Anxiety and depression therapists and psychiatrists in Roanoke, VA

As a Licensed Professional Counselor, I believe in prioritizing our mental health. My goal is make therapy feel approachable, empowering, and warm. I will meet you where you are on your life journey and collaborate with you on meeting your goals.

There is something different about talking to someone who actually understands your world. I work with adults navigating anxiety, depression, grief, trauma, life transitions, and challenges with identity and how they see themselves, and I offer sessions in both English and Haitian Creole. I bring particular care to clients from Haitian and Caribbean backgrounds and to women navigating the emotional weight of motherhood, loss, and everything in between. With more than 15 years of experience, I have seen what becomes possible when people feel genuinely seen and free to show up exactly as they are.

Welcome!

As a Spanish and English speaking Licensed Clinical Social Worker, I believe mental health is a key ingredient in navigating life transitions and regaining stability. Seeking support on your journey is hard, so congratulations on doing what is hard. I’ve been practicing for 20 years, working with clients aged 13-25 navigating anxiety, depression, emotional regulation, and life transitions.

​I am experienced in treating PPD/PPA, pregnancy loss, birth trauma, and related concerns. I am trained in EMDR with a focus on the perinatal period. I enjoy working with parents to support positive attachments with their children, navigate through challenges, and understand developmental stages and concerns.

I also work with those experiencing difficulties related to ADHD, life transitions, anxiety, depression, and trauma.

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 am a caring therapist that put my patients first. I am a cognitive therapist and work with patient introducing them to having thoughts that bring on feelings that eventually lead to behavior.

As a Licensed Professional Counselor, I believe in that our mental health is key to happiness and stability in life. Seeking help can be one of the hardest parts, so kudos on taking that step! I have over 20 years of working with children and families in the field of education. I now serve children, families, individuals and couples as an LPC with training in play therapy, trauma play, co-parenting and re-unifciation.

My approach is direct, compassionate, culturally aware, and deeply grounded in trauma-informed care. I help clients understand not just what they are feeling, but why their mind and body respond the way they do. A lot of people come to therapy feeling exhausted from surviving, overthinking, masking, people pleasing, or functioning on autopilot. Together, we work on building emotional safety, nervous system regulation, healthier relationships, self-awareness, and practical tools that actually work in real life.

I specialize in trauma, anxiety, stress management, emotional regulation, relationship dynamics, self-esteem, life transitions, and helping high-capacity individuals who are successful externally but overwhelmed internally. My work integrates evidence-based practices, somatic awareness, attachment-focused interventions, and practical strategies that support both emotional wellness and everyday functioning.

I am a Licensed Clinical Social Worker with a Master of Social Work from Walden University and a Bachelor of Social Work from Norfolk State University. My clinical experience spans emergency departments, hospitals, and community-based behavioral health settings, where I have supported adults navigating depression, anxiety, life transitions, substance use concerns, and complex medical or psychiatric challenges.