Book a therapist or psychiatrist in Blacksburg, VA covered by Cigna

I'm a clinical psychologist residing in the mountains of Southwest Virginia, where I came to start my education in 1998 at Virginia Tech, and where I stayed to complete my graduate training at nearby Radford University. Since then, I've worked in community mental health, college counseling, and private practice, with a brief stint in neuropsychology along the way. I've also been an assistant professor at Radford and at Roanoke College. I think of myself as a generalist (meaning I like to work with a broad range of clients and issues), but have had the most experience with mood and anxiety disorders, trauma, substance use disorders, and LGBTQ+ issues. When not practicing, I devote my time to family, dogs, video games, tabletop RPGs, cooking, and badly writing electronic music.

I believe therapy works best when clients feel genuinely seen and supported. I work with adults experiencing anxiety, depression, trauma, and substance-related concerns, using a collaborative and evidence-based approach tailored to each individual. My goal is to help clients reconnect with themselves, build healthier patterns, and create meaningful change at their own pace.

As a board-certified Psychiatric Mental Health Nurse Practitioner, I believe mental health care should be collaborative and centered on who you are as an individual. I support adolescents and adults navigating anxiety, depression, ADHD, PTSD, OCD, mood disorders, and more. Through trauma-informed care, evidence-based practices, individualized treatment plans, comprehensive medication management, and therapeutic support, I create a judgment-free space where we can show up authentically and work together toward meaningful progress. My background includes experience as an outpatient psychiatric provider, inpatient psychiatric registered nurse, and in community reproductive health, allowing me to bring a broad and well-rounded perspective to the care I provide. I hold a Master of Science in Nursing and a Bachelor of Arts in Political Science and Sociology, which have shaped my understanding of the many varying factors that impact mental health.

Do you feel overwhelmed and emotionally exhausted by life’s challenges? Are those challenges affecting your day-to-day life? Do you think you “should” be happy but can’t figure out why you’re not? These are all normal thoughts and feelings and navigating them shouldn’t be so hard! Processing the struggles and transitions we face with a professional can help. It might mean learning to set boundaries, working through a life transition or changing a pattern that is keeping you stuck.

After 20 years in the U.S. Army and a decade working in inpatient psychiatry, I understand

what it means to carry weight that the people around you can't quite see. I work withveterans, first responders, and anyone navigating a major life transition, stress, trauma,

or the everyday pressure of holding it together. I am here to help you find your footing.

Reach out whenever you are ready.

If you're an adult navigating anxiety, depression, ADHD, trauma, PTSD, substance use, burnout, or other challenges, and it feels like life doesn't leave room to sort it out, I'd like to help. I'm Dr. Cooke, a psychologist who works with people from a wide range of backgrounds, including active-duty service members, veterans, and dependents navigating demanding careers and environments. I earned my PhD in clinical psychology from Texas Tech, where I researched trauma, substance use, and the effects of head injuries, before finishing my training at Joint Base Lewis-McChord, WA. Whatever brings you to therapy, my goal is to understand what's happening and work with you to find a way forward that fits your life. Together, we identify what's getting in the way and build practical, evidence-based ways to address it.

Have you ever felt like you're accomplishing everything but still feel unfulfilled or unsatisfied? Do you give so much of yourself to others that little is left for you at the end of the day? Does your child's behaviors (fighting, defiance, truancy, argumentative) leave you wondering what's really going on beneath the surface. It just might be time to take a deeper look.

I’m Tiana Welch, a Licensed Independent Clinical Social Worker, providing telehealth therapy for children, teens, and young adult/adult women. With six years of experience, I have supported clients facing many challenges, including mental health concerns, behavioral issues, and substance abuse. My passion lies in helping children, teens, and families take a deeper look at behaviors to uncover the root causes, and in supporting young adult and adult women as they peel back the layers of perfectionism, burnout, and societal expectations to reconnect with their true selves.

Outside of therapy, I enjoy attending Pilates and spin classes, coloring, painting, reading, and exploring new creative hobbies like learning to sew (this month).

Hello! I am a Licensed Clinical Social Worker, which means that I have been specially trained to assess and provide on-going mental health support during and following a personal crisis. I received my MSW from the University of Denver, and completed my B.S. degree in administration of justice from George Mason University.

Prior to starting my own practice I worked in a variety of human service settings including residential treatment, secondary education, and in child welfare.

I bring a warm, friendly approach to each therapy session. I like for sessions to feel like a good conversation that leaves you feeling uplifted and more confident about yourself and your situation.

Areas of specialty include: Anxiety, ADHD, Anger Management, Complex Trauma, Depression, Life Transitions, and Relationships Issues and for children, youth, their families.

I have been doing this work for 21 years, and the thing that has not changed is that I believe people are more capable of change than they think. I work with adults and teens dealing with substance use, anxiety, anger, and grief, the kind of stuff that is hard to talk about and harder to carry alone. I am direct and practical, and I will not waste your time with vague advice. I want to understand what is actually going on and then work with you to do something about it. I'm licensed in Arizona, Minnesota, and Virginia!

Hi, I’m Marlane.

Taking the first step toward therapy can feel overwhelming, but you don’t have to face life’s challenges alone. I provide a safe, supportive space for individuals and families navigating stress, trauma, emotional challenges, and substance use concerns.

With over five years of experience supporting clients in crisis, I use a collaborative approach tailored to your unique needs. Through evidence-based approaches such as CBT and trauma-focused CBT, we will work together to build coping skills, improve emotional wellness, strengthen communication, and create meaningful change.

My goal is to help you feel empowered, resilient, and confident as you move forward.