Dr. A.C. Fowlkes

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.

I believe therapy should feel like a real conversation, not a performance. I will meet you with compassion, curiosity, and honesty, and I will not simply sit back and nod while you do all of the work. I listen carefully, ask direct questions, and share what I am seeing, while respecting that you are the expert on your own life. My goal is to help you better understand yourself, make thoughtful choices, and move toward the life you want.

Your first session is an opportunity for us to get to know one another and determine whether we are a good fit. I will ask questions about what brings you to therapy, what has been happening in your life, and what you hope will be different as a result of our work together. You do not have to tell me everything at once, and there is no expectation that you arrive with perfectly defined goals. My aim is to create a space that feels honest, respectful, and comfortable enough for us to begin doing meaningful work.