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Psychologist Leah Pavela-Mullins providing different types of therapy in Lexington

Leah Pavela-Mullins

Clinician
License Type(s): KY LCSW 255319, MN LICSW 29567
Mental Wellness Specialties: Relationship issuesIntimacy-related issuesSelf esteemDepressionCoping with life changes
15 years offering treatment

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!

Psychologist Brittany Elledge-Fleischer providing different types of therapy in Lexington

Brittany Elledge-Fleischer

Clinician
License Type(s): OH LPCC E.1200432-SUPV, MA LMHC LMHC11298
Mental Wellness Specialties: Stress, AnxietyRelationship issuesSelf esteemDepressionCoping with life changes
12 years offering treatment

I am a licensed therapist dedicated to supporting individuals through life's complex challenges. With over a decade of professional experience, I specialize in helping clients navigate depression, anxiety, relationship dynamics, and personal growth. My approach is compassionate and holistic, focusing on areas like self-love, communication, social connections, and healing from past experiences. I understand that each person's journey is unique, and I offer a supportive, non-judgmental space where clients can explore their emotions, develop coping strategies, and work towards meaningful personal transformation. Whether you're struggling with life transitions, relationship issues, workplace stress, or seeking to understand yourself more deeply, I'm committed to walking alongside you with empathy and professional expertise. My therapeutic practice is rooted in understanding the whole person—addressing challenges across emotional, relational, and personal development domains. I welcome individuals from all backgrounds and life experiences, and I'm particularly experienced in supporting young adults, women, and those navigating complex personal transitions.

Psychologist Delores Smith providing different types of therapy in Lexington

Delores Smith

Clinician
License Type(s): VA LCSW 0904001262
Mental Wellness Specialties: Stress, AnxietyRelationship issuesGriefSelf esteemDepression
47 years offering treatment

I am a clinically trained social worker with more than 40 years of experience. My treatment specialties include depression, anxiety, and grief counseling. I assist with the resolution of work-related concerns. I am also a trained life coach, helping people make decisions related to changes they would like to have in their lives while achieving work/life balance. I also provide behavior modification, problem-solving, and motivation therapy. I work with couples of all kinds, knowing that being a couple or family cannot be defined only in the traditional sense. I take a broad view in this area. The basis for my efforts is insight therapy. I encourage those who work with me to consider how their decisions and actions enhance or impair the attainment of their goals. This type of understanding is critical for making meaningful life changes. My work is for and about you! We will go as far and as fast as you are able. Although I offer clarity in recognizing the issues that concern you, I will never take you where you do not want to go. Our work will be free of judgment, allowing you to speak and respond openly. I will always respect you and value what you share with me. You have made the right decision by embarking on a therapeutic relationship. I hope you choose me to help guide you on that journey.

Psychologist Karen Gano providing different types of therapy in Lexington

Karen Gano

Clinician
License Type(s): ME LCSW LC21694, MD LCSW-C 27193
Mental Wellness Specialties: Relationship issuesTrauma and abuseGriefSelf esteemCoping with life changes
33 years offering treatment

"And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom." ~ Anais Nin Hello. My name is Karen Gano, and I am a Licensed Independent Clinical Social Worker in New Mexico, Colorado, Maine, Pennsylvania, Maryland, Virginia, the District of Columbia, and Australia. I received my Masters degree in Social Work from the University of Pittsburgh, and I have over 30 years of clinical counseling experience. My specialty is what I call Empowerment Counseling. I have a Motivational Interviewing style, and I use Compassion-Focused, Client-Centered, Solution Focused Brief (SFBT), Mindfulness, and Strength Based therapies to assist clients in improving their outlook and life. I have a holistic and goal oriented practice, working primarily with women who are going through some type of life transition whether it be separation, divorce, career changes, relocation, empty nest, illness, etc. I also provide counseling to healthcare workers as I have been a practicing medical social worker throughout my career, and I have worked in trauma, emergency medicine, critical care, oncology, palliative care, and domestic abuse. We can all benefit from talking to someone now and again. It is my primary goal to empower clients so that they can build and expand their "team," discover their voice, increase self-awareness and esteem, and make wanted changes in their life. My professional and personal mantra is "Self-Care + Time = Healing." I can help you with healthy coping strategies and tools to guide you from surviving to thriving. I very much look forward to working with you!

