Telehealth · Virginia & Maryland
I'm Jeff Taulbee, a licensed counselor in Virginia and Maryland. I use CBT, ERP, ICBT, and ACT — the approaches with the strongest evidence behind them — to help people get their lives back from anxiety and OCD.
2 business days to a reply 8 plans in-network LPC Virginia · LCPC Maryland
If you're struggling
Roughly one in five American adults lives with a mental illness in a given year. That doesn't make what you're going through any less painful, but it does mean you are not alone — and you are not out of options.
Both anxiety disorders and OCD are self-reinforcing, which is the part that makes them so hard to escape on your own: the things that bring relief in the moment — avoiding the situation, using strategies to feel safe, asking for one more piece of reassurance — are often the same things keeping the problem alive. That isn't a character flaw, it's how these disorders work.
The good news is that these problems respond to treatment. If you've struggled to make progress on your own, or if you've found that previous therapy experiences haven't been successful, it might be time to try specialized treatments for anxiety and OCD.
Anxiety is your brain's "threat detection system," and it's a healthy emotion until it becomes disproportionate to the actual danger. Then it starts making your decisions for you: your world shrinks to what feels safe, and a lot of people white-knuckle their way through years of it in silence.
CBT · Mindfulness · ACTIntrusive thoughts uncomfortable enough that you can't dismiss them, followed by rituals meant to neutralize them. Compulsions do work — briefly. But they work like scratching a poison ivy rash: the itch just keeps coming back stronger.
ERP · ACT · ICBTProvide a brief description of what brings you to therapy, what you're looking for, and any questions that you might have. I do my best to respond to messages within 2 business days.
I'm in-network with seven plans in Virginia and eight plans in Maryland. See below for a full list of my accepted plans, as well as my self-pay rates.
Schedule a free 15-20 minute consultation call to discuss what you're looking for, and provide the opportunity to answer any questions that you might have about myself or my approach to therapy. If I'm not the right fit for you, I'll do my best to point you toward someone who is.
The first session is typically focused on developing a better understanding of your life and what progress might look like for you. From there we will collaboratively develop a treatment plan.
Fees & insurance
A limited number of sliding-scale slots are available for clients who cannot access treatment due to financial limitations.
About
Therapy is a collaborative effort. It requires that both of us trust each other, respect each other, and are willing to communicate honestly. My goal is to bring a compassionate, authentic attitude to the work and to respect your individuality — which means understanding the whole person, not just the problem in front of us.
It also has to be informed by the best available science. I've had the privilege of working with hundreds of clients across inpatient hospitals, outpatient clinics, and private practice. Alongside Wayfarer Counseling I work at the Anxiety and Stress Disorders Institute with other anxiety and OCD specialists, I've taught graduate psychotherapy courses to therapists in training, and I lead workshops training colleagues in advanced treatments for anxiety and OCD.
I'm passionate about this field, and I'd consider myself lucky to have the opportunity to help you.
Cognitive Behavioral Therapy. This is the workhorse of evidence-based therapy: we find the loops of thought and behavior that keep a problem running, and we change them on purpose. It's practical, and it works because you keep practicing it between sessions.
Exposure and Response Prevention. Decades of research back this up: it's the most effective treatment we have for OCD. You approach what the obsession fears, and you don't do the compulsion. It's uncomfortable by design, but it's done gradually and with your consent - and it works.
Inference-Based Cognitive Behavioral Therapy. A newer OCD treatment: instead of targeting the anxiety, it targets the faulty reasoning behind the doubt. OCD talks you out of what your senses are telling you and into an imagined possibility - "I did lock the door, but maybe I only think I did." ICBT traces how you got there and rebuilds trust in your own perception. It's a real option if you can't tolerate ERP, or if ERP just hasn't worked for you.
Acceptance and Commitment Therapy. Get clear on what you actually value, then move toward it without waiting for the hard feelings to leave first. That's the goal here: not eliminating a feeling, but making sure it doesn't get to drive your decisions.
Get in touch
The form below is short, and a couple of sentences about what's going on is enough to start. I reply within two business days.
Hours
This is not a crisis service. I run a solo practice, so I read messages during business hours. Nights, weekends, and the hours I'm in session can all pass before I see yours.
If you're in danger right now, or you're thinking about ending your life, don't wait on an email reply. Any of these reach a real person immediately, and all of them are free:
Using one of these doesn't mean you've given up on therapy, or on me. Get through tonight. We can figure out the rest once you're safe.
Reach out
Inquiries reach me through SimplePractice - the same system that handles my scheduling and records. It's protected under HIPAA from the moment you hit send, which ordinary email isn't. Say as much or as little as you like.
What it asks for
The date of birth is how the practice tells records apart, not a commitment to anything. Filling this out doesn't book you an appointment or obligate you to one. I reply within two business days.
If you'd rather not use a form. Email JeffreyTaulbee@WayfarerCounseling.com or call 410-983-3844. Both reach me directly and both are fine.
One thing worth knowing about email: I use Google Workspace under a signed Business Associate Agreement, so anything that lands in my inbox is stored under HIPAA. What I can't control is the trip from your provider to mine - that leg isn't encrypted end to end. So keep email broad, and save the real detail for session. The contact form doesn't have that gap.