I am a licensed clinical social worker with over 15 years of experience in helping people find solutions to their problems. Over the years, I have been told by clients that they really feel that I am listening to them and trying to understand what is going on in their lives and how they feel. Clients have also told me that they do not feel any sense of judgment, but rather that I accept them for who they are and where they are in their life’s journey. My style is empathetic and solution focused. I will spend time asking you questions in order to get to know you and try to find out what is at the heart of your issue. Together, we will talk about possible avenues you may want to take, or changes you may want to consider. I may give you some “homework” assignments…things to write out or think about, worksheets to complete, or even techniques/exercises to practice in your own time so that some of what we discuss in our sessions is reinforced. Most of all, I will be an objective listener, helping you to gain insight into what is going on with you, so that you are able to make the choices and changes you want to, in your own time. I look forward to working with you!

Thank you for visiting my profile. I am so encouraged that you have taken the most important step toward addressing issues of concern, the first step. My name is Karen Eldridge. I joined the counseling field a little late in life though many would tell you that makes me experienced at this thing we call life with its' many twists and turns, good times and bad. I believe that my life experience, and work in other professions has prepared me to walk with clients to address a wide variety of concerns. I use a wide paint brush so to speak of my counseling style that is centered solely on genuineness, responsibility and accountability. I want my clients to be as comfortable talking to me as they would to their closest, and most trusted friend rather than a professional so very far away. I believe that together we can push aside the fear and embarrassment that too many people associate with therapy to develop a collaborative partnership to discover hidden desires and talents that will allow you to live your life with purpose and passion. I obtained my Bachelor of Science in Psychology from The University of Virginia's College at Wise and a Master's in Counseling from Lindsey Wilson College. I have a PhD in Psychology from Capella University. I earned my National Certified Counselor (NCC) designation in 2013, and Licensed Professional Counselor (LPC) designation in April 2019. I have experience counseling adults and couples. In my free time I enjoy reading and spending time with my family.

Jessica Sawyer Horne, MSW, LCSW, LISW-CP, LCAS, CCS, DCSW, ACSW, is a licensed independent clinician with nearly 16-years of experience in the behavioral health field and overall 18-years in the social work/human services field. Mrs. Sawyer Horne has a Master’s Degree of Social Work, with a specialization in Health/Mental Health, from Clark-Atlanta University, of Atlanta, GA. She also has a Bachelor’s Degree in Sociology/Social Welfare from Winston-Salem State University, Winston-Salem, NC. Mrs. Sawyer Horne has worked in different treatment setting to include but not be limited to: outpatient behavioral health, emergency services, inpatient psychiatric services, residential substance use program, integrated care, community based services, etc. The populations she has worked with range from children to geriatrics. Mrs. Sawyer Horne’s theoretical orientation is diverse (eclectic) and individualized, to include but not be limited to: Cognitive-Behavioral Therapy (CBT), Family Systems Therapy, Psycho-dynamic Approaches, Behavioral Based Therapies, Seeking Safety, Psycho-Education, Mindfulness, Solution-Focused, Supportive Psychotherapy, etc. I am honored that you have chosen to work with me. Please know that I value the counseling relationship. I consider this relationship to be one of mutual, sacred trust.

Congratulations You have taken the first step to recovery! Taking that step to ask for support to help when you are dealing with difficulties is a brave one. I am an North Carolina-based, Licensed Clinical Mental Health Supervisor, Certified Clinical Supervisor for Substance Abuse with nearly 20 years’ experience working with trauma, substance abuse, and addiction. Often, co-occurring issues include: depression, anxiety, panic attacks, bi-polar disorder, post traumatic stress disorder (PTSD), obsessive compulsive behaviors, and, of course, relationship challenges. My experience includes individual, couples and group therapy in residential and outpatient settings of a Community Mental Health Center and a private addiction mental health and substance abuse treatment facility. I would describe my approach to therapy as eclectic, as it depends on the client's needs and goal for treatment .The modalities that have proven and I have the most experience in are : Cognitive Behavioral Therapy (CBT), Solution Focused Therapy , Mindfulness-based Therapy, Motivational , and Eye Movement Desensitization and Reprocessing (EMDR). I believe in a strong therapeutic relationship to support the client to facilitate the change they are looking for. I hope I can help you with this journey.

