Grief counselors and therapists in Roanoke, VA

Do you feel overwhelmed and emotionally exhausted by life’s challenges? Are those challenges affecting your day-to-day life? Do you think you “should” be happy but can’t figure out why you’re not? These are all normal thoughts and feelings and navigating them shouldn’t be so hard! Processing the struggles and transitions we face with a professional can help. It might mean learning to set boundaries, working through a life transition or changing a pattern that is keeping you stuck.

As a board-certified Psychiatric Mental Health Nurse Practitioner, I believe mental health care should be collaborative and centered on who you are as an individual. I support adolescents and adults navigating anxiety, depression, ADHD, PTSD, OCD, mood disorders, and more. Through trauma-informed care, evidence-based practices, individualized treatment plans, comprehensive medication management, and therapeutic support, I create a judgment-free space where we can show up authentically and work together toward meaningful progress. My background includes experience as an outpatient psychiatric provider, inpatient psychiatric registered nurse, and in community reproductive health, allowing me to bring a broad and well-rounded perspective to the care I provide. I hold a Master of Science in Nursing and a Bachelor of Arts in Political Science and Sociology, which have shaped my understanding of the many varying factors that impact mental health.

I want to provide an environment where you feel like you can be your best self. This happens by providing a safe space for you to feel cozy, welcomed and heard. When you are in the right space and with the right person, it gives you the ability to be open to discuss any issues or concerns to improve and become the best version of you.

I'm a dual board-certified Family and Psychiatric Mental Health Nurse Practitioner providing compassionate, evidence-based care tailored to your unique needs. For the past 8 years, I’ve worked closely with individuals managing chronic pain and substance use disorders, providing integrated support that addresses both physical and mental health needs. I specialize in diagnosing and treating a wide range of psychiatric conditions including anxiety, depression, bipolar disorder, ADHD, and PTSD with a focus on individuals over 18 years old.

I’m Karina Smith, LCSW, founder of Bloom Haven Therapeutic Services❀. I specialize in working with young adults and adults navigating anxiety, depression, trauma, 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 mindfulness-based practices and more! I’m also an advocate serving on the PAIMI Council for Disability Rights Florida.

Anxiety, stress, and addiction can make every day feel like a battle you're fighting alone. I'm Myra, an LPC and Licensed Substance Abuse Treatment Practitioner in Virginia. I meet you where you are, listen without judgment, and help you build a path toward what you actually want. Let's start talking.

I am an LPC in Virginia and LMHC-S in Florida my background in practice consists of treating adolescents, families, children in at risk populations and treating adults with depression and anxiety. I take a holistic approach to counseling and meet the client where they are at. I include CBT and solution-focused techniques in order to assist clients dealing with a variety of issues. I also have a background in TF-CBT informed therapy and utilize this as needed.

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.

Throughout my graduate and professional experiences, I have had the privilege of working with individuals from diverse backgrounds on issues including anxiety, self-esteem and identity, stress management, and life transitions. As a mother, I also have a passion for supporting expecting and new mothers as they prepare for and adjust to expanding their families. I prioritize developing a supportive, collaborative relationship with each client, helping them feel heard, understood, and empowered as they navigate life’s challenges.

You’re the one who holds it all together. On paper it’s working — the career, the relationships, the discipline. Underneath, you’re anxious, tired, and disconnected. Intellect, stamina, perfectionism and people-pleasing may have gotten you far — but now its part of a pattern that keeps you stuck.

I see driven, self-aware adults who are often the most capable person in the room despite (and because of) their bodies holding patterns of high-functioning anxiety, trauma, and depression.

The pattern lives within your nervous system — so this work includes the mind, body, and environment. Yes, we will explore your patterns & why they exist, AND we’ll notice them in your body, in real time. Coherence, parts work, Brainspotting, ART, EFT- different tools, one principle: change consolidates through experience, not just explanation.

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