Stop putting off therapy and start feeling better.
Have you been putting therapy off for a while now?
You keep thinking about reaching out. You know something needs to change. But life is busy. Work needs your attention. Your family needs your attention. There is always something that feels more urgent.
Meanwhile, the anxiety is still there.
You are still overthinking.
You are still carrying the stress around with you.
You are still having the same conversations with yourself and ending up in the same place.
At some point, you start wondering if things are ever going to feel different.
Online therapy makes it easier to create space for yourself and get support without having to add another complicated thing to your schedule.
I'll deal with it when things settle down.
Maybe you’ve been telling yourself that for a while now. Not because you don’t care. Not because you don’t want help. There is just always something else that feels more urgent.
Work deadlines. Family responsibilities. The next thing that needs your attention.
And before you know it, months have passed, and you’re still carrying the same stress, anxiety, or overwhelm you’ve been trying to manage on your own.
It is hard to prioritize yourself when you have spent so long taking care of everything else.
The problem is that those feelings rarely go away on their own.
This is where online therapy can help.
It removes some of the barriers that make it harder to reach out and gives you a consistent space to focus on what has been weighing on you. Instead of waiting for the right time, you can begin making progress in a way that fits into your life now.
You've been getting through. That's different from getting better.
A free consultation is a good place to start.
Online therapy may be a good fit if you:
We spend time understanding what is driving the anxiety, stress, self-doubt, or emotional patterns that keep showing up in your life. As those patterns become clearer, we work on practical strategies that help you respond differently both during sessions and in your everyday life.
Most people find that after the first few minutes, they stop thinking about the screen altogether. The focus shifts back to what brought them to therapy in the first place and the changes they want to make in their lives.
What this looks like:
Hi, I'm Dr. Vanessa Gomes, a CBT psychologist with over 25 years of experience.
My work focuses on helping people understand why they keep getting pulled into the same patterns of anxiety, self-doubt, stress, or emotional overwhelm. Often, they have spent a long time trying to manage things on their own. They know what they should do logically, but still find themselves reacting in ways they wish they could change. Together, we make sense of those patterns and develop practical strategies that help them feel less controlled by them and more present in their daily lives.
What I Offer:
What would change if you finally made yourself a priority?
The goal is not just to cope. It is to feel different.
The approaches I use are designed to help you understand why the same worries, reactions, and behaviors keep showing up. Once those patterns become clearer, we can begin working on practical ways to respond differently in everyday life.
CBT helps identify the thoughts and behaviors that maintain anxiety and depression. You learn to recognize automatic patterns, examine whether they’re accurate, and develop more grounded responses. Over time, many people notice these skills begin to feel more natural.
What this looks like:
Sometimes depression or anxiety creates patterns of withdrawal that make it harder to stay connected to the people, activities, and routines that matter to you. Behavioral activation means deliberately engaging in activities that matter to you, even when motivation feels absent. As your behavior shifts, your emotional experience often follows.
What this looks like:
For many people, anxiety creates patterns of avoidance that provide short-term relief but keep the anxiety going over time. For many people, anxiety creates patterns of avoidance. ERP helps you gradually face situations you have been avoiding while learning that you can tolerate uncertainty and discomfort without relying on avoidance or reassurance. Through repeated exposure, people learn they can tolerate uncertainty and discomfort without relying on avoidance.
What this looks like:
Something needs to change.
Sometimes that realization comes after months of anxiety, stress, or feeling stuck. Sometimes it comes after noticing that the same struggles keep showing up, no matter how hard you try to push through them. Online therapy is effective for anxiety, depression, trauma, and other challenges that affect how you feel, relate to others, and move through daily life. What you’re dealing with determines the approach, not where you’re sitting when we talk.
Anxiety often involves patterns of thinking that keep worry loops going. Your mind keeps asking “what if?” and never seems satisfied with the answer. The tension builds, and the cycle repeats. It makes sense that your mind keeps doing this. Anxiety is often trying to protect you from something it believes could go wrong. Therapy helps you understand what is driving those reactions and learn new ways to respond when they show up.
Depression often brings a heaviness where nothing feels worth the effort. Motivation disappears, and withdrawing from connection can feel easier than staying engaged. Even things you once enjoyed may start to feel distant or difficult to access. Therapy helps you understand what is maintaining those patterns and identify small, meaningful changes that can help you reconnect with yourself, your relationships, and your daily life.
Trauma can leave you feeling constantly on guard, even when there is no immediate threat. You may find yourself expecting something to go wrong, struggling to relax, or keeping people at a distance without fully understanding why. These reactions often developed for a reason, but they may no longer be serving you. Therapy helps you make sense of those patterns and develop new ways of responding so they no longer have the same hold on your life.
Maybe you've waited long enough.
What online therapy is actually like
Online therapy gives you the same opportunity to understand what is keeping you stuck, learn new ways of responding, and work toward meaningful change. The conversations, goals, and therapeutic approaches remain the same. The only difference is where the session takes place.
