Your body changed. Your identity did not catch up.
The compliments, milestones, or medical wins can be real - and you can still feel unfamiliar to yourself.
Online individual therapy · New Jersey + Pennsylvania
Your body changed. You still deserve to feel at home in it.
Direct, compassionate therapy for those rebuilding identity, intimacy, and confidence after major weight loss, body change, or a life that no longer fits.
Begin here
$180 per session · Individual telehealth · NJ + PA
The part no one prepared you for
Change can be wanted - and still feel disorienting.
Intimacy became more complicated, not less.
Being seen can feel vulnerable when desire, confidence, relationships, and body image are all shifting at once.
You are tired of performing confidence.
You do not need another demand to feel grateful. You need room to tell the truth and rebuild from there.
A specialty built for the after
The After Identity Gap is real.
You can reach the goal and still wonder, Now who am I?
Major weight loss and body change can affect how you move through the world, how others respond to you, and how safe it feels to be seen. Therapy gives you a place to make sense of the aftermath without minimizing the progress you have made.
The After Identity Gap™ describes the space between what changed on the outside and what has not yet integrated on the inside. It can show up as feeling unfamiliar to yourself, disconnected from your body, or unsure how to live inside the life you worked so hard to build.
Together, we can work toward a relationship with your body, sexuality, and sense of self that belongs to you - not to the scale, the mirror, or anyone else's expectations.
Meet your therapist
Warm enough for honesty. Direct enough for change.
I'm Dr. Victoria Panna aka Dr. V. I help those rebuilding make sense of what happened after the change everyone else thought would solve everything.
My style is conversational, candid, and deeply human. We can name the hard thing without turning you into a diagnosis or asking you to perform positivity. The work is thoughtful and practical: we look at the patterns beneath the pain, then build choices that feel more like you.
I bring clinical expertise in sexuality, relationships, body image, and identity - with special attention to the complicated emotional life that can follow major weight loss.
Learn more about Dr. Victoria Panna
Forever part of Panna Counseling
In loving memory of Parker
January 6, 2016 - August 9, 2026
For over 8 years, Parker was my beloved honorary Co-Teacher and Co-Therapist.
His quiet gift was presence. He knew when to come close, when to simply stay, and how to make a hard moment feel a little less lonely. He helped students and clients remember that safety, trust, and healing often begin before language.
Though Parker is no longer beside me, the gentleness he brought into every room remains part of how I teach, how I practice, and how I care. He will always be part of Panna Counseling.
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What we can work on
Not a new version of you. A more honest one.
- 01Identity after major weight loss or body change
- 02Body image, shame, and self-trust
- 03Intimacy, sexuality, and feeling seen
- 04Relationship patterns and personal boundaries
- 05Life transitions and the pressure to look fine
- 06Confidence that feels lived - not performed
Understand the emotional aftermath
Explore what can change after the weight changes.
Body image after weight loss
Understand why a changed body can still feel unfamiliar, exposed, or difficult to trust.
Read more →Identity after bariatric surgery or GLP-1 weight loss
Explore the gap between what changed physically and what has not yet integrated emotionally.
Read more →Intimacy and sexual confidence after weight loss
Make sense of changes in desire, visibility, vulnerability, dating, and relationships.
Read more →Simple, secure next steps
Begin Your Journey Today
- 1Click “View availability”
Open Dr. Panna's current scheduling page.
- 2Click “Book Here”
Select a mutually available time.
- 3Follow the prompts
Complete your secure profile.
- 4Complete paperwork
Finish the required intake forms.
- 5Meet online
Join your session from NJ or PA.
Before you begin
Frequently asked questions
Who do you work with?
Dr. Panna works with individual adults in New Jersey and Pennsylvania. Her specialty includes those rebuilding identity, body image, confidence, and intimacy after major weight loss or other meaningful body changes.
How much is a session?
Private-pay sessions are $180 for 45 minutes. Scheduling, intake forms, and payment are handled securely through Grow Therapy.
Do you offer couples therapy?
No. Panna Counseling currently offers individual therapy only.
Are appointments in person?
No. All appointments are held by secure telehealth for clients located in New Jersey or Pennsylvania at the time of the session.
You do not have to be “done” to begin.