Book a therapist or psychiatrist in Fredericksburg, VA covered by Aetna

Hi, I’m Roxi, a mom to grown people, a sister to seven siblings, and a Licensed Professional Counselor (LPC). I listed my LPC last not because it’s not important but because along my life’s journey and more than thirty plus years of human service and social work experience, I have a lot of practical life and clinical expertise that I’ve accumulated over the years. My LPC allows me to share my experiences with others and with that, I am walking and working in my purpose.

As a Psychiatric Mental Health Nurse Practitioner (PMHNP) from Walden University, I am deeply passionate about delivering patient-centered care and committed to advocating for individuals from diverse backgrounds and cultures. With over eight years of experience working with patients, families, and communities affected by mental illness, I have developed a profound understanding of the importance of compassionate and individualized care.

My professional journey began as a registered nurse, where I came to realize that mental illness is no respecter of person, age, color, or social status. This experience reinforced my belief that every individual facing mental health challenges deserves a patient-centered, personalized, and holistic approach to their care.

As a PMHNP, my goal is to serve as a source of strength and support through active listening, empathy, and compassion. I strive to provide an evidence-based approach tailored to each patient’s specific needs, ensuring that every individual feels heard, valued, and empowered on their path to wellness.

I'm a licensed therapist who works with people navigating anxiety, life transitions, and the general chaos that can come with being a human, especially during big seasons of change like parenthood, relationship shifts, graduations, or just feeling like you're not quite where you thought you'd be.

I'm warm, honest, and very much a real person in the room with you. Therapy with me is supportive, but also practical and grounded in real life.

With over a decade of experience in social work, I have dedicated my career to supporting individuals and families as they navigate life’s most complex and vulnerable transitions. As a Licensed Clinical Social Worker in Virginia, my clinical foundation is rooted in medical social work and the psychosocial impact of changes in health status. I specialize in working with individuals experiencing anxiety, depression, adjustment to medical conditions, and other life-altering stressors that affect emotional and behavioral well-being.

JoAnna Macias is a Licensed Clinical Social Worker (LCSW) with over 30 years of experience working with clients ages who are struggling with ADHD, trauma, depression, anxiety and substance abuse

I am deeply committed to helping individuals discover meaning and purpose in their lives. With more than four decades of experience as a counselor, I specialize in guiding clients through recovery from addictions, anxiety disorders, and PTSD.

As an Associate Professor in the Online Department of Community Care and Counseling within the School of Behavioral Sciences at Liberty University, I facilitate courses designed to help students and clients rediscover their zest for life and cultivate lasting emotional well-being.

In my private practice, I work extensively with couples, equipping them with practical tools and proven techniques to restore joy, strengthen relational intimacy, and build fulfilling, resilient relationships.

I live in Lynchburg, Virginia, where I remain actively engaged in my community. My areas of specialization include trauma and complex trauma, anxiety, depression, child abuse recovery, and relational intimacy. I am also the author of Joy on the Same Page (2023), which outlines my Relational Intimacy approach.

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