Book a therapist or psychiatrist in Roanoke, VA covered by Aetna

Hi there! I'm Courtney Goolsby, an LPC in the state of Virginia. I have been working in the mental health field for over 10 years and truly love assisting in the creation of change. I specialize in working with individuals experiencing anxiety, depression, stress, burnout, and communication challenges.

Welcome—I'm so glad you're here. Whether you’re navigating a life transition, processing deep emotional wounds, or simply seeking a safe space to be heard, I’m here to support you. I’m a bilingual, neurodivergent, culturally-affirming National Certified Mental Health Counselor, licensed in Virginia and Florida, with 25+ years of experience guiding individuals through healing and growth. My approach is compassionate, personalized, and rooted in evidence-based practices.

I believe therapy is a powerful way to reconnect with your inner strength. If you're considering taking that step, I'd be honored to connect.

I currently work with individuals aged 18 and older.

I am an LPC in Virginia and LMHC-S in Florida my background in practice consists of treating adolescents, families, children in at risk populations and treating adults with depression and anxiety. I take a holistic approach to counseling and meet the client where they are at. I include CBT and solution-focused techniques in order to assist clients dealing with a variety of issues. I also have a background in TF-CBT informed therapy and utilize this as needed.

I help ambitious adults who feel plateaued or stuck in their work, relationships, healing or personal growth. On the surface life may look solid, yet anxiety lingers, relationships feel strained, or old patterns keep showing up when they try to move forward in their work, relationships, or personal growth. You understand yourself intellectually, but the deeper patterns still feel outside your control. Often the coping strategies that once propelled you forward are now the very things holding you back. You may even know exactly what needs to change, yet still find yourself repeating the same reactions when pressure rises.

If you’re feeling overwhelmed by anxiety, past experiences, or your relationship with food, you’re not alone—I am here to help when you are ready to connect.

I’m a dual-certified Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner with over 25 years of healthcare experience. I specialize in working with adults experiencing anxiety, trauma, and eating-related patterns such as emotional eating, restriction, or feeling out of control around food.

I also bring personal insight to this work, which allows me to approach care with deeper understanding and compassion while maintaining a thoughtful, clinical approach to treatment.

I work with individuals who are dealing with ongoing anxiety, stress, or challenges with mood or eating patterns that are starting to impact their daily life.

My goal is to provide individualized psychiatric care where you feel supported and understood and have a clear, and we create a realistic plan to move forward.

I have more than 25 years of experience assessing and treating adolescents, adults, and families. While I appreciate numerous approaches, my patients have stated that I provide a melding of both direct and indirect styles. In other words, my standard of care is challenging and supportive. More often than not, you won’t leave a session wondering what’s next.

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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I'm a dual board-certified Family and Psychiatric Mental Health Nurse Practitioner providing compassionate, evidence-based care tailored to your unique needs. For the past 8 years, I’ve worked closely with individuals managing chronic pain and substance use disorders, providing integrated support that addresses both physical and mental health needs. I specialize in diagnosing and treating a wide range of psychiatric conditions including anxiety, depression, bipolar disorder, ADHD, and PTSD with a focus on individuals over 18 years old.