Tracey Cain

Hi, I'm Tracey — an LCSW, Certified Trauma Specialist, and certified DBT therapist working with adults and teens throughout Virginia, all via telehealth. I specialize in intergenerational trauma: the emotional and nervous-system patterns that get quietly passed down through families, often without anyone realizing it's happening.

I hold a master's in social work from Fordham and bring over five years of clinical experience working with anxiety, depression, PTSD, relationship challenges, and women's mental health. Most of the people I work with have spent years trying to think their way out of patterns that, it turns out, live in the body — and they're ready to try something different. I get it, and I'm genuinely glad you're here.

I tend to be direct and warm, and I'll bring humor into the room when it fits. Therapy is real relationship work, and I'd rather you get a sense of who I actually am before we start.

I use an integrated approach rooted in CBT, DBT, and mindfulness-based therapy, with a trauma-informed lens woven through every session. I'm also trained in TRE (Tension and Trauma Releasing Exercises) through The Resilience Effect — so I pay close attention to how trauma shows up in the body, not just in thought patterns.

In practice, this means structured skill-building with genuine flexibility. Together, we'll identify the emotional patterns and core beliefs driving what brought you in, build real tools to interrupt them, and explore where those patterns started — not to dwell in the past, but to stop being unconsciously run by it. Every treatment plan is tailored. There's no one-size formula here.

The first session is a real conversation — not a checklist. We'll talk about what brought you in, in your words and at your pace, and I'll ask questions to help me understand both what's happening now and what might be underneath it. By the end, you'll have a clearer sense of how I work and whether this feels like the right fit for you.

I accept Aetna, Anthem BCBS, CareFirst BCBS, Carelon Behavioral Health, Cigna, and Kaiser Permanente Mid-Atlantic. I also offer a free 15-minute consultation before our first session — a low-stakes way to connect before committing. You can book that directly through my website