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.
Men's Mental Health
Depth work for men navigating depression, identity, anger, grief, and the cost of disconnection.
LGBTQ+ Affirming Therapy
Affirming, depth-oriented care for LGBTQ+ adults — identity, relationships, minority stress, and trauma.
Somatic Experiencing Therapy
Body-oriented trauma healing that works with the nervous system, not just the mind. Certified SEP practitioner.
Psychedelic Integration Therapy
Clinically grounded support for processing ketamine-assisted therapy and plant medicine experiences.
Clinical Supervision
LICSW supervision for associates and contractors seeking independent licensure in DC, MD, VA, NJ, and NY.
Remote & Telehealth Therapy
HIPAA-compliant teletherapy across DC, MD, VA, NJ, and NY. Same depth of care, more privacy and flexibility.
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.
Read this before you decide
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
"Asking for help isn't the hard part. Believing you deserve it is."
Joseph W. LaFleur Jr., LICSW, MBA
Clinical Director & Principal
Built Differently. Built For You.
Two Commitments Define This Practice
One is how we protect you. The other is how we earn your trust.
Pillar One
Privacy From First Contact
Reaching out for therapy should not cost you your privacy.
Our Alias ID intake system protects your identity the moment you arrive — so your interest in therapy is never tracked, profiled, or followed across the internet.
- No personal information required at first contact
- No tracking pixels, no cross-site identifiers, no conventional contact forms
- No digital footprint attached to your inquiry
- You decide when, whether, and how to share your real identity — on your terms
A provisional patent is pending on the Alias ID intake architecture.
Pillar Two
Clinical Knowledge You Can Trust
Our Clinical Research Library houses licensed peer-reviewed scholarly articles, each selected and clinically reviewed by Joseph W. LaFleur Jr., LICSW, MBA, C-PATP.
- Every article carries a Living Clinical Ledger — credentials, source, and review date visible on every page
- Every selection is made by a senior licensed clinician, not a content algorithm
- Every piece reflects the evidence base that informs your care
When you work with this practice, you are working with clinicians who engage seriously with the research that shapes modern mental health care.
Visit the Research Library →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