Psychologist Esther Reynolds providing different types of therapy in Lexington

Esther Reynolds

Clinician
License Type(s): VA LPC 0701002219, NC LCMHC 3528
Mental Wellness Specialties: Stress, AnxietyRelationship issuesFamily conflictsTrauma and abuseDepression
31 years offering treatment

I am a Licensed Professional Counselor in Virginia and have been in a private practice for over 25 years. I work with individuals who suffer from depression, anxiety, ADHD, and traumatic experiences (physical, emotional, and sexual). Family conflicts and relationship issues are also a focus of my practice. My approach includes cognitive behavioral therapy, solution-focused therapy, and rational emotive behavior therapy. I often coordinate mindfulness, insight-oriented approaches, and storytelling in my sessions, depending on an individual’s uniqueness. My primary goal is to develop a therapeutic relationship built on trust. I believe that the client’s motivation is key to success and that all motivation must start with a destination, chosen by the client. I see myself just as a facilitator, guiding the client towards that destination. I look forward to working with you!

Psychologist Todd Gomez providing different types of therapy in Lexington

Todd Gomez

Clinician
License Type(s): NC LCSW C007445, VA LCSW 0904019350
Mental Wellness Specialties: Stress, AnxietyLGBTRelationship issuesFamily conflictsDepression
20 years offering treatment

As a licensed therapist with two decades of experience in South Carolina, North Carolina and Virginia, I specialize in supporting individuals through complex life transitions and emotional challenges. My practice centers on creating a compassionate, affirming space for clients navigating diverse experiences—including LGBTQ+ journeys, relationship dynamics, workplace stress, and personal growth. I bring deep expertise in addressing depression, anxiety, social challenges, and interpersonal relationships. My approach is holistic and client-centered, focusing on understanding each person's unique story and strengths. Whether you're struggling with communication barriers, exploring identity, managing life transitions, or seeking greater self-understanding, I'm committed to walking alongside you with empathy and professional guidance. My therapeutic work spans a wide range of focus areas, including men's issues, young adult challenges, multicultural concerns, and support for individuals experiencing significant life changes. I strive to create a welcoming environment where clients feel heard, respected, and empowered to explore their emotional landscape and develop meaningful strategies for personal growth.

Psychologist Jennifer Stowe providing different types of therapy in Lexington

Jennifer Stowe

Clinician
License Type(s): SC LCSW 18804, GA LCSW CSW005104
Mental Wellness Specialties: Stress, AnxietyGriefBipolar disorderCoping with life changesADHD
17 years offering treatment

I am licensed as a Clinical Social Worker in the states of Georgia and Alabama with over 17 years of professional work experience. I am a Certified Clinical Trauma Specialist (CCTS-I). I specialize helping clients with trauma and abuse, coping with mood struggles such as bipolar disorder, anxiety, and depression. I also have experience working with concentration, memory and focus (adhd). 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!

Psychologist Kyle Yoder providing different types of therapy in Lexington

Kyle Yoder

Clinician
License Type(s): WV LPC 2749, VA LPC 0701013444
Mental Wellness Specialties: Relationship issuesIntimacy-related issuesSelf esteemCareer difficultiesCoaching
5 years offering treatment

I am a licensed mental health therapist in Virginia & West Virginia. I have an MS in Professional Counseling & Psychology, a BA in Communication Studies, and an AA in Biblical Studies & Theology. I have experience in helping clients with depression and anxiety, family and relationship issues, intimacy related issues, motivation, self esteem and confidence, success coaching and career difficulties. I also have extensive experience helping individuals and couples process grief and trauma. 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. It takes courage to seek a more fulfilling life, and to take the first steps towards change. I am here to support & empower you in that journey.

Psychologist Marvin Skinner providing different types of therapy in Lexington

Marvin Skinner

Clinician
License Type(s): VA LPC 0701000744
Mental Wellness Specialties: AddictionsFamily conflictsTrauma and abuseIntimacy-related issuesAnger management
45 years offering treatment

I am licensed in Virginia with 45 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 and dialectic behavioral, solution focused, 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 takes courage and I am proud of you for getting started!

Psychologist Dr. Michael  Till providing different types of therapy in Lexington

Dr. Michael Till

Clinician
License Type(s): VA LCSW 0904015703, MI LMSW 6801067962
Mental Wellness Specialties: Stress, AnxietyAddictionsRelationship issuesFamily conflictsDepression
34 years offering treatment

I am licensed in Michigan (ACTIVE), Illinois, Ohio, Washington State (ACTIVE), Virginia (ACTIVE) and Missouri with 34 years of professional work experience. Currently, completing requirements to practice in California. I have experience in helping clients with stress and anxiety, depression, problem-solving, conflict-resolution, marital and couples therapy, coping with addictions, relationship issues, & family conflicts. 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. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

Psychologist Glenn Howard providing different types of therapy in Lexington

Glenn Howard

Clinician
License Type(s): VA LCSW 0904012967
Mental Wellness Specialties: Stress, AnxietyTrauma and abuseParenting issuesSelf esteemDepression
8 years offering treatment

I am licensed in Virginia with 8 years of professional work experience. I have experience in helping clients with stress and anxiety, relationship issues, trauma and abuse, & motivation, self esteem, and confidence. 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.

