Family therapy and counseling in Fredericksburg, VA

I have been an LPC since 2017. I am married and have 2 children. I am family oriented and if not hanging out with my family cooking, you would also find me outdoors enjoying the sun, drawing, and reading. We are also dachshund fanatics having had them part of our family since 2003. Currently I have 2 long haired dachshunds.

Hi! As a Psychiatric Nurse Practitioner and proud LGBTQ+ ally, I have extensive experience helping people navigate anxiety, depression, mood disorders, ADHD, trauma, and more. I have a special place in my practice for those dealing with depression or trauma rooted in relationships or family, because those experiences deserve thoughtful, dedicated care.

Your mental health journey matters to me, and I'm here to truly listen, not just to what you're saying, but to what you need. Together, we'll work toward solutions that are both compassionate and effective.

Mental health issues may be difficult to discuss with loved ones, especially if there are cultural barriers. As an Asian American, I experienced the phenomenon of feeling like I had two separate identities. I often felt like an outsider as I questioned “who am I?” While there are many cultural barriers we must face with mental health, you don’t have to face them alone! I can help you navigate your experiences with cultural identification, family communication, children’s mental health, (e.g. depression, anxiety, and/or behavioral concern), parenting, and diversity.

I’m a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) dedicated to helping individuals across the life span achieve mental health balance and resilience. My approach combines medication management with supportive therapy, always tailored to your unique needs.

Clients often describe me as compassionate, collaborative, and practical. Whether you’re navigating anxiety, depression, ADHD, or life transitions, I provide evidence-based care in a welcoming environment where you can feel heard and supported.

I’m a Licensed Professional Counselor (LPC) in Virginia with over 22 years of experience in the mental health field. I’ve had the privilege of working in a variety of settings, including social services as a child abuse investigator, outpatient counseling with children, adolescents, and families, inpatient psychiatric care, clinical leadership roles, and doctoral-level research on family caregiver stress and coping, which I later published.

I hold an Associate of Arts and Sciences, a Bachelor of Science in College and Community Counseling, a Master of Science in Clinical Psychology, and a Ph.D. in Psychology and Philosophy.

I work with adolescents ages 14 and up as well as adults, and I specialize in supporting people through anxiety, depression, trauma, grief, stress, codependency, domestic violence, chronic health conditions, mood concerns, parenting stress, life transitions, and PTSD. I also have experience working with veterans and individuals dealing with complex and overwhelming life circumstances.

My goal is to create a safe, supportive space where people feel understood and not judged.

Have you ever felt like you're accomplishing everything but still feel unfulfilled or unsatisfied? Do you give so much of yourself to others that little is left for you at the end of the day? Does your child's behaviors (fighting, defiance, truancy, argumentative) leave you wondering what's really going on beneath the surface. It just might be time to take a deeper look.

I’m Tiana Welch, a Licensed Independent Clinical Social Worker, providing telehealth therapy for children, teens, and young adult/adult women. With six years of experience, I have supported clients facing many challenges, including mental health concerns, behavioral issues, and substance abuse. My passion lies in helping children, teens, and families take a deeper look at behaviors to uncover the root causes, and in supporting young adult and adult women as they peel back the layers of perfectionism, burnout, and societal expectations to reconnect with their true selves.

Outside of therapy, I enjoy attending Pilates and spin classes, coloring, painting, reading, and exploring new creative hobbies like learning to sew (this month).

As much as I would like to believe that I chose this profession, the profession really chose me; helping people manifest the changes they want to see is my passion. I work best with perfectionism, military spouses, imposter syndrome, anxiety, adjustment, and intermittent depression.

Life can feel overwhelming when anxiety, ADHD, depression, or family challenges start to take over. You may find yourself stuck in unhelpful patterns or unsure how to move forward. Therapy offers a space to slow down, sort through what’s happening, and discover practical tools for lasting change. Together, we’ll focus on building emotional resilience, improving relationships, and helping you feel more confident and in control of your life.