Hi there! I'm so glad you're here! You've taken the very important first step towards a happier future for yourself! My name is Chiara Ascari and I'm a Licensed Clinical Social Worker in Virginia! I earned my Master's in Social Work from Virginia Commonwealth University in 1999. I've worked in many different settings, primarily with individuals but also with family groups. We have worked together on challenges such as depression, anxiety, stress, relationship issues, parenting, and more. Challenging experiences offer us an opportunity to grow by increasing our self-awareness. Talking with someone outside of your social circle about things going on in your life can be very beneficial in increasing that self-awareness. It can be a safe space to help you move towards a new goal for yourself. I would be honored to be that supportive, empathetic, non-judgmental person that could be just what you need to challenge yourself and grow towards the best version of yourself that you aspire to be. We will do this using primarily client-centered, cognitive-behavioral, and solution-focused therapies but also any other methodology that seems to be the right fit for you. I will meet you where you are and together we will go from there. The great thing about Better Help is that you are welcome to message me any time. Being able to access your counselor as you work through day-to-day problems and the emotions they bring with them is a nice change from your traditional outpatient counseling and can be very beneficial. I frequently check my messages in order to be available for you. I am available for messaging and for live chats at this time. Your preference, your choice. I look forward to working with you!

My approach is supportive and practical, focused on making real, steady progress in ways that feel sustainable. I work with individuals navigating a range of concerns, including anxiety, workplace stress, social anxiety, low self-esteem, communication challenges, conflict avoidance, perfectionism, people pleasing, relationship dynamics, identity questions, grief, and life changes. My goal is to help you feel more connected to yourself and more grounded in the life you want to create. Together, we’ll find tools that work for you so you can meet future challenges with more clarity and confidence. People are complex, and each person brings their own history, strengths, and struggles. I meet you where you are, stay steady through the hard parts, and keep the work collaborative and respectful.

I hold both, a Bachelors of Science degree in Christian counseling, and a Masters of Art , in professional counseling from Liberty University. I performed my residency at Counseling Alliance of Virginia, in Charlottesville Virginia. I was with them three years before moving on to open my own small business. I’m well skilled in working with individuals, both women and men, as well as, the elderly. My use of therapy is integrative, although I do have my favorites; which include, cognitive behavioral, dialectical behavioral, acceptance and commitment therapy, and mindfulness grounding skills. I am also equipped to give Christian-based counseling when desired, and enjoy weaving in faith-based counseling for a more holistic approach.

