This is Sara Hoesly's avatar and link to their profile

Sara Hoesly

Offering therapy in VA
License: MA,M.Ed,LPC
Stress, AnxietyAddictionsDepression
7 years of experience

I want to welcome you to Better Help! I know that reaching out to a therapist can often be overwhelming and difficult so I would like to applaud you for willingness to take that step. I graduated from SUNY Albany with a B.A. in Psychology and an M.A. and M.Ed from Columbia University in Psychological Counseling. I am licensed in Virginia (LPC) and Massachusetts (LMHC). I have worked in numerous settings including outpatient mental health and addiction treatment centers, as a contractor for the Department of Children and Families, and Day Treatment Programs. I have experience in both group and individual counseling working with children and adults. My treatment approach is adaptable depending on the needs of the client. I believe in the importance of client and therapist collaboration in order to determine the best course of action for the therapeutic process. Therapy is not a one size fits all process and the client’s voice is pivotal when discussing action, change, and needs. I look forward to working with you!

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Johne Mitchell

Offering therapy in VA
License: MS,LPC
Stress, AnxietyAddictionsRelationship issuesFamily conflictsDepression
11 years of experience

I graduated from Alabama State University in 2011 with my MS in Clinical Mental health counseling. I have done a vast amount of work in all treatment modalities as well as various populations. Primarily I have worked with families, in the community, crisis and trauma centered work, as well as substance use and severe mental health illness. My drive in this field is to help individuals who are struggling to mentally get to a place of peace and be that ear that can help one process and sort out whatever struggles they may be facing where accessing family and friends is not an option. My most sought out modes of counseling that I find most effective are solution focused, Cognitive behavior, Motivational interviewing , and person centered. These modalities are typically centered around allowing my client to be heard, as well as creating a space of open dialogue for me to learn more about you, and find root causes of presenting problem and begin to explore ways to help either shift the dynamic or shift the though process of the situation to assist in making life fuller, manageable and peaceful.

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Dr. David Ford

Offering therapy in VA
License: Ph.D.,LCMHC, LPC,NCC, ACS
Stress, AnxietyAddictionsLGBTCareer difficultiesDepression
3 years of experience

Hello all!!! I am a person-centered counselor who is licensed in NC, VA, and NJ. I have 10 years of counseling experience and I am also a Board Certified Counselor and an Approved Clinical Supervisor. I am a Counselor Educator and have been teaching graduate and doctoral students for seven years. My clinical orientation is integrative and includes cognitive, behavioral, humanistic, and rational/emotive approaches. My clinical experience includes working with adults dealing with addictions, HIV/AIDS, racial identity development, racial trauma, gender identity development, gender expression, issues around affectional orientation, depression/anxiety, stress management, self-esteem, and members of the LGBTQ+ and Same Gender Loving communities. I also work with career/occupational concerns. I believe in creating a brave space for my clients where they have the courage to bring their authentic selves without being silenced, marginalized, or judged. Authenticity and open communication are key to building a strong therapeutic relationship and both are a two-way street. We can challenge other, grow with each other, and work together as we travel your pathway to wellness.

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Tara Bowles

Offering therapy in VA
License: LCSW
Stress, AnxietyRelationship issuesFamily conflictsGriefDepression
12 years of experience

Hi! I am a licensed clinical social worker in the state of Virginia, District of Columbia and Maryland with over ten years of experience providing counseling services to children, teens, adults and families coping with a wide range of issues including anxiety, depression, relationship problems, grief/loss, trauma and substance abuse. I am originally from California where I received my undergraduate degree at San Francisco State University. My master's degree is from Virginia Commonwealth University in Richmond VA. My therapy approach is open, compassionate, focused and goal oriented. I am passionate about helping people recognize and build on their strengths to become the very best versions of themselves. The right therapist fit is a key element in a successful therapy experience, and I want to be that for you.

