
Faith Integrated Therapy for Alexandria, VA Clients
October 13, 2026
See how Christian faith and professional psychotherapy can work together through Virginia telehealth.
Professional therapy that makes room for faith
You want professional therapy that takes your Christian faith seriously without replacing clinical care with religious direction. If you are searching for faith integrated therapy in Alexandria, VA, this guide explains how licensed therapy differs from pastoral care, how Christian principles may be included, and what happens during telehealth sessions. It also covers intake, privacy, fees, insurance, and scheduling with Integrated Counseling Services, LLC.
Understanding faith-integrated clinical therapy vs. pastoral care
Faith-integrated therapy remains clinical psychotherapy. It addresses emotional, behavioral, and relationship concerns using professional assessment and therapeutic methods. Your beliefs, values, spiritual practices, and church experiences can become part of that work when relevant to you. Clinical literature available through Ovid describes spiritually integrated psychotherapy as combining psychological science with a client’s religious beliefs and practices.
Pastoral care has a different purpose and setting. It is generally provided by a pastor, chaplain, or other ministry leader and may focus on spiritual guidance, worship, church life, or theological questions. Licensed psychotherapy focuses on mental health assessment, treatment goals, symptom patterns, coping skills, and changes in daily functioning.
The two forms of support do not have to compete. You might speak with a pastor about a spiritual concern while working with a licensed therapist on anxiety, grief, family conflict, or another clinical issue. The relationships remain separate. A therapist should not contact your pastor or another outside professional without your written permission, except where disclosure is required or permitted by law.
A useful question for a prospective therapist is: “How will you respect my faith while keeping treatment clinically grounded?” The answer should leave room for your preferences. Faith integration should not mean that the clinician imposes personal beliefs, assumes every difficulty has a spiritual cause, or treats prayer as a substitute for mental health care.
How clinical methods and Christian principles work together
Clinical methods provide the structure for treatment. Faith can help shape the language, values, and resources used within that structure. The balance depends on your goals and how directly you want Christianity discussed.
For example, Cognitive Behavioral Therapy examines links between thoughts, emotions, and actions. In faith-integrated work, you might explore whether a belief is accurate, helpful, or connected to guilt, fear, forgiveness, responsibility, or grace. The clinical task remains identifying patterns and developing healthier responses. Christian language may make that process more personally meaningful to you.
Acceptance and Commitment Therapy takes a different approach. It helps you notice difficult thoughts without letting them control every decision and asks what values you want your actions to express. If faith is central to your life, Christian commitments may help you define those values and choose practical next steps.
Scripture, prayer, or contemplative practices may be discussed when you want them included. These should be collaborative tools rather than directives. Before prayer is used in a session, you and the therapist can clarify whether you want it, what role it will serve, and who will speak. A clinician may also help you notice whether a spiritual practice supports emotional engagement or avoids painful feelings.
Faith can be a source of strength or part of the distress you bring to therapy. You may draw comfort from prayer and Christian community while struggling with religious guilt, spiritual burnout, unanswered questions, or a painful church experience. Clinical therapy can make room for both without prescribing a rigid doctrinal answer. For a closer look at one application, read my guide to faith-informed anxiety counseling.

Faith Integrated Therapy in Alexandria, VA
I’m Douglas Rizzo, the Licensed Professional Counselor behind Integrated Counseling Services, LLC. As a Liberty University graduate, I provide Christian-based counseling for clients seeking comfort and guidance within a Christian framework alongside professional psychotherapy. I bring more than 34 years of clinical experience to this work.
I provide telehealth only in Virginia, serving out of Alexandria. You must be physically located in Virginia when the telehealth service is delivered; I do not offer in-person counseling sessions.
Faith-informed counseling is one option within my broader clinical work. I specialize in individual psychotherapy and also work as a parent consultant on parent-child concerns. The practice works with adults, youth, and families across concerns that include men’s issues and support for neurodivergent or highly sensitive individuals. You can review my clinical psychotherapy and consultation services before deciding whether the scope fits your needs.
What to expect in virtual intake and ongoing telehealth sessions
Your first virtual appointment establishes the clinical and practical foundation for therapy. Before or during intake, expect to review consent forms, telehealth arrangements, privacy, payment responsibilities, and cancellation terms. You will also need a private location, stable internet connection, and a device that supports secure video.
Location matters even if your permanent address is in Alexandria. Under Virginia Board of Counseling guidance, a counselor must confirm that a telehealth client is physically in Virginia when services are delivered. Your identity and current physical location may therefore be verified at the start of a session. You may also be asked for an emergency contact and a phone number to use if the video connection fails.
The clinical part of intake usually covers more than the immediate reason you made the appointment. A therapist may ask about current symptoms, family and relationship history, physical health, medications, earlier treatment, daily functioning, and the changes you hope to make. Honest answers help distinguish a short-term reaction from a longer-standing pattern and support an appropriate treatment plan.
In faith-integrated care, the therapist may also ask how Christianity affects your life. Topics can include your faith background, prayer or Scripture practices, church community, sources of spiritual support, and religious concerns contributing to distress. You decide how central these subjects should be. You can request more explicit integration, ask for a lighter approach, or say that a particular practice is not helpful.
Ongoing sessions generally move from assessment towards agreed treatment goals. You might examine a recent situation, practice a clinical skill, consider how your beliefs influence a response, or identify an action to take before the next appointment. Progress can be reviewed so treatment remains connected to the concerns that brought you in.
Therapy conversations are generally confidential, but confidentiality has legal limits involving safety and required reporting. According to the U.S. Department of Health and Human Services, HIPAA permits certain limited disclosures when needed to address a serious and imminent threat. Routine communication with a pastor, physician, or family member generally requires your voluntary written authorization.
Scheduling, insurance, and getting started from Alexandria
I provide 60-minute private-pay or out-of-network sessions at a rate of $200. Reduced-fee services may be available on a limited basis.
My listed insurance plans include CareFirst PPO commercial and federal plans, Blue Cross Blue Shield PPO Global or National Account plans, CareFirst BlueChoice HMO, Anthem PPO, Tricare Prime or Standard, and Cigna. Coverage depends on your plan, so confirm your benefits and any deductible, copay, or authorization requirements. Current details are available on my rates and insurance page.
My cancellation policy requires at least 48 business hours’ notice. If you miss an appointment or give less notice, you are responsible for the full session cost. Consider how weekends and business hours affect that deadline when rescheduling.

Request a telehealth appointment
To ask about beginning Christian-based telehealth counseling with Integrated Counseling Services, LLC, call me at (703) 348-7647, email Therapist@gmail.com, or use my contact page. I can help you identify the next administrative step for care while you are in Virginia.
Share on:
Read Next:

Integrating Faith and Therapy: How Counseling Works
See how Christian counseling can respect your beliefs while using established clinical tools to address emotional and re...

Faith-Based Counseling in Alexandria, VA: A Guide
See how Christian beliefs can inform professional psychotherapy while preserving sound clinical care and ethical boundar...

Telehealth Therapy: How to Find the Right Fit Online
Decide if online therapy suits your anxiety or depression
Effective therapy doesn't always need an office. Research from ...