I am a Licensed Clinical Social Worker, who believes in empowering others to succeed. I have 12 years of experience providing both Christian and Non- Christian counseling. I also believe that establishing a rapport is paramount during the therapy process, and once created, I will identify and utilize the most effective therapeutic approach that will maximize your time, as well as allow you to reach your therapeutic goals. This includes Cognitive Behavior Therapy, Solution-Focused Therapy, Crisis Intervention Strategies, Motivational Interviewing, and Psychotherapy. l have experience working in both individual and group therapy settings. I am described by former clients, supervisors, and colleagues, as a person who is caring and compassionate, with a known reputation for establishing a good rapport with others and treating all with respect, with a focus on expressing the dignity and worth of all individuals. Since obtaining my Master's Degree in the year 2013, I have devoted my time to developing my skills as a therapist and to increasing my knowledge of issues pertaining to mental health and human behavior. I am currently pursuing my Ph. D degree in the field of Social Work with and specialty focus on Crisis, Disaster, and Intervention as they pertain to human behavior. I would like to thank you as well as, commend you for taking the first step toward becoming the best version of yourself. I look forward to working with you! Thank you for sharing information about yourself. I'm so happy that you reached out for help. I am Mironda Womack, a licensed therapist. You can read more about my background, education, experience, and therapy approach by clicking on my name on this page. I generally check my messages here a few times per day, Monday -Friday, and respond as quickly as I can. I appreciate your patience when it takes a bit longer, as I may be tending to other members or professional/personal responsibilities. I would also appreciate it if you would take the time to read over the telemental health informed consent form and afterward, submit a statement with your full legal name, DOB, and current state of residence, a statement indicating that you agree/confirm the terms and conditions of the form, along with an attachment of your driver's license or photo ID. TELEMENTAL HEALTH INFORMED CONSENT: I understand that the service provided through BetterHelp is not intended for crisis situations and urgent needs. While my therapist, Mironda Womack, LCSW (VA LCSW #0904013707) is a licensed therapist in the state of Virginia, Better Help services and/or online or text-based services may not be the best avenue for me to receive mental health care. If the use of this site or online services is not appropriate for my situation, I understand that my therapist will assist in providing me with additional options of in-person referrals where I can obtain care. VERIFICATION OF IDENTITY AND LOCATION AT THE TIME OF THE SESSION: I understand and agree to provide my therapist with a COPY OF A VALID PHOTO IDENTIFICATION, such as a driver’s license, state ID, or passport, at the start of our work together. This is to verify my identity including my legal name, date of birth, home address, and proof of VA state residency. If my address on the submitted ID is not included or is not current, I will provide my clinician with my current correct address with proof. I agree to provide my clinician with a phone number to reach me in an emergency, as well as an emergency contact name and number. I understand that there will be no recording of any of the online sessions by either party. All information disclosed within sessions and written records pertaining to those sessions are confidential and may not be disclosed to anyone without written authorization, except where the disclosure is permitted and/or required by law. I understand that, for safety reasons, my therapist will NOT meet with clients in a moving vehicle, and that failure to comply will result in the session being canceled. I understand that if I am having suicidal or homicidal thoughts, actively experiencing psychotic symptoms, or experiencing a mental health crisis that cannot be resolved remotely, it may be determined that telemental health services are not appropriate and a higher level of care is required. IN A CRISIS SITUATION, I AGREE THAT I WILL EITHER: TEXT: You can text the Crisis Text Line by texting “Help” to 741-741 PHONE/VOICE: Call the Crisis Hotline via phone at (800) 273-8255 You can also call your psychiatrist, primary care physician, or medical/mental care providers for assistance IN PERSON: Go to your nearest emergency room for in-person help if you are in an immediate crisis. I understand that my confidentiality is fully protected by law with the exceptions of these circumstances: If my therapist has concerns or suspicions of abuse or neglect of a child, elderly person, someone with a disability, or someone otherwise unable to care for themselves. If I present as a risk of harm to myself or others in the professional judgment of my therapist. If my therapist is legally compelled through a subpoena or court order in any court proceedings regarding my care (This is extremely rare, and if it were to happen, we would discuss it thoroughly.). If I choose to sign a Release of Information form. I have read, understand, and agree to the Client Terms of Service at https://www.betterhelp.com/terms/ 70 THIS INCLUDES UNDERSTANDING AND AGREEING THAT: My Better Help clinician cannot provide, verify, or produce reports related to the clinical diagnosis of a mental health condition. While trained to do so, services of this nature must be provided outside of the Better Help site/services at the discretion of my provider. My Better Help clinician cannot provide proof of attendance at, or reports regarding progress in, the use of the site, or services provided through the site. This includes documentation for court, custody agreements, employers, or any other party. My Better Help clinician cannot provide letters of support for Emotional Support Animal designations (or ESA.) I understand that I can seek out online therapy services from another therapist other than Mironda Womack, LCSW or another clinician OUTSIDE of Better Help if I have needs for clinical diagnosis, biopsychosocial assessment with diagnosis (including psychological testing), or referrals for treatment that come from the legal system, child welfare services, or my employer, and may require documentation or proof of attendance. PRIVACY OF SESSIONS: I understand that the privacy laws that protect the confidentiality of my protected health information (PHI) also apply to telemental