--- title: "Back to Joy · Bilingual Telehealth Therapy · NY UT VA PA MA" description: "Bilingual telehealth therapy with Flor Villagran. Adult care for betrayal trauma, grief, anxiety, and identity across NY, UT, VA, PA, and MA. Free consultation." lang: en-US json-ld: | [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://backtojoitherapy.com/#website", "name": "Back to Joy", "url": "https://backtojoitherapy.com", "inLanguage": [ "en-US", "es-US" ], "publisher": { "@id": "https://backtojoitherapy.com/#practice" } }, { "@context": "https://schema.org", "@type": "MedicalBusiness", "@id": "https://backtojoitherapy.com/#practice", "name": "Back to Joy", "url": "https://backtojoitherapy.com", "image": "https://backtojoitherapy.com/og.jpg", "inLanguage": [ "en-US", "es-US" ], "logo": "https://backtojoitherapy.com/favicon-512.png", "email": "florvillagran@gmail.com", "priceRange": "$$", "medicalSpecialty": "Psychiatry", "serviceType": [ "Betrayal Trauma Therapy", "Grief and Loss Therapy", "Pet Loss Grief Counseling", "Anxiety Therapy", "Self-Worth and Self-Esteem Therapy", "Life Transitions Therapy", "Childhood Wounds in Adult Relationships Therapy", "Bilingual Spanish-Speaking Therapy" ], "description": "Bilingual (English/Spanish) telehealth therapy for adults across New York, Utah, Virginia, Pennsylvania, and Massachusetts.", "areaServed": [ { "@type": "State", "name": "New York" }, { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Virginia" }, { "@type": "State", "name": "Pennsylvania" }, { "@type": "State", "name": "Massachusetts" } ], "availableLanguage": [ "English", "Spanish" ], "knowsLanguage": [ "English", "Spanish" ], "provider": { "@id": "https://backtojoitherapy.com/#person" }, "founder": { "@id": "https://backtojoitherapy.com/#person" }, "employee": [ { "@id": "https://backtojoitherapy.com/#person" } ] }, { "@context": "https://schema.org", "@type": "Person", "@id": "https://backtojoitherapy.com/#person", "name": "Flor Villagran", "jobTitle": "Licensed Mental Health Therapist", "url": "https://backtojoitherapy.com", "email": "florvillagran@gmail.com", "image": "https://backtojoitherapy.com/assets/flor-portrait.jpg", "knowsLanguage": [ "English", "Spanish" ], "worksFor": { "@id": "https://backtojoitherapy.com/#practice" } }, { "@context": "https://schema.org", "@type": "Person", "@id": "https://backtojoitherapy.com/#person", "name": "Flor Villagran", "jobTitle": "Licensed Mental Health Therapist", "url": "https://backtojoitherapy.com", "email": "florvillagran@gmail.com", "image": "https://backtojoitherapy.com/assets/flor-portrait.jpg", "knowsLanguage": [ "English", "Spanish" ], "knowsAbout": [ "Betrayal Trauma", "Pet Loss Grief", "Grief and Loss", "Anxiety", "Self-Worth", "Self-Esteem", "Childhood Wounds in Adult Relationships", "Life Transitions", "Bilingual Therapy", "First-Generation Latino Identity" ], "areaServed": [ { "@type": "State", "name": "New York" }, { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Virginia" }, { "@type": "State", "name": "Pennsylvania" }, { "@type": "State", "name": "Massachusetts" } ], "worksFor": { "@id": "https://backtojoitherapy.com/#practice" } }, { "@context": "https://schema.org", "@type": "MedicalBusiness", "@id": "https://backtojoitherapy.com/#practice", "name": "Back to Joy", "url": "https://backtojoitherapy.com", "medicalSpecialty": "Psychiatry", "serviceType": [ "Betrayal Trauma Therapy", "Grief and Loss Therapy", "Pet Loss Grief Counseling", "Anxiety Therapy", "Self-Worth and Self-Esteem Therapy", "Life Transitions Therapy", "Childhood Wounds in Adult Relationships Therapy", "Bilingual Spanish-Speaking Therapy" ], "provider": { "@id": "https://backtojoitherapy.com/#person" }, "image": "https://backtojoitherapy.com/og.jpg", "email": "florvillagran@gmail.com", "priceRange": "$$", "description": "Bilingual (English/Spanish) telehealth therapy practice for adults, serving New York, Utah, Virginia, Pennsylvania, and Massachusetts. Specialties include betrayal trauma, grief and pet loss, anxiety, self-worth, life transitions, and first-generation Latino identity. Private-pay practice; superbills available for out-of-network reimbursement.", "areaServed": [ { "@type": "State", "name": "New York" }, { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Virginia" }, { "@type": "State", "name": "Pennsylvania" }, { "@type": "State", "name": "Massachusetts" } ], "availableLanguage": [ "English", "Spanish" ], "knowsLanguage": [ "English", "Spanish" ], "founder": { "@id": "https://backtojoitherapy.com/#person" }, "employee": [ { "@id": "https://backtojoitherapy.com/#person" } ] }, { "@context": "https://schema.org", "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "What states are you licensed in?", "acceptedAnswer": { "@type": "Answer", "text": "I'm licensed to provide telehealth therapy in New York, Utah, Virginia, Pennsylvania, and Massachusetts. As long as you're physically located in one of these states at the time of our session, we can work together via secure video. If you split time between states or are planning a move, we'll talk about what that means for continuity of care during your free consultation." } }, { "@type": "Question", "name": "Do you offer therapy in Spanish?", "acceptedAnswer": { "@type": "Answer", "text": "Yes — sessions are available in both English and Spanish, and many clients move fluidly between the two. I have a particular connection with first-generation Latino clients navigating identity, family expectations, and the experience of moving between cultures. Bilingual therapy isn't only about translation; it's about being able to use the language each feeling actually lives in." } }, { "@type": "Question", "name": "What if I'm not sure what's \"wrong\"?", "acceptedAnswer": { "@type": "Answer", "text": "Most people who reach out can't name it neatly — they just notice that something feels off, or that an old pattern keeps showing up. You don't need a diagnosis or a tidy story to begin. The first few sessions are largely about getting curious together: what you're carrying, when it started, and what shape it takes in your daily life. From there, we shape the work to fit what you actually need." } }, { "@type": "Question", "name": "What do you NOT treat?", "acceptedAnswer": { "@type": "Answer", "text": "My practice is focused on adult therapy for grief, betrayal trauma, anxiety, self-worth, identity, and life transitions. I do not currently provide care for active bipolar disorder, schizophrenia spectrum conditions, or primary personality-disorder treatment — that work calls for specialized teams. If your situation needs a different fit, I'll do my best to point you toward providers who can offer it." } }, { "@type": "Question", "name": "What does a free consultation look like?", "acceptedAnswer": { "@type": "Answer", "text": "It's a 15-minute video call. You tell me what's bringing you in, I tell you a bit about how I work, and we both get a felt sense of whether we're a fit. There's no pressure to commit on the call or after — many people take a day or two to decide. If we're not the right match, I'll happily share names of other therapists who might be." } }, { "@type": "Question", "name": "Do you take insurance, or are you private pay?", "acceptedAnswer": { "@type": "Answer", "text": "Back to Joy is a private-pay practice — I am not in-network with any insurance panels. Standard sessions are $175, with a limited number of sliding-scale spots between $125–$175. If you have out-of-network mental health benefits, I can provide a monthly superbill you submit to your insurer for partial reimbursement." } }, { "@type": "Question", "name": "What happens in a first session?", "acceptedAnswer": { "@type": "Answer", "text": "The first session is a longer conversation — we slow down and map what's bringing you in: the current situation, the history underneath it, and what you'd like to feel different. I'll ask questions, you'll ask questions, and together we'll sketch what the work might focus on for the next several sessions. Nothing is locked in; the plan evolves as we learn what helps." } }, { "@type": "Question", "name": "Do you offer online therapy in New York?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. I see adults across New York State — New York City, Buffalo, Rochester, Albany, and everywhere in between — by secure video. You'll need to be physically located in New York at the time of session. Bilingual sessions in English and Spanish are available." } }, { "@type": "Question", "name": "Do you offer online therapy in Utah?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. I provide telehealth therapy to adults across Utah, including Salt Lake City, Provo, Ogden, and surrounding areas. Sessions are by secure video and available in English or Spanish; you'll need to be physically located in Utah when we meet." } }, { "@type": "Question", "name": "Do you offer online therapy in Virginia?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. I offer virtual therapy to adults across Virginia — including Virginia Beach, Richmond, Arlington, and Northern Virginia — by secure video. Bilingual sessions in English and Spanish are available; you'll need to be in Virginia at session time." } }, { "@type": "Question", "name": "Do you offer online therapy in Pennsylvania?