Ashburn, VA Therapy, Psychiatry, and Counseling

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.

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 am a psychiatric mental health nurse practitioner (PMHNP) with 3 years of experience providing compassionate mental health care across the lifespan. My background as both a nurse and a provider has shaped my calm, steady, and holistic approach to treatment. I help individuals navigate anxiety, depression, stress, and daily challenges by creating a supportive environment where clients feel heard, respected, and understood.

I earned my master’s degree in nursing from Ohio University and use a patient-centered, safety-focused approach to guide care. I draw from methods such as motivational interviewing to tailor treatment to each person’s needs and goals, helping clients build insight, strengthen coping skills, and create meaningful change.

I am committed to offering a warm, collaborative space where you can explore your mental health needs at a pace that feels comfortable. Your story matters, and you deserve care that honors your voice. When you feel ready, I invite you to schedule an appointment so we can take the next steps in your healing together.

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.

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.

My name is Esonija' Fulgham, and I'm a licensed clinical social worker practicing in VA, DC, and MD. I've been practicing clinical social work independently for almost 15 years. I enjoy the work that I do in helping families and individuals thrive and learn to articulate their lived experiences from a place of empowerment.

I use Cognitive Behavioral Therapy, Solution-Focused Therapy, empowerment approaches, and trauma-informed frameworks to help clients live their best lives. My focus is on equipping you with practical coping skills. 

I look forward to working with you and am humbled that you've chosen me to share your journey. 

Dr. Tiffany Jackson is a Licensed Professional Counselor (LPC) with over 6 years of experience. She specializes in treating trauma and understands how traumatic events can impact our mental health. Tiffany typically treats children, teens, adults, and seniors with depression, anxiety, grief, relationship issues, and major life issues/transitions.

In sessions, she uses culturally-sensitive (CST), solutions-focused brief therapy (SFBT), reality therapy (RT), and much more. Tiffany is perfect for individuals who have experienced some type of trauma within their lifetime.

Dr. Tiffany Jackson completed a Bachelor's Degree in Psychology at Old Dominion University. She also earned a Master's and Doctorate degree at Liberty University.

Most people have experienced trauma at some point in their lives. Tiffany is confident she can help assist and support you as you work through trauma and learn how past experiences can play a role in current mental health symptoms. She looks forward to seeing you in your first session together.

Dawn Affeldt holds a master’s degree in Clinical Psychology and is a Licensed Mental Health Counselor (LMHC) in the state of Florida and Licensed Professional Counselor (LPC) in the state of Virginia. She has over 15 years of experience working with children, adolescents, adults, couples, and families in a variety of settings who have experienced a range of life struggles and mental health concerns. Her areas of specialty include working with those struggling with anxiety, depression, life transitions, grief/loss, couples’ issues, trauma, Autism, ADHD, and parenting issues. 

Dawn’s counseling approach is eclectic in that she uses what makes sense to meet her client’s needs. Predominantly, she uses cognitive-behavioral and solution-focused therapies in addition to elements of motivational interviewing and mindfulness. She is dedicated to continuing her pursuit of knowledge in evidence-based practices that improve the lives of others; therefore, she also has specialized training in trauma and adoption preservation.

Dawn is passionate about helping others feel good about themselves and effectively manage through life’s trials and tribulations in order to lead a life of purpose, fulfillment, and joy. She looks forward to working with you!

I am a Resident in Counseling with 2 years of experience in the mental health field. I work with individuals, couples, and families, supporting them through identity development, life transitions, trauma, and grief. I also have experience with ADHD, autism, anxiety, depression, and anger management. My goal is to provide a safe, compassionate space where clients feel supported and empowered to reach their goals.

I received my Master of Arts in Counseling from Eastern Mennonite University, where I trained to work with diverse populations. I use approaches such as expressive arts, emotion-focused therapy, person-centered work, and dialectal behavior therapy. I tailor each session to meet my clients’ needs and honor their unique stories.

I believe that everyone has the ability to change and grow. My role is to walk alongside clients, meeting them wherever they are in their journey, and help them make empowered changes in their lives. I strive to support people through whatever challenges life may bring, ensuring they never have to face those challenges alone.

I am a resident in counseling with 3 years of experience supporting teens, young adults, and adults through challenges related to identity, life transitions, self-worth, addiction recovery, and emotional wellness. I’m passionate about helping clients uncover their inner guidance, develop a strong sense of self, and navigate the complexities of everyday life with greater clarity, resilience, and purpose.

I hold a master’s degree in clinical mental health counseling from the University of the Cumberlands. My work is grounded in depth psychology and incorporates psychodynamic, mindfulness-based, strength-based, cognitive-behavioral, and somatic approaches that help clients understand patterns, connect to their bodies, and develop healthier ways of coping.

I believe healing happens in community, and I’m committed to creating a safe, compassionate space where you feel seen and supported. Whether you’re managing pain, rebuilding after setbacks, or pursuing growth, I’ll walk with you as you build new skills and move toward the life you want.

My name is Esonija' Fulgham, and I'm a licensed clinical social worker practicing in VA, DC, and MD. I've been practicing clinical social work independently for almost 15 years. I enjoy the work that I do in helping families and individuals thrive and learn to articulate their lived experiences from a place of empowerment.

I use Cognitive Behavioral Therapy, Solution-Focused Therapy, empowerment approaches, and trauma-informed frameworks to help clients live their best lives. My focus is on equipping you with practical coping skills. 

