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​Therapy is a space where growth happens.

Negative Leaves
Negative Leaves

Rooted in Resilience,
Grown Through Healing

Inspired by the balsam tree—a symbol of renewal and strength—Balsam Counseling was founded to help you navigate life’s challenges, heal from disruption, and grow into lasting emotional wellness. Like the tree, you hold the power to thrive.

 

We're here to support you every step of the way.

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This is your space, but I will engage with you, challenge you, empathize with you and will make you laugh.

Blue Eyeshadow Powder
Blue Eyeshadow Powder

Who I Work With

Do you ever feel like no matter how hard you try, you can’t quiet the constant worry in your mind, or shake the pressure of needing to “hold it all together”? Maybe you find yourself replaying old experiences that still weigh you down, or getting stuck in the same patterns with people you care about — leaving you feeling misunderstood, drained, or on edge. You might notice an inner critic that’s quick to judge you, or feel frustrated when you can’t stay as focused, organized, or calm as you’d like. Deep down, you just want to feel more at ease in your own skin, to have steadier relationships, and to trust yourself again. Therapy becomes a way to untangle what’s been holding you back, so you can finally create the space for clarity, confidence, and a more grounded sense of self.

Blue Window

What You Can Expect

I specialize in helping people who feel weighed down by worry, past trauma, and relationship struggles. Many of my clients also deal with focus and organization challenges that add to their stress. In therapy, I’ll help you quiet the inner critic, build practical coping skills, and reconnect with your strengths. My approach is collaborative, trauma-informed, and compassionate — creating a safe space for you to feel seen, supported, and empowered to create lasting change.I know how overwhelming it can feel to carry so much on your own, and how hard it is to take the first step toward support. My role is to meet you where you are — with respect, sensitivity, and compassion — and to tailor our work to what you truly need. You don’t have to have it all figured out before reaching out. If you’re ready to explore a different way forward, I invite you to connect and take that first step toward the change you’ve been hoping for.

Why Balsam Counseling

Why Balsam Counseling?

Real-Life Experience & Relatability

I came to this profession after a lifetime of navigating anxiety, depression, trauma, immigration, and a major career change. I bring real-world experience, empathy, and authenticity into every session. I keep things honest and meet you where you are—offering a space where you can be comfortable, seen, and supported.

Human Connection Meets Professional Insight

I’ve always had a natural ability to connect with people from all walks of life. My clients often describe me as their “professional, wise, evidence-based friend.” I’ll connect with you on a human level while helping you stay focused, challenge limiting patterns, and work toward meaningful growth.

Growth Through Self-Awareness & Change

Our work together will deepen your self-awareness—helping you better understand your emotions, thoughts, and internal patterns. This process fosters resilience, emotional intelligence, and lasting change in your personal and professional relationships. I believe change is not only possible—it’s the only constant.

About Me
Siema Eljack, LCSW

Siema Elijack.jpg

The Process

Book A Consult

Take the first step toward feeling more grounded and supported. Schedule a free consultation to see if we’re a good fit and start exploring a path toward clarity, balance, and lasting change.

Start Therapy

Therapy is more than just venting or validation. It offers a framework for knowing ourselves and how to work through our challenges. Therapy connects the past to the present, so we can successfully move forward and realize our goals.

Our first session starts with the therapeutic alliance and building rapport then we design a workable treatment plan based on your goals.

See The Change

We all have psychological tools that we use to survive. And our skills help us live meaningful lives. No matter where we are - or how old we are - we can reassess these skills, hone them and learn healthier ways of being in the world.

Service Area

We are based in Ashburn, Virginia and Fully Licensed and practicing through Telehealth in:

  • Virginia

  • Colorado

  • Ohio

Services
Water Ripples

Services

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(Intake) 

Psychiatric Diagnostic Evaluation

60 minutes, $175

A comprehensive assessment used to understand your mental health needs. It includes a detailed review of your symptoms, history, and current concerns to help determine an accurate diagnosis and guide personalized treatment planning.

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Psychotherapy

60 minutes, $160

A supportive, confidential space to explore your thoughts, emotions, and behaviors. Through ongoing conversations, we work together to better understand challenges, build coping strategies, and support emotional growth and healing.

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           Insurance

Aetna

Anthem

BlueCross and BlueShield

Cigna and Evernorth

Sentara Health Plans

UnitedHealthcare UHC | UBH

Out-of-Network

I also accept clients claiming on their OON benefits.

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Have general questions? 
Get in Touch

 (703) 429 -0510

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To learn about our coaching services, visit us at Questara: 

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