Find a therapist in Fredericksburg, VA — covered by insurance

I work with adults experiencing ADHD, anxiety, depression, relationship challenges, life transitions and grief. Many of my clients feel stuck or unsure how to move forward, whether that involves improving focus and follow-through, coping with loss, or navigating changes in mood and life circumstances.

You may be overwhelmed, struggling to stay focused, or going through a difficult change in your life that makes you feel stressed out.

With over 30 years of experience in healthcare as both a Licensed Professional Counselor and Registered Nurse, I bring a practical understanding of how physical, emotional, and mental health are connected, especially for adults managing ADHD, focus challenges, and overwhelm.

If you are feeling overwhelmed, exhausted, anxious, or lonely, please know that you do not have to carry this alone. Healing is a personal journey, and gentle, supportive care is within reach.

You may be someone who usually handles things well. You are responsible, capable, and used to figuring things out—but relationships can bring up reactions that are much harder to manage.

I work with adults who find themselves overthinking conversations, struggling with boundaries, questioning their decisions, repeating painful relationship patterns, or feeling stuck between what they want and what others expect from them.

With over 10 years of experience, I offer a warm, direct, and down-to-earth approach to therapy. I will listen carefully, but I will also ask questions, notice patterns, and help you understand what keeps getting in the way of the relationships and life you want.

I believe counseling should be a place where you feel seen, heard, and supported. Many of the clients I work with are navigating important life transitions—work, school, marriage, family relationships, cultural identity, leadership stress, faith questions, or the pressures of professional life. I especially enjoy working with individuals, couples, and families from diverse backgrounds, including professional women, TCK, MKs, PKs, Ministry families, African and Black and brown families, diaspora families, international professionals, and people who desire to integrate their faith into the counseling process.

My goal is to create a space that is both compassionate and practical. I want clients to feel safe bringing their whole story into the room—faith, culture, family dynamics, and personal struggles—while also leaving sessions with tools that help them grow and move forward. Whether we are working through relationship challenges, stress, anxiety, or life direction, I approach therapy as a partnership where we work together toward healing and clarity.

As a child growing up in New Orleans, LA, I struggled feeling seen, heard, and as if I truly belonged. I realized at a young age people (of all ages) shared with me their vulnerable, intimate and personal stories. And as I listened and held space for their concerns, these story-tellers felt a sense of relief, seemed lighter and a smile spread across their face.

I began wondering why people do what they do. This led me to gain education, strategies and tools to understand human behavior and development, learn how to effectively hold space for another, and begin supporting others with empathy; allowing them to feel seen, heard, and belong.

In the process, I chose to become a stepmom. I learned first hand how hard it is to blend a family and co-parent. If no one gives the biological parents a manual upon the birth of their child, there really is nothing for steps. This experience has given me a desire to fill this gap; helping steps, bios, and the children navigate and build a more content settled home.

⭐Rita Ososanya, DNP, PMHNP‐BC, is a board‐certified Psychiatric Mental Health Nurse Practitioner with more than twenty years of nursing experience and six years dedicated to advanced psychiatric practice. She specializes in comprehensive psychiatric evaluations, diagnostic formulation, and evidence‐based medication management for adults with complex mental health needs, including mood disorders, anxiety, trauma‐related conditions, psychotic disorders, ADHD, and substance use disorders. Her DNP training strengthened her leadership, clinical decision‐making, and commitment to measurement‐based, patient‐centered care. Rita is known for her calm, empathetic communication style and her ability to collaborate effectively across interdisciplinary teams to support safe, individualized, and trauma‐informed treatment.

I have been counseling and supporting individuals and families from diverse and neurodiverse backgrounds for over nine years.

YOU DON'T HAVE TO FIGURE THIS OUT ALONE

Life can become overwhelming in ways that are difficult to explain. You may be carrying stress that never seems to let up, struggling in relationships, grieving a loss, feeling disconnected, or finding that anxiety, panic or depression are making daily life more difficult than they once were.

Many people come to therapy after trying to manage things on their own for a long time.

Welcome! I'm David Caldwell, a psychotherapist and Clinical Social Worker who works with adults, couples and families in Reston, VA. I have extensive training and experience working with individuals navigating stress, conflict, depression, relationship distress, grief, anxiety, social discomfort and anxiety.

Area of focus include:

• Anxiety and panic attacks
• Depression
• Grief and loss
• Relationship distress
• Couples counseling
• Stress and burnout
• Parenting challenges
• Life transitions
• Family conflict
• Social anxiety and panic

Hello! My name is Danielle Sims and I hold a Master's degree in Mental Health Counseling.I strive to create a welcoming and inclusive space for individuals and families from diverse backgrounds.