

Access mental health support in Roanoke with UnitedHealthcare coverage through Headway's network of 1,388 licensed providers. With copays as low as $0-$25 per session, flexible virtual or in-person appointments, and free intake consultations, finding the right therapist has never been easier. Headway handles insurance so you can focus on your care.
I have extensive experience working with complex trauma, attachment issues, family, and spiritually and religiously-based trauma.
As a therapist, I have a strong passion for working with pregnancy and the postpartum parent. This includes the whole perinatal period, birth, postpartum, infertility, and loss. In addition to those populations, I have over 12 years of experience working with specializations such as major life transitions, anxiety, adult adhd, depression, PTSD and complex trauma.
Hi, I'm Josh. I’m a Licensed Clinical Social Worker in Virginia with over 20 years of experience working with individuals diagnosed with Intellectual and Developmental Disabilities, and more than a decade supporting individuals in acute crisis situations. I earned my Bachelor's in Sociology from Virginia Tech, a Master’s in Social Work from Radford University, and a second Master’s in Aging and Health from Georgetown University.
Clients should know that I bring a deep commitment to meeting people where they are—emotionally, mentally, and situationally. I’ve worked in long-term care, acute crisis settings, and served as the director of a regional crisis response team. No matter the setting, I’m dedicated to treating people with respect, dignity, and compassion. I'm here to provide a sound board and assist in making meaningful changes for those I provide services for including those managing depression, anxiety, difficult relationships, or just need someone to talk to about everyday life issues we all experience. I also have a special passion for working with the aging population, ensuring their voices are heard and their needs honored.
Are you ready for your journey? My goal as a therapist is to help you feel better and hopeful about your future. We all deserve a journey with happiness and personal success!!
I am a Licensed Clinical Social Worker (LCSW) who has been in the helping profession for over 20 years. My journey as a therapist has been both personally and professionally rewarding. Much of my experience has been working with individuals from diverse populations who struggle with depression, grief, loss, anxiety and chronic illnesses. I have extensive experience working with adults and seniors citizens. My focus is making sure my clients are getting the best from me.
My treatment approach is rather laid back but is set on the foundation of developing a meaningful therapeutic relationship with my clients. Additionally, I utilize cognitive behavioral therapy, person centered therapy, solution focused therapeutic approaches to help you overcome some of the life's difficult challenges. I want you to feel like the person you were meant to be.
There is more to life than suffering in silence. You deserve happiness and personal success. It's time for you to feel whole again. I'm committed to aiding people navigate through difficult periods in their lives. Your mental wellness begins now. Reach out and find out for yourself.
I am a licensed clinical social worker in the state of Virginia.
In my practice I have addressed concerns regarding depression,
anxiety, and Life transitional issues.
My practice also includes caring for Family members diagnosed
with dementia, or Alzheimer’s, grief, and bereavement matters.
I earned my Bachelor degree in Social Work from
North Carolina Central University, and my Masters
in Social Work degree from North Carolina A & T State University,
and UNC Greensboro University.
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



Headway makes it easy to get affordable in-network mental health care with United Healthcare — from finding the right therapist or psychiatrist, to understanding costs, to booking your first session.
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