health unless an exception to confidentiality applies (i.e. mandatory reporting of a child, elder, or vulnerable adult abuse; danger to self or others; I raise mental/emotional health as an issue in a legal proceeding). If having a “live” session with my clinician, my clinician will ensure my privacy by being alone at the time of sessions, as well as having “white noise” devices playing in the meeting space. I understand that I am solely fully responsible for the privacy in my own environment for meetings. To ensure the greatest privacy, my clinician recommends: Ensuring that I am alone in the room I am meeting Using headphones for phone and video sessions whenever possible Muting the microphone (or turning off apps) that listen to my environment, such as Amazon Alexa, Google Home, Siri on Mac devices, or Bixby on Samsung devices If possible, place a Bluetooth speaker or device outside of the space I am in that plays “white” noise or music to mute any options of hearing me speak during sessions. Scope/Location of Practice I understand that my therapist is ONLY able to work with clients who reside in Virginia full-time. This is a legal requirement for their clinical license to practice, and they will not jeopardize their licensure status by violating this rule. If you are quarantined out-of-state, traveling, working, or residing at college outside of Virginia, please let your therapist know at the start of your work together. There may be some exceptions that can be made; however, you must be a primary resident of Virginia. RISKS AND BENEFITS OF COUNSELING: I understand that there are risks, benefits, and consequences associated with telemental health, including but not limited to, disruption of transmission by technology failures, interruption and/or breaches of confidentiality by unauthorized persons, and/or limited ability to respond to emergencies. I understand that the privacy laws that protect the confidentiality of my protected health information (PHI) also apply to telemental health unless an exception to confidentiality applies (i.e. mandatory reporting of a child, elder, or vulnerable adult abuse; danger to self or others; I raise mental/emotional health as an issue in a legal proceeding). First and foremost, I can’t help if you aren’t here! In making an appointment, you are committing to that time for yourself to the exclusion of others. If you must CANCEL an appointment, you must provide NO LESS THAN 24 HOURS' NOTICE. Failure to cancel in advance may result in changes to the type or frequency of sessions your clinician is able to offer. To gain the most from the therapy process, it’s helpful if you are honest about your commitments to self-examination, understanding, and our relationship. This includes any concerns you may have regarding services or with me. I want to serve you well and appreciate any feedback you may have that will help me to do so. Unwise applications of new learning are a common risk in therapy (e.g. being too harsh when learning to assert yourself) as well as feeling as though you are regressing when feeling vulnerable. Therapy is a process that is often like taking three steps forward and one step back at times, but the overall momentum should be forward. Talking openly about this can help minimize stress about this process. You are responsible for maintaining the confidentiality of others that participate in your counseling sessions, such as in family therapy sessions. In marital therapy, secrets between spouses work against successful outcomes; in this regard, your counselor is not obliged to keep secrets of one spouse from the other spouse. It is best to avoid abrupt terminations from counseling and to honestly discuss, preferably by video or phone, the reasons for your desire to end care or transfer to a different clinician. This method can maximize growth and health at these times. TERMINATION OF SERVICES: If you do not interact with me for a period of time (either through appointments or messaging back and forth), I cannot ethically continue a treatment relationship with you. Sometimes I am not the best fit to work with a client for a variety of reasons (personal fit, clinical experience, schedule availability, etc.) Clients can decide to end services or change counselors at any time, however, it is in your best interests to let your therapist know you are doing so in advance. If you’d like to switch counselors within Better Help, you can do so by clicking on the icon in the top right corner of the “Counseling” page and choosing “Change counselor” from the drop-down menu. Make sure you specify in the feedback to support what you are looking for that is different. If you have any trouble with this, please reach out to Support at Contact@betterhelp.com. Know that if you decide to take this action, you will lose all written correspondence with me at that time on your client dashboard. To cancel your BetterHelp subscription, contact Customer Service via email (contact@betterhelp.com) or online at https://www.betterhelp.com/contact/ and ask them to cancel your account altogether. If you cancel your account and decide to return at a later date, Better Help will prompt you upon logging in about whether you would like to return to work with me or find a different therapist. Please know that while I am happy to resume working with you at a later time, this is subject to my availability to see new or returning clients at that time. If you do not cancel your account or request a new therapist, you will continue to show as an “inactive” client on my caseload whether or not you are logging in to the site or participating in services or not. Please note that your agreement for counseling services with me is considered no longer valid once you have not been in contact with me here for a period of 30 (thirty) calendar days. Exceptions to this are only made in the discussion of clear dates and plans between us on a case-by-case basis. On the Better Help site/app, I will continue to send you this same message regularly until you either: 1. respond and resume contact with me, 2. change therapists, or 3. cancel your account. Thank you. BY PROVIDING THE FOLLOWING REQUESTED INFORMATION VIA A MESSAGE YOU ARE LEGALLY AGREEING TO THE TERMS OF THIS FORM: I HAVE READ AND FULLY AGREE TO THE CONDITIONS AND TERMS OF THE CLIENT INFORMATION FORM, ENTER THE DATE THAT YOU AGREED, ALONG WITH YOUR FULL LEGAL NAME, DOB, CURRENT STATE OF RESIDENCE, FULL ADDRESS, COPY OF A CURRENT PHOTO ID OR DRIVER'S LICENSE, ALONG WITH A STATEMENT STATING "I ALSO AGREE TO NOTIFY MY CLINICIAN OF ANY CHANGES PERTAINING TO THIS INFORMATION AND UNDERSTAND THAT MY CLINICIAN WILL DO THE SAME".

