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
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My therapeutic style is warm, collaborative, engaged, and practical. I strive to create an environment 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 starting 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. It shaped 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 healing happens when people feel deeply understood, emotionally safe, and accepted as they are. For that reason, I place significant emphasis on creating a relationship grounded in trust, emotional safety, attunement, authenticity, and respect.
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I’m highly trained in evidence-based therapies including Dialectical Behavior Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Behavioral Therapy (CBT), Cognitive Processing Therapy (CPT), and Acceptance and Commitment Therapy (ACT). Rather than taking a one-size-fits-all approach, I integrate these modalities in a flexible and individualized way, tailoring treatment to each person’s unique needs, strengths, goals, and experiences.
My work allows clients to increase self-awareness, build practical coping strategies, strengthen emotional regulation, improve relationships, process painful or overwhelming experiences, and create lasting change that extends beyond the therapy room. I believe that the ways we think, feel, and respond often develop for important and understandable reasons. 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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From a very young age: knew that I wanted to work in mental health; raised in the DMV; wanted to challenge the shame surrounding mental health and build spaces where people feel truly seen.
People often describe me as: grounded, approachable, and authentic; easy to talk to; deeply cares about people.
In therapy I’m focused on: balancing warmth with honesty and genuineness; making things feel safe enough to explore, yet not so soft that we avoid things that matter; helping you move towards meaningful change, self-acceptance, and more at ease in your own life.
Outside of therapy: calm, easy to talk to, humorous, not afraid to be authentic, someone who pays attention to the small things, avoids small talk like the plague
A few of my favorite things: Slow mornings, excellent coffee, 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 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
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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.