

Richmond families deserve support that works around their schedules. Headway connects you with experienced providers trained in family therapy, offering sessions as soon as tomorrow with an average savings of 75% through insurance.
Prisca Oketch, APRN, PMHNP-BC, with over 17 years of dedicated clinical experience, specializes in comprehensive mental health treatment. I combine evidence-based psychiatric care with compassionate listening, creating personalized treatment plans that address each patient's unique needs. I am accepting new patients of all ages, from children to adults, both for cash pay and insurance with same-day availability.
With over 30 years in healthcare and a Master’s in Professional Counseling from Liberty University, I’ve spent the past 7 years offering therapy to a diverse range of clients. I focus on CBT and geriatric therapy, provide talk therapy, and support individuals through the grieving process. I work with those dealing with anxiety, depression, trauma, and loss.
Hi, I'm glad you're here! I’m a licensed therapist with over a decade of experience supporting individuals through anxiety, depression, grief, stress, and life transitions. I offer a collaborative, supportive space where individuals feel understood and empowered to create meaningful change.
My background includes work in high-acuity settings such as correctional facilities, inpatient psychiatric units, and hospital-based outpatient care. At the Harris County Jail in Houston, Texas, I developed reentry-focused assessment tools to improve continuity of care between the court and medical systems.
I’ve been part of a team that built programs from the ground up, including a home visitation program for mothers, now offered through telehealth in both virtual and hybrid formats. I use structured therapeutic tools to help individuals actively engage in treatment.
I have a focused interest in depression, anxiety, grief, and women’s mental health, including pregnancy and postpartum. I offer telehealth sessions across Texas, with insurance and private pay options available.
Greetings! I am from a Criminal Justice followed by a School Counselor Background. When we meet, I will explain how I became a Licensed Professional Counselor. I love it here, I believe mental health is utmost important in contributing to our happy place in life, and I am looking forward to meeting you!
Hi, I’m Nathan, and I’m glad you’re here. I’m a Licensed Professional Counselor Supervisor (LPC-S) in Texas with 25 years of experience in Christian counseling. I earned my M.A. from Amberton University and my B.A. in Pastoral Counseling from Criswell College. As a multicultural therapist, I enjoy helping people from all backgrounds work through life’s challenges, strengthen relationships, and move toward meaningful change.
Hello and Welcome,
My name is Nancy Twining, LPC, LCDC in Lubbock, Texas with M.Ed. (Counseling), BA (Psychology). Accepting New Clients with services: in -person, virtual, hybrid
If you are here looking for ways to have a better connection with yourself and others and find yourself thinking:
*What do I do now"?
(Neurodivergent informed therapy, Life stages, Sp. Ed. disabilities advocacy, chronic conditions/illnesses)
"I wish I had someone to talk to about this"
(Relationships, Grief, Communication skills, aging & life stages)
"I am tired of feeling like this and want to feel better
(Anxiety, Depression, Self - Love, Empowerment)
"What is it that makes me feel/believe like this"?
(Understanding yourself, what makes you You)
I can help. I want you to feel better, have a lighter spirit and help you find your personal best ways as we walk on your journey together.
This is what I know:
In my family, we have Neurodivergence, some anxiety, depression, grief, life stages, chronic illnesses and conditions and pain issues.
My belief: You are the Key to your Solutions!
I came to counseling after realizing at age 16 that I was meant to be counselor. Since then, working as a Sp. Ed. teacher and a regular education and Sp. Ed. counselor and in IOP therapy have added up while I persisted to make my dream come true to be an LPC. Yes, dreams do come true!
Personally, I offer experience and life perspective learned from nearly all the eras of our human experience and I hope to share it with my clients.
Therapies and techniques, and plans are customized just for you: Person-Centered, Cognitive - Behavioral, Solution Focused, and Self - Expression and Mindfulness through art and nature. All are holistically for your mind, body and spirit benefit.
Hi, I’m Abigail, a Licensed Professional Counselor (LPC) in Texas specializing in working with children, adolescents, and young adults. I work with individuals navigating stress, anxiety, life transitions, emotional challenges, and the everyday pressures that can feel overwhelming at times.
I’m a licensed clinical psychologist whose work is grounded in evidence-based, compassionate care. I completed advanced graduate training in clinical psychology, followed by supervised work in outpatient and higher-acuity settings, where I treated adults and adolescents with a wide range of concerns, including anxiety, depression, trauma, and relationship difficulties.
In my practice, I primarily use approaches like CBT, ACT, and trauma-informed therapies, integrating them in a way that’s tailored to each person rather than one-size-fits-all. I pay close attention to cultural and contextual factors, and I use measurement-based care so we can see whether treatment is actually helping you over time.
Clients often describe me as understanding, direct, and collaborative: I’ll bring structure and clinical expertise while also respecting your pace and values. I work with individual adults (and in some cases teens) who are dealing with issues like chronic stress, perfectionism, identity and life transitions, grief, and the impact of past traumatic experiences.
My goal is to provide a space that is both validating and change-focused; somewhere you can be fully honest, feel understood, and also develop practical skills to live in a way that feels more aligned with who you want to be


Headway makes it easier to find family-focused support — from finding the right provider, to understanding costs, to scheduling with ease.
Finding family therapists in Richmond starts with identifying what your family is navigating and what kind of support fits best. Family therapy can help with parenting conflict, adolescent struggles, blended family dynamics, communication patterns, and stress during major life changes. Family therapists are trained to work with the relational system, which means they look at how family members interact with each other rather than focusing only on one person. As you compare therapists, look for listed experience with family systems, child and adolescent concerns, communication issues, or marriage counseling in Richmond if relationship support is part of your search.
Richmond is a smaller city, so local in-person family therapy options may be more limited than in larger nearby areas. Virtual appointments can expand your search while still keeping care accessible from home. Family therapy may include the full family, a parent and child, partners, siblings, or individual family members depending on the goals for care. Before booking, review each therapist’s profile for scheduling availability, whether they are accepting new clients, session structure, and how they describe their approach to working with families. A free phone consultation can also help you ask how they typically structure family sessions.
Therapy in Richmond can be a significant investment without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs and understand what you may pay before care begins. Headway helps you find family therapists who match your needs, many of whom take insurance, and offer clear booking details. You can enter your insurance information, see estimated costs before booking, review therapist bios, and choose an in-person or virtual appointment when you are ready.
If you're experiencing or worried about violence, threats, or coercion in your relationship, couples therapy isn't usually the right starting point — individual support is safer. The National Domestic Violence Hotline (1-800-799-7233, or text START to 88788\) can help you think through next steps.
If anyone in your family is experiencing or worried about abuse, threats, or coercion, joint family or couples therapy usually isn't the right starting point — individual support is safer. The Childhelp National Child Abuse Hotline (1-800-422-4453) and National Domestic Violence Hotline (1-800-799-7233, or text START to 88788\) can help you think through next steps.
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