Michelle Brueser

LCSW, LCSW-C, LICSW, LCAS

Founder and Owner of Trellis Therapy of Loudoun

Actively Licensed in Multiple States

I’m a licensed clinical social worker who specializes in working with adults and adolescents navigating trauma, anxiety, emotional overwhelm, relationship challenges, and patterns that leave them feeling stuck or disconnected from themselves. I provide identity-affirming, LGBTQ+-inclusive care and work with clients from diverse backgrounds and experiences.

VA 0904013603

DC LC200001409

MD 26872

PA CW023467

NC C013142

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.

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.

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.

Bring clarity to patterns as they emerge in real time

Feel emotions without becoming overwhelmed

Translate awareness into usable, real-world 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.


Build regulation and stability in the moment, not just in theory

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

Stay anchored in what matters to you long-term

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

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

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.