.

We’ll discuss how I work and consider what might be useful for you. There’s also room for your questions, including anything you’re uncertain about.

If notes help, bring a few.

You don’t need a rehearsed explanation. You might jot down:

  • What prompted you to schedule now
  • Patterns or situations you want to understand
  • What you hope might change
  • Questions about therapy or working together

These are starting points, not homework you need to complete.

Brief check-ins along the way.

You’ll complete brief questionnaires, such as the PHQ-9 and GAD-7, as part of your initial assessment and periodically throughout our work together. These help us track symptoms and changes over time, alongside what you share in sessions. We’ll discuss the results together and use them to inform our work.

Your appointment details

Start with Headway.

Your session link and intake paperwork are provided through Headway. Check your Headway account and appointment messages before we meet.

If you have trouble accessing something, please contact me beforehand.

Cancellation policy

Please give at least 24 hours’ notice if you need to cancel.

I waive the late-cancellation fee once per client. After that, cancellations with less than 24 hours’ notice incur a $100 fee.

Questions before we meet?

GET IN TOUCH →