Michelle Brueser

LCSW, LCSW-C, LICSW, LCAS

EMDRIA Certified Therapist™

VA 0904013603 · DC LC200001409 · MD 26872 · PA CW023467 · NC C013142 · NC LCAS-24859 · DE Q1-0012789 · FL SW27157 · IL 149.030857

Founder and Owner of Trellis Therapy of Loudoun

A picture of Michelle Brueser, LCSW, the founder of Trellis Therapy of Loudoun. The image shows a smiling young woman with long dark hair standing in front of a gray brick wall, wearing a black top and a white cardigan.

VA 0904013603

NC C013142

Michelle Brueser is the founder of Trellis Therapy of Loudoun and a formally EMDRIA-Certified EMDR Therapist based in Ashburn, Virginia. Unlike baseline EMDR-trained clinicians, Michelle has met the rigorous advanced criteria set by the EMDR International Association (EMDRIA), completing extensive clinical sessions, advanced consultation, and specialized ongoing trauma training.

Operating from her practice in Ashburn, Michelle provides specialized, evidence-based trauma recovery, PTSD treatment, and Dialectical Behavior Therapy (DBT) to individuals across Loudoun County and across 8 other states via telehealth.

DC LC200001409

MD 26872

PA CW023467

NC LCAS-24859

DE Q1-0012789

IL 149.030857

About Trellis

A trellis does not force growth. It provides structure, support, and direction so growth can unfold naturally. It offers stability without rigidity, creating space for change while gently guiding.

Over time, what may have felt tangled or overwhelming can begin to feel more organized and manageable. The trellis does not create growth—it simply supports what is already there, allowing resilience, insight, and change to emerge more fully.

At Trellis Therapy of Loudoun, this reflects the heart of the work. We provide a grounded and supportive therapeutic space designed to help you better understand yourself and create the conditions where growth feels possible.

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Our Process

Personalized, Integrative Treatment

We offer a tailored, integrative approach to therapy that rejects one-size-fits-all solutions.

  • My Approach: Evidence-based, flexible, and entirely responsive to your unique strengths, needs, and history.

  • My Style: Warm, practical, and highly engaged.

  • The Framework: We balance compassion with skill-building, insight with action, and acceptance with meaningful change.

  • The Goal: To give you a judgment-free space to build skills, gain insight, and break old patterns.

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In our sessions, I will help you to…

We pay attention to the emotional and behavioral cycles that show up both inside and outside of sessions, making sense of how they are being maintained and what they are protecting or responding to.

Magnifying glass icon in dark teal color.
Magnifying glass icon in dark teal color.

Bring clarity to patterns as they emerge

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Feel through difficult emotions

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Translate awareness into usable change

Over time, we consistently return to your values and goals, helping you make decisions and changes that feel aligned with the life that you are trying to build—not just the problems you are trying to solve.

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Regulate and stabilize in the moment

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Anchor
in what matters long-term

I help you slow down and tolerate internal experience in a way that feels manageable and contained, rather than flooded or shut down.

We do not stop at understanding. I actively help you take what you are noticing and shift in how you respond, cope, and relate to others.

When needed, we will use in-session strategies to support emotional regulation, grounding, and nervous system stabilization so that you leave sessions feeling more anchored than when you arrived.

  • Warm, authentic, present style

  • Deep + practical

  • Insight + skills

  • Highly personalized and integrative treatment

How are you different from other therapists?

I approach all of my clients with:

  • Warm, authentic, non-detached style

  • Deep + practical

  • Insight + skills

  • Highly personalized and integrative treatment

  • Strong emphasis on trust and safety in the therapeutic relationship

  • Identity-affirming, inclusive care

  • Humanity, humor, and genuineness

  • Looking beyond symptoms to underlying patterns

  • Emotional intensity or difficulty regulating emotions

  • Trauma and complex trauma

  • Anxiety or depression

  • Substance use concerns

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What kinds of clients do you typically work with?

I work with adults and adolescents facing:

  • Emotional intensity or difficulty regulating emotions

  • Trauma and complex trauma

  • Anxiety or depression

  • Repeating patterns that interfere with life or relationships

  • Substance use concerns

  • LGBTQ+, gender, sexuality, identity, and related experiences

  • Repeating patterns that interfere with life or relationships

  • LGBTQ+, gender, sexuality, identity, and related experiences

  • Strong emphasis on trust + safety in the therapeutic relationship

  • Identity-affirming, inclusive care

  • Humanity, humor, and genuineness

  • Looking beyond symptoms to underlying patterns

Close-up of a wooden table with a silver laptop computer, an open lined notebook, a black pen, and a cup of coffee with latte art.

Ready to begin?

Taking the first step is the hardest — and the most important.

A free 15-minute consultation, no pressure, no commitment.

Schedule a consultation today.