Addiction therapists & psychiatrists in Roanoke, VA

I am a Licensed Professional Counselor who focuses on treating acute and relational trauma with teens, individuals, and couples. I have been working as a psychotherapist for over 15 years. I believe that we heal in relationship to another, rather than trying to do it all alone. My style is warm, attentive and an active participant in your healing journey.

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Hello! My name is Chelsea Vicario. I received a Bachelor's degree in Psychology and a Masters degree in Counseling from Radford University. The meaning of healing and growth looks different for everyone. I am here to help guide you to being your best self and to help you figure out what your healing and growth journey will look like. I have a passion for helping people reach their full potential.

I have experience working with people with dual diagnosis. I am a CSAC. I also have experience in private practice working with individuals and couples struggling with anxiety, depression, bipolar, self-esteem issues and relationships concerns. I am a strong ally for the LGBTQ+ community and truly enjoy working with this population. I truly believe that healthy boundaries, healthy coping skills and a positive mindset can change a person’s life for the better.

I use a mix of Cognitive Behavioral Therapy, Person Centered Therapy and a solution focused approach to help you reach your specific goals and start your path to healing. I know it can be difficult to start therapy, but I will provide an environment to help you feel comfortable as you start the therapeutic process.

Hi, I'm Margeaux Groene, a licensed professional counselor (LPC) in the Commonwealth of Virginia, North Carolina, and South Carolina. I bring a wealth of experience and passion to my work with adolescents and adults seeking help with anxiety disorders, mood disorders, post-traumatic stress disorders (PTSD), and substance use disorders. Originally from Tidewater, Virginia, I graduated from Calvin College with a Bachelor of Arts in Organizational Communication and earned my Master of Arts in Clinical Mental Health Counseling from Liberty University. During my counseling internship, I focused on the effective use of telehealth treatment with the adolescent population. I am skilled in the treatment of substance use disorders, anxiety disorders, depressive disorders, and co-occurring disorders such as depression and trauma. My previous positions with Synergy Counseling LLC, Caron Treatment Center’s Northern Virginia location, and most recently, New Paradigm Recovery, have given me years of experience working in partial hospitalization and intensive outpatient settings. These experiences have honed my specialization in the treatment of co-occurring substance use disorders and PTSD. My passion for working with clients suffering from unresolved trauma and clinically treatable PTSD led me to obtain training in Eye Movement Desensitization and Reprocessing (EMDR) through the EMDRIA-approved Center for Excellence in EMDR Therapy in January 2022. Let's work together to help you achieve your goals and improve your well-being!

Partner 1: “I reach for you, but it feels like you’re already gone.” I’m left wondering if I matter to you at all.” Partner 2: “When you come close, I feel the pressure to be perfect, so I pull back to protect us both.” These unspoken messages leave couples lonely and stuck. I help break this anxious–avoidant cycle so partners feel safe, seen, and deeply connected again.

“I don’t understand why I want closeness so badly, yet feel disappointed when I have it. Why do I feel lonelier than others, even when I’m not alone?” Or: “I care deeply, but people say I’m distant or hard to read. When emotions get intense, I shut down—not because I don’t feel, but because it feels like too much.”

These quiet tensions live beneath awareness for many people. Longing and self-protection pull in opposite directions. Needs feel confusing, emotions feel overwhelming or unsafe, and core beliefs quietly form—I’m too much, I’m not enough, connection costs me something.

I help people loosen these patterns, reconcile the Self with more truthful and adaptive beliefs, and move toward self-acceptance and interdependence—where connection no longer threatens safety, but deepens it.

After nine years serving in the U.S. Coast Guard, I realized my deepest fulfillment came not from fixing systems, but from walking with people. Leaving the military was not a departure from service—it was a continuation of it. I pursued social work and theological training to better support people in their most important relationships. Today, my practice is devoted to couples counseling and trauma-informed care. Drawing primarily from Emotionally Focused Therapy (EFT) and EMDR, I help couples slow conflict, understand what drives disconnection, and emotional safety. As a veteran and seminary-trained therapist, I bring structure, compassion, and steady hope—meeting clients with respect, grace, and a belief in lasting change.

Hi there, welcome! I strive to offer a safe space where you can begin or continue your therapeutic journey. A nonjudgmental space where you can freely process, express, vent, and just be. Taking an individualized approach to include exploring thoughts/feelings/behaviors, challenging negative core beliefs, and developing more adaptive coping skills.

I specialize in Anxiety, ADHD, Depression, PTSD, Panic disorder and mood disorders. I also offer ADHD testing for children and adults online and in-person. I offer both medication management and therapy.

I am a certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with several years of experience treating children, adolescents, and adults. I specialize in a wide range of treatment areas including depression, anxiety, autism, oppositional defiant disorder, post-traumatic stress disorder, bipolar disorder and schizophrenia. I have worked in several different settings and enjoy providing care through telehealth, which offers access to quality care when it is needed.

My name is Elana Isser. I am a licensed clinical social worker. in New Jersey, New York, and Maryland. I am a graduate of Columbia School of Social Work and I have worked with clients of all ages in hospital and outpatient telehealth settings. I use evidence-based treatments, Cognitive Behavioral Therapy, Motivational Interviewing, and Dialectical Behavioral Therapy in my work.