Addiction therapists & psychiatrists in Roanoke, VA

Making the decision to start therapy is a profound investment of your time, energy, and vulnerability. If you are looking for a blank-slate clinician who simply nods and listens, we might not be the best fit. I offer a highly engaged, malleable, and unflinching partnership.

My approach is rooted in the belief that while the work of untangling our lives is deeply structural, the room itself doesn't always have to feel heavy. I bring a grounded warmth to my practice—which means knowing how to sit quietly in the gravity of a difficult truth, but also knowing when to break the tension, exhale, and find the light in the sheer complexity of being human. I won’t just sit in silence while you do all the heavy lifting; I am an active collaborator who adapts to exactly where you are.

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.

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.

Kayla, a licensed Clinical Social Worker with a background in community mental health, recognized the profound disparities in access to mental health care within BIPOC communities. Inspired by a vision of creating a space where healing is both inclusive and affordable, she founded Helen’s Project with the belief that everyone deserves access to quality mental health support, regardless of their background or financial situation.​​Helen’s Project operates on the principle that culturally competent and empathetic mental health care is essential for holistic well-being. The organization collaborates with a diverse team of mental health professionals who not only possess clinical expertise but also understand the unique cultural nuances and challenges faced by the BIPOC community.

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'm a Psychiatric Mental Health Nurse Practitioner, based in South Carolina. I received my Masters in Nursing from Duquesne University (Forensic Nursing), Post-Masters in Nursing from University of Virginia (PMHNP). I served in both U.S. Navy and U.S. Public Health Service, retired in 2019. I have been practicing for 12 yrs. I have experience in both outpatient and inpatient settings.

As a licensed therapist, I am dedicated to helping individuals navigate life’s challenges with compassion and clarity. I specialize in supporting adults and young adults who are struggling with anxiety, depression, or difficulty adjusting to major life changes.

Hi there! I have been a therapist for about 25 years (MSW- Western Michigan University). I feel grateful to have such meaningful work and honored to walk alongside such a variety of people on their journeys. My clients have described me as irreverent, honest, and caring.

Many folks come to therapy in times of crisis and others come because they are looking for a neutral place to talk and process a wide range of life experiences including trauma, anxiety/depression, substance concerns, and relationship issues.

In my non-work hours you'd find me spending time with my elementary age kiddo and our dog, listening to live music, swimming in Lake Michigan, or finishing up a good jigsaw puzzle!

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.

Dr. Troy A. Waller, a Licensed Professional Counselor with more than two decades of experience, provides services across Washington, D.C., Maryland, and Virginia. He focuses on trauma recovery and offers consultation to government agencies and hospital regarding stress, anxiety, and mental health concerns.

I have 26 years of experience dealing with individuals, couples, families in therapy. We will work together to develop plans that are unique and right for you.