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167 licensed therapists & providers in Virginia—2 in Fredericksburg. Available as soon as today, in person and online
Our providers work with individuals, couples, families, & teens for anxiety, depression, grief, & more
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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 borderline personality disorder counseling can support your own journey toward a happier, more fulfilling life.
I understand how life’s demands and challenges can affect every part of us, and I provide a supportive partnership to help you nav...
About
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.
Education and training
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As a working wife and mother of two adult children, I understand the struggles that life can bring....
As a working wife and mother of two adult children, I understand the struggles that life can bring.
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!
Patricia "Tricia" McCarty is a Licensed Clinical Social Worker who enjoys helping people work through life transitions, addiction...
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.
As someone who has navigated trauma in my own life and military service, I bring a grounded, compassionate presence to therapy, me...
As someone who has navigated trauma in my own life and military service, I bring a grounded, compassionate presence to therapy, meeting clients where they are and walking with them at a pace that feels safe and collaborative.
I am a licensed clinical social worker (LCSW) with 7 years of experience supporting teens, adults, and veterans who are navigating PTSD, anxiety, depression, relationship stress, life transitions, and the lasting impact of past experiences. Many of the people I work with are seeking understanding, emotional balance, and a steady, supportive space where they can explore what they have been carrying and begin to heal.
I earned my master’s in social work from Virginia Commonwealth University. My approach is warm, collaborative, and deeply trauma informed. I draw from internal family systems, cognitive behavioral therapy, dialectical behavior therapy, and motivational interviewing to help clients process difficult experiences, and build grounding skills.
You deserve a place where you feel supported, understood, and able to move at a pace that feels right for you. Healing does not have to happen alone. I am here with care, curiosity, and respect as you take steps toward feeling more grounded and whole. When you are ready, I would be honored to walk with you on your path forward.
This world is not to be dealt with alone. Let me come alongside you and we can tackle it together!...
This world is not to be dealt with alone. Let me come alongside you and we can tackle it together!
Monica Alexander is a Licensed Professional Counselor with 15 years of experience in the mental health and substance use treatment fields. She has provided treatment in various settings and with a wide range of populations. She seeks to help people live more effective lives in order to thrive, not just survive, in life. She specializes in emotional dysregulation, depression disorders, anxiety disorders, substance use disorders, interpersonal conflict, grief, major life transitions, complex trauma, and mindfulness practices.
Monica Alexander completed her Master of Arts in Professional Counseling (MA) at Liberty University in 2012. She is a wife and mother and an active member in her community and church. These roles coupled with clinical training and experience allow her to have an effective approach to problem-solving with modalities such as dialectical behavior therapy (DBT), cognitive behavioral therapy, substance use treatment modalities (matrix, seeking safety, living in balance), and motivational interviewing.
Monica is ready! She believes you can do hard things. She wants you to become unstuck and free. Monica is confident that she will be able to provide effective treatment and straight answers, and that she will know the difference between when a client needs information versus affirmation to cope with challenges. If you are looking at this now, take the next step and schedule an appointment with her today!
You deserve dedicated time with a mental health professional — it can be life-changing.
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Borderline personality disorder counseling in Fredericksburg, VA is the main form of treatment for borderline personality disorder. It teaches individuals skills that enable them to better manage and cope with their symptoms.
Borderline personality disorder counseling at Thriveworks is personalized to each individual. Depending on your unique needs, it can help you learn to manage uncomfortable feelings, reduce impulsivity, and improve relationships (which might otherwise be negatively affected by your condition).
Borderline personality disorder counseling with our Thriveworks Fredericksburg therapists can be conducted both in person and online by video. We encourage you to choose the option that works best for you.
The length of borderline personality disorder counseling sessions will vary from one person to the next, dependent on their specific needs. However, most treatments for borderline personality disorder last for 1-3 years.
Borderline personality disorder (BPD) is a mental health condition in which an individual has difficulty controlling their emotions. People with BPD feel intense emotions for extended periods of time and have difficulty finding balance within these periods of irregularity. The episodes are brought on by emotional triggers. These emotional episodes can lead to strained relationships, self-harm, low self-esteem, and impulsive actions and decisions.
In recent research, it was determined that over 75% of individuals diagnosed with borderline personality disorder are women. Men are also impacted but commonly misdiagnosed.
Borderline personality disorder experience instability and insecurity within their emotions. These signs and symptoms may include:
As with many mental health illnesses, the root cause of borderline personality disorder is not clear and is the source of many research projects. The factors that contribute to the onset of BPD can range from family history to brain imbalances. Here is a breakdown of a few factors:
Borderline personality disorder does not have a concrete testing, which can make it extremely difficult to diagnose. Mental health professionals use comprehensive testing and evaluations that help to determine if the symptoms are in fact indicative of BPD.
BPD patients are treated using personalized plans that address their symptoms. Mental health professionals can use one or more techniques during therapy that includes medication, group therapy, or psychotherapy. Cognitive behavioral therapy (CBT) is usual the first method of treatment mental health professionals uses to treat BPD patients.
These methods are adjusted as the plan progresses depending on how effective the treatment plan is in managing BPD symptoms. If a patient is suicidal, short-term hospitalization may be necessary to ensure their safety until their episode is stabilized.
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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