Paula Knighton, LPC

Paula Knighton is a Licensed Professional Counselor (LPC) based in Virginia with 25 years of clinical experience. She focuses on helping people manage stress, anxiety, addiction, trauma, and low self-esteem. Paula uses straightforward, practical methods to help people make changes and feel more capable in daily life.

Paula creates an open space where clients can speak honestly without judgment. She listens carefully and works at each person’s pace. Her style is direct but warm, helping people sort out feelings and set realistic steps forward.

She draws on Cognitive Behavioral Therapy to help identify and change unhelpful thinking and behavior patterns. Paula also uses Acceptance and Commitment Therapy to support values-based choices, and Client-Centered Therapy to keep sessions grounded in the client’s own goals and perspective.

Over her career she has helped people facing depression, grief, relationship and intimacy issues, sleep problems, anger, and career stress. Her practice also addresses challenges such as ADHD, chronic pain, mood disorders, and substance use concerns. Paula adapts her work to each situation rather than following a single script.

Sessions are offered by video calls, phone, live chat, or text-based messaging to fit different needs and schedules. She asks clients to arrive on time, as sessions must be rescheduled after a 15-minute delay. To begin, clients use the site’s Start Therapy button to complete a short matching questionnaire and schedule a session.

How Paula Uses CBT and ACT in Online Care

Paula often uses Cognitive Behavioral Therapy to help clients notice unhelpful thoughts and try new behaviors. CBT offers clear, practical exercises for anxiety, mood problems, and sleeping difficulties. Acceptance and Commitment Therapy is another approach she uses to help people clarify their values and take committed action even when emotions are difficult.

She combines these approaches with a client-centered stance so sessions stay focused on what matters to each person. Finding the right mix is a collaborative process - Paula and the client review goals and adjust methods together until they find what fits best.

Online therapy is offered via video calls, phone sessions, live chat, or text-based messaging to make care more flexible. Video sessions work well for in-depth conversations and exercises that use visual tools. Phone sessions can be easier when bandwidth or being on camera is an issue. Live chat and text are useful for brief check-ins, scheduling, or ongoing support between longer sessions. These options help people fit therapy into work, caregiving, or travel schedules and let licensed professionals provide regular support without everyone having to meet in person.