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

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 am a Deaf LCSW and Neuropsychotherapist (NPT-C) with nearly 20 years of experience dedicated to high-achieving individuals facing systemic pressure. My clinical work integrates Neuropsychotherapy and Executive Management principles to cultivate cognitive resilience and self-mastery. My foundation includes four advanced degrees, culminating in my doctoral research which focused on systemic complexity and inclusive leadership. I bring extensive experience as a former leader in state government, non-profit, and private sectors. This background allows me to treat vocational stress, anxiety, and burnout with humble competence and real-world relevance. I communicate effectively via voice, video, and American Sign Language (ASL). I am committed to creating affirming, psychologically safe, and accessible spaces for all individuals to thrive.

I work with individuals, couples, and families of all ages. I have a Masters in Clinical Health Psychology and a Masters in Nutrition/Dietetics, which helps lend to a holistic approach to my work with clients. I commonly work with health behavioral change, anxiety, depression, eating disorders, ADHD, OCD, and relationship change. My treatment approach utilizes a biopsychosocial lense in long-term therapy based in psychodynamic, strengths-based, and integrative work in overall health. I utilize coping skills from CBT, DBT, ACT, and Mindfulness. I incorporated life-skills such a assertiveness, boundaries, and career.

I love the work that I do and the healing relationships I have been able to foster with my clients. I believe that therapy is a form of self-care and I want to be an advocate of that for my clients. I welcome anyone who thinks they may want some support, whether long-term or short-term to reach out to me and set up a brief phone consultation.

My name is Elana Isser. I am a licensed clinical social worker. in New Jersey, New York, and Maryland. I am a graduate of Columbia School of Social Work and I have worked with clients of all ages in hospital and outpatient telehealth settings. I use evidence-based treatments, Cognitive Behavioral Therapy, Motivational Interviewing, and Dialectical Behavioral Therapy in my work.

Hello, and welcome! I'm Sakura Pate, a trauma-informed therapist dedicated to creating a safe, supportive, and nonjudgmental space where clients feel seen, heard, and empowered. I became a social worker in 2013, supporting individuals through a wide range of life challenges across community and behavioral health settings. After earning my Master of Social Work in 2023, I expanded my practice to provide individual and couples counseling, combining years of social work experience with evidence-based, client-centered, and trauma-informed care.

I work with adults and couples experiencing a variety of emotional, relational, and life challenges. Whether you're feeling overwhelmed, navigating a major life transition, struggling in your relationships, processing past experiences, or simply looking to better understand yourself, I provide a collaborative space to explore what matters most to you. My approach is tailored to each individual, recognizing that every person's experiences, strengths, and goals are unique. I also provide LGBTQIA+ affirming care and am committed to creating an inclusive environment where every client feels respected, valued, and safe to show up as their authentic self.

I believe healing happens through connection, self-awareness, and compassion. Whether you're seeking support for a specific concern, personal growth, or greater fulfillment in your relationships, I'm honored to walk alongside you as you build resilience, strengthen meaningful connections, and create lasting, positive change.