Elaine DelBianco, LCSW
Therapist
Gender: Female | Office Location: McLean, Telehealth | States Licensed In: Virginia
Languages: English | Services Offered: Therapy | Credentials: LCSW | Age Group: 18 and Over
About Me
I’m a Licensed Clinical Social Worker, practicing since 2015. I’ve worked in a behavioral health capacity in the ER, IOP and PHP, before finding my joy as a psychotherapist. Therapy is a meaningful and dynamic process where I can connect with my clients. It’s a relationship of discovery, change, and growth for both of us. When I’m not seeing clients, you’ll find me catching up with my adult children, reading classic literature for a deeper dive, walking my dogs, or simply admiring the beauty of nature.
I work with young adults, adults, older adults, college students, professionals, and perinatal/postpartum clients. I frequently help people experiencing anxiety, depression, ADHD, OCD, grief, relationship concerns, life transitions, stress, panic attacks, self-esteem concerns, substance use, and bipolar disorder.
My Approach to Therapy
I like to think of therapy as a mountain-climbing expedition. You’re climbing your mountain, and I’m on another mountain across the valley. I can’t climb yours for you, but from where I stand, I may be able to see difficult terrain ahead, help you recognize where you could get stuck, and guide you in finding your footing or discovering a better path forward.
This perspective comes from Acceptance and Commitment Therapy (ACT), a practical approach I use to help clients navigate life’s challenges. I see myself as a curious guide rather than the expert on your life—you remain the expert. We may visit the past when it helps us better understand what is happening now, but most of our work will focus on the present and how you can move toward what matters to you.
What to Expect When Working With Me
Many of my clients come to therapy feeling caught in what can seem like a web of anxious thoughts, difficult emotions, fears, uncertainties, or persistent self-doubt. They may feel tired of being controlled by worry and want to feel more effective in their lives, resolve conflicts, strengthen relationships, and take meaningful action toward the things they care about.
Sometimes clients ask me, “What’s wrong with me?” But rather than immediately looking for what’s wrong, I’m interested in understanding your story. Once we sift through what’s going on, usually what you’re thinking or feeling really does make sense. What we’ll then explore is how past patterns of response may no longer serve you. Through therapy we can recognize those patterns and begin updating the story to better reflect your life today.
If you’re looking for someone who listens without judgment, works collaboratively, and uses practical, evidence-based strategies, we may be a good fit. I believe everyone possesses a courageous human spirit and sometimes simply needs guidance in finding it again.
Frequently Asked Questions
What concerns do you commonly help clients with?
I work with clients experiencing anxiety, depression, ADHD, OCD, grief, relationship difficulties, life transitions, stress, panic attacks, self-esteem concerns, substance use, and bipolar disorder. I work with adults across different stages of life, including young adults, college students, professionals, older adults, and perinatal/postpartum clients.
What is your approach to therapy?
I frequently use Acceptance and Commitment Therapy (ACT), which offers practical ways to respond to difficult thoughts, emotions, and life circumstances while moving toward what matters to you. In addition, I use other evidence-based approaches tailored to the concerns of each client. I see therapy as collaborative: I can provide perspective and guidance, but you remain the expert on your own life.
Can therapy help me feel less controlled by anxiety and overthinking?
Yes. Many of my clients come to therapy feeling caught in anxious thoughts, fears, uncertainty, or persistent self-doubt. Therapy can help you change your relationship with those thoughts and emotions, so they no longer dictate what you do next. We can work together to identify what matters most to you, recognize patterns that may be keeping you stuck, and find practical ways to move forward even when difficult thoughts or feelings are present.
What should I expect during my first appointment?
Our first session is an intake and assessment focused on getting to know you and understanding what brings you to therapy. I’ll ask about areas such as your family, relationships, work or school, medical history, and previous therapy experiences. You’ll also have an opportunity to ask me questions as we begin determining how we can work together.
What if I’m nervous about starting therapy?
Feeling nervous or unsure is completely normal. Working through difficult topics and opening up to someone new can be intimidating. But remember, this a safe space for you to share at whatever pace feels comfortable. It’s a collaborative process and you and I are on this journey together.
Elaine provides in-person appointments at our McLean office, as well as telehealth services for clients who prefer to meet virtually.