"Owning your story is the bravest thing you'll ever do."

- Brené Brown

What can I expect from therapy?

With a warm but direct approach I encourage a client in their personal growth and development. I utilize an integrative mix of therapeutic modalities, with a strong basis in cognitive behavioral therapy (CBT), solution focused and strengths based theories. This means I tailor sessions to the individual needs of the clients.

My practice interests include:

  • Depression
  • Relationship Problems
  • Anxiety
  • Self-Esteem Issues
  • Mood Disorders
  • Personality Disorders
  • Women's Issues

Individual & Couples Therapy

I am interested in providing assistance to couples/individuals that are seeking sexual and gender identity growth. Areas of interest under this umbrella include working with LGBTQ people, consensually non-monogamous relationships, and I am a kink competent therapist. 

Deciding to seek out relationship therapy can be big decision for any dynamic.  I hope to make that journey easier to navigate by helping clients to improve communication, connection, and their sex lives.

I look forward to assisting you in development of goals for your personal and relationship growth.

Special interests and qualifications:

  • Sexual Growth
  • Gender Identity Growth
  • Kink Competent

About Me

I am a Licensed Independent Clinical Social Worker with over 10 years experience working with adolescents, adults, couples and children.  I earned my B.A. in psychology and my Master of Social Work at Southern Illinois University – Carbondale. In previous internship and work experiences, I have worked in a variety of different settings including intensive community based programs, inpatient hospitals, and outpatient services.

Professional organizations that I belong to include the American Association of Sexuality Educators, Counselors and Therapists (AASECT) and the National Association of Social Workers (NASW).  I am licensed in both DC and Virginia.

Briana Flesch, LCSW, LICSW


Payment & Insurance

CareFirst / BCBS

I accept most CareFirst BlueCross BlueShield plans.  I always recommend you check your coverage with your insurance company prior to your first appointment.  When you call to check your benefits you can provide them with my tax ID so they can verify coverage.

Tax ID: 462690979

Self Pay / Fee for Service

The fee for an initial assessment and a 50-minute individual therapy session is $160. The cost for a 50-minute couples’ sessions is $200. I can provide you with a superbill so that you can submit to your insurance company for out of network benefits. The process of submitting the claim on your own is fairly easy with most insurance companies and I am willing to walk you through how do this.

Please note that some insurance companies may not pay for sex therapy or couples therapy.

Locations & Parking

Washington, DC

Monday and Friday

 1712 I St NW Washington, DC 20006
2 hr street parking on the block and surrounding blocks, 2 parking garages across the street and easily accessible from Farragut West Metro stop

Fairfax, VA

Wednesday, Thursday, and Saturday

 10560 Main St Suite PH4 Fairfax, VA 22030

Free parking lot right in front of the building