I look forward to working with you and am humbled that you've chosen me to share your journey. 

Gwendolyn Fisher is a Licensed Professional Counselor who has over 3 years of experience helping children and adults seeking help with depression, anxiety, psychotic disorders, bipolar, oppositional defiance, trauma, PTSD, family relationships, and crisis stabilization.  

Gwendolyn earned her Bachelor's degree from Virginia Wesleyan University and her Master's degree in Professional Counseling from Liberty University. Gwendolyn utilizes collaborative, positive regard, solutions-focused, cognitive behavioral (CBT), person-centered, mindfulness-based, and emotionally-focused approaches to meet clients where they are, and to promote a more meaningful life.

Gwendolyn seeks to empower clients by helping them meet the goals they desire in life. With her assistance, you'll begin recognizing that you are valuable while learning to live your best life—one day at a time. 

April Gardner is a Resident in Counseling with 4 years of experience. She works with adults (and their loved ones) dealing with a variety of mental health problems including depression, anxiety, post-traumatic stress disorder, panic disorder, borderline personality disorder, bipolar disorder, and schizophrenia and related disorders. April also has experience working with the incarcerated and addiction disorders. She has worked in settings including hospice care, bereavement, community mental health, inpatient hospital, emergency service, and private practice.

April Graduated from Liberty University with her Master’s Degree in Clinical Mental Health Counseling. She specializes in solution-focused brief therapy, cognitive behavioral therapy, and mindfulness-oriented recovery enhancement. April is non-judgmental and believes that together people can impact the world for the better.

You are the master of your future, and April will partner with you to help set goals and take steps to a better tomorrow. No matter where you have been in the past, the path to healing is only a day away. April warmly invites you to schedule an appointment!

Dr. Tiffany Jackson is a Licensed Professional Counselor (LPC) with over 6 years of experience. She specializes in treating trauma and understands how traumatic events can impact our mental health. Tiffany typically treats children, teens, adults, and seniors with depression, anxiety, grief, relationship issues, and major life issues/transitions.

In sessions, she uses culturally-sensitive (CST), solutions-focused brief therapy (SFBT), reality therapy (RT), and much more. Tiffany is perfect for individuals who have experienced some type of trauma within their lifetime.

Dr. Tiffany Jackson completed a Bachelor's Degree in Psychology at Old Dominion University. She also earned a Master's and Doctorate degree at Liberty University.

Most people have experienced trauma at some point in their lives. Tiffany is confident she can help assist and support you as you work through trauma and learn how past experiences can play a role in current mental health symptoms. She looks forward to seeing you in your first session together.

Patricia "Tricia" McCarty is a Licensed Clinical Social Worker who enjoys helping people work through life transitions, addiction, grief/loss, chronic illness/pain, anxiety, depression, stress, and low self-esteem. Tricia uses a humanistic approach and a variety of therapeutic modalities, including cognitive-behavioral, mindfulness-based, strength-based, narrative, acceptance and commitment, expressive art as therapy, and positive psychotherapy. 

Tricia completed her Master of Social Work at Virginia Commonwealth University. She will actively listen, help you gain perspective, explore with you what is keeping you from becoming the best version of yourself, and make a plan that will empower you to reach your goals.

“In any given moment we have two options: to step forward into growth or to step back into safety” (Abraham Maslow). Sometimes what feels safe, comfortable, and familiar, is actually unhealthy; change can be hard and the unknown scary. Do you feel stuck, repeating toxic patterns or negative thinking? Have life events or stress become overwhelming or seem unmanageable? Maybe you just need a supportive space to talk about what you’re going through and how you are feeling.

Hey, my name is Dr. Kayla Thorne! I have received my Doctorate in Human Services, Master of Social Work, and Bachelor of Arts in sociology. I have been a Licensed Clinical Social Worker since 2025 and have provided therapy to children, adolescents, and teenagers since 2023 as a Supervisee in Social Work. I have also provided therapy to college-aged students and adults since 2025. I enjoy the wide variety of clients that I work with who are experiencing anxiety, depression, stress, and life changes. I work with the clients to set goals for therapy and help them achieve those goals throughout the therapy timeframe.

I use a cognitive-behavioral therapy approach and have specialized training in working with individuals who have experienced trauma, anxiety, depression, and stress. I focus on active listening, cognitive restructuring, and assigning homework (as needed) between sessions to support continued growth.

Life can be challenging to navigate at times, especially when you feel anxious, stressed, or alone. I know it can be hard to find someone to trust to talk about your experiences when it seems impossible to deal with the life stressors. I'll be there to meet you where you are during those tough times, so feel free to book a session with me.

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.

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 am William Watson, a Licensed Social Worker Supervisee with 2 years of experience. Shaped by a working-class, single-parent upbringing, I bring lived experiences and strong clinical training to my work. I support adolescents and adults facing depression, anxiety, ADHD, stress, and life transitions. My goal is to provide steady guidance and practical support as a respectful partner who values honesty, feedback, and collaboration.

I hold a Master’s in Social Work from the University of Arkansas and blend evidence-informed care with lived experience. My sessions emphasize practical tools, steady structure, and clear goals to help clients build confidence and skills between visits.

I know that starting therapy can feel overwhelming. That’s why I focus on creating a safe, respectful space where you can move at your own pace. If you are looking for practical strategies and a collaborative therapist who meets you where you are, I welcome you to reach out because you don’t have to face life’s challenges alone.

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.