Therapist writing notes as patient shares issues

Joseph W. LaFleur Jr., LICSW, MBA  ·  Washington, DC  ·  25+ Years

Healing doesn't wait until you're ready.
Neither do we.

Clinical Director & Principal  ·  District Counseling and Psychotherapy

Depth-oriented, trauma-informed psychotherapy in Washington, DC. Specializing in men's mental health, LGBTQ+ affirming care, Somatic Experiencing, and psychedelic integration therapy.

No personal information required at first contact. No tracking pixels. No digital footprint. How we protect your privacy →

Privacy & Confidentiality

Your first contact does not require personal information. We use HIPAA-compliant systems and minimize digital traces wherever possible.

Our Services

What We Offer

Depth-oriented, evidence-based care for individuals navigating complex challenges. All services available via secure telehealth across DC, MD, VA, NJ, and NY.

Built Differently. Built For You.

Privacy-First Architecture™ — Patent Pending

Two commitments protect you from the moment you arrive.

Pillar One

Secure Intake, Enclosed Records

Reaching out for therapy should not put your privacy at risk.

Your first point of contact is routed through our secure, encrypted patient portal — never an open web form, never unsecured email.

  • No personal information required at first contact
  • No conventional contact forms or unsecured email intake
  • Your care is held inside a structured, secure records environment
  • Clinical messaging stays off SMS and consumer email by design

Patent pending on the intake architecture described above.

Request Secure Portal Intake →

Pillar Two

No Tracking, No Profiling

This site is built so your visit stays yours.

We do not deploy advertising pixels or cross-site identifiers on this domain — your interest in therapy is not something we let advertisers follow.

  • No tracking pixels, no cross-site identifiers
  • No retargeting, no behavioral ad profiling
  • You control the reveal — on your terms, at your pace

No digital system can claim absolute immunity from every internet-wide risk — but this layout is intentionally built to minimize what's collected in the first place.

How We Protect Your Privacy →

Before You Decide

Not sure therapy is for you?

Most people think about it for a long time before reaching out. These resources are for that moment.

Wondering if you need counseling or psychotherapy?

Take our self-guided assessment to explore what kind of support might be right for you.

Self-Guided Assessment →

Free Resource

Ready to deepen your connections?

This practical empathy guide includes:

  • · The four components of empathic response
  • · Real-world practice scenarios
  • · Proven phrases for reflective listening
Download the Empathy Worksheet →

"Asking for help isn't the hard part. Believing you deserve it is."

Joseph W. LaFleur Jr., LICSW, MBA
Clinical Director & Principal

Ready When You Are

Take the Next Step, Privately

Ask a confidential question first, or go straight to our secure patient portal to begin intake — whichever feels right for you.

Pillar Three

Preparing for the End of Life — With Clinical Support

Death is the most intimate event any of us will face — and most people arrive at it without ever having explored what dying means to them, what they want it to look like, or what they need to say before it happens.

As the only clinician at this practice holding dual certification in both Somatic Experiencing (SEP) and psychedelic-assisted therapy (CPTAP), Joseph W. LaFleur Jr. brings a clinical perspective uniquely suited to this work — integrating body-based trauma processing with the existential and mortality-related material that surfaces in psychedelic experiences, including esketamine nasal spray and sublingual ketamine troches.

Our End-of-Life Planner and Journal is a clinically informed resource designed to support clients in exploring their values, documenting their wishes, processing their relationship to mortality through somatic and psychoanalytic frameworks, and anchoring psychedelic integration work in practical, relational action.

This is not a checklist. It is a therapeutic companion — built for people who want to approach the end of life with the same depth, intentionality, and care they bring to living.

  • Somatic reflection prompts grounded in body-based awareness of mortality
  • Values clarification rooted in felt sense, not abstraction
  • Structured space for letters, legacy work, and relational repair
  • Comprehensive accounts and access documentation for survivors
  • Psychedelic integration section for clients working with ketamine-assisted therapy
  • Designed to extend the therapeutic process between sessions