About Andrea
Andrea Dilley-Frame is a licensed professional counselor in Virginia with 20 years of experience. She helps people facing depression, anxiety, trauma, mood disorders, and addiction. Andrea focuses on practical steps people can use each day to feel steadier and more in control.
She pays attention to how past experiences shape current reactions. That includes attachment difficulties, abandonment wounds, and family of origin problems. Sessions often look at communication patterns, control issues, and how stress shows up in the body as well as the mind.
Background and approach
Her work brings together somatic ideas with cognitive and skill-based approaches. That means noticing physical signs of stress, learning grounding skills, and practicing new ways of thinking and relating. Andrea also uses mindfulness and strategies drawn from Dialectical Behavior Therapy to build emotion regulation and distress tolerance.
Clients can expect a calm, steady presence and a focus on clear, achievable goals. Conversations are direct but compassionate, with attention to safety and pacing. The aim is to help people develop tools they can use outside of sessions to handle daily pressure and relationship strain.
Andrea supports people through workplace stress, substance use concerns, self-harm history, and complex trauma symptoms such as post-traumatic stress. Her style balances exploration of early patterns with hands-on skills training to reduce symptoms and improve daily functioning.
How somatic work and skills translate to online therapy
Somatic-informed work pays attention to how stress and emotions show up in the body. In practice this can mean learning to notice breath, tension, and grounding sensations, then using simple body-based techniques to reduce overwhelm. Attachment-Based Therapy looks at patterns in relationships and helps people understand how early bonds affect current trust, closeness, and conflict. Cognitive Behavioral Therapy (CBT) focuses on the link between thoughts, feelings, and actions and teaches practical skills to change unhelpful thinking and behavior.Finding the right mix of approaches is a collaborative process. The therapist and client will talk about goals, preferences, and what feels safe. Together they decide whether to lean more on body-focused strategies, relationship work, or cognitive skill-building and adjust the plan over time.
Online therapy offers a range of ways to connect, including video calls, phone sessions, live chat, and text messaging. That variety makes it easier to fit sessions into a busy life and to use formats that feel most comfortable for practicing skills between meetings. The combination of somatic awareness, attachment exploration, and CBT-based tools can be delivered effectively through these remote formats to support steady progress.
Frequently asked questions
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Specialties and expertise
Top specialties
Also works with
- Abandonment
- Attachment issues
- Bipolar disorder
- Codependency
- Communication problems
- Control issues
- Depression
- Drug and alcohol addiction
- Family of origin issues
- Family problems
- Mood disorders
- Personality disorders
- Post-traumatic stress
- Self-harm
- Workplace issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- Virginia
- Languages
- English