Irene Ilachinski


Irene Ilachinski


Telehealth Available
Professions: Clinical Social Worker, Other
License Status: I'm a licensed professional.
Primary Credential: Clinical Social Work - 0904006259
Billing and Insurance:

I don't currently accept insurance, but I can provide documentation if clients wish to submit to an insurance company for "out of network" benefit coverage

Free Initial Consultation
Evening Availability


10400 Eaton Place
Suite 200
Fairfax, Virginia 22030

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My Approach to Helping

Are you a 30+ woman who is twice exceptional (intelligent and ADHD), feeling overwhelmed? Is it even harder because your parents are accomplished people, and you feel like you can't keep up with expectations? You are hardworking and others count on you. But there are days when it feels like it takes all you have just to get dressed and out the door. Your brain either supercharged or foggy, and you can't often predict which it will be. So you sometimes feel like an Impostor who is just "pulling it off". You had trauma, recently or in the past, which doesn't help. You are ready for change, but you need to be understood.

I get this because I've worked with dozens of women over 40 struggling with these issues. At the start of our work, they feel a disconnect between what they feel and others see in them. They feel different and alone, wanting change. We will work through your isolation and anxiety, even traumatic experiences, to build more acceptance, clarity, and peace.

You may feel unsure, because you've managed to cope with your overwhelm, even your trauma, on your own for so long. I get it. If you've read this far, though, you are probably tired of feeling the weight of this. You have been dealing with your issues for awhile, they are getting heavy, and you want relief and support. Call me as soon as you are ready.

More Info About My Practice

Have you witnessed or experienced an upsetting incident that you can't "shake"? Ever since this happened, the images of this play over and over in your head, even though you are working hard to push them down. You may feel irritable, jumpy, and find yourself avoiding the spot where this happened, or people or even things linked with the event. Maybe it was a single event, like a car accident or an assault. Maybe it was a series of events that happened, like an unpleasant work experience or difficult or upsetting childhood experiences.

It's hard to talk about. You don't want to talk about it. You don't want to keep feeling like this, and well-meaning people try to tell you to "look at the bright side", and that just makes you feel more alone.

But you aren't alone, and you don't have to go through this alone. The sooner you address your symptoms, the sooner you can begin to heal. I am a Certified Traumatic Incident Recovery Facilitator (TIRF-C). This isn't your typical "talk" therapy. It is a structured, evidence-based treatment that helps reduce your symptoms. And when you feel calmer, you can begin to live more fully in the present. Your life is now, and I'm here when you are ready.

My Therapy Focus

I work a bit differently than many therapists. You are likely looking for someone who has empathy, but who gives you room to discuss what's on your mind. I do this, but in a slightly more structured way than you are probably used to. I will help you look at the different pieces of what is causing you distress right now, and I always aim to be sensitive to what is coming up for you. We go at the pace that works for you. Many people who have worked with me and have tried therapy before tell me that they change in a more powerful way than they have in previous therapies. While I give guidance where you need it, I don't usually interpret what it means. You have that inside you; I just help you bring it out.

How My Own Struggles Made Me a Better Therapist

I come from a family of psychotherapist and psychiatrists. In some ways, this was great. Therapy, validation of feelings and self-examination were normal experiences, and I will always be grateful for this. The flip side is that being therapized could be annoying. I just didn't find it helpful to be told what defense I was using when I was at the height of upset. It's hard to be helped when you feel alone or "othered". My best healing experiences occurred when I felt heard by someone who was in tune with what I was going through. I found this in family relationships, friendships, and later, with therapists. Yes, sometimes they confront, and they may see something differently, but they don't set out to "make you wrong". Yes, sometimes we need guidance, but we also need be able to hold space for our pain. When I discovered AMP, it gave me a new way of looking at my upset. I could unload and unlayer it without worrying that my therapist was going to somehow correct me or have a big reaction. Their questions helped me unload until I got to where I needed to make my own realizations and decisions. I wanted to help others benefit from something that worked for me.

What I Say to People Concerned about the Therapy Process

The first thing I acknowledge is that this can feel difficult at first. You don't know me, and you are telling me very important personal things, so it's understandable that it may not come easily to you. Also, if you have done more typical talk therapy, you may feel hesitant to try this different way of looking at what's bothering you. We will go at a pace that you are comfortable with. After a while, you may not even notice it. The best part? It's a process, and there is no way to "fail". It's about what's working for you.

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Services I Provide

  • Consultation
  • Individual Therapy & Counseling
  • Telehealth

Ages I Work With

  • Adults
  • Elders


  • English
  • Spanish

Groups I Work With

    Twice-exceptional (intelligent and ADHD) women over 30 with overwhelm; adults with anxiety, life stress, or life transitions; adults with PTSD Post-Traumatic Stress Disorder who want a targeted treatment for their symptoms.

Industries & Communities Served

  • Education
  • First Responder/Medical Professionals
  • LGBTQ+
  • Self-Employed and Freelance Professionals

Client Concerns I Treat

  • Adjusting to Change / Life Transitions
  • Anxiety
  • Breakup
  • Emotional Overwhelm
  • Family of Origin Issues
  • Grief, Loss, and Bereavement
  • Inattention, Impulsivity, and Hyperactivity (ADHD)
  • Midlife Crisis / Midlife Transition
  • Posttraumatic Stress / Trauma
  • Workplace Issues

Types of Therapy

  • Critical Incident Stress Management
  • Mindfulness-Based Interventions
  • Self-Acceptance Training

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