Book a therapist or psychiatrist in Aiken, SC covered by United Healthcare

Refined Beginnings Counseling takes the focus off of issues and highlights solutions. Refined Beginnings Counseling LLC supports an environment that is least restrictive, provides for confidentiality, and convenience by offering tele-mental health services in Florida and both tele-mental health and office visits to clients in Georgia.

Are you struggling with issues related to trauma, grief, addiction, anxiety, depression, stress, insomnia, self-esteem and/or performance? There comes a time when we need some help from a certified professional to help cope with many of life’s challenges. I’m a licensed clinical social worker in Austin, TX and I’d love to help you on your journey toward healing and self-discovery.

Finding the right therapist is essential to your journey. I provide 15 minute consultation calls to ensure we are a good fit, so please feel free to reach out whenever you are ready to take that first step!

Hello and welcome! While maintaining an eclectic approach, my purpose is to provide you with a collaborative partnership in which you control the direction of

therapy. I serve to provide a non-judgmental approach toward presenting issues and with the

collaborative effort help identify goals that would translate to facilitative action outside of the clinic

through various treatment options.

You deserve a therapist who knows the terrain. I’ve been where you are. I have experienced mental health from every angle—as someone who has done the deep personal work, as someone who has navigated the pain of losing loved ones to suicide, and now as a therapist. When I suggest a tool or a shift in perspective, it’s because I practice what I preach. I know the freedom that comes from setting boundaries and building a life you truly love, and I want that same transformation for you.

A perspective shaped by the world: Growing up with over 30 exchange students from around the globe taught me early on that everyone’s "normal" looks different. This curiosity follows me outside the office, too. This love for travel and culture keeps my mind open and my spirit curious—traits I bring into every session we share.

Hello, I’m Ashley Nelson. I’m a Psychiatric Mental Health Nurse Practitioner (PMHNP) and therapist dedicated to helping individuals move from surviving to truly thriving. With a background in psychiatric nursing, emergency medicine, and specialized training as a Sexual Assault Nurse Examiner (SANE), I bring over a decade of diverse healthcare experience, blending clinical expertise with a deep understanding of human resilience in the face of crisis. My practice focuses on supporting adults, children, and families through life’s challenges — including anxiety, depression, trauma, PTSD, and the unique stressors faced by military members, first responders, nurses, and other helping professionals.

I have a deep passion for working with survivors of domestic violence, sexual assault, and complex trauma, providing a safe, compassionate space where healing feels possible. My approach blends evidence-based psychiatric care with practical, real-life strategies, empowering clients to reclaim their sense of control, rebuild confidence, and create lives that feel meaningful again.

With additional licenses in Louisiana, Utah, Arizona, Tennessee, and Florida, I can see patients via telehealth from across the country.

Hi, I’m Nikki! I’m a neurodivergent-affirming therapist licensed in South Carolina and Florida. I specialize in supporting individuals who feel overwhelmed, misunderstood, or stuck—especially those navigating ADHD, autism, anxiety, depression, and identity exploration.

My goal is to help you better understand yourself—how your mind works, how your emotions show up, and how your past experiences shape your present—so you can move through life in a way that actually fits you, not just what’s expected of you.