LGBT therapists in Woodbridge, VA

Hi, I’m Nicole, a licensed clinical social worker offering telehealth therapy to adults in AZ, DE, IL, PA, TX, and VA through my practice, Bicoastal Counseling & Consultation. I have over a decade of experience working in mental health, schools, and nonprofit settings. I specialize in supporting adults dealing with anxiety, life transitions, burnout, and relationship challenges. My style is warm, collaborative, and grounded in real-life experience.

I am Dr. A.C. Fowlkes, a Virginia-licensed clinical psychologist with extensive experience working in complex behavioral health settings. I provide affirming therapy to LGBTQ+ clients, including transgender and gender-diverse individuals, as well as people navigating cancer and other major life transitions. In separate areas of my practice, I also work with individuals living with schizophrenia and other psychotic disorders and those with histories of sexual offending. My approach is compassionate, direct, and collaborative; I create space for you to feel heard while also offering honest feedback and respectfully challenging patterns that may be getting in your way.

Meet your therapist: I have 8+ years of experience in the field of counseling. It is truly my passion. My favorite thing is seeing a client overcome a challenge they once said would be "impossible." (Hint: Almost nothing is impossible with the right support!) I form a personal and intentional relationship with each client and I will walk with you through moments that are uncomfortable or difficult. Outside of work I can be found cooking and spending time on the farm with my three fantastic dogs.

I'm a clinical psychologist residing in the mountains of Southwest Virginia, where I came to start my education in 1998 at Virginia Tech, and where I stayed to complete my graduate training at nearby Radford University. Since then, I've worked in community mental health, college counseling, and private practice, with a brief stint in neuropsychology along the way. I've also been an assistant professor at Radford and at Roanoke College. I think of myself as a generalist (meaning I like to work with a broad range of clients and issues), but have had the most experience with mood and anxiety disorders, trauma, substance use disorders, and LGBTQ+ issues. When not practicing, I devote my time to family, dogs, video games, tabletop RPGs, cooking, and badly writing electronic music.

Life can be hard and sometimes overwhelming, but there is light, even if you can’t see it right now. You don’t have to carry everything alone. With support, healing and growth are possible. You deserve a space where you feel heard, understood, and supported without judgment. Starting therapy can feel vulnerable, but I’m here to walk alongside you. I am a Licensed Professional Counselor (LPC) in Virginia with over 10 years of experience in the helping profession, including clinical mental health work since 2020. I earned my Master of Science in Education in Clinical Mental Health and School Counseling from Old Dominion University. I work with adolescents, young adults, adults, couples, and veterans ages 11 to 40 supporting concerns such as life transitions, relationships, anxiety, depression, stress, trauma, self-esteem, and personal growth. I focus on building a genuine connection and creating a safe, welcoming space where you can be yourself. I value cultural humility and honor your unique experiences and strengths, meeting you where you are while supporting your growth. I believe healing happens in supportive relationships. Whether you’re facing challenges, processing the past, or moving into a new chapter, I’m here to support you. There is hope, and together we can help you move forward. Outside of counseling, I enjoy singing, painting, music, travel, and exploring different cultures, which help keep me grounded and inspired.