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178 licensed therapists & providers in Virginia—3 in Fredericksburg. Available as soon as today, in person and online
Our providers work with individuals, couples, families, & teens for anxiety, depression, grief, & more
We accept UnitedHealthcare, Cigna, BCBS Plans, Humana, Aetna, & many more. Self-pay options available, no membership fees
94% of patients feel truly understood by their provider. 3 out of 4 see improvement in depression & anxiety symptoms within 3 months
Discover how starting insomnia therapy can support your own journey toward a happier, more fulfilling life.
As a compassionate counselor, I understand the unique impacts of trauma and grief and the daily challenges they can leave you expe...
About
As a compassionate counselor, I understand the unique impacts of trauma and grief and the daily challenges they can leave you experiencing.
Madeline Garrett is a Licensed Clinical Social Worker in the states of Virginia and Florida who has over 9 years of experience providing clinical assessments and therapeutic care to teens and adults seeking help with anxiety, depression, trauma, bipolar disorder, addiction, co-dependency, grief and loss, parenting assistance, and sexuality issues. She identifies as an ally of the LGBTQIA+ community and affirms all spiritual beliefs.
Madeline completed her Bachelor of Psychology from Florida State University, Master of Social Work from the University of Southern California, and her Master of Leadership from Grand Canyon University. She is a compassionate counselor who utilizes strength-based, collaborative, relational, cognitive-behavioral, mindfulness-based, motivational, solution focused approaches to therapy. She strives to remain current on creative interventions, flexible, and in tune to best meet the needs of every unique challenge and individual.
Madeline understands that it takes a lot of courage to reach out for help. She looks forward to getting to know you and is so glad you're here. She will meet you where you are to empower you to make lasting changes. Bring whatever you are carrying, and together you can begin to sort through it to get some well-deserved relief.
Education and training
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As one who has experienced personal trauma, loss, and hardship, I offer an empathetic, nonjudgmental space where you can safely ex...
As one who has experienced personal trauma, loss, and hardship, I offer an empathetic, nonjudgmental space where you can safely explore your experiences, develop new life skills, and engage in holistic healing.
I am a Board-Certified Psychiatric-Mental Health Nurse Practitioner dedicated to delivering empathetic, research-driven care to individuals of all ages. I have worked with clients facing a range of mental health challenges, including anxiety, depression, trauma, ADHD, PTSD, mood disorders, and other psychiatric conditions. Many individuals seek insight, emotional stability, and actionable strategies to navigate stressors, strengthen relationships, and regain a sense of control. I am particularly committed to empowering clients seeking deeper self-understanding, resilience, and working toward meaningful, lasting change.
My personality style is warm, empathetic, and approachable, creating a safe space where clients feel comfortable being open and honest. I help them feel heard, understood, and empowered. I value authenticity and maintain a nonjudgmental attitude, meeting each person where they are and helping clients build practical skills for lasting growth and healing.
Taking the first step toward mental wellness can feel overwhelming, but you do not have to do it alone. I am here to support you with empathy, understanding, and a commitment to your growth and healing. I encourage you to take the next step and begin your journey toward meaningful change.
I approach mental health care with humility and cultural awareness, recognizing that each person’s journey is unique and deserving...
I approach mental health care with humility and cultural awareness, recognizing that each person’s journey is unique and deserving of individualized, holistic support.
As a board-certified Psychiatric Mental Health Nurse Practitioner with eight years of nursing experience spanning multiple specialties, I bring a broad clinical perspective to mental health care across the lifespan. I specialize in treating anxiety, depression, trauma-related conditions, mood disorders, burnout, and difficult life transitions. My approach is compassionate, holistic, and rooted in evidence-based practice—combining psychiatric evaluation, medication management, and supportive therapy to treat the whole person, not just symptoms. I partner with each client to build personalized treatment plans centered on resilience.
I earned my Master of Science in nursing from Walden University. My approach is collaborative and individualized, combining comprehensive psychiatric evaluation and thoughtful medication management with psychoeducation, mindfulness-based strategies, and strength-based coping skills.
If you've been carrying more than you let others see, you don't have to do it alone. I offer a warm, respectful, judgment-free space where we can identify patterns, build practical tools, and restore clarity and confidence. When you're ready, I'm here to help you take that next step toward meaningful, sustainable change.
As a therapist, I will do all that I can to learn who you are and what you're looking for, and then help create truly meaningful c...
As a therapist, I will do all that I can to learn who you are and what you're looking for, and then help create truly meaningful change.
I specialize in working with people with ADHD and autism, as well as anyone looking for a space where they can feel genuinely heard. As your therapist, I will not be another voice telling you to push through and make things work when they just won't. I will show up as a kind, calm person who's ready to meet you where you are without judgement. I’ll take the time to get to know you, learn what matters to you, and work with you to create the change you're looking for. If you're feeling overwhelmed and unsure about where to even begin, that's okay. We can figure it out together!
