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How can teletherapy work? How can you provide care remotely?

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Esther Lapite-GarrettE

Esther Lapite-Garrett

Licensed Psychologist
Online TherapyAccepting New Clients
How can you provide care remotely?
Remote care at Alafiora is delivered through HIPAA-compliant telehealth platforms operating under signed Business Associate Agreements, ensuring that the same standard of confidentiality that governs in-person care is fully preserved across every virtual session. For survivors of complex trauma, the screen is not a barrier to depth. It is a surface that, when held correctly, can offer a particular kind of safety. Clients are not required to be in the same physical space as their clinician, which for many removes a layer of vulnerability that would otherwise slow the early work considerably. Dr. Lapite-Garrett is acutely consent-oriented in remote sessions. She checks in consistently throughout, attends carefully to the client's nervous system state, and offers grounding support as needed without disrupting the flow of the work. Her voice is soft and deliberate. Her listening is active and precise. Clients regularly report feeling more connected and held within virtual sessions than they anticipated, not because the technology creates that, but because the quality of presence on the other side of the screen does.
Dr. Esther Lapite-Garrett is a licensed psychologist and the founder of Alafiora, a premium private practice offering depth-oriented, attachment-centered care for individuals navigating complex sexual trauma and the relational patterns that form in its aftermath. The clients Dr. Lapite-Garrett works with include survivors of rape, incest, sex trafficking, intimate partner sexual violence, and childhood sexual abuse. What followed that history is the center of her clinical practice: the love obsession, limerence, compulsive sexual behavior, hypersexuality, and emotional dysregulation that form in the aftermath of sexual harm, and that most generalist approaches were never quite equipped to treat. Alafiora is one of a small number of practices equipped to work with the full spectrum of how these patterns express themselves in contemporary life, including the migration of erotic and romantic attachment into AI companionship, parasocial bonds, fantasy-based intimacy systems, and the accelerating escalation that occurs when real-world connection no longer feels safe, satisfying, or possible. The clients who carry these presentations arrive having spent considerable financial, emotional, and psychological resources on experiences that brought temporary relief and deepening shame in equal measure. The clients Dr. Lapite-Garrett works with are not struggling with a lack of insight. They have read the books, tried the prior therapy, and understand their patterns with a clarity that has not been enough to stop them. They wake at 3am with a body that will not settle. They reach for sex or connection not from desire but from the need to feel something, or to feel nothing at all. They love with an intensity that outlasts what the relationship warrants, cycling through obsessive thought long after every rational part of them knows the situation has ended. They make choices in moments of emotional flooding that they do not recognize as their own afterward. They experience behavior escalation, spending elevations, and deepening secrecy. Even still, they find that the pattern repeats, each time carrying a little more shame and a little more distance from the person they understood themselves to be. What years of prior effort could not move, the work at Alafiora finally does. What changes in our work is structural. The clients who engage fully describe experiencing more than symptom management but a fundamental shift in the organizing patterns that formed them, patterns that prior treatment approaches could not reach. Alafiora is a private-pay practice offering sessions virtually, in person, and on location across multiple states. The practice maintains a small, intentionally limited caseload to ensure each client receives the full depth of care their history requires. Visit https://www.alafiora.com to learn more or inquire confidentially.
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Brittany WebbB

Brittany Webb

Licensed Professional Counselor
Online TherapyAccepting New Clients
How can you provide care remotely?
I provide a safe space even with it being remote. You can then be in the comfort of your home or a space that is best for you that allows you to be more present in therapy. I use a HIPAA-compliant platform for our video sessions. Teletherapy isn't for everyone, but it is a major convenient factor where you do not have to worry about parking or finding a new building.
Has stress, intrusive thoughts, or the weight of everyday life started to feel overwhelming? Do you feel stuck in patterns that make it hard to move forward, reach your goals, or even get through the day? Brittany Webb and her team at Better Minds Counseling & Services are here to support you in breaking those cycles and finding a path that feels more manageable and meaningful. Therapy is a collaborative process. Together, we create a safe, confidential, and compassionate space where you can talk openly about what you’re experiencing. You don’t have to navigate anxiety, self-doubt, or life’s challenges alone. Our goal is to help you better understand what’s happening, develop tools that actually work for your life, and reconnect with a sense of relief, confidence, and balance. If persistent negative thoughts or anxiety have been taking up too much space in your mind, you’re not alone, and reaching out for support is a powerful first step. Many people come to us feeling unsure of where to start, but through therapy they begin to feel more grounded, empowered, and hopeful. At Better Minds Counseling & Services, we use evidence-based approaches tailored to your needs. Treatment may include therapies such as Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP), both of which are highly effective for anxiety and obsessive-compulsive patterns. Our team focuses on helping clients understand their thoughts and behaviors while building practical strategies for change. If we work together, Brittany and her team at Better Minds understand that therapy can feel vulnerable and that growth often comes with ups and downs. Having a supportive and trusted guide along the way can make those challenges feel more manageable. At Better Minds Counseling & Services, we believe therapy should feel collaborative, supportive, and tailored to you. Whether you are navigating anxiety, intrusive thoughts, life transitions, or feeling stuck in patterns that no longer serve you, our team is here to help you build the skills and insight needed to move forward. You deserve support, understanding, and a space where you can feel safe being yourself.
Elysian Integrative Health and Wellness GroupE