Sessions take place through a secure, HIPAA-compliant video platform. You join from any private location with internet access at your scheduled time. The structure of therapy remains the same, and your privacy and confidentiality are protected just as they would be in an office setting.
What you need:
The things that create change in therapy are not tied to a physical office. A strong therapeutic relationship, a clear treatment approach, and the willingness to practice new skills between sessions are what matter most. Those elements remain the same whether therapy happens online or in person.
Research consistently shows that online therapy can be just as effective as in-person therapy for many mental health concerns. What matters most is the quality of the therapeutic relationship, the approach used, and consistent practice between sessions. None of those are affected by the delivery method.
What research shows:
The goal is to find a space where you feel comfortable enough to speak openly without worrying about interruptions or being overheard. For many people, that means a bedroom with the door closed, an office, or even a parked car. What matters most is that you can focus on the session and feel comfortable talking.
Ideas for your session space:
How your first online session typically unfolds
Your first session is 45 minutes. We’ll talk about what brings you to therapy, what you’ve been struggling with, and what you would like to see change. I’ll ask questions to understand how anxiety, depression, trauma, or other concerns have been affecting different areas of your life. You’ll have an opportunity to ask questions, learn more about my approach, and decide whether working together feels like a good fit.
What happens:
A consultation is how we begin.
We’ll talk about what’s been happening and whether this approach feels like a good fit for you.
Yes. Research shows that online therapy produces equivalent outcomes to in-person treatment for anxiety, depression, trauma, and most mental health concerns. What matters most is the therapeutic relationship, the approach used, and consistent practice between sessions. The delivery method does not diminish any of that.
Video therapy is supported by decades of clinical research. Studies consistently demonstrate that outcomes are comparable across formats. Many people actually find it easier to engage when meeting from a comfortable, familiar space.
Your therapist’s skill and presence, your engagement with the work, and consistent practice between sessions determine outcomes. Whether you’re in an office or at home doesn’t change any of those factors.
You’ll meet at a scheduled time each week using a secure HIPAA-compliant video platform. Sessions are 45 minutes. You can attend from any private location with internet access. The structure and focus are identical to in-person therapy.
We meet at the same time each week. You log into a secure link. We talk through what’s been happening, what patterns you’re noticing, and what strategies might help. Between sessions, you practice what you’ve learned. In the next session, we will review what worked and adjust from there.
Your privacy is protected the same way it would be in an office. The platform is HIPAA-compliant with an encrypted connection. Sessions are never recorded. What you share remains confidential.
Please contact the office directly to discuss insurance coverage, rates, and payment options. We can clarify whether your plan covers online therapy and what your out-of-pocket cost would be before your first session.
Some insurance plans cover online therapy. Others may have different coverage for telehealth versus in-person. We can verify your coverage and give you clear information upfront so there are no surprises.
Many people notice changes within 4 to 6 sessions. More comprehensive change typically takes 12 to 20 sessions. This depends on the specific patterns you’re working on, how consistently you practice between sessions, and the severity of symptoms.
Weeks 1 to 4: You understand patterns more clearly and start recognizing triggers. Weeks 5 to 12: You practice new responses and notice shifts in how you react. Weeks 13 and beyond: Skills become more automatic, and you build confidence managing challenges independently.
Consistency with sessions matters most. Practicing between sessions accelerates progress. Your readiness to understand and work with the patterns shapes the pace.
Online therapy is effective for anxiety, depression, trauma, panic, OCD patterns, relationship stress, burnout, grief, and other mental health concerns. The approach remains the same whether meeting in person or via video.
Online therapy works well for most concerns, but there are situations where in-person care makes more sense. If you’re in an active crisis, need immediate physical support, or have symptoms requiring frequent psychiatric intervention, in-person care is more appropriate.
For ongoing outpatient work with anxiety, depression, trauma, and related concerns, online therapy is as effective as in-person. The key factor is consistency, not delivery method.
Sessions are conducted on a HIPAA-compliant, encrypted platform. Your privacy is protected the same way it is in an office. Sessions are not recorded. Your information is confidential and secure.
Your therapist is legally bound to keep everything you share confidential. The platform uses encryption to protect your information. Access to your records is limited to you and your therapist unless you authorize otherwise.
Initial consultations at this practice are free. The 15-minute consultation is how we find out whether this is a good fit before committing to ongoing sessions.
Community mental health centers, training clinics, and sliding scale practices offer reduced-cost options. This practice offers structured, focused work and can discuss fee arrangements during the consultation.
Progress is measurable. Early in treatment, we identify specific goals. Over time, we track how patterns are shifting, how quickly you recover from difficult moments, and how differently you respond to familiar situations.
Most people meet weekly, which gives enough time to practice between sessions without losing momentum. More frequent sessions are sometimes appropriate early in treatment or during particularly difficult periods. Frequency is always a clinical decision made together.
Start by identifying what you want to work on and what approach makes sense for your situation. Look for a licensed psychologist or therapist with specific experience in what you’re dealing with. Credentials matter, but fit matters more.