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Dr. Eric Niler

Offering therapy in VA
License: PhD.
Stress, AnxietyTrauma and abuseGriefDepression
31 years of experience

My name is Dr. Eric Niler, and I am a licensed psychologist who has been working in private practice for more than 30 years. Using cognitive-behavioral therapy (CBT), I treat adults with anxiety, depression, chronic pain, trauma/abuse, adjustment disorders, and work-related stresses. In session, my personal approach is caring, compassionate and conscientious, but with a side of humor, since I think it's important that we don't take ourselves too seriously as we try to navigate and adapt to life's many challenges and stressors. Therapy is a collaborative process between patient and therapist, and I will always encourage feedback to ensure that you feel that our work is moving at a good pace and in the right direction, whether you are looking for a short-term, solution-focused process or a more gradual exploration of past and current experiences. I've been providing video telehealth services since the Spring of 2020 and am in the process of transitioning my practice completely to telehealth. While I will provide telephone services when necessary, I prefer video sessions because I believe that visual information and feedback are too important to routinely exclude from the therapy process. I am available for 30-45 minute live telehealth sessions. Although most of my open slots in the calendar are for later in the week, I generally have some availability earlier in the week as well. Feel free to ask if you need a day and/or time not designated as "available." I look forward to meeting and working with you!

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Carrie Matthews

Offering therapy in VA
Stress, AnxietyAddictionsRelationship issuesDepressionCoping with life changes
17 years of experience

I am Licensed Clinical Social Worker with over 17 years of clinical experience practicing in Virginia and Florida. I feel honored to assist individuals with navigating trauma, stress management, gaining overall clarity within relationships, decision making, and improving work-life balance. I also have experience with families and individuals coping with addictions and addiction related issues. I believe that you have what you need within you to overcome and move through the things that challenge you. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.

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Shakira Williams

Offering therapy in VA
Relationship issuesFamily conflictsParenting issuesAnger managementSelf esteem
4 years of experience

I am licensed in Virginia with 4 years of professional work experience. I have experience in helping clients with relationship issues, family conflicts, parenting issues, & anger management. 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 seeking a more fulfilling and happier life takes courage. I am here to support you in that process.

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Alease Johnson

Offering therapy in VA
Stress, AnxietyTrauma and abuseSelf esteemBipolar disorderCoping with life changes
11 years of experience

My passion for seeing family systems restored and individuals made whole caused me to walk away from a 30-year career in Corporate America and embark upon a new journey of helping others heal from life stressors and other life-changing events that leave one devastated and emotionally impoverished. Don’t let yesterday’s familiar practices cause you to remain stuck, unfilled, and broken. I am here to inform you that you can exchange “Ashes for Beauty” and ” Mourning for Joy.” Let me help you make the transition. I am a graduate of Liberty University, where I received a Bachelor of Arts degree in Psychology and Christian counseling and a Master of Arts degree in Professional Counseling. As a Licensed Professional Counselor with formal education, life experiences, and spirituality, I am equipped to lead you to a place of hope and restoration. Let us take the journey in a safe, non-judgmental, empathic environment. While joy may seem unattainable, it is achieved when you trust the process of therapy to regain hope through various techniques. It is possible to dance in the rain and take back what was stolen: joy, peace, hope, love, trust, and so much more. I use a variety of therapeutic methods to help individuals from all walks of life work through devastating events and disappointments to heal emotional pain and become whole again. My theoretical orientation is Cognitive Behavioral Therapy to help with cognitive dissidence and faulty thinking. Reality Therapy empowers you to reach your full potential and gain a sense of self-worth to function in the family system and community. Solution Focus Brief Therapy teaches that small steps lead to significant change. My motto: “Saving Ones At Risk” (SOAR), a holistic approach that helps rebuild one’s mind, body, and spirit. Let’s refocus, redefine, and regain your purpose.

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Allison Gilbert

Offering therapy in VA
Stress, AnxietyGriefSelf esteemCoping with life changesCompassion fatigue
6 years of experience

I am licensed in Virginia with work experience as a Professional School Counselor and a Licensed Professional Counselor. I have experience in helping clients with stress and anxiety, coping with grief and loss, motivation, self esteem/confidence, & coping with life changes. I have a holistic approach that is flexible, creative, person-centered, and goal-oriented. I enjoy the creative process of collaborating with clients to help them articulate how they think/feel/behave, and developing goals and strategies in order for them to live an authentic, purpose-filled life. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!

