Philosophy
Counseling built around one goal: making myself irrelevant
My job is to work myself out of a job.
Dr. Tyer's approach to counseling is built on a simple but countercultural idea — the goal isn't for you to need counseling forever. It's to help you understand yourself deeply enough that you can draw on your own strengths, lean into the people around you, and — for those whose faith matters to them — draw from it as a source of genuine resilience.
Real progress in counseling isn't measured by what happens in the session. It's measured by what you're doing between sessions — the insights you're applying, the habits you're building, and the relationships you're investing in. That's what lasting change looks like.
Focus Areas
What brings men to counseling
Dr. Tyer works with men navigating some of the issues that are hardest to talk about — including:
Porn addiction
Breaking cycles of compulsive behavior and understanding the emotional needs driving them.
Emotional coping
Learning to process and respond to difficult emotions rather than avoid, suppress, or be controlled by them.
Getting to the root
Understanding the “why” behind patterns, reactions, and struggles — not just managing symptoms.
Anxiety & depression
Practical, evidence-based support for men experiencing anxiety, low mood, or emotional exhaustion.
Grief & loss
Processing loss — of a person, a relationship, an identity, or a season of life.
Life transitions
Navigating major changes — career shifts, relationship challenges, fatherhood, midlife, and more.
Method
Clinical approach
Dr. Tyer primarily uses two evidence-based therapeutic models particularly well-suited to deep, root-level work:
Internal Family Systems (IFS)
A powerful model for understanding the different “parts” of yourself — including the ones driving behaviors you can't seem to change.
Narrative Therapy
Helps you examine the stories you've been told — and the ones you tell yourself — and rewrite the ones that are holding you back.
For men of Christian faith, these approaches integrate naturally with Biblical truth. Faith integration is always client-led — never assumed or imposed.
Investment
Fees & insurance
Dr. Tyer accepts Anthem (Blue Cross Blue Shield) and Sentara Health insurance
Availability
In-person & Telehealth availability
- In-Person: Charlottesville, VA and Albemarle County, VA
- Telehealth: Available statewide throughout Virginia — including Richmond, Roanoke, Northern Virginia, Waynesboro, and Harrisonburg
Ready to take the next step?
Taking the first step is often the hardest part. Dr. Tyer offers a straightforward scheduling process — no lengthy intake forms, no long waits. Just an honest conversation about where you are and where you want to go.