In our sessions, you’ll have space to talk openly about whatever is on your mind. I can offer structure, feedback, and practical guidance when that’s helpful, while also giving you room to slow down, sort through your thoughts and emotions, and make sense of what you’re experiencing.
You deserve a life that is authentic and feels like your own. We can talk, get to know each other a little, and see if working together feels like a good fit. I'm available to work virtually with anyone in VA.
I understand how life’s demands and challenges can affect every part of us, and I provide a supportive partnership to help you nav...
I understand how life’s demands and challenges can affect every part of us, and I provide a supportive partnership to help you navigate those seasons with clarity and confidence.
I am a psychiatric mental health nurse practitioner (PMHNP) with 7 years of experience providing care in outpatient, inpatient, and telehealth settings. I support individuals facing anxiety, depression, trauma, mood disorders, personality disorders, and life transitions. Many of my clients seek clarity, symptom relief, and practical strategies to feel more balanced and in control.
I earned my Master of Science in nursing from Walden University. I provide thoughtful medication management paired with supportive, solution-focused care. My approach emphasizes education, shared decision-making, and realistic goal setting, grounded in evidence-based practice tailored to each person’s needs.
Seeking help takes courage, and you don’t have to navigate this alone. I offer a safe, nonjudgmental space where we work collaboratively to improve symptoms, strengthen coping skills, and build lasting emotional wellness. When you’re ready, I’m here to support your next steps forward.
You deserve dedicated time with a mental health professional — it can be life-changing.
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Insomnia therapy is a tailored form of treatment that addresses chronic sleep disturbances, which can include problems with falling asleep, staying asleep, or experiencing restorative sleep. The goal of Insomnia therapy is to enhance sleep quality, establish healthy sleep routines, and, in turn, improve an individual’s overall well-being by mitigating and reducing the adverse effects of persistent sleep deprivation.
Insomnia therapy combines therapeutic approaches, with a central focus on cognitive behavioral therapy for insomnia (CBT-I) to modify sleep-disrupting thoughts and behaviors, integrating techniques like stimulus control, sleep restriction, and relaxation training. Thriveworks Fredericksburg therapists will also emphasize sleep hygiene education and may include mindfulness and relaxation exercises to improve sleep quality, equipping individuals with effective strategies to enhance their sleep and overall well-being.
Common symptoms of insomnia include:
Symptoms of insomnia often look different for everyone; however, there are some warning signs that can signal the need for insomnia therapy. These include feeling anxious about bedtime, bedtimes getting later and later, energy peaking at night rather than during the day, and drastic caffeine consumption in order to stay awake.
Cognitive behavioral therapy for insomnia (CBT-I) is one of the most effective forms of therapy for treating insomnia, working to modify sleep-disrupting thoughts and behaviors through strategies like sleep hygiene and sleep restriction.
Insomnia therapy at Thriveworks Fredericksburg is conducted both in person and online by video. We encourage you to choose the option that works best for you.
The duration of insomnia therapy can vary based on the individual’s needs and progress in treatment. Typically, it involves a short series of sessions over a few weeks to a couple of months, with the number and length of sessions decided in consultation with the therapist. Some experience better sleep within this time, while others choose longer therapy to address complex sleep issues or maintain good sleep habits.
Many people start to see improvements in their sleep patterns after about two to three weeks of CBT-I. However, the duration and effectiveness will differ for everyone, so don’t worry if it takes a bit longer to have a strong effect.
Among the many problems you may have as a result of your insomnia are the following issues:
It is easy to let this problem slide into the background of your life while you are busy with other things. Some people even push the problem aside by telling themselves that a lot of other people have trouble sleeping, so it really isn’t that big of a deal. While it is true that millions of people suffer from insomnia, that doesn’t mean it is any less difficult to deal with in your own life. To keep your life on track – and to be able to enjoy your day to day life properly – you need to find a way to get back to sleep as soon as possible.
Simply put, you shouldn’t have to live with all of the challenges that insomnia presents. While there are no guarantees that something like counseling will correct your problems with sleep, you should at least take action to work toward a solution. Insomnia can sometimes go away on its own – but it can also last for years if untreated.
Many people in and around Fredericksburg, VA have benefitted from our insomnia therapy services, and we hope that you will be next. 540-322-5424
Includes individual, couples, child/ teen, & family therapy
Includes reducing symptoms with medication & management
Thriveworks Counseling & Psychiatry Fredericksburg is located near Kenmore Avenue and Mary Ball Street, off Route 1. It is near the Kenmore Historic Mansion and a short distance from the University of Mary Washington.
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178 therapists available in Virginia, including 3 in Fredericksburg
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