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Kieshara Matthews

Offering therapy in VA
Stress, AnxietyParenting issuesSelf esteemCareer difficultiesDepression
3 years of experience

Hello, my name is Kieshara Matthews. I am a Supervisee in Social Work in Virginia. I attended the illustrious Norfolk State University where I obtained my Bachelor’s in Social Work in December 2019. I then continued my education at Fordham University where I obtained my Master’s in Social Work in August 2020. In October of 2020 I became certified as a Qualified Mental Health Professional for adults and children. Prior to entering the field of Social Work, I worked as a Certified Nursing Assistant providing care and support to clients and their families. I’ve always been passionate about providing exceptional service and care to assist people with overcoming obstacles to reach their full potential. I am passionate about helping people heal from childhood trauma and break generational curses. I currently provide therapy to young adults and adults who seek support managing the demands of adulting, relationship distress, and family relationships. Lately have you been feeling frustrated or unsure where you are going in life? If so, I can help by providing the support and guidance you need to get you to the next level. Through a non-judgmental, client-centered, and strength-based approach, I provide a nurturing environment and safe environment which allows for my clients to process their thoughts and feelings to provide clarity when they need it the most. Utilizing therapeutic techniques from various treatment modalities such as Cognitive Behavioral Therapy, Solution-Focused Brief Therapy, and Mindfulness I strive to help clients deal with self-esteem issues, anxiety, depression, imposter syndrome, boundary setting, financial distress, parenting needs, life transitions, and other issues that may arise. My Career in the field of social work started in January 2019 when I interned as a career counselor at Norfolk State University's Career Services Center reducing barriers to employment for students and alumni. While working in the career center I administered personality tests which helped explore the best matches for meaningful career placement for those entering college trying to decide on a major, those who had started their college career but were unhappy with their current degree choice, as well as those who had been in the workforce for some time but needed a change. I also helped reduce anxiety surrounding interviews by assisting clients with breaking down interview questions while exploring skillsets clients could offer their future employers. In addition, I facilitated resume workshops to assist students with building resumes and provided edits when needed. In January 2020 I went on to intern at Virginia Beach Psychiatric center working as a Social Work Intern helping adults age 18 and older to identify unhealthy thoughts to stabilize their moods and behaviors. During this time, I completed comprehensive assessments to assist clients with identifying their barriers to treatment. I facilitated psychosocial group sessions for those suffering from mental health disorders and substance abuse. In addition, I provide family counseling to assist clients with verbalizing the support needed from their families as well as provide psychoeducation on various disorders for the client’s families. I also provided case management by collaborating with the client’s psychiatrist and other community-based services. In January 2021 I started providing intensive in-home services to children, adolescents, and their families with Compass Youth and Family Services. During this time, I have provided mental health services to at-risk youth suffering from mental disorders as well as behavioral services. I provide crisis management for those experiencing imminent danger of being placed outside of their home. In addition, I’ve provided coaching for parents educating them on various parenting techniques to assist with strengthening the parent-child relationship. I’ve also provided brief sessions for parents to explore the effects unhealed trauma has on their parenting process. Utilizing family sessions, I’ve worked to help clients find healthy ways of communicating with each other. In addition, I provide clinical case management services by linking clients with various community-based resources in addition to collaborating with client’s medication management doctors as well as other treatment team providers. If you are ready to start your healing journey and to reach your full potential I am here to assist! Let’s get started today!

How to find counseling in Madison

Finding the best therapist close by in Madison can feel challenging, but know that once you narrow your search for a counselor serving your area, you can find a therapist in your city that is accepting new clients and fits your goals. Whether you're struggling with depression, anxiety, marriage, family issues, or other emotional challenges, feel proud that you have begun your search to find the mental health care services that work best for you in order to begin your personal journey towards emotional healing.

Understanding the type of therapy you'd like to search for is crucial before finding a therapist or psychologist in Madison. Perhaps you're interested in narrowing your search for a psychotherapist that can offer psychodynamic, cognitive-behavioral therapy (CBT), talk therapy, provide group therapy, marriage and family therapy for individuals or couples, or couples therapy. Each type of therapy can offer various benefits and address or treat different disorders. If you're still unsure or are new to counseling in Madison, feel free to contact the provider via email to find out which methods they practice.

It is also important to understand that mental health professionals in the United States are accredited to provide care, helping individuals and couples, with a variety of licenses. These include licensed marriage and family therapist (LMFT), licensed clinical social worker (LCSW), and clinical psychologist or doctor of psychology (PsyD). Regardless of their licensure, they are trained to treat individuals and couples counseling, and sometimes children, in any type of therapy. Find a therapist under any of these distinctions and know that the sessions they offer can provide a safe place to heal.

