Where limits
become beginnings.

Sometimes you know something needs to change, even if you're not quite sure where to begin. You might be navigating anxiety, relationship difficulties, a major life transition, or patterns that leave you feeling stuck.Therapy offers a space to better understand yourself, explore what's no longer working, and develop new ways of responding to life's challenges. Together, we'll work toward greater flexibility, more intentional choices, and a life that reflects what matters to you.

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.

THE WORK WE DO

Understanding yourself
is a good place to start.

Most of us develop ways of thinking, responding, and relating to others that make sense at some point in our lives. But those same patterns don't always continue to serve us.I provide individual therapy for adults who want to better understand what's keeping them stuck, develop a different relationship with difficult thoughts and emotions, and make meaningful changes in the direction of what matters to them.

LEARN MORE ABOUT THERAPY →

ABOUT THRESHOLD

Threshold Counseling & Consulting
provides thoughtful, evidence-based
individual therapy for adults.

My approach is warm, collaborative, and focused on helping you develop greater psychological flexibility, navigate difficult experiences, and take meaningful steps toward the life you want to build.

LEARN MORE ABOUT ME →

Elise Angelos, PhD, counselor at Threshold Counseling & Consulting

ABOUT ELISE

A space to do the harder, more honest work, together.

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.

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

You can understand yourself pretty well and still find yourself stuck in the same patterns. Sometimes insight comes easily. Figuring out what to do with it is the harder part.That's the kind of work I enjoy. I like asking questions, connecting the dots, and looking beyond the obvious. I'm interested in understanding not just what's happening in your life, but what's keeping you from moving in the direction you want to go.You can expect genuine conversations, thoughtful questions, and honest perspectives. I won't push you toward conclusions or pretend there's a simple answer to everything. But I also won't shy away from difficult conversations when they matter. And somewhere in all of that, there's usually room for a little humor.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.

For adults in Virginia and Ohio who want to understand their patterns and make meaningful changes.Ohio scheduling and payment options are confirmed directly.

What brings you here?

Patterns that keep repeatingAnxiety, overthinking, perfectionism, people-pleasing, or difficulty setting limits.

Relationships and life transitionsChanging roles, relationship difficulties, and competing demands.

From understanding to actionPractical steps to try between sessions, with room to reflect and adjust.

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?
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 →