DIRECT SERVICES
care designed around you.

Get the support you need in a way that fits your life right now.

old wounds, life transition, lost motivation, a relationship rough patch, heavy grief, or self-discovery - you don’t have to keep navigating it alone.

HERE ARE SOME WAYS WE CAN WORK TOGETHER. 

Whatever brought you here -

INDIVIDUAL THERAPY

For when you are carrying something and feel ready to set it down, or at least take a closer look at it.

Maybe it is something that has been there for years, quietly shaping everything. Maybe it is something new that has knocked you sideways. Maybe it is something you can’t quite name yet – that is okay, too. Wherever you are, therapy meets you there. 


Our providers have different backgrounds, training, and areas of speciality, but we are all grounded in the same With/And philosophy: attunement, connection, and acceptance of coexisting truths pave the way for healing.

GROUP THERAPY

You are not the only one, and you don’t have to do this alone. 

Group therapy is a powerful, underestimated path to healing. It is a place where:

  • You can ease in. It’s a meaningful way to explore coping strategies and the therapeutic process without having to dive deeper into your deepest stuff right away. 

  • You may feel less alone as you hear from others who have navigated similar struggles.

  • You will build real skills. Strengthen how you handle your emotions, relationships, and harder life moments.

  • You can access care within your budget. Groups are more affordable than individual therapy without being less impactful.

COUPLE’S* THERAPY

For when you are carrying something and feel ready to set it down, or at least take a closer look at it.

Every relationship has its own patterns. Some of them work! Some of them lead you back to the same argument, the same distance, the same feeling of not being seen or understood. 

Therapy with a partner(s) helps you clearly understand each other’s needs, identify the stuck points , and establish a dynamic built on honest communication and genuine connection. 

Couples therapy can be a lifeboat for a relationship in crisis. That said, many partners come in for a "tune-up" during stressful seasons. Newer relationships engage in couples therapy to build a stronger foundation early on. 

*A note on language: We use the term “couples” to refer to all relationship structures. With/And fully affirms  consensual non-monogamy, open, and poly relationships.

SURGICAL READINESS ASSESSMENTS

For when you’ve decided what you want, we are there to help you get there.

If you're considering gender-affirming surgery, you might need a psychological readiness evaluation and referral letter from a mental health provider. We can help with that process.

We offer surgical readiness assessments for our existing therapy clients and for anyone seeking a referral letter for gender-affirming treatments and procedures.

Over the course of one-to-two sessions, we will discuss your overall mental health, as well as your plans for gender-affirming care, including the associated costs, medical provider, timeline, and post-operative recovery. We practice under the current Standards of Care of the World Professional Association of Transgender Health (WPATH). 

Our job is never to gatekeep your body or second-guess your decision. We are here to help you feel informed, prepared, and grounded as you move forward.

RESTORATIVE JUSTICE

For when something has been broken and you want genuine repair. 

Conflict has a way of leaving people stuck — like there's no clear path forward. 

Restorative Justice (RJ) at With/And creates a different kind of space. Whether you are looking to build connection within a community before conflict arises, or you are in the middle of something hard and need a way through, our RJ circles bring people together to share their experiences honestly, name what they need, and find a way through together. If harm has occurred, we can work toward something that feels like real accountability and — when possible — genuine repair. Whether you're navigating something personal, within a team, or across a larger group, this process meets you where you are.

INVESTMENT

90-minute

INITIAL INTAKE
SESSION

$275

53-minute

INDIVIDUAL
THERAPY SESSION

$225

75-minute

COUPLES THERAPY SESSION

$350

75-minute

GROUP THERAPY
SESSION

$150

90-minute

SURGICAL READINESS ASSESSMENT

$275

90-minute

RESTORATIVE JUSTICE MEETING

$225

THESE NUMBERS REFLECT THE GOING RATES FOR THERAPY SERVICES IN THE DC/NORTHERN VIRGINIA AREA —

AND WE KNOW IT CAN STILL FEEL LIKE A LOT.

