Find a therapist in Fredericksburg, VA — covered by insurance

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).

I've built my practice around a simple but powerful idea: that understanding yourself — really understanding yourself — is one of the most transformative things a person can do. I specialize in supporting people through depression, anxiety, life transitions, substance use, mood disorders, adjustment disorder, and end-of-life concerns. That last one might surprise you. End of life is one of the most profound and underserved areas in mental health, and I consider it an honor to walk alongside people and families navigating that terrain. Across all of my work, I bring an educational lens — I don't just want to help you feel better in the moment, I want to help you understand yourself well enough that you can keep growing long after our sessions end. My approach is grounded in CBT and mindfulness, and it reaches toward something bigger: the full picture of who you are — emotionally, physically, and spiritually.

I have over 10 years of experience in a wide variety of clinical settings since obtaining my Master's degree and becoming a licensed clinician. I use a client centered approach that draws from my training in cognitive behavioral therapy, motivational interviewing, dialectical behavioral therapy, exposure and response prevention, and a trauma-informed approach. I have worked with people struggling with addictions, a wide variety of anxiety related difficulties, ADHD, depression, and some bodily focused repetitive behaviors. I also have experience working with couples to address relationship needs.

Finding the right therapist can feel overwhelming — and sometimes the hardest part is simply starting. As a Licensed Professional Counselor, Licensed Marriage and Family Therapist, Registered Art Therapist, and Master Addictions Counselor, I bring more than two decades of experience supporting individuals, couples, and families through some of life’s most challenging moments.

I’m a bilingual therapist working with adults navigating anxiety, trauma, grief, and major life transitions. Many of the people I support feel overwhelmed by overthinking, internal pressure, difficulty managing stress, and the uncertainty of what comes next.

In our work together, I focus on helping you make sense of what’s happening internally and develop practical ways to respond to stress and emotions. I integrate cognitive, somatic, and neuroscience-informed approaches to support both emotional and nervous system regulation.

I believe therapy should feel human. It can be structured but still fit your individual needs. I offer a space where you can show up as you are, while also doing meaningful work that leads to real shifts in how you experience and respond to life.

I believe that working with someone on your mental health is one of the bravest but rewarding thing that someone can do. Be proud that you are taking this step and I look forward to being a part of your journey.

I’m Dr. Carly Ellman, a Licensed Clinical Social Worker and sports social worker with over 15 years of experience supporting individuals, families, and athletes across a wide range of life transitions.

My therapy style is warm, honest, collaborative, and grounded in compassion. I believe you are the expert of your own life, and my role is to help you build clarity, confidence, and tools that support your wellbeing both inside and outside the therapy room.

Whether you’re navigating anxiety, burnout, life transitions, relationship challenges, sport-related stress, or a desire for deeper self-understanding, you’ll find a safe, non-judgmental place to explore and grow.

My background includes clinical practice, college teaching, and working directly with youth, parents, and coaches to strengthen mental health, resilience, and relationships through evidence-based approaches.

I’ve also earned a Sports Social Work Certificate and serve on the U.S. Olympic & Paralympic Committee Mental Health Registry, where I work with athletes navigating performance pressure, identity, anxiety, and stress.

I have a passion for helping those in need find their inner strength and resilience. We all have it within us to find solutions to our problems; sometimes we just need some guidance. I offer an integrative, client-centered approach to counseling. I place considerable value in building a strong therapeutic relationship. Just one small step is all it takes to begin the process of change. Whatever is going on, let's explore together!!!