Addiction therapists & psychiatrists in Fredericksburg, VA

I’m Karina Smith, LCSW, founder of Bloom Haven Therapeutic Services❀. I specialize in working with young adults and adults navigating anxiety, depression, trauma, ADHD, and life transitions related to relationships, career shifts, and family dynamics. I also support individuals experiencing the lasting impact of trauma or feeling stuck in patterns that are difficult to break.

My work is grounded in EMDR, DBT-informed therapy, somatic approaches, CBT, and mindfulness-based practices. I’m also an advocate and serve on the PAIMI Council for Disability Rights Florida.

As a Psychiatric Mental Health Nurse Practitioner (PMHNP) from Walden University, I am deeply passionate about delivering patient-centered care and committed to advocating for individuals from diverse backgrounds and cultures. With over eight years of experience working with patients, families, and communities affected by mental illness, I have developed a profound understanding of the importance of compassionate and individualized care.

My professional journey began as a registered nurse, where I came to realize that mental illness is no respecter of person, age, color, or social status. This experience reinforced my belief that every individual facing mental health challenges deserves a patient-centered, personalized, and holistic approach to their care.

As a PMHNP, my goal is to serve as a source of strength and support through active listening, empathy, and compassion. I strive to provide an evidence-based approach tailored to each patient’s specific needs, ensuring that every individual feels heard, valued, and empowered on their path to wellness.

Dr. Ahlers treats adults and adolescents with a wide range of psychiatric conditions including Mood and Anxiety Disorders, Personality Disorders, ADHD, and Psychotic Disorders. Dr. Ahlers is able to provide pharmacological management and/or psychotherapy services, depending on an individual's needs.

As a licensed counselor with over 15 years of experience, I have worked in a variety of different settings with those struggling with mental health and/or substance abuse issues. I graduated from Liberty University with a master's in counseling and practice as a licensed professional counselor as well as a licensed substance abuse treatment practitioner. I have worked in outpatient and inpatient settings.

As a Licensed Professional Counselor, I believe prioritizing mental health is key to happiness and stability in life. Seeking help can be one of the hardest parts, so congratulations on taking that step! I’ve been practicing for 10 years, but in the last few years, I have shifted my main focus to clients who are struggling with anxiety, depression, and stress management concerns. I also work with professionals who are looking for a safe place to address concerns that they may not always feel comfortable with sharing in their work environment.

I believe deeply that each person deserves a life rooted in balance, purpose, and fulfillment. I understand how the pace and pressures of modern life can cloud clarity and make it difficult to move forward with intention. In my work, I strive to create a thoughtful and compassionate space where your experiences are honored, your present moment is respected, and your future is approached with care. I view therapy as a collaborative process that supports you in reconnecting with your innate capacity to heal, adapt, and thrive, particularly when navigating anxiety, depression, or other challenges to well-being.

The Behavioral Health Outpatient Adult Team at the CSB consists of 132 diverse, talented clinicians who work in partnership with a medical team of nurses and prescribers to provide treatment to more than 5,000 individuals a year across seven locations. It is an honor to work with a team of passionate and person-centered providers.