I am licensed in Virginia with over 20 years of professional experience working with adults navigating stress, anxiety, trauma, relationship challenges, professional burnout, and major life transitions. My approach is structured, trauma-informed, and purposeful. We do not spend weeks “warming up” to therapy. We begin the work in the first session by identifying what is happening, what is getting in the way, and what needs to change. Therapy with me is collaborative, honest, and focused on movement—not just insight. My style is direct, which can initially feel challenging. What we will challenge are ways of thinking and being that no longer serve where you are now. I ask clear questions, offer straightforward feedback, and stay focused on what will actually help you move forward. The goal is not comfort—it’s progress. I pay close attention to patterns—how you think, respond, cope, and get stuck—so we can understand what’s keeping things from shifting. Sessions are focused, grounded, and connected to your real life. Schedule with me if you’re ready to stop ruminating on the issue and start changing it.

I am licensed in Virginia with 43 years of professional work experience. I have experience in helping Children, Teen and Adult clients with relationship, family, spirituality, career, work issues, stress and anxiety, depression, sexuality and identity issues, coping with addictions, trauma and abuse, & anger management. I use a cognitive behavioral and existential therapeutic approach to help people progress to a more fulfilling life. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!

As a licensed therapist serving Massachusetts and Virginia, I specialize in supporting individuals navigating complex emotional landscapes. My approach centers on creating a compassionate, affirming space where clients can explore their unique challenges and strengths. I have extensive experience working with diverse populations, with a particular focus on addressing stress, anxiety, depression, and relationship dynamics. My therapeutic practice is deeply rooted in understanding individual experiences, especially for LGBTQ+ individuals, those struggling with social anxiety, and people working through life transitions. I'm committed to helping clients develop self-love, improve communication, and overcome feelings of isolation or disconnection. Drawing from evidence-based practices, I support clients in addressing a wide range of concerns—from workplace stress and interpersonal challenges to personal growth and healing. My goal is to empower you to build resilience, gain insight, and create meaningful change at your own pace. I approach each therapeutic relationship with genuine empathy, respect, and a belief in your inherent capacity for growth and transformation. Together, we'll work collaboratively to help you navigate your unique journey toward emotional well-being.

I am licensed in Virginia with 25 years of professional work experience. I have experience in helping clients with motivation, self esteem, and confidence & depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.

I specialize in helping women manage stress, anxiety, trauma, abuse, bipolar disorder, and depression. Additionally, I offer solution-focused career consulting for those seeking clarity in their professional or creative lives. My approach integrates ecopsychology, emphasizing the connection between emotional healing and the natural world. I provide a safe, non-judgmental space for clients to explore their thoughts and feelings. Whether addressing burnout, life transitions, or trauma recovery, I work collaboratively to develop personalized strategies for growth and resilience. Taking the first step toward therapy is an important decision, and I commend you for starting this journey. I’m here to support you in achieving emotional well-being and lasting transformation.

As a licensed therapist serving clients in Virginia, I specialize in supporting individuals navigating complex emotional landscapes. My approach centers on helping people develop resilience, self-compassion, and meaningful strategies for personal growth. I have expertise in addressing stress, anxiety, addiction challenges, self-esteem concerns, and life transitions. I serve my clients with unconditional positive regard because we can all benefit from grace. My therapeutic practice focuses on creating a compassionate, affirming space where clients can explore sensitive topics like social anxiety, body image, trauma recovery, and personal identity. I'm particularly committed to supporting individuals working through feelings of guilt, shame, and abandonment while helping them rediscover their inherent worth and life purpose. Drawing from evidence-based practices, I collaborate with clients to develop personalized healing strategies that honor their unique experiences and cultural backgrounds. My goal is to empower individuals to cultivate self-love, build emotional strength, and create transformative pathways toward holistic well-being.