Gabriel Kajeckas, MD, LCSW-C, LCSW

Gabriel Kajeckas is a licensed social worker and medical doctor who brings more than three decades of clinical experience to his work. He focuses on helping people handle stress, anxiety, addictive behaviors, grief, relationship strain, and sleep or eating concerns. Gabriel uses clear, straightforward language and a calm manner to make conversations feel manageable from the first session.

He aims to help individuals identify strengths they already have and apply them to current problems. Sessions are practical and goal-oriented, with ideas you can try between meetings. Gabriel balances direct problem-solving with attention to past patterns that keep problems repeating.

Many clients come for help with family of origin issues, codependency, and process or substance addictions. He also addresses compassion fatigue, impulsivity, guilt, and life-purpose questions. Gabriel draws on Cognitive Behavioral Therapy to target unhelpful thoughts and habits while using attachment-based work to look at how early relationships affect current behavior.

He has worked with people facing cancer, end-of-life concerns, divorce and separation, and complex grief. Motivational Interviewing and trauma-focused approaches are part of his practice when clients need to resolve ambivalence or process difficult events. Gabriel welcomes people who want steady guidance and practical steps toward change.

Gabriel practices in Virginia and offers services in English. He accepts international clients and provides flexible session formats including video calls, phone sessions, live chat, and text-based messaging.

How Gabriel’s approaches translate to online therapy

Attachment-Based Therapy looks at how early relationships shape current reactions and connection patterns. In online sessions this approach helps people notice relationship habits and practice new ways of connecting in day-to-day life. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thoughts and shifting behaviors. Online CBT often includes short exercises, behavioral experiments, and clear homework to practice between meetings.

Finding the right approach is part of the work. Gabriel will talk with clients about goals, past experience, and what feels comfortable. Together they decide whether to prioritize CBT tasks, attachment-focused conversations, or motivational and trauma-focused techniques, and they adjust the plan as progress is made.

Online sessions offer practical flexibility. Video calls allow real-time conversation and visual cues, phone sessions are useful when bandwidth is limited, live chat can work for shorter check-ins, and text-based messaging supports ongoing reflection between meetings. These options make it easier to fit consistent therapy into a busy life while using methods that suit each person’s needs.