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Headway
Headshot of Richard Guill, LPC

Richard Guill

Therapist
18 years of experience
  • Virtual
  • Substance use / addiction, Depression, LGBTQIA+, Anger management, PTSD
  • Individual therapy

Great to meet you!

Hi! I’m Richard, but most of my clients call me Rick. At 66, I’m transitioning from a full-time career to a part-time practice (15–20 hours a week) to ensure I can offer my full attention to each client.

For nearly 20 years, I’ve walked alongside adults navigating the heavy weight of trauma, grief, PTSD, substance use, depression, and anger. I bring a deep sense of empathy and cultural competence to all my clients, including those with LGBTQIA+ concerns and faith-based issues. As I embrace my own advancing maturity, my passion has grown specifically toward supporting older adults and seniors navigating life transitions, grief, isolation, and complex trauma.

My clinical foundation rests on high-acuity experience: 15 years at a public mental health agency serving forensic populations, substance use groups, and anger management, plus part-time work in jails and prisons. For the last 6.5 years, I’ve delivered individual therapy via a blend of Telehealth and in-office sessions.

I am an open, affirming therapist welcoming clients from all walks of life, and I bring deep cultural competence and empathy. I focus on helping you navigate the universal challenges of aging, trauma recovery, and finding meaning in your next chapter.

I know reaching out can be daunting. I understand the fear of being vulnerable with someone you’ve just met, but my door is open to anyone ready to do the work. We’ll focus on making tangible progress, blending Cognitive Behavioral Therapy (CBT), Trauma-Focused CBT, Rational Emotive Behavior Therapy (REBT), and EMDR to create a plan that fits your unique needs.

My approach to therapy

My approach starts with the premise that you already possess more resilience than you may realize. While I can help process trauma, my practice is primarily grounded in Cognitive Behavioral Therapy (CBT) and Anger Management strategies. I integrate Rational Emotive Behavior Therapy (REBT) to help challenge unhelpful thought patterns and Motivational Interviewing for addiction, depression, and grief, focusing on practical, evidence-based tools that produce real results.

When appropriate, I incorporate EMDR to help process stuck trauma, but my primary focus remains on building skills you can use in the moment. I adapt to the person in front of me, not the other way around. Sessions are structured and focused, yet there is always room for the conversation to go where it needs to go. I’m direct without being cold, and honest without being harsh.

What you can expect from me

Expect a real conversation. I’ll ask about what’s bringing you in, what you’ve already tried, and what you actually want your life to look like on the other side of this.

By the end of our first session, you’ll have a clearer sense of whether my approach fits what you’re looking for, and I’ll give you an honest read on what I think we can work on together. Most people leave the first session feeling like something is already different - like they’ve finally said out loud what they’ve been carrying.

About me

  • I identify as
    Caucasian, Man
  • My style is
    Warm, Challenging, Direct

Qualification and insurance

  • Years of experience
    18 years of experience
  • Training
    MEd (Master of Education) at Lynchburg College/University of Lynchburg
  • License type
    LPC (Licensed Professional Counselor) (Virginia)
  • Licensed in
  • Insurance accepted
    Aetna, Anthem Blue Cross and Blue Shield, Carelon Behavioral Health, Cigna

Richard Guill accepts Aetna and 3 other insurance carriers

On average, people save 75% on sessions through Headway

Care details

  • Top specialties
    Substance use / addiction, Depression, LGBTQIA+, Anger management, PTSD
  • More specialties
    Anxiety, Bipolar disorder, OCD, Family issues, Stress management, Panic disorders, Grief or loss, Physical health issues, Men's issues, Trauma, Diabetes, Chronic conditions
  • Therapy methods
    Motivational Interviewing, Eye Movement Desensitization and Reprocessing (EMDR), Trauma Focused CBT, Rational Emotive Behavior Therapy (REBT), Cognitive Behavioral (CBT), Solution Focused Brief Therapy (SFBT), Mindfulness-Based Cognitive Therapy (MBCT)
  • Care types
    Individual therapy
  • Ages served
    Seniors, Adults
  • Languages
    English
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