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

I'm a Licensed Professional Counselor and Licensed Substance Abuse Treatment Practitioner with a PhD, and I've spent ten years working with people who are genuinely tired of feeling like they should have figured this out by now. I work virtually with clients throughout Virginia, and I take a different approach than most therapists: I consider myself part clinician, part teacher. My goal isn't just for you to feel better in session — it's for you to leave understanding yourself well enough that you don't need me forever. I work with depression, anxiety, bipolar disorder, substance use, trauma, life transitions, and end-of-life concerns. I'm also a proud affirming provider for LGBTQ+ clients and believe good therapy should be accessible to everyone — which is why I've built in morning, afternoon, and evening availability.

My practice is guided by two simple beliefs:

1. People heal when they feel truly seen.

2. We are as unique on the inside as we are on the outside.

I work with adolescents and adults on anxiety, ADHD, depression, bipolar disorder, trauma, burnout, and more. I have a particular interest in high-achieving women navigating anxiety, ADHD, burnout, and perimenopause—a combination I see often and that frequently flies under the radar for years.

Medication may be part of the plan. So might sleep, hormones, relationships, labs, supplements, breath work, therapy, diet, pharmacogenomic testing, and more. You're not a container we pop a pill into every day, but a dynamic human being, and together we'll figure out what actually moves the needle for you.

Before I became a nurse practitioner, I taught violin for over 25 years. I never expected that to matter later, but it turns out I'd spent decades practicing exactly the skills I use now: listening closely, meeting someone where they actually are, and trusting that healing—like learning—looks different for everybody.

I earned my Master's degree from Frontier Nursing University and am licensed in Virginia and Maryland. Whether this is your first time seeking psychiatric care or you're looking for a different perspective, I'd love to connect and learn how I can help you feel like the person you've always known you could be.

Hi, I’m NP Carmouche, a dual board-certified Family Nurse Practitioner (FNP-C) and Psychiatric Mental Health Nurse Practitioner (PMHNP-BC). I provide compassionate, evidence-based care to adults 18 and older. I work with individuals with ADHD, anxiety, depression, PTSD, etc., using a variety of medication management and supportive therapy.

I’m Dr. Carly Ellman, a Licensed Clinical Social Worker and sports social worker with over 15 years of experience supporting individuals, families, and athletes across a wide range of life transitions.

My therapy style is warm, honest, collaborative, and grounded in compassion. I believe you are the expert of your own life, and my role is to help you build clarity, confidence, and tools that support your wellbeing both inside and outside the therapy room.

Whether you’re navigating anxiety, burnout, life transitions, relationship challenges, sport-related stress, or a desire for deeper self-understanding, you’ll find a safe, non-judgmental place to explore and grow.

My background includes clinical practice, college teaching, and working directly with youth, parents, and coaches to strengthen mental health, resilience, and relationships through evidence-based approaches.

I’ve also earned a Sports Social Work Certificate and serve on the U.S. Olympic & Paralympic Committee Mental Health Registry, where I work with athletes navigating performance pressure, identity, anxiety, and stress.

I am a Licensed Clinical Social Worker (LCSW) with extensive experience providing evidence-based mental health services to adolescents, adults, couples, families, and elite athletes. Help athletes in their mental skills and performance.

My approach is compassionate, collaborative, and goal-oriented, helping clients develop practical strategies to overcome challenges while building resilience and lasting emotional well-being.

I earned my Master of Social Work degree from the University of Puerto Rico and have worked across outpatient mental health, crisis intervention, community behavioral health, and professional sports. I currently serve as a Mental Health Team Counselor with the Baltimore Orioles organization, where I support professional athletes in managing stress, anxiety, performance demands, life transitions, and overall psychological wellness.

My clinical experience includes treating anxiety, depression, trauma, adjustment disorders, relationship concerns, grief and loss, stress management, self-esteem, and life transitions. I integrate evidence-based approaches such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), Solution-Focused Therapy, and strengths-based interventions, tailoring treatment to each client’s unique goals and needs.

I believe that meaningful change begins with a trusting therapeutic relationship. My goal is to provide a safe, supportive, and nonjudgmental environment where clients feel heard, empowered, and equipped with the tools they need to thrive both personally and professionally.

I'm Hannah, PMHNP-BC. Do you suffer from anxiety and depression? Are you struggling to keep up with your work, relationship with family and friends because of anxiety and depression? If you are struggling with anxiety or depression, I am here for you. I help high performers like you to manage anxiety, depression, and mood disorders to avoid feeling overwhelmed.

I have over 10 years of experience as a social worker assisting those with chronic mental health struggles. I specialize in anxiety, OCD & phobias, mood disorders and general work with adults experiencing challenging life stressors, change or loss. No matter what life stage you are in, therapy can help you cope and learn to thrive.

Greetings! My name is Kara Stewart, I am a licensed professional counselor licensed in the state of Georgia and Virginia. I have worked in the mental health field for over 20 years and have a passion for assisting others with finding their sense of wholeness and fulfillment. I obtained a M.S. in Counseling and Psychology with a concentration in Clinical Mental Health Counseling. I also have a M.S. in Mental Health and Wellness with an emphasis in Christian Ministry. I specialize in trauma, grief, life transitions, and other mood disorders.