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. I see adults across Pennsylvania — Philadelphia, Pittsburgh, Allentown, and beyond — by secure video. Sessions are available in English or Spanish, and you'll need to be physically located in Pennsylvania during our time together." } }, { "@type": "Question", "name": "Do you offer online therapy in Massachusetts?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. I provide telehealth therapy across Massachusetts, including Boston, Cambridge, Worcester, and surrounding areas. Sessions run by secure video in English or Spanish; you'll need to be physically located in Massachusetts when we meet." } }, { "@type": "Question", "name": "Do you work with first-generation Latino adults?", "acceptedAnswer": { "@type": "Answer", "text": "Yes — this is one of the populations I have the deepest connection with. Many clients are navigating family expectations, language and cultural in-betweenness, and the weight of being the one who 'made it.' Sessions move between English and Spanish as needed, and there's no need to translate the parts of your experience that only live in one language." } }, { "@type": "Question", "name": "Is EMDR or trauma work a good fit for betrayal trauma?", "acceptedAnswer": { "@type": "Answer", "text": "Often, yes — though the right entry point depends on where you are. Early on, the work is usually about stabilization: sleep, nervous system regulation, and rebuilding a sense of safety in your own body. Once that foundation is steadier, trauma-focused approaches can help process the specific memories and meaning of what happened. We'll talk through pacing in your consultation." } } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://backtojoitherapy.com/" } ] }, { "@context": "https://schema.org", "@type": "Service", "name": "Betrayal Trauma Therapy", "url": "https://backtojoitherapy.com/specialties/betrayal-trauma", "serviceType": "Psychotherapy", "provider": { "@id": "https://backtojoitherapy.com/#practice" }, "areaServed": [ { "@type": "State", "name": "New York" }, { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Virginia" }, { "@type": "State", "name": "Pennsylvania" }, { "@type": "State", "name": "Massachusetts" } ], "availableChannel": { "@type": "ServiceChannel", "serviceUrl": "https://backtojoitherapy.com/specialties/betrayal-trauma", "availableLanguage": [ "English", "Spanish" ], "name": "Telehealth (secure video)" } }, { "@context": "https://schema.org", "@type": "Service", "name": "Grief and Loss Therapy", "url": "https://backtojoitherapy.com/specialties/grief-and-loss", "serviceType": "Psychotherapy", "provider": { "@id": "https://backtojoitherapy.com/#practice" }, "areaServed": [ { "@type": "State", "name": "New York" }, { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Virginia" }, { "@type": "State", "name": "Pennsylvania" }, { "@type": "State", "name": "Massachusetts" } ], "availableChannel": { "@type": "ServiceChannel", "serviceUrl": "https://backtojoitherapy.com/specialties/grief-and-loss", "availableLanguage": [ "English", "Spanish" ], "name": "Telehealth (secure video)" } }, { "@context": "https://schema.org", "@type": "Service", "name": "Pet Loss Grief Therapy", "url": "https://backtojoitherapy.com/specialties/pet-loss-grief", "serviceType": "Psychotherapy", "provider": { "@id": "https://backtojoitherapy.com/#practice" }, "areaServed": [ { "@type": "State", "name": "New York" }, { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Virginia" }, { "@type": "State", "name": "Pennsylvania" }, { "@type": "State", "name": "Massachusetts" } ], "availableChannel": { "@type": "ServiceChannel", "serviceUrl": "https://backtojoitherapy.com/specialties/pet-loss-grief", "availableLanguage": [ "English", "Spanish" ], "name": "Telehealth (secure video)" } }, { "@context": "https://schema.org", "@type": "Service", "name": "Anxiety Therapy", "url": "https://backtojoitherapy.com/specialties/anxiety-therapy", "serviceType": "Psychotherapy", "provider": { "@id": "https://backtojoitherapy.com/#practice" }, "areaServed": [ { "@type": "State", "name": "New York" }, { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Virginia" }, { "@type": "State", "name": "Pennsylvania" }, { "@type": "State", "name": "Massachusetts" } ], "availableChannel": { "@type": "ServiceChannel", "serviceUrl": "https://backtojoitherapy.com/specialties/anxiety-therapy", "availableLanguage": [ "English", "Spanish" ], "name": "Telehealth (secure video)" } }, { "@context": "https://schema.org", "@type": "Service", "name": "Self-Worth & Self-Esteem Therapy", "url": "https://backtojoitherapy.com/specialties/self-worth-self-esteem", "serviceType": "Psychotherapy", "provider": { "@id": "https://backtojoitherapy.com/#practice" }, "areaServed": [ { "@type": "State", "name": "New York" }, { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Virginia" }, { "@type": "State", "name": "Pennsylvania" }, { "@type": "State", "name": "Massachusetts" } ], "availableChannel": { "@type": "ServiceChannel", "serviceUrl": "https://backtojoitherapy.com/specialties/self-worth-self-esteem", "availableLanguage": [ "English", "Spanish" ], "name": "Telehealth (secure video)" } }, { "@context": "https://schema.org", "@type": "Service", "name": "Life Transitions Therapy", "url": "https://backtojoitherapy.com/specialties/life-transitions", "serviceType": "Psychotherapy", "provider": { "@id": "https://backtojoitherapy.com/#practice" }, "areaServed": [ { "@type": "State", "name": "New York" }, { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Virginia" }, { "@type": "State", "name": "Pennsylvania" }, { "@type": "State", "name": "Massachusetts" } ], "availableChannel": { "@type": "ServiceChannel", "serviceUrl": "https://backtojoitherapy.com/specialties/life-transitions", "availableLanguage": [ "English", "Spanish" ], "name": "Telehealth (secure video)" } } ] --- [![Back to Joy](/assets/logo-JkGy5T-6.png)](/) [Approach](/#approach)[Topics](/#topics)[About](/about)[Investment](/investment)[Contact](/contact) EN [ES](/es)Current language: English [Schedule a Consultation](/contact) ![Warm rustic interior with terracotta wall and dried botanicals](/assets/hero-office-xaNTyJbo.jpg) Bilingual Therapy Terapia Bilingüe # Coming back to _yourself._ Volver a ti. Therapy with Flor — for adults who notice that lately, something is keeping them from being themselves. Bilingual sessions across New York, Utah, Virginia, Pennsylvania, and Massachusetts. [Schedule a Free Consultation](/contact)[Conoce a Flor →](/about) NY · UT · VA · PA · MA EN / ES Free 15-min consult Where you are Dónde estás ## Where you are in this work. Different starting places. Same care. Wherever you land, you're welcome here — en inglés o en español. [ Algo no está bien ### Something feels off You notice you're not quite yourself, but can't name what's underneath. You're ready to look. “I just don't feel like me lately.” Start here ](/topics)[ Estoy en duelo ### I'm grieving A loss — a person, a pet, a job, a part of yourself — is sitting with you, and you need a place to bring it. “I don't know where to put this.” Start here ](/topics)[ La confianza se rompió ### Trust has been broken Betrayal by a partner, a parent, or yourself — the work of moving through it without minimizing it. “How do I trust again?” Start here ](/topics)[ Me he perdido ### I've lost myself Relationships, words from others, internalized stories have fractured how you see yourself. You want to come home. “I want to come home to me.” Start here ](/topics) Not sure where you land? That's okay. A free consult is the easiest way to find out together. [Book a free consult](/contact) THE WORK EL TRABAJO ## The topics we return to. 01 · GRIEF ### Loss in all of its shapes. Grief over a person, a pet, a job, an identity, a relationship that ended — every loss deserves real space. Including the losses we feel pressure to "get over" quickly. [Explore our approach to grief → ](/specialties/grief-and-loss) 02 · BETRAYAL ### Moving through broken trust. When a partner, parent, or someone close has broken trust — the work of moving through it without minimizing what happened or rushing to forgive. [Explore our approach to betrayal → ](/specialties/betrayal-trauma) 03 · SELF-WORTH ### Returning to your own voice. Rebuilding the relationship with yourself when relationships, words, or experiences have fractured how you see who you are. [Explore our approach to self-worth → ](/specialties/self-worth-self-esteem) 04 · IDENTITY ### Who you are now. Navigating life transitions, role changes, and the question of who you are becoming — separate from who others have told you to be. [Explore our approach to identity → ](/specialties/life-transitions) 05 · HERITAGE ### Family, culture, and you. For first-generation Latino clients and others navigating cultural identity, family expectations, and the experience of moving between worlds. [Explore our approach to heritage → ](/about) ![Portrait of Flor Villagran, bilingual telehealth therapist](/assets/flor-portrait-CK59t1fH.jpg) Your therapist Tu terapeuta ## Hi — soy Flor. I connect best with adult clients who notice that, lately, something is keeping them from being themselves and have chosen to seek support from someone who not only supports them but is also genuinely curious about the unique experiences affecting them. I work with clients in English and [in Spanish](/specialties/spanish-speaking-therapy). I have a particular connection with first-generation Latino clients navigating identity, family expectations, and the experience of moving between cultures — though my practice serves anyone the work resonates with. My approach is curiously grounded and warmly challenging. Within our sessions, you'll learn to verbalize the thoughts and feelings that normally make us feel uncomfortable, self-conscious, or ashamed — and discover that it is precisely those thoughts that, when named freely, lead us to a version of you that simply needed a safe, non-judgmental space to exist. Licensed in 5 States · Bilingual EN / ES · 7+ Years · Private Practice [Read more about Flor →](/about) CREDENTIALS CREDENCIALES ## The work behind the work. Training, modalities, and the framework I bring to every session — in either language. 7+ Years 5 States licensed 2 Languages 7 Specialties LICENSURE ### Five-state telehealth - New York - Utah - Virginia - Pennsylvania - Massachusetts MODALITIES ### A humanist core - · Humanist & client-centered - · Relational psychodynamic Sessions are grounded in collaborative inquiry — we work together to make sense of what you're carrying, in your language. SPECIALTIES ### What I'm known for - · Betrayal trauma - · Pet loss grief - · Complicated grief - · Anxiety - · Self-worth restoration - · Life transitions - · Childhood-pattern repair WHERE I WORK DÓNDE TRABAJO ## Five states. One practice. Bilingual telehealth therapy wherever you live in these states. EN or ES, secure video, weekly or biweekly sessions. NY ### New York Population 19.5M Timezone EST Languages EN · ES → UT ### Utah Population 3.4M Timezone MST Languages EN · ES → VA ### Virginia Population 8.7M Timezone EST Languages EN · ES → PA ### Pennsylvania Population 13.0M Timezone EST Languages EN · ES → MA ### Massachusetts Population 7.0M Timezone EST Languages EN · ES → Telehealth across NY · UT · VA · PA · MA Investment Inversión ## Investment & access. Standard $175 50-minute session · weekly or biweekly Sliding scale (limited) $125–$175 Financial-access spots based on need I do not currently bill insurance directly. I can provide a superbill for out-of-network reimbursement through your PPO — many PPOs cover a portion. We'll discuss what works in our consultation. Questions Preguntas ## Common questions. ### What states are you licensed in? ### Do you offer therapy in Spanish? ### What if I'm not sure what's "wrong"? ### What do you NOT treat? ### What does a free consultation look like? ### Do you take insurance, or are you private pay? ### What happens in a first session? ### Do you offer online therapy in New York? ### Do you offer online therapy in Utah? ### Do you offer online therapy in Virginia? ### Do you offer online therapy in Pennsylvania? ### Do you offer online therapy in Massachusetts? ### Do you work with first-generation Latino adults? ### Is EMDR or trauma work a good fit for betrayal trauma? ## Coming back starts here. Volver empieza aquí. [Schedule a Free Consultation](/contact) Bilingual NY · UT · VA · PA · MA EN / ES Back to Joy Bilingual telehealth therapy with Flor — adult care across five states. EN · ES Practice - [About Flor](/about) - [Spanish-Speaking Therapy](/specialties/spanish-speaking-therapy) - [Topics](/#topics) - [Investment](/investment) - [FAQ](/faq) - [Contact](/contact) Licensed States - New York - Utah - Virginia - Pennsylvania - Massachusetts Contact - [florvillagran@gmail.com](mailto:florvillagran@gmail.com) - [(646) 543-6182](tel:+16465436182) In a crisis or emergency, call or text [988](tel:988) (Suicide & Crisis Lifeline) or call [911](tel:911). This website is not for emergencies and contacting the practice does not establish a therapist–client relationship. [Privacy Policy](/privacy)[Notice of Privacy Practices](/notice-of-privacy-practices)[Accessibility](/accessibility)[Privacy](/privacy.html)[Terms](/terms.html)[Cookies](/cookie.html)[Disclosures](/disclaimers.html)[Good Faith Estimate](/good-faith-estimate.html) © 2026 Back to Joy Website by [Automaus.ai](https://automaus.ai)