Trauma and PTSD therapists & psychiatrists in Reston, VA

Whether you are struggling with the far-reaching impact of past trauma, relationship challenges, anxiety, depression, PTSD, or other ongoing health issue or simply wanting to invest in a bit of self-exploration and growth, I am so glad that you have begun your search for the best facilitator in that journey. I believe in meeting people where they are and allowing you to set your own pace for healing. I look forward to assisting on your healing journey in any way that I can.

Hi, I'm Josh. I’m a Licensed Clinical Social Worker in Virginia with over 20 years of experience working with individuals diagnosed with Intellectual and Developmental Disabilities, and more than a decade supporting individuals in acute crisis situations. I earned my Bachelor's in Sociology from Virginia Tech, a Master’s in Social Work from Radford University, and a second Master’s in Aging and Health from Georgetown University.

Clients should know that I bring a deep commitment to meeting people where they are—emotionally, mentally, and situationally. I’ve worked in long-term care, acute crisis settings, and served as the director of a regional crisis response team. No matter the setting, I’m dedicated to treating people with respect, dignity, and compassion. I'm here to provide a sound board and assist in making meaningful changes for those I provide services for including those managing depression, anxiety, difficult relationships, or just need someone to talk to about everyday life issues we all experience. I also have a special passion for working with the aging population, ensuring their voices are heard and their needs honored.

Welcome! I'm a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) dedicated to helping individuals find healing through a well-rounded approach to mental wellness. True healing comes from caring for the whole person: mind, body, and spirit. My goal is to create a safe, compassionate, and judgment-free space where you can be listened to, valued, and empowered to take an active role in your mental health journey. I have years of experience caring for individuals with depression, anxiety, bipolar disorder, trauma, psychosis, substance use disorders, and other complex mental health conditions. Mental health is more than managing symptoms. Mental well-being is closely connected to physical health, relationships, purpose, and daily habits. Together, we will explore how these areas influence your overall wellness and develop a treatment plan that supports lasting growth. This may include medication management when appropriate, education, supportive therapy, healthy lifestyle strategies, stress management, sleep optimization, and building practical coping skills that fit your life.

You’re used to holding it all together—but stress, anxiety, or emotional exhaustion may be catching up. I help high-functioning women navigate burnout, regain balance, and feel like themselves again. I provide collaborative psychiatric care including diagnostic clarification, medication management, and support to stabilize symptoms of burnout, anxiety, depression, and stress-related concerns.

Life can pull us in a hundred different directions, and sometimes it takes slowing down, getting real, and having honest conversations to find our way forward. My approach is straightforward and commpassionate - no judgment, no fluff. I meet you where you are, walk beside you through the challenges, and help you rediscover your strength, clarity, and purpose.

For the past 35 years I have helped clients work through troubling life situations. Throughout my career I have worked with a broad spectrum of clients from every walk of life. I have treated people struggling with a wide range of problems; depression, anxiety, marital difficulties, infidelity, loss of a job, domestic violence, PTSD or other life altering circumstances. Your past does NOT equal your future. Who you can become is not defined by who you have been, who you think you are now, or by what experiences that may have impacted your life to this point. My role is to challenge and empower you to transform your life, helping you to change your patterns of thoughts, feelings, and behaviors that may not work or don't support you to attain the personal growth you are committed to accomplishing.

A lot of men arrive in therapy through anger, because it is often the only feeling they were ever given permission to have. If that is you, or if the anxiety has been running underneath everything for years, or if something happened to you that you have never said out loud, you are in the right place. I'm Dr. Justin D. Gravely-Strayhorn, a Licensed Clinical Social Worker. I earned my Master of Social Work from Campbellsville University and my Doctor of Education from Liberty University. I work with adults on anxiety, depression, trauma, anger, relationships, and the particular weight men carry when they have been taught that handling it alone is the same thing as being strong. Culture is part of that conversation, not separate from it. What shaped you, what was expected of you, and what it costs to keep performing being fine all belong in the room. My approach combines evidence-based therapy with compassion, cultural awareness, and a holistic view of wellness. I believe growth happens when we feel seen, supported, and empowered to rewrite our stories.

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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