Practitioner record · Checked 9 Oct 2026
Troy Payne has been in practice 6 years and is licensed in Virginia. Troy lists stress, Anxiety, trauma and abuse and anger management among 10 subjects on the BetterHelp roster.
Everything below is either quoted from Troy's own BetterHelp listing, taken from public licensing records, or written by Maker Therapy and labelled as such. Nothing here is an availability promise, a review, or a rating.
01 · Who Troy works with
Troy lists 5 specialisms and 5 further focus areas. Specialisms are the subjects Troy chose to list first, which is the closest a listing gets to “this is my actual practice”.
02 · In Troy's own words
Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.
Troy is a Licensed Clinical Social Worker (LCSW) who earned his Master’s degree in Social Work (MSW) from Capella University in 2019. He has experience working with individuals of all ages who are experiencing depression, anxiety, PTSD, self-harm, and suicide ideation. He has a special interest in working with clients who have experienced traumatic events that are negatively impacting various aspects of their lives. Troy draws from a wide variety of therapy models to help his clients to meet their therapeutic goals, including Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Cognitive Restructuring, Narrative Exposure, and Motivational Interviewing (MI). He believes that ALL individuals are capable of growth, and that it is the role of the therapist to provide a trusting, safe, and supportive environment to help in the facilitation of that growth. In his spare time, Troy enjoys cooking (never had any complaints!), gardening, exercising, and spending time with his family and friends.
Troy Payne, on the BetterHelp listing · read 9 Oct 2026
03 · What happens next
Troy practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Troy's own practice, and not a promise about how quickly anything happens.
BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Troy at this point.
BetterHelp matches algorithmically by default, so asking for Troy is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Troy.
You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.
A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.
Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.
04 · Before you commit
Built from what Troy actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Troy's - Troy has not seen them and is under no obligation to answer any of them.
“How do you decide when someone is ready to work on a traumatic memory itself?”
Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.
“How do you handle the gap between sessions if something comes up?”
On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.
05 · Practical details
06 · Provenance
Troy's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.
The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.
Maker Therapy is not BetterHelp, does not take bookings, and has not met Troy. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.
Something on this page wrong or out of date? Report it and it will be checked against the source.
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