Psychologist Jupie "JP" Hamilton providing different types of therapy in Lexington

Jupie "JP" Hamilton

Clinician
License Type(s): VA LCSW 0904002686
Mental Wellness Specialties: Stress, AnxietyTrauma and abuseGriefDepressionCoping with life changes
36 years offering treatment

I am licensed in Virginia with 36 years of professional work experience, primarily with military service members and their families. I have also worked in the private sector. I work with individuals, couples as well as teens. I have experience in helping clients with stress, anxiety, trauma, abuse, coping with grief, coping with loss, & depression. I also have experience working with life changes. 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. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

Psychologist LaDreamer Harrison providing different types of therapy in Lexington

LaDreamer Harrison

Clinician
License Type(s): LA LCSW 19196, VA LCSW 0904019014
Mental Wellness Specialties: Relationship issuesFamily conflictsTrauma and abuseGriefDepression
6 years offering treatment

I am licensed in Texas with 6 years of professional work experience. I have experience in helping clients with relationship issues, family conflicts, trauma, abuse, coping with grief, & coping with loss. I also have experience working with depression. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

Psychologist Miesha Penn providing different types of therapy in Lexington

Miesha Penn

Clinician
License Type(s): VA LPC 0701014665
Mental Wellness Specialties: Stress, AnxietyGriefAnger managementSelf esteemDepression
5 years offering treatment

I am licensed in Virginia with 5 years of experience with outpatient therapy and over 10 years with mental health. I have experience in helping clients with stress, anxiety, relationship issues, anger management, motivation, self esteem, & confidence. I also have experience working with depression. I believe each person has unique traits and individual needs; so, no therapy session can be replicated. Individualized support is provided to meet each client’s multifaceted needs. We will work together using various theories and techniques to help you reach your goals as you learn more about yourself. I currently do not operate from just one single theoretical approach and will borrow interventions from Cognitive Behavioral Therapy, Person Centered Therapy, and some Humanistic approaches. I believe that our thoughts influence our behaviors and each person is unique. I also believe that everything a person requires is already within them!

*BetterHelp insurance availability, coverage, and cost may vary by state, plan, provider network, therapist availability, and deductible status.

Find a therapist near you in Lexington, Virginia

Finding a therapist near you in Lexington, Virginia starts with matching to a licensed professional who fits your needs, schedule, and goals. Virginia is home to people with diverse mental health needs across urban, suburban, and rural communities, which can make it challenging to find care. BetterHelp connects you with a licensed therapist through tailored matching, so you can begin care from home or wherever works for you. 

The network includes over 30,000 licensed therapists globally, and over 4 million people have used BetterHelp to find support through online therapy. During matching, 93% of user preferences are met, which helps you connect with a therapist suited to what you are looking for. Whether you are searching for help with anxiety, trauma, affordable or insurance covered therapy, weekend or flexible scheduling, or virtual sessions, you can find a therapist and get started when you are ready.

Why work with a licensed therapist near you?

Working with a licensed therapist near you gives you access to professional mental health support from someone trained to help you understand and manage what you are going through. A licensed therapist can offer evidence-based approaches, a steady space to talk, and guidance tailored to your situation. In Virginia, online therapy can make that care more accessible, since sessions happen from home or wherever you are, without the need to travel to an office. This can help if your schedule is full, if travel is difficult, or if you simply prefer a more discreet setting. You can learn more about what a therapist does on the therapist role page.

Online therapy can be especially helpful for people living across Virginia, where access to in-person mental health care may vary by location.

What concerns can therapists help with?

Therapists can help with a wide range of concerns, including anxiety and stress, depression, trauma and PTSD, self-esteem and identity, people-pleasing and fear of rejection, insomnia and racing thoughts, workplace stress and burnout, substance use, parenting and co-parenting stress, grief and loss, and relationship and family challenges. Therapists on BetterHelp may draw on approaches such as cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT), depending on your needs and goals. You can explore support for specific concerns on pages such as generalized anxiety disorder, major depressive disorder, posttraumatic stress disorder, attention-deficit hyperactivity disorder, and eating disorders.

Please note that therapists on BetterHelp do not provide psychiatric medication management or formal diagnoses.

