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Terra Dominguez

(she/her)

Terra Dominguez Therapies

LCSW/LICSW

Clients I Work With

I work with adults who are used to holding a lot together, but feel overwhelmed beneath the surface. You may appear capable and high-functioning, yet internally feel anxious, emotionally drained, or stuck in patterns that are hard to break. Many of my clients struggle with overthinking, self-doubt, and a constant pressure to “keep up” or get things right. There are often patterns of perfectionism, people-pleasing, difficulty setting boundaries, and feeling responsible for others. You might find yourself replaying conversations, second-guessing decisions, or feeling like nothing you do is quite enough. Some clients are also navigating the impact of past experiences or relationship dynamics that continue to shape how they feel about themselves and others.

Approach

My approach is collaborative, supportive, and focused on helping you understand what’s driving the patterns you’re stuck in, while also creating real, meaningful change. Therapy with me is a space where you don’t have to hold it all together or have the “right” answers. We slow things down, get curious, and begin to untangle the thoughts, emotions, and protective patterns that keep you feeling overwhelmed or disconnected. I integrate approaches like ACT/DBT, parts work, mindfulness, and somatic-based practices to help you not just think differently, but feel differently. Some sessions focus on insight and processing, while others are more skill-based and practical. The goal is to help you feel more grounded, build self-trust, set boundaries, and move through life with more clarity and ease.

Beliefs & Lived Experience

I believe many of the struggles people experience, like anxiety, self-criticism, and people-pleasing, develop as ways of coping, adapting, or staying safe. They’re not flaws, but patterns that once made sense. My role is not to “fix” you, but to help you understand yourself with more compassion and less judgment. I value creating a space that feels steady, genuine, and emotionally safe—where you can show up without performing or minimizing what you’re going through. I believe lasting change comes from both insight, experience and brain change: making sense of your patterns while also practicing new ways of relating to yourself, your emotions, and your relationships.

Ages Served

Adults

Services Provided

Individual Therapy

Languages Spoken

English

In Person Availability

Alexandria, VA

Specializations

Modalities

Accelerated Resolution Therapy (ART)
Acceptance and Commitment (ACT)
Attachment-Based
Cognitive Behavioral (CBT)
Cognitive Processing (CPT)
Compassion Focused
Dialectical Behavior (DBT)
Internal Family Systems (IFS)
Mindful Self Compassion
Mindfulness-Based Cognitive Therapy (MBCT)
Somatic Therapy

Specialties

Anxiety
Attachment
Burnout
Domestic Abuse
Life Transitions
Perfectionism
Phobias
Relationship Issues
Self Esteem
Sexual Abuse
Trauma and PTSD
Women's Issues

Insurance and Payment

Payment Accepted

Credit
Out of Network (Superbills Provided)
Private Pay (Superbills Not Provided)

Insurance Accepted

Aetna
Anthem
BlueCross BlueShield
CareFirst
Carelon Behavioral Health
Harvard Pilgrim
Optum
Sentara Health Plans
Surest
UnitedHealthcare UHC | UBH

State Licensed In

Texas
Virginia
Washington, DC