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

Have you ever felt like you're accomplishing everything but still feel unfulfilled or unsatisfied? Do you give so much of yourself to others that little is left for you at the end of the day? Does your child's behaviors (fighting, defiance, truancy, argumentative) leave you wondering what's really going on beneath the surface. It just might be time to take a deeper look.

I’m Tiana Welch, a Licensed Independent Clinical Social Worker, providing telehealth therapy for children, teens, and young adult/adult women. With six years of experience, I have supported clients facing many challenges, including mental health concerns, behavioral issues, and substance abuse. My passion lies in helping children, teens, and families take a deeper look at behaviors to uncover the root causes, and in supporting young adult and adult women as they peel back the layers of perfectionism, burnout, and societal expectations to reconnect with their true selves.

Outside of therapy, I enjoy attending Pilates and spin classes, coloring, painting, reading, and exploring new creative hobbies like learning to sew (this month).

I believe therapy is a safe place in which we can be heard, supported, and understood. Together, we will work to uncover your strengths and find new ways to approach life's challenges.

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.

Hi! I'm Yama, a board-certified Psychiatric Mental Health Nurse Practitioner with over 15 years of clinical and administrative experience spanning adult-gerontology, post-acute nursing, and advanced psychiatric care. My background is deeply interdisciplinary, which means I bring a broad, well-rounded perspective to every person I work with.

Life's challenges can sometimes feel overwhelming, whether you're struggling with anxiety, depression, relationship concerns, grief, or the transitions that come with different stages of life. You don't have to navigate these experiences alone. My goal is to provide a safe, supportive, and judgment-free space where you can feel heard, understood, and empowered to move toward meaningful change from an eclectic evidenced based approach that promotes hope, stability, and wellness, including faith-based perspective.

I specialize in working with adults and older adults experiencing anxiety, depression, grief and loss, intimate relationship conflict, and couples counseling.I believes my purpose is to assist individuals to live life healthy and with hope.

I have extensive experience with substance abuse, holding a previous Certified Alcohol Drug Certificate (CADC) in Illinois, previous certification as an Emergency Services Prescreener with mental health, certified as a Clinical Trauma Professional, trained in level 2 of the Gottman Couples Method, experienced with anxiety, depression, grief & loss, and intimate relationship conflict. I received an outstanding excellent therapy award in 2021 and am committed to lives being changed. I am inspired daily by my husband, two adult children, and in love with my five grandchildren. In my spare time I love exercising, running miles, and reading educational/spiritual literature to keep myself sharp to assist others in sharpen themselves.

I have worked in primary care and medical environments for over 6 years as a therapist/clinical social worker.

My background is primarily working with patients faced with mood disorders such as anxiety, and depression. My expertise has expanded to treat PTSD and dissociative disorders as well as borderline personality disorder.