Trauma and PTSD therapists & psychiatrists in Virginia

Feeling overwhelmed, lost, or unsure where to start? You've come to the right place.

With over 17 years of clinical experience across a variety of settings, I specialize in creating a warm, judgment-free space where you can explore your concerns at your own pace. Whether you arrive with specific goals in mind, need help identifying them, or simply need somewhere to exhale.

I work with children, adults, couples, and families navigating a wide range of challenges, including depression, anxiety, behavioral concerns, relationship difficulties, and life transitions. Whatever brings you here, I bring deep clinical expertise, genuine compassion, and a commitment to helping you move toward the mental health and life you deserve.

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.

Are you feeling overwhelmed by anxiety, grief, trauma, relationship stress, or family boundaries? I support adults with anxiety, depression, OCD, postpartum concerns, trauma, PTSD, grief, substance use, and relationship challenges. I especially support daughters of narcissistic mothers and people navigating estrangement or no contact. I welcome all races, genders, identities, LGBTQIA+ clients, and neurodivergent adults, including those with ADHD or ADD. As a licensed clinical social worker with over a decade of experience, I offer warmth, empathy, and respect for how identity and life shapes what you carry.

I am a board-certified Nurse Practitioner with training in both primary care and psychiatric mental health. I have extensive experience providing care in community, correctional, and integrated care settings, where I work with individuals managing anxiety, depression, mood disorders, trauma-related conditions, and other mental health concerns.

I strive to create a supportive, nonjudgmental space where clients feel heard and respected. I value thoughtful assessment, clear communication, and collaborative decision-making to help clients better understand their symptoms and treatment options. My goal is to partner with each client to develop a personalized care plan that supports both mental and overall well-being.

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.

You don't need to know exactly what's wrong before reaching out. Most people I work with start with a sense that something is off, or that they've been managing on their own for too long. That's enough to begin. I work with adults and adolescents facing trauma, depression, and substance use, which are often more connected than they look from the outside. Figuring out how they fit together is part of our work. I'm patient and fairly direct, and I keep a sense of humor in the room. Clients often tell me they don't feel rushed or judged with me, and that matters more to the work than any single technique.