Addiction therapists & psychiatrists in Vienna, VA

I believe deeply that each person deserves a life rooted in balance, purpose, and fulfillment. I understand how the pace and pressures of modern life can cloud clarity and make it difficult to move forward with intention. In my work, I strive to create a thoughtful and compassionate space where your experiences are honored, your present moment is respected, and your future is approached with care. I view therapy as a collaborative process that supports you in reconnecting with your innate capacity to heal, adapt, and thrive, particularly when navigating anxiety, depression, or other challenges to well-being.

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 the most effective care comes from a strong, collaborative partnership. I approach each person as more than a diagnosis, and I value honesty, accountability, and mutual respect in the work we do together. Change is possible—I’ve seen it firsthand—and I’m here to support you in becoming the version of yourself you want to be. My background includes both a Bachelor’s and Master’s in Nursing from Walsh University, and I bring that clinical foundation into thoughtful, individualized care.

I'm a Licensed Professional Counselor and Licensed Substance Abuse Treatment Practitioner with a PhD, and I've spent ten years working with people who are genuinely tired of feeling like they should have figured this out by now. I work virtually with clients throughout Virginia, and I take a different approach than most therapists: I consider myself part clinician, part teacher. My goal isn't just for you to feel better in session — it's for you to leave understanding yourself well enough that you don't need me forever. I work with depression, anxiety, bipolar disorder, substance use, trauma, life transitions, and end-of-life concerns. I'm also a proud affirming provider for LGBTQ+ clients and believe good therapy should be accessible to everyone — which is why I've built in morning, afternoon, and evening availability.

You're the one people call when things fall apart. You're good at it — steady, competent, the person who knows what to do. And somewhere along the way you stopped having anywhere to put your own stuff.

So you can run the meeting, hold the crisis, answer the phone at 2 a.m. — and still not be able to make yourself open the mail. Competence and collapse live together far more often than anyone admits out loud.

I work with adults carrying that particular load: substance use and recovery, emotions that arrive at full volume with no dimmer switch, thoughts of self-harm or not wanting to be here, and the specific erosion that comes from caring for other people for a living. Helpers, clinicians, parents, first responders — people whose exhaustion doesn't have an obvious place to go. I work with teenagers too, often the ones in families like these.

My style is direct, warm, and collaborative. I'm not going to nod quietly for fifty minutes. We'll find what's actually driving things, build skills you can use on a Tuesday afternoon when it counts, and I'll tell you honestly what I'm seeing. You set the pace. I'll bring the structure.

With over 25 years of experience as a Licensed Clinical Social Worker, I specialize in supporting individuals navigating grief and loss, life transitions, chronic illness, trauma (including first responders), aging-related concerns, and members of the agricultural and farming communities.

I provide telehealth services across multiple states, I’m here to support you on your journey toward healing and growth.

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.

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

Hi there! I’m an LCSW in VA with my MSW from Rutgers, The State University of New Jersey, and my BFA from The College of New Jersey.

My practice primarily focuses on young adults and early-middle adults who are seeking to navigate through anxiety, depression, stress, various relationship/interpersonal challenges, and life transitions. While I have experience in adolescent and family systems, my current work is centered on supporting adults as they make meaningful changes in their lives. I have a collaborative and real-world approach to therapy. I think a lot about therapeutic fit; I truly believe the right therapist for the right person actually makes a huge difference.

My style is warm, flexible, and rooted in evidence-based interventions. I work best with people who are open-minded to the process and willing to explore what change may look and feel like. It is okay if you don’t know where to start yet.

Outside of work, I’m creative, adventurous, animal-loving, and enjoy being in the present.

Hey there! My name is Matt and I am a Licensed Mental Health Counselor (LMHC). I received my Bachelor's Degree from the University of North Florida and my Master of Education degree from Florida Atlantic University. I have 10 years of experience in the field with a wide range of treatment experiences. I received EMDR training in 2020 with a focus on Somatic and Attachment healing from trauma.