Our therapists provide cognitive behavioral therapy (CBT) services in Virginia.

Hi, I’m Madison Powell, Resident in Counseling, MSEd. I work with adults who are navigating anxiety, depression, trauma, relationship challenges, stress, and major life transitions. Many of the clients I support feel overwhelmed, disconnected, or stuck in patterns that no longer serve them. Whether you're looking to heal from past experiences, build healthier coping skills, strengthen your relationships, or feel more confident in managing life's challenges, I aim to provide a supportive space where you can feel heard, understood, and respected. 

My approach is collaborative, trauma-informed, and tailored to your unique needs. Drawing from Cognitive Behavioral Therapy, person-centered, and narrative approaches, I help clients identify patterns, reframe unhelpful beliefs, build resilience, and develop practical tools for lasting change and personal growth. 

Seeking support takes courage, and you don't have to navigate life's challenges alone. My goal is to create a safe, compassionate environment where you feel empowered to grow, heal, and move forward with confidence. If you're ready to invest in yourself and your well-being, I would be honored to be part of your journey.

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.

Dee Jacobi-Edwards is a Licensed Clinical Social Worker (LCSW) in Virginia and a Licensed Independent Social Worker-Clinical Practice (LISW-CP) in South Carolina who has helped individuals, couples, and families for over 20 years. Dee works with clients 18 to 99 years old. Her clients have presented with issues including anxiety, depression, panic attacks, and relationship difficulties. Dee has also helped clients who have experienced fear or isolation caused by COVID-19. She understands that grief, loss, and bereavement do not only occur when someone dies, but also when a job is lost, or poor health occurs. Having been a hospice social worker, Dee has also counseled individuals and family members after a loved one has been given a terminal diagnosis.

Dee completed her Master of Science in Social Work (MSSW) at the University of Texas at Arlington and her Master of Education (MEd) in Rehabilitation Counseling at Springfield College. Utilizing cognitive behavioral therapy (CBT) techniques, clients develop an understanding of the relationship between thoughts, feelings, and behaviors and are encouraged to cultivate flexibility in the process, leading to change in automatic problem-solving responses. Other techniques used include mindfulness, cognitive restructuring, and relaxation techniques. Dee is also an ADHD-Certified Clinical Services Provider.

Using a conversational style, Dee collaborates with her clients, whether an individual, a couple, or family members, to identify areas of concern. Together, she and her client analyze what the perceived difficulties are and identify achievable goals. In a supportive and nonjudgmental therapeutic relationship, Dee encourages open communication to resolve conflicts from misunderstandings.

Nessalyn Dearce is a Resident in Counseling who has experience providing mental health services to children and adults seeking help with depression, anxiety, trauma, life transitions, chronic illness, and stress management. Nessalyn is LGBTQIA+ affirming and works to maintain multicultural awareness in session. She completed her Bachelor of Science (BS) in Psychology at Christopher Newport University and her Master of Science (MS) in Education in Counseling at Old Dominion University. 

Nessalyn utilizes person-centered, mindfulness-based, cognitive-behavioral, strengths-based, solution focused, and emotionally focused approaches to therapy. She encourages individuals to acknowledge their inner experiences in healthy ways and assists them in aligning with their goals and ideals. Nessalyn aims to meet the individual needs of each person by exploring the qualities and experiences that make them unique.

Nessalyn understands that getting help can be difficult and intimidating, so she aims to make the office a safe space for clients to be themselves and hopes to establish a therapeutic relationship that makes room for growth and healing.

Shirley Hudson is a dual board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) and Family Nurse Practitioner (FNP) who is passionate about providing evidence-based and personalized care to adult clients. She began her health career treating patients in various settings including spinal cord injury, intensive care, hematology, oncology, and medical-surgical units. As a Christian, Shirley understands there is still a stigma attached to mental illness in many churches. She also has a mission to reduce the stigma of psychiatric disorders by educating clients, families, and the community about mental health disorders.

After years as a registered nurse, she completed her Master of Science in Nursing at Old Dominion University. Through her years at the hospital bedside and clinic, Shirley saw a need for more psychiatric care providers. To help increase access to mental health services, she earned her Post-Masters Psychiatric Mental Health Nurse Practitioner Certification.

Shirley believes that the best patient outcomes are built on the foundation of a strong and authentic patient/provider partnership. She values the client as an integral part of the treatment team and works diligently to provide education about all aspects of the mutually agreed-upon treatment plan.