Elysian Integrative Health and Wellness Group

Dr. Erica Strother, DNP, PMHNP-BC, FNP-BC
Online & In-PersonAccepting New Clients
How can you provide care remotely?
I offer remote care through tele-health, providing flexible and accessible appointment options for my clients. My approach involves conducting thorough evaluations to gain a comprehensive understanding of each individual's unique circumstances and health needs. Along with medication management, I integrate personalized therapy into each treatment plan, ensuring that the care I provide is tailored specifically to meet the needs of each client. In this secure and supportive virtual environment, I strive to foster a sense of connection and trust, allowing clients to engage openly in their therapeutic process. This holistic approach not only addresses mental health concerns but also promotes overall well-being, empowering individuals on their journey to better health.
Hi my name is Dr. Erica Strother, I'm a doctorate prepared dual board-certified nurse practitioner in Family Health and Psychiatry. With over 20 years of healthcare experience, I am dedicated to providing compassionate, patient-centered care that promotes overall health and well-being. At Elysian Integrative Health and Wellness Group, I specialize in working with adolescents, adults, and seniors who are navigating challenges such as anxiety, depression, college and graduate student mental health, hormone replacement therapy for both men and women, and a variety of other health concerns. I strive to create a safe, nonjudgmental space where you feel heard and supported. Using a combination of evidence-based medication management and talk/supportive therapy, I tailor each treatment plan to your unique needs, working collaboratively with you to help you achieve your goals and thrive. Our collaborative, empathetic approach integrates evidence-based lifestyle modifications, talk therapy, and medication management. We cultivate a supportive setting that encourages open communication and mutual respect, empowering clients to actively engage in their healing. By tailoring treatment plans to each person’s unique needs, we promote resilience and emotional well-being through a comprehensive focus on thoughts and feelings. As a healthcare provider, I strive to create a supportive and empathetic environment where clients feel understood, comfortable, and validated. My goal is for each session to offer practical tools and insights that enhance self-awareness and emotional well-being while addressing challenges such as anxiety, depression, and the unique pressures faced by college and graduate students. Through our collaborative work, clients develop greater resilience, a clearer sense of direction, and a deeper understanding of their personal strengths and goals, leaving each session feeling heard, supported, and hopeful. Specialties: Medication Management Talk/Supportive Therapy Motivational Interviewing Conditions treated: Anxiety Depression Academic Stress Stress Management Compassion Fatigue Career Counseling Life Coaching Peer Relationships Treatment philosophy: I firmly believe that each individual is unique and deserves personalized care that acknowledges their specific needs and circumstances. My commitment to delivering empathetic, comprehensive care encompasses effective medication management paired with supportive discussions, fostering a well-rounded approach to health. I prioritize building trust through open communication, actively engaging patients in their treatment process to ensure they feel understood and valued. Drawing on my extensive experience across various healthcare settings, including urgent care and work with underserved communities, I focus on both mental and physical well-being while emphasizing prevention and education. Through tele-health services, I aim to empower individuals by providing them with the tools and insights needed to tackle health challenges and advocate for their overall well-being. Ultimately, my goal is to create a nurturing environment in which every patient feels appreciated and supported on their journey toward better health and wellness. Treatment approach: Integrated Mind and Body Care Health Coaching & Education Culturally Sensitive Treatment Tele-health Services Preventative Health Interventions Mental Health Screening Practice description: Welcome to Elysian Integrative Health & Wellness Group your convenient, secure tele-health and mobile care solution founded by Dr. Erica Strother, DNP, PMHNP-BC, FNP-BC. As a compassionate, doctorate-prepared, dual board-certified nurse practitioner in Family Health and Psychiatry, I deliver comprehensive care to individuals across the lifespan, including pediatrics and women’s health, with a special emphasis on mental well-being. Through the Elysian virtual platform (www.elysianintegrativehealth.com), you can: • Schedule same-day or next-day video visits from any device • Receive e-prescriptions and lab orders sent directly to your preferred pharmacy or facility • Secure messaging, and educational resources 24/7 • Obtain referrals for therapy, specialty services, and community programs • Use flexible payment options, major insurance plans, HSA/FSA, and transparent self-pay rates I also provide health screenings, urgent-care assessment, and ongoing support for medical conditions. Certified in BLS and ACLS, I uphold the highest safety standards while meeting you where you are, at home, at work, or on the go. Whether you need medication management, preventive care, or guidance through a challenging time, I am here to listen, educate, and partner with you on your journey to better health. Let’s connect and begin your personalized care plan today. Elysian Integrative Health and Wellness Group/Psychiatric Evaluation Initial Consultation During this 60 minute visit, your psychiatric provider will get to know you, how you are feeling, and your current stressors. We will clarify your treatment goals and develop a plan that may include medication, talk therapy, or a combination of both. $350 Follow-Up/Long Session A 60 minute supportive therapy session to discuss how you are feeling and manage your medications, if necessary. $300 Follow-Up/Medium Session A 40 minute supportive therapy session to discuss how you are feeling and manage your medications, if necessary. $250 Follow-Up/Short Session A 20 minute supportive check in to see how you’re doing, and to review/adjust your meds [if applicable]. $150 Patient type: Adults, and Seniors