Anxiety and depression therapists and psychiatrists in Reston, VA

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.

Hi, I’m Hayley Johnson, MSN, PMHNP-BC. I am a board-certified Psychiatric Mental Health Nurse Practitioner with over 16 years of experience in nursing, including medical, rehabilitation, home health, and behavioral health settings.

I work with adolescents and adults (ages 12+) experiencing anxiety, depression, ADHD, mood disorders, and stress-related conditions. Many of my clients are high-functioning individuals who feel overwhelmed internally, struggle with focus or emotional regulation, or feel stuck despite trying to manage things on their own.

My background in both medical and psychiatric care allows me to take a comprehensive approach. I consider the full picture, including medical history, lifestyle factors, and when appropriate, possible contributors such as thyroid imbalance, vitamin deficiencies, or hormonal changes.

I am committed to providing thoughtful, structured, and evidence-based psychiatric medication management in a way that feels collaborative and respectful.

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.

I’m a Licensed Clinical Social Worker (LCSW) with over eight years of experience providing therapy in both English and Spanish. I work with children, adolescents, adults, couples, and families, specializing in trauma, stress, and depression.

I strive to create a warm, supportive space where you feel heard and understood. My approach is collaborative and tailored to your needs, helping you build insight, develop coping skills, and move toward meaningful change.

Whether you’re navigating a difficult time or working through past experiences, I’m here to support you every step of the way.

I'm April — a Licensed Clinical Social Worker who has worked alongside people in some of the hardest chapters of their lives: crisis moments in emergency settings, school hallways with overwhelmed teenagers, and outpatient rooms where families were trying to figure out how to be in the same room again. That range of experience has shaped how I work. I know that anxiety looks different in a 15-year-old than it does in a 40-year-old. I know that couples who love each other can still feel like strangers. And I know that healing isn't linear — it takes time, trust, and the right support.

I specialize in anxiety, depression, trauma, relationship and marital concerns, family conflict, parenting challenges, life transitions, and emotional regulation. I work with children, teens, adults, couples, and families. For clients who want it, I also offer faith-integrated counseling that weaves Christian beliefs and values into the therapeutic process — thoughtfully, ethically, and at your pace.

You’re the one who holds it all together. On paper it’s working — the career, the relationships, the discipline. Underneath, you’re anxious, tired, and disconnected. Intellect, stamina, perfectionism and people-pleasing may have gotten you far — but now its part of a pattern that keeps you stuck.

I see driven, self-aware adults who are often the most capable person in the room despite (and because of) their bodies holding patterns of high-functioning anxiety, trauma, and depression.

The pattern lives within your nervous system — so this work includes the mind, body, and environment. Yes, we will explore your patterns & why they exist, AND we’ll notice them in your body, in real time. Coherence, parts work, Brainspotting, ART, EFT- different tools, one principle: change consolidates through experience, not just explanation.

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