Grief counselors and therapists 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 help to create a safe, collaborative space where you will feel seen, not judged. Our relationship is one where you can let your guard down and show up as your full self. It is my goal to use a warm and compassionate relationship to walk alongside you, offering reflection, compassion, and challenge when needed to help you reach your goals.

With 8 years of experience in the mental health field, I firmly believe in the parity of mental and physical health. Life often leads us into dark tunnels, and my role in therapy is to guide individuals toward the light at the end of those tunnels.

Do you struggle with anxiety, depression, grief, or a challenging relationship that impacts your daily life, relationships, or ability to function? Do you feel exhausted, overwhelmed, or frustrated just getting through the day? Are you wondering if life could feel better, more fulfilling, or aligned with your values? If this resonates with you, thank you for seeking support. I take a collaborative, wellness-based approach to counseling, partnering with my clients to address barriers standing in the way of their relational, spiritual, academic, or professional goals. Together, we will build on your strengths to create lasting change.

I have worked as a counselor for over 20 years with individuals, couples and families, both for private and government organizations. My education and training focused on trauma, anxiety, depression and adjustment disorders.

I'm not a regular therapist—I'm a cool therapist. You'll likely find me using humor in sessions because it's one of my favorite coping skills (when it's appropriate). I strive to create a warm, supportive, and nonjudgmental environment where you can feel comfortable being yourself.

Helping others has always been my passion, and I love supporting clients as they create meaningful changes in their lives. I also value learning and believe that knowledge can be a powerful tool for growth, so don't be surprised if I recommend a book or two during our time together.

I specialize in working with clients experiencing anxiety, ADHD, PTSD, substance use concerns, burnout, and adjustment disorders or other life transitions. I also love supporting new moms as they navigate the perinatal period and the unique challenges that can come with it.