Dr. Tom Arbaugh
A Flexible, Conversational Approach to Personal Growth
Through ID, Dr. Arbaugh has stepped out of counseling and psychotherapy, avoiding treatment plans, assessment, or clinical documentation. Instead Dr. Arbaugh acts as a collaborative partner to provide a relaxed environment built around your real, everyday life.
Who Can Benefit from Integrative Dialogue?
Groups and Couples
Couples & Marriages: Relationships thrive on clear communication and mutual understanding. Whether you are stuck in repetitive arguments, rebuilding trust, or navigating a major life shift together, Integrative Dialogue provides a neutral, constructive space to reconnect.
Families: Family dynamics are complex and ever-evolving. Dr. Arbaugh helps families untangle communication blocks, establish healthy boundaries, and foster an environment of shared healing and support.
Individuals - Adults and Adolescents
Life’s transitions can feel heavy, but you don't have to navigate them alone. Dr. Arbaugh works with both teenagers and adults to process stress, build healthy self-esteem, and develop practical tools for everyday well-being.
Whether you are navigating personal mental health challenges, strengthening a relationship, or exploring your identity, our sessions are designed to help you achieve meaningful personal growth and a healthier, happier life.
Anxiety & Depression: Gentle, actionable support to navigate constant worry, low mood, and burnout.
Loss & Bereavement: Compassionate companionship through the grief and complex emotions of personal loss.
Trauma & Intimacy Healing: A structured environment for individuals working through the impacts of sexual abuse or complex relational concerns to build confidence in oneself and your sexuality.
Gender Identity & Sexuality: Compassionate guidance through the personal, emotional, and social milestones of exploring sexual identity and gender.
Key Areas of Focus
Emotional Health & Sexuality Affirming Support
Chronic Illness Stress: Specialized support to help manage the unique emotional and psychological strain of living with chronic conditions.
Sliding Scale Accessible Rates
Dr. Arbaugh believes that support should be accessible. Just as open communication is an ongoing part of the dialogue process, rates can be adjusted over time based on honest conversations regarding financial need or the requirement for increased session frequency. Reduced-rate arrangements are handled with trust, appreciation, and complete confidentiality.
Individual Dialogue
$120 / 50 Min
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Ideal For individuals seeking dedicated 1-on-1 personal growth and support.
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Focused, personalized session structured around your unique goals.
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Flexible frequency tailored to your current life stage and needs.
Groups & Extended Sessions
$175 / 90 Min
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Ideal For couples, family dynamics, or individuals needing extra time.
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Extended time to untangle complex relational dynamics without feeling rushed.
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Applies to both sessions for couples/families and extended individual sessions.
Accepted Payment Methods
Payment Types: Cash, personal checks, and major credit cards are accepted at the time of service.
Credit Card Processing: Please note that a standard $3.00 processing fee applies to all credit card transactions.
Important Policy Note:
Insurance: Dr. Arbaugh no longer practices clinical psychology and does NOT accept insurance. Working outside insurance companies ensures your privacy and allows your care to be guided entirely by your personal goals—not third-party requirements.
Cancellation Policy: If you need to reschedule or cancel, please provide at least 24 hours' notice via phone (540) 487-1261 or email (DrArbaugh@yahoo.com). Missed appointments without 24 hours' notice will be charged the full session fee. True emergencies and dangerous weather conditions are always excused.