HERE ARE A FEW
THINGS worth knowing:

THESE NUMBERS REFLECT THE GOING RATES FOR THERAPY SERVICES IN THE DC/NORTHERN VIRGINIA AREA —

We can provide a superbill after each session, which means that if you have out-of-network benefits (many people do; it’s worth a quick call to your insurance to check), you may be reimbursed for a significant portion of the cost.

We also offer equity pricing for those who need it. Not sure what’s possible for your situation? Get in touch! We’re happy to talk it through and figure out what works.

WHAT CLIENTS ARE SAYING

  • “you all  have quite literally changed my life. thank you for seeing me. THANK YOU FOR BEING IN MY CORNER AND MAKING ME FEEL LESS ALONE."

  • "IT'S NOT LOST ON ME HOW MUCH EFFORT AND ATTENTION MY CASE HAS REQUIRED, but i hope you know that those moments in which you showed up biggest for me were some of the most consequential in my healing."

  • “the work we have done together has GIVEN ME MY JOY BACK"

  • "I UNDERSTAND THAT THIS NEXT CHAPTER — which I'm truly elated about —likely wouldn't be if it weren't for you."

TRAINING

Learning that meets you where you are

With/And cares deeply about the growth and development of mental health clinicians entering our field. We offer structured and supportive opportunities for training at multiple points in the professional development process.

  • BLACK LIVES MATTER

    We stand firmly against anti-Black racism in all its forms. Black lives matter — fully, unconditionally, and without exception. We are committed to listening, learning, and acting in solidarity.

  • BODY TRUST, FAT LIBERATION, & HEALTH AT EVERY SIZE

    Every body deserves dignity, respect, and access to care — free from stigma and shame. We reject diet culture and fatphobia, and we affirm that health and worth are not determined by body size.

  • COEXISIT

    We believe in the inherent dignity of every faith, worldview, and belief system. We are committed to interfaith understanding and stand against religious discrimination, persecution, and bigotry of all forms.

  • GENDER EQUALITY

    We are committed to gender equity for all, including women, non-binary, transgender, agender, and gender-nonconforming people. Dismantling patriarchy and gender-based oppression is central to our values.

  • GLOBAL ACCESSIBILITY

    Accessibility is a right, not a feature. We are committed to creating spaces, services, and experiences that are fully inclusive of Disabled people — centering their expertise and lived experience in everything we do.

  • KINK & POLY AFFIRMING

    Consensual relationship and sexual diversity belong here. We affirm polyamorous, kink, and BDSM communities as part of our broader commitment to liberation — recognizing that who we love and how we love are personal, valid, and deserving of dignity. We value consent, care, and community.

  • LAND, LABOR, & DECOLONIZATION

    With/And operates on the ancestral homelands of the Piscataway Conoy, Manahoac, Algonkian, and Iroquois peoples, who stewarded this land for thousands of years before being displaced by colonial expansion. We also honor the enslaved African and African American people whose labor built this region. We believe this acknowledgment extends beyond our own geography — we stand in opposition to genocide, colonialism, and slavery in all forms, wherever they occur and whenever they have occurred, and in solidarity with every people whose land, labor, and lives have been taken from them.

  • LGBTQIA+ PRIDE

    We celebrate every identity across the full spectrum of sexuality and gender — including our Black, Indigenous, and People of Color LGBTQ+ community members, whose voices and leadership shaped this movement.

  • NEURODIVERSITY INFINITY

    Human minds work in beautifully different ways. We honor and affirm neurodivergent people — including those with Autism, ADHD, Dyslexia, and Learning Differences. We reject any framing that treats neurological differences as deficiency.

  • PRO-IMMIGRANT

    Immigrants and refugees enrich our communities, our culture, and our shared humanity. We stand in full support of immigrant rights, pathways to belonging, and an end to policies rooted in xenophobia and exclusion.

Healing requires honesty. We name the harmful histories of our community. We reckon with how colonial legacies, capitalist structures, and interlocking systems of power continue to shape our lives. We commit to doing better. We pledge to actively listen to and amplify marginalized voices, to examine how these histories show up in our own practices, and to take meaningful action in how we build relationships, allocate resources, and show up in our community. This is ongoing work. We hold ourselves accountable to it.