A conversation you do not have to manage for anyone else
If you are used to being capable, visible, or responsible for others, admitting that something feels wrong at home can be difficult. You might keep meetings on track, handle demanding decisions, and appear steady while privately replaying conversations or wondering whether you are being too sensitive. Being effective in a high-visibility career does not make the impact of emotional abuse less real.
You may worry about running into someone you know while seeking help. Secure video sessions remove the need to enter a local waiting room or park outside a therapy office. You choose a private setting in Virginia where you can talk without feeling watched or overheard. Discretion begins with having room to be a person, rather than maintaining an image.
When second-guessing yourself has become exhausting
Repeated criticism, blame, or gaslighting can leave you rehearsing what to say, explaining ordinary choices, or checking your memory against someone else’s version. You may feel anxious before a conversation and depleted afterward. Sometimes the hardest part is the gap between how the relationship looks to others and how it feels to you.
Therapy is a place to explore that gap without having to prove another person has a diagnosis. You can talk about what happens, how you respond, and what you need. The aim is to help you hear your own judgment more clearly and consider boundaries that fit your circumstances, without pressure to make a particular relationship decision.
Work with Jami at a manageable pace
Jami Saperstein, LPC (Virginia #0701014656), specializes in narcissistic and emotional abuse recovery. Her approach is warm, direct, and collaborative. Together, you can make sense of relationship patterns, notice self-blame, and practice ways to respond to anxiety without turning every difficult moment into another test of your competence.
You do not have to tell the whole story in the first session. Early conversations can focus on what feels most pressing: losing confidence in your decisions, struggling to hold a boundary, or feeling unable to relax. You have a voice in the goals and pace of the work.
Online sessions for Great Falls and Langley
All therapy takes place online via secure video; there are no in-person sessions. Adults in Great Falls and Langley can join from a private room at home or work. You must be physically located in Virginia during every session, even if you usually live here but are traveling on the appointment day.
Sessions are $175 per session, self-pay. A superbill is available on request if you want to seek out-of-network reimbursement. Reimbursement depends on your insurance plan and is not guaranteed. The consultation is an opportunity to ask about fit and practical arrangements before deciding whether to begin. See fees & insurance.
Frequently asked questions
Will my sessions be billed to insurance?
Yes. Jami is in network with UnitedHealthcare, Cigna, and Aetna. Coverage varies by plan, so it's best to confirm your benefits with your insurer. Sessions are $175 self-pay, and superbills are available if you'd like to seek out-of-network reimbursement.
Can I meet from my office?
Yes, if the office is physically in Virginia and you have a private room where you can speak without being overheard or interrupted. Choose a setting where you feel comfortable discussing personal matters.
Do you offer in-person sessions?
No. Sessions are online only via secure video. You must be physically in Virginia for every session; you do not need to travel to a therapy office.
Live in McLean? See online therapy in McLean.
Take a first step at your pace.
free 15-minute consultation