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
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
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My therapeutic style is warm, collaborative, engaged, and practical. I strive to create an environment in my Ashburn, VA practice where clients feel both supported and respectfully challenged at a pace that feels safe and sustainable. Therapy with me isn’t about “fixing” who you are—it’s about understanding your experiences, recognizing patterns that may no longer serve you, and moving toward a life that feels more manageable, authentic, and aligned with your values.
Before founding Trellis Therapy of Loudoun, I worked in community mental health providing intensive DBT services to adults experiencing chronic emotion dysregulation, complex trauma, and personality disorders. This deep clinical experience shapes the way I approach therapy today: with compassion, curiosity, structure, and a deep respect for the resilience people carry even in the midst of struggle.
I believe true healing happens when people feel deeply understood, emotionally safe, and accepted as they are. For that reason, I place significant emphasis on creating a therapeutic relationship grounded in trust, emotional safety, attunement, authenticity, and respect.
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I am highly trained in evidence-based therapies, including Dialectical Behavior Therapy (DBT) and am an EMDRIA-Certified EMDR Therapist. Rather than taking a one-size-fits-all approach, I integrate these modalities in a flexible, individualized way, tailoring treatment to each person’s unique needs, strengths, goals, and experiences.
Evidence-Based Modalities Weave Into Your Care:
Dialectical Behavior Therapy (DBT): Comprehensive skill-building to regulate intense emotions, manage distress, and improve interpersonal relationships.
EMDR Therapy (EMDRIA-Certified): Specialized reprocessing to resolve traumatic memories, PTSD, and painful or overwhelming past experiences.
Cognitive Behavioral & Processing Therapies (CBT / CPT): Balancing rigid thinking patterns and challenging stuck thoughts after trauma.
Acceptance and Commitment Therapy (ACT): Learning psychological flexibility to live a life aligned with your true values.
Chronic Illness Counseling: Specialized therapeutic support for individuals navigating the mental and emotional toll of long-term health conditions.
My work allows clients across Loudoun County to increase self-awareness, build practical coping strategies, strengthen emotional regulation, improve relationships, and create lasting change that extends far beyond the therapy room. Together, we explore both present-day challenges and the deeper experiences that shape how you relate to yourself, others, and the world around you.
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Driven by Purpose: From a very young age, I knew I wanted to work in mental health. Raised right here in the DMV, I am deeply passionate about challenging the shame surrounding mental health and building spaces where people feel truly seen and accepted.
How Clients Describe Me: Grounded, approachable, and authentic. I am easy to talk to, highly practical, and care deeply about the people I treat.
My Focus in Therapy: I balance warmth with absolute honesty and genuineness. My goal is to make things feel safe enough to explore, yet not so soft that we avoid the hard things that matter. I want to help you move toward meaningful change, self-acceptance, and living with more ease.
Outside the Therapy Room: I’m calm, humorous, and not afraid to be entirely authentic. I’m someone who pays attention to the small things, avoids small talk like the plague, and loves slow mornings, excellent coffee, and cozy environments.
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
Feel through difficult emotions
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.
Regulate and stabilize in the moment
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
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
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University of Virginia (2010–2014)
Bachelor of Arts in PsychologyDistinguished Majors Program, graduated with distinction
UNC School of Social Work (2016–2018)
Master of Social WorkRecipient of the McClernon Scholarship
Graduate Clinical Training – Community Resource Court (Mental Health Court), Orange & Chatham Counties in NC
Worked with individuals experiencing severe and persistent mental health conditions
Graduate Clinical Training (2017-2018), Community Support Specialist (2018-2019), and Outpatient Therapist (2019-2021) – Carolina Outreach – Durham, NC
Received thorough, multi-day trainings in:
Cognitive Behavioral Therapy (CBT)
Cognitive Processing Therapy (CPT)
Dialectical Behavior Therapy (DBT) Foundational Training through Behavioral Tech
The Bethesda Group (2021-2026) – Bethesda, MD
Adherent Comprehensive DBT and clinical work with clients experiencing emotion dysregulation, trauma-related symptoms, interpersonal difficulties, chronic distress, and high-risk behaviors
Contextually Focused Dialectical Behavior Therapy (C-DBT) Fellowship (2022–2023) - Through the University of Chicago Crown Family School of Social Work, Policy, and Practice
Advanced training in an integrative treatment model blending Dialectical Behavior Therapy (DBT) and Acceptance and Commitment Therapy (ACT)
Emphasis on contextual, attachment-oriented, and process-based approaches to therapy
EMDR Basic Training (January 2025 – June 2025) with continued consultation (2025-present)
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.