Online therapy vs. in-person therapy in Virginia

Online therapy and in-person therapy both connect you with a licensed professional, and the main difference is how you meet. In Virginia, online therapy through BetterHelp lets you have sessions by phone, video, or in-app messaging, so you can meet from home or on a schedule that fits your life. In-person therapy takes place at an office and may involve travel and set appointment windows. Online therapy may be more accessible for people with busy schedules, limited transportation, or a preference for a more discreet setting. Both formats can support meaningful progress, so the right choice often comes down to what fits your life.

Finding a therapist that accepts insurance in Virginia

BetterHelp accepts insurance through many major insurance plans. Insurance availability and coverage may vary by state, plan, provider network, and therapist availability, and deductible status. Eligible members' copay is as low as $15, some pay $0. 

You can check your in-network status on the BetterHelp site through the sign up flow. If you prefer to pay without insurance, BetterHelp subscriptions range from $70 to $100 per week, billed as an alternative way to access the same care, and you can use HSA and FSA funds toward the cost. For a full breakdown of how BetterHelp works with insurance plans, see BetterHelp insurance coverage.

How BetterHelp helps you find the right therapist in Virginia

BetterHelp helps you find the right therapist in Virginia through personalized matching that considers your needs, preferences, and goals. After you answer a few questions during the sign up flow, you can be matched with a licensed therapist from a network of over 30,000 professionals, and 93% of user preferences are met during matching. The search and location matching cover common near-me needs, including anxiety, trauma, affordable or sliding-scale support, weekend or flexible scheduling, and virtual sessions. If your first match is not the right fit, you can switch therapists at no extra cost. When you are ready, you can get started and begin the process.

Therapists near you in Virginia

Below, you’ll find licensed therapists authorized to provide online therapy to adults across Virginia, including residents in Lexington.

Each provider meets state licensing requirements and has experience supporting clients with a wide range of mental health concerns using evidence-based therapeutic approaches.

Please note: Therapists on BetterHelp in Virginia do not provide psychiatric medication management or formal diagnoses.

Frequently asked questions about finding a therapist near me

How much does therapy cost near me?

Therapy costs near you can vary by provider, format, and payment method. With BetterHelp, subscriptions range from $70 to $100 per week, and you can use HSA and FSA funds toward the cost. BetterHelp also accepts insurance through many major insurance plans, and eligible members' copay is as low as $15 per session. Insurance availability and coverage may vary by state, plan, provider network, and therapist availability, and deductible status.

Does BetterHelp accept insurance?

Yes. BetterHelp accepts insurance through many major insurance plans. Insurance availability and coverage may vary by state, plan, provider network, and therapist availability. Eligible members' copay is as low as $15 per session. Check your in-network status on the BetterHelp site through the sign up flow. For a full breakdown of how BetterHelp works with insurance plans, see BetterHelp insurance coverage.

Is online therapy effective?

Online therapy can be an effective way to receive licensed mental health care for many common concerns. Research suggests that online therapy may support progress in ways comparable to in-person care for concerns such as anxiety and depression. On BetterHelp, you connect with a licensed therapist who can use evidence-based approaches such as CBT and DBT, and you can meet by phone, video, or in-app messaging.

Do I need a diagnosis to see a therapist?

No, you do not need a diagnosis to see a therapist. Many people begin therapy to work through stress, life changes, relationships, or personal growth without any diagnosis. Please note that therapists on BetterHelp do not provide psychiatric medication management or formal diagnoses. If you are looking for a starting point, personalized matching can connect you with a licensed therapist suited to your goals.

How quickly can I start therapy?

You can often start therapy within 24 to 48 hours of signing up with BetterHelp. After you answer a few questions during the sign up flow, personalized matching connects you with a licensed therapist, and you can schedule your first session once you are matched. This process is designed to help you begin care at your own pace, without a long wait.

Can I switch therapists if it’s not the right fit?

Yes. If you feel your therapist is not the right match, you can request to be matched with another licensed provider at no additional cost. You are able to do so through the BetterHelp user portal and select switch therapists if needed.

Is online therapy discreet?

Online therapy with BetterHelp offers a discreet setting where you can connect with a licensed therapist from the comfort of your home. Sessions take place by phone, video, or in-app messaging, so you can meet without going into an office. Your account and sessions are protected with strong safeguards, and you choose how and where you attend. This can make therapy feel more comfortable for people who prefer a discreet way to get support.

Find a Therapist in Lexington, Virginia

Ready to begin? BetterHelp can match you with a licensed therapist serving Lexington and the surrounding VA area. When you are ready to take the next step, get started.

Find the right therapist for your needs
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