Mental health professionals working through their own in- person therapy practice in Madison or online may assist clients in improving healthy relationships, communication skills, working through life transitions, managing a mood disorder, improving coping skills, or change in negative thinking patterns. They may also provide a safe place and validation for clients experiencing emotional pain. Verified providers can provide licensed marriage and couples therapy, tailor to individual needs, and create a therapeutic relationship as a National Certified Counselor.

There are all kinds of therapists working with clients today across the United States and in the greater Madison area in different types of therapy, including:

  • CBT
  • DBT
  • Substance use therapy
  • Couples therapy

When you're ready to start your search and find therapists, have in mind what type of therapy you'd like your provider to be most experienced with and choose an experienced provider with a practice located near you in the city of Madison, elsewhere in Madison, or in the greater state of Virginia.

Frequently asked questions (FAQs)

Some other commonly asked questions on therapy with a licensed counselor and BetterHelp serving the Madison area can be found below:

How does the cost of in-person counseling compare to the cost of BetterHelp with a licensed Madison therapist?

The average price of an in-person therapy session in the US is $100 to $200 per hour. These prices may be higher in Madison due to a higher cost of living. The price also depends on the type of provider you are looking for. See the following average prices for various mental health providers without insurance:

  • Counseling with a psychiatrist: $150-$500
  • Counseling with therapists: $100-300
  • Therapy with a psychologist: $100

While many psychologists in Madison may not take health insurance, some in the state of Virginia may work on a sliding scale, meaning they'll factor in your income and charge what you can afford per session. With BetterHelp or clinicians throughout the state of Virginia you can expect significantly more affordable options, with sessions ranging from $65 to $100 per week (billed every four weeks).

How is a licensed therapist on this online therapy platform verified?

Therapists in Madison, Virginia working on BetterHelp are licensed, trained, experienced, and accredited as a doctor of psychology (PhD / PsyD), licensed marriage and family therapists (LMFT), licensed clinical social worker (LCSW / LICSW), or licensed professional counselors (LPC). All of these psychology clinicians have a Masters Degree or a Doctorate Degree in their field of psychology sciences, and follow the APA Code of Ethics. They have been qualified and certified by their state's professional board after successfully completing the necessary education, exams, training and practice with a patient, and extensive experience in a healthcare clinic or treatment centers, in order to become a mental health provider. While their lived experience, expertise, careers, and background vary, they all possess at least 3 years and 1,000 hours of hands-on experience with adult and sometimes teen patients, and have the necessary therapist credentials to provide a safe space for long lasting emotional healing in therapy. 

Please note BetterHelp does not offer or provide care from psychiatrists to prescribe a drug as treatment, or perform psychological assessments.

How does working with a counselor in BetterHelp online therapy sessions work?

BetterHelp clinicians treat clients online across the United States (individuals and couples) through life transitions, inner child exploration, long term depression or anxiety, and more. An online mental health professional, including the therapists in Madison above, can work with young adults, children, adolescents, and adults virtually as an accredited licensed clinical social worker (LCSW) or licensed marriage and family therapist (LMFT). You do not have to commute to a an office as a psychotherapy client.

Through BetterHelp therapy, you can partake in video, phone, or live chat therapy sessions with your licensed therapist. You can work through various symptoms, use the in app journaling feature, and receive worksheets. You'll also find support groups or group therapy lead by a therapist in Madison helping individuals on topics including managing life transitions, symptoms affecting sexual health, behavioral health, coping skills for anxiety or depression, trauma, stress, marriage counseling, and more. 

What mental health issues can psychotherapy address?

BetterHelp's verified Madison therapists specialize and have clinical experience in a wide range of mental health issues and modalities, helping clients to feel better and improve their lives every day. See below for examples.

Specialties on BetterHelp include:

You may also be struggling with relationship problems that could be addressed in couples therapy or with a sex therapist. In that case, you may choose to work with one of BetterHelp's experienced cognitive-behavioral therapists or licensed marriage family therapists (LMFT) who work with clients in relationships. You can also try a Madison therapy provider through BetterHelp's sister platform, ReGain, which is dedicated to couples and spouses worldwide. 

How do I know if online counseling is right for my family?

One of the potentially rewarding aspects of working with a therapist is the validation and active listening they can provide. Your friends and loved ones may also be available to listen, but you may feel that they may lack the skills to provide objective guidance. Counselors are trained to respond to various concerns, symptoms, and mental health conditions.

