Anxiety and depression therapists and psychiatrists in Roanoke, VA

I’m Lex Santí, LCSW, DSW-S, MFA, Clinical Director of A Key Therapy, a mindfulness-based telehealth practice. I work with adults and couples (18+) navigating anxiety, burnout, life transitions, relationship concerns, and questions of meaning and identity. I’m licensed in New York, New Jersey, Delaware, and Virginia.

Before founding A Key Therapy, I worked as a generalist therapist at Cornell Health, and earlier led international crisis response at Cornell. I know how heavy it can feel to carry a lot at once, and I bring steadiness, curiosity, and humor to the work. I’m also a writer, a yoga teacher, and a former Peace Corps volunteer, and I speak English, Spanish, Romanian, French, and Hungarian.

My caseload is often full, so if you’d like to work with me specifically, I keep a waitlist. A Key Therapy also has other clinicians who may be a great fit. You can learn more at akeytherapy.co.

Hi, I’m Felicia, a Licensed Clinical Social Worker with over 15 years of experience supporting individuals and families through life’s hardest seasons.

I specialize in helping people navigate trauma, grief, medical stress, and major life transitions. My approach is warm, honest, and grounding — I create a safe space where you can be fully yourself while also receiving real support and guidance. My goal is to help you feel seen, stronger, and more equipped to heal.

As a child growing up in New Orleans, LA, I struggled feeling seen, heard, and as if I truly belonged. I realized at a young age people (of all ages) shared with me their vulnerable, intimate and personal stories. And as I listened and held space for their concerns, these story-tellers felt a sense of relief, seemed lighter and a smile spread across their face.

I began wondering why people do what they do. This led me to gain education, strategies and tools to understand human behavior and development, learn how to effectively hold space for another, and begin supporting others with empathy; allowing them to feel seen, heard, and belong.

In the process, I chose to become a stepmom. I learned first hand how hard it is to blend a family and co-parent. If no one gives the biological parents a manual upon the birth of their child, there really is nothing for steps. This experience has given me a desire to fill this gap; helping steps, bios, and the children navigate and build a more content settled home.

Hello! My name is Danielle Sims and I hold a Master's degree in Mental Health Counseling.I strive to create a welcoming and inclusive space for individuals and families from diverse backgrounds.

I believe therapy can transform your beliefs, feelings, and relationships with the right support. It offers deeper self-understanding, stronger relationships, and greater overall well-being; often, the strength and resilience that come from working through pain are the most lasting gifts of the process.

I bring compassion, generosity, hope, humor, and a spiritual perspective to our work together. My goal is to create a space where fear has no room to grow, and sharing feels natural, because seeking therapy is already an act of courage, and I celebrate that in every session.

My approach is built on honesty, self-discovery, empowerment, and accountability. Together, we'll work to shift your perspective and bring more relief and freedom into your life.

Hello, I'm Annisha Dunaway. As a Licensed Clinical Social Worker, I come to this work not only from training but from a lifetime of experience—as a veteran, military spouse, mother, daughter, and sister. I understand firsthand how challenging life can be—how deeply we all need support that is compassionate, judgment-free, and motivating. My goal is to create a space where you feel seen, heard, and empowered to keep moving forward. Your story matters here, and I’m here to walk alongside you—no judgment, just honest, supportive partnership.