Addiction therapists & psychiatrists in Roanoke, VA

I’m Karina Smith, LCSW, founder of Bloom Haven Therapeutic Services❀. I specialize in working with young adults and adults navigating anxiety, depression, trauma, ADHD, and life transitions related to relationships, career shifts, and family dynamics. I also support individuals experiencing the lasting impact of trauma or feeling stuck in patterns that are difficult to break.

My work is grounded in EMDR, DBT-informed therapy, somatic approaches, CBT, and mindfulness-based practices. I’m also an advocate and serve on the PAIMI Council for Disability Rights Florida.

I am a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to providing compassionate, evidence-based care for individuals across the lifespan. I specialize in treating conditions such as anxiety, depression, mood disorders, ADHD, and stress-related concerns through a combination of medication management and supportive psychotherapy.

My approach is holistic, collaborative, and patient-centered. I believe in creating a safe, nonjudgmental space where clients feel heard and respected. Together, we will explore your concerns, identify treatment goals, and develop a personalized plan that aligns with your needs and lifestyle.

I incorporate evidence-based practices such as cognitive behavioral techniques, supportive therapy, and psychoeducation to help clients build coping skills and improve overall well-being. Whether you are starting treatment for the first time or continuing your mental health journey, I strive to provide care that is thoughtful, empowering, and results-oriented.

I offer convenient telehealth services, making it easier to access care from the comfort of your home. My goal is to support you in achieving stability, balance, and improved quality of life.

I welcome clients from diverse backgrounds and am committed to culturally sensitive care.

I am a Licensed Clinical Social Worker (LCSW) with extensive experience providing evidence-based mental health services to adolescents, adults, couples, families, and elite athletes. Help athletes in their mental skills and performance.

My approach is compassionate, collaborative, and goal-oriented, helping clients develop practical strategies to overcome challenges while building resilience and lasting emotional well-being.

I earned my Master of Social Work degree from the University of Puerto Rico and have worked across outpatient mental health, crisis intervention, community behavioral health, and professional sports. I currently serve as a Mental Health Team Counselor with the Baltimore Orioles organization, where I support professional athletes in managing stress, anxiety, performance demands, life transitions, and overall psychological wellness.

My clinical experience includes treating anxiety, depression, trauma, adjustment disorders, relationship concerns, grief and loss, stress management, self-esteem, and life transitions. I integrate evidence-based approaches such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), Solution-Focused Therapy, and strengths-based interventions, tailoring treatment to each client’s unique goals and needs.

I believe that meaningful change begins with a trusting therapeutic relationship. My goal is to provide a safe, supportive, and nonjudgmental environment where clients feel heard, empowered, and equipped with the tools they need to thrive both personally and professionally.

I am a licensed clinical psychologist in DC and VA with a primarily cognitive-behavioral and values-driven approach to treatment. I specialize in a variety of mental health concerns, including depression, anxiety, trauma, life adjustments, and substance abuse. My previous experiences include working at prisons, psychiatric hospital, primary care clinic, community behavioral health clinic, and VA medical centers. I am also very interested in women's health and aim to support mental health issues that arise across the various stages of life, particularly TTC, fertility challenges, pregnancy, and postpartum.

I have practice as a Licensed Professional Counselor since 2012 and I also hold the license for Licensed Substance Abuse Treatment Practitioner.