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

Alejandro is a Licensed Professional Counselor (LPC) who earned his Master’s degree in Clinical Mental Health Counseling from Johns Hopkins University. More importantly, he brings a warm, grounded, and genuinely human presence into the therapy room. Clients often describe him as approachable, easy to talk to, and deeply attentive.

Alejandro believes that meaningful change occurs in a space where you feel both safe and understood while also being gently challenged. He meets you where you are, without judgment, and helps you explore patterns, emotions, and experiences with curiosity and compassion.

Whether you are navigating stress, experiencing life transitions, or facing deeper emotional struggles, Alejandro is committed to walking alongside you at your pace. He aims to support you in building clarity, confidence, and a stronger connection with yourself.

My name is A.J. Esguerra. I am a Licensed Professional Counselor and have been working in the mental health field since 2001. I have split my time primarily between working in residential treatment with abused and neglected children, and most recently in a private therapeutic day school for children and adolescents with special needs (which remains my full-time job). However, after COVID, I felt it was part of my purpose and mission to begin providing online therapy part time. My belief is that the world needs connection more than ever, and there are few things more protective or more resilient than a positive relationship with another person

As a board-certified psychiatric nurse practitioner in rural Virginia, as well as, a decade abroad managing health programs, my experience includes acute crisis management, addiction medicine, community health, and maternal and child health. Medication management, therapy, and holistic care for depression, anxiety, adjustment challenges, traumatic experiences, and bipolar disorders are my main areas of focus. Particular interest and expertise in working with children and families in foster care.

I have been in practice for over 15 years as a clinician, professor, and behavioral health expert in the government ensure my clients are receiving the best care. I currently hold a doctorate in counseling psychology with a treatment focus working with adults on stress management and solution focused therapy.

Hi! As a Psychiatric Nurse Practitioner and proud LGBTQ+ ally, I have extensive experience helping people navigate anxiety, depression, mood disorders, ADHD, trauma, and more. I have a special place in my practice for those dealing with depression or trauma rooted in relationships or family, because those experiences deserve thoughtful, dedicated care.

Your mental health journey matters to me, and I'm here to truly listen, not just to what you're saying, but to what you need. Together, we'll work toward solutions that are both compassionate and effective.

Mental health counseling is a form of help that can be tailored to meet the diverse needs of many individuals. Some mental health professionals, including me, intentionally incorporate spiritual or religious elements into their therapeutic practices. I do so because I primarily serve a Christian community, because my clients also adhere to religious principles in their own lives, and I subscribe to the belief that people experiencing distress can especially benefit from the help of God and spiritual empowerment.

“If you’re ready to heal, reduce stress, and rediscover your peace, you’re in the right place. Be intentional about your healing journey so you can live the life you deserve.”

I’m Annetta Thomas, owner and psychotherapist of Purposely BE, LLC (PBLLC). I’m a Licensed Professional Counselor Supervisor (LPC-S), mental health advocate, life coach, and proud mother to a princess. My journey to becoming a therapist was both personal and purposeful. Though I once imagined becoming a doctor, my true calling emerged when I discovered the power of psychology and healing. I believe that resilience and healing are within reach for everyone.

I consider it a privilege to hold space for others during their most vulnerable moments. My goal is to help clients rediscover peace, clarity, and confidence as they navigate life’s challenges.