Preston Sembler, LMSW
Supervisee in Clinical Social Work
In-person at Alexandria, with telehealth across Virginia
Meet Preston
Preston works with adults and couples, with a particular focus on LGBTQIA+ clients navigating sexuality, gender, self-worth, body image, relationships, anxiety, depression, and open or poly relationships. His approach is affirming, genuine, and grounded in building trust, mutual respect, and a strong therapeutic connection.
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Preston understands how important it can be to have a therapist who creates an unconditionally affirming space, especially when exploring identity, relationships, sexuality, or experiences that may not always feel understood elsewhere.
He works to build a therapeutic relationship rooted in trust and respect, giving clients room to explore what matters to them without judgment.
Therapy can be serious work, but Preston also believes there should be space for positivity, encouragement, and laughter along the way.
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LGBTQIA+ concerns
Sexuality & gender
Self-worth & self-hate
Body image
Relationship concerns
Open & poly relationships
Anxiety
Depression
Personal values
Identity & self-understanding
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Preston primarily draws from humanistic approaches, including existential and person-centered therapy.
He also incorporates behavioral and emotion-focused approaches when they better fit a client’s needs.
Self-worth and personal values are often central themes in his work. Preston helps clients explore what matters most to them, better understand themselves and their relationships, and move toward greater stability and joy in their lives.
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Preston earned his Bachelor’s degree in Anthropology from Washington University in St. Louis and his Master of Social Work from Columbia University.
His previous experience includes working with queer clients through The Trevor Project and the Institute for Contemporary Psychotherapy in New York City.
Preston currently holds an LMSW and is pursuing LCSW licensure.
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Our First Impressions Team can answer your questions, walk you through next steps, and help connect you with the Healthy Minds provider who may be the best fit for your needs.