A psychologist in your city can support you toward a healthier emotional state, regardless of your mental health, life concerns, or healing needs. While supporting individuals in developing healthier habits, another good benefit of therapy is having an understanding, safe space with a non-judgmental party who can support you through challenging experiences.

Many people have sensitive topics that they may feel ashamed to discuss with their friends or partner. A Madison therapist can help you confront these concerns and open up through unique methods of support. There are also many types of therapy, such as art therapy, where you may find you can express yourself through creativity instead of words.

With a lot of people in VA, providers may be booked out with clients. Through the list of profiles above and others within BetterHelp's team, you may be able to find a psychologist within 24 to 48 hours. If you're searching to find a a nearby psychotherapist close to 22727 or the surrounding zip codes, consider others available through the BetterHelp site. No matter if you are seeking help in your area or beyond, online therapy can be a great option.

How should I prepare for my first therapy session with a Madison counselor?

Before seeing your therapist, prep for your session by reading to understand the therapy process. You might write a list of questions you want to ask your psychotherapist, any emotional pain you may feel, and the ways in which you hope to improve. When you attend your session, let them know if you have any concerns about therapy or feel unsure about what to talk about. They may help guide you with open-ended therapeutic questions. The first session will often serve as an intake to get to know you as a person and learn why you're attending therapy.

Should I find a therapist or psychologist if I feel fine? 

Some simply don't feel the need to see a psychologist. However, some people may avoid attending therapy due to stigma or preconceived notions of what therapy entails. Although psychologists often support people with mental health conditions, you do not need a diagnosis or condition to attend therapy. You can discuss grief, relationship concerns, stress, or life changes and ask for general feedback and advice. A Madison licensed clinical social worker may help you gain power over your life and emotions while you navigate day-to-day experiences.

Gaining a new perspective on yourself through various therapies might allow you to improve your self-esteem, work through relationships, and gain a better sense of your mental health goals. The success you may find through therapy can be dependent on your process.

People may also attend therapy for specific motives, such as bullying, an autism diagnosis, a desire to learn mindfulness meditation, personality concerns, trouble with office workers, specific phobias, and many other principles.

Is mental health care and therapy worth it? 

Therapy is effective and has the power to change individuals' lives. Each client is at a different stage of their emotional healing journey in life, as each human can be unique in their personality, expression, skills, and goals. A psychologist can target various symptoms, experiences, and personalities to help you feel your best and put you on the path to healing. Unlike advice from a friend, family, or non-professional, a mental health professional has an understanding of various disorders like ADHD and depression with many hours of experience in treating adults in their practice. For this reason, seeing an evidence based psychologist in Madison, Virginia can be worth it. Over 41 million adults in the US attend therapy services each year, showing it's a popular option and is proven to be effective.

Madison has many clinicians who practice person or client-centered individual therapy in-person and through online therapy to assist clients in their healing journey. If you opt into online therapy, you might also be able to meet with providers all over the United States and change therapists easily at any time. Many people struggling with anxiety and depression, substance abuse, body image issues, and more find therapists that are a good fit for them, feel supported, and gain further insight into their lives through internet-based therapy.

Do therapists judge you in therapy sessions?

The boundaries between you and a therapist are in place to help you and them regarding ethical concerns. Mental health professionals are held by ethical standards through the American Psychological Association (APA) and are not allowed to judge or harm their clients. If you are concerned about sharing details about yourself, feel free to withhold personal information. Their job in the therapeutic relationship is to create a safe place, help you gain a deeper understanding of your mental health, and support you. You might consider changing counselors if you don't feel safe or respected.

Stay up to date with the leading online counseling platform

To stay up to date with BetterHelp's initiatives through their social channels, you can follow them on PinterestLinkedInInstagramTwitter, and Facebook. For mental health tips, check out the BetterHelp YouTube channel.

Take some time today to learn more about the team of therapists at BetterHelp to understand the services available to you clearly. If you are new to therapy or have any questions about the services and terms, please reach out through the contact page or send an email to

If you’re ready to sign up for online therapy, consider signing up with a platform like BetterHelp and get matched within 24 to 48 hours.

If you are experiencing a crisis or emergency, don't use this site's online services. If you are in life-threatening danger, call 911. If you require support for a crisis, reach out to the hotlines below:

A woman meets with a therapist online in her home city of Madison.

Below are some of the zip codes served by BetterHelp therapists in Madison:


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