Find a therapist in Virginia — covered by insurance

I'm a Licensed Professional Counselor and Licensed Substance Abuse Treatment Practitioner with a PhD, and I've spent ten years working with people who are genuinely tired of feeling like they should have figured this out by now. I work virtually with clients throughout Virginia, and I take a different approach than most therapists: I consider myself part clinician, part teacher. My goal isn't just for you to feel better in session — it's for you to leave understanding yourself well enough that you don't need me forever. I work with depression, anxiety, bipolar disorder, substance use, trauma, life transitions, and end-of-life concerns. I'm also a proud affirming provider for LGBTQ+ clients and believe good therapy should be accessible to everyone — which is why I've built in morning, afternoon, and evening availability.

My name is A.J. Esguerra. I am a Licensed Professional Counselor and have been working in the mental health field since 2001. I have split my time primarily between working in residential treatment with abused and neglected children, and most recently in a private therapeutic day school for children and adolescents with special needs (which remains my full-time job). However, after COVID, I felt it was part of my purpose and mission to begin providing online therapy part time. My belief is that the world needs connection more than ever, and there are few things more protective or more resilient than a positive relationship with another person

As a Licensed Clinical Social Worker (LCSW) with a rich background in school social work, foster youth support, and community mental health, I am deeply dedicated to helping families and children of all ages reach their full potential. My diverse experience allows me to understand the unique challenges facing youth and families today. I specialize in providing trauma-informed care and helping individuals navigate complex life transitions, emotional hurdles, and behavioral challenges in a supportive framework.

I hold a Masters in Marriage, Family, Child Counseling from San Francisco State University. I specialize in self-esteem and working with attachment-related trauma, which is sometimes referred to as complex trauma or inner child wounding. Complex trauma can often look like anxiety, depression, unhealthy patterns, or a cycle of unfulfilling relationships.

The Behavioral Health Outpatient Adult Team at the CSB consists of 132 diverse, talented clinicians who work in partnership with a medical team of nurses and prescribers to provide treatment to more than 5,000 individuals a year across seven locations. It is an honor to work with a team of passionate and person-centered providers.

I am a Licensed Professional Counselor (LPC) and Certified Clinical Trauma Professional

(CCTP) providing outpatient therapy for adults. For more than 22 years, I have been dedicated to

supporting individuals from diverse backgrounds, including those facing complex life

challenges, trauma, ADHD, substance use, military-related challenges, women’s health issues,

legal system involvement, and severe mental health concerns.

I have a background in science and psychology, which fits my education as a psychologist. I am also a very creative and collaborative person. I want to work with each client to find the best individual treatment for them. I know many techniques and exercises, but only you can tell me what what works best for you. I enjoy helping adults (age 18+) navigate the transitions they face and be able to look forward to the future with hope (even if that feels very far away currently).

You're the one people call when things fall apart. You're good at it — steady, competent, the person who knows what to do. And somewhere along the way you stopped having anywhere to put your own stuff.

So you can run the meeting, hold the crisis, answer the phone at 2 a.m. — and still not be able to make yourself open the mail. Competence and collapse live together far more often than anyone admits out loud.

I work with adults carrying that particular load: substance use and recovery, emotions that arrive at full volume with no dimmer switch, thoughts of self-harm or not wanting to be here, and the specific erosion that comes from caring for other people for a living. Helpers, clinicians, parents, first responders — people whose exhaustion doesn't have an obvious place to go. I work with teenagers too, often the ones in families like these.

My style is direct, warm, and collaborative. I'm not going to nod quietly for fifty minutes. We'll find what's actually driving things, build skills you can use on a Tuesday afternoon when it counts, and I'll tell you honestly what I'm seeing. You set the pace. I'll bring the structure.

Clients should know that I am committed to providing a safe, supportive, and judgment-free space where they can openly discuss their concerns. I understand that seeking mental health treatment can be difficult, and I strive to build trusting relationships through empathy, respect, and active listening.

As a Psychiatric Mental Health Nurse Practitioner, I believe in treating the whole person rather than just symptoms. I work collaboratively with clients to develop individualized treatment plans that align with their goals, values, and lifestyle. My approach combines evidence-based medication management with education, supportive therapy, and practical coping strategies to promote lasting wellness.

Clients can expect me to be compassionate, approachable, and dedicated to helping them navigate life's challenges while empowering them to take an active role in their mental health journey.

“If you’re ready to heal, reduce stress, and rediscover your peace, you’re in the right place. Be intentional about your healing journey so you can live the life you deserve.”

I’m Annetta Thomas, owner and psychotherapist of Purposely BE, LLC (PBLLC). I’m a Licensed Professional Counselor Supervisor (LPC-S), mental health advocate, life coach, and proud mother to a princess. My journey to becoming a therapist was both personal and purposeful. Though I once imagined becoming a doctor, my true calling emerged when I discovered the power of psychology and healing. I believe that resilience and healing are within reach for everyone.

I consider it a privilege to hold space for others during their most vulnerable moments. My goal is to help clients rediscover peace, clarity, and confidence as they navigate life’s challenges.

Katherine Castelo, LCSW is a licensed therapist and certified clinical supervisor in Virginia, Texas, Florida, West Virginia, Indiana, Maryland, and Colorado. With over 25 years of experience, she specializes in trauma, military and veteran mental health, first-responder wellness, grief, deployment-related stress, and major life transitions.

A former Marine Corps veteran spouse, Katherine brings lived experience and deep cultural understanding to her work. She has served across the DoD, VA, nonprofit, and civilian sectors, providing high-level clinical care, consultation, and program leadership.

She previously oversaw a Defense Health Agency program for transitioning service members and served as the U.S. Army Reserve Psychological Health Program Director, leading outreach for more than 200,000 soldiers and families and advising on post-suicide psychological autopsies as part of the USAR Fatality Review Board.

Katherine also worked as a civilian Employee Assistance Program (EAP) manager for the U.S. Navy and as a casualty assistance consultant for NCIS, developing programs focused on readiness, crisis response, and deployment-cycle support.

As founder of Awaken Wellness Center, her practice centers on trauma recovery, crisis intervention, and integrative therapies. She is trained in Brainspotting, IFS-informed work, and trauma-responsive care, and has provided trainings for service members, clinicians, and community providers on PTSD, MST, suicide prevention, and Brainspotting.

Today, Katherine consults with the SAFE Project’s SAFE Veterans initiative and teaches caregiver wellness classes with Semper Fi & America’s Fund, bringing compassionate, evidence-based, culturally grounded care to military members, veterans, first responders, caregivers, and their families.

I provide evidence-based therapy with a strong focus on Cognitive Behavioral Therapy. I work with adults experiencing anxiety, depression, stress, and adjustment difficulties, helping clients develop practical coping skills, improve insight, and create meaningful behavioral change.

Hi, I’m Lois Ntiamoah, PMHNP-BC, a Board-Certified Psychiatric Mental Health Nurse Practitioner dedicated to providing compassionate, personalized mental health care. I specialize in working with adults experiencing anxiety, depression, ADHD, bipolar disorder, PTSD, insomnia, personality disorders, and dementia-related behavioral concerns. My approach is warm, supportive, and collaborative, and I believe in treating the whole person, not just the symptoms. I strive to create a safe and welcoming space where clients feel heard, respected, and empowered as we work together toward lasting emotional wellness.