Care without the wait

145 licensed therapists & providers in Virginia—7 in Richmond. Available as soon as today, in person and online

Therapy for every life stage

Our providers work with individuals, couples, families, & teens for anxiety, depression, grief, & more

#1 for in-network coverage †

We accept UnitedHealthcare, Cigna, BCBS Plans, Humana, Aetna, & many more. Self-pay options available, no membership fees

Patients who get better

94% of patients feel truly understood by their provider. 3 out of 4 see improvement in depression & anxiety symptoms within 3 months

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41,946 people sought teen counseling help in Virginia in the last year

Discover how starting teen counseling can support your own journey toward a happier, more fulfilling life.

Meet with a therapist as soon as this week

Newport News, VA

I look forward to meeting you where you are and walking alongside you to help create your most authentic and whole self....

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Richmond, VA

As someone who has worked on understanding my own identity and personal challenges with mental health, I understand the importance...

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Newport News, VA

As one who lives life through the lens of neurodivergence, I understand the challenges of adapting and adjusting to life's pushes ...

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Lynchburg, VA

My goal as a counselor is to support my clients in developing practical skills to apply in their day-to-day lives so they can auth...

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Reston, VA

As a therapist with many years of experience, I have worked with a wide range of people and have the ability to meet clients where...

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We don’t have any providers with availability. Our schedules change daily. We’ll reach out as soon as a spot opens up.
Alexandra Cromer

Hear from Alexandra Cromer, Licensed Professional Counselor (LPC)

View Alexandra Cromer's profile

What is your go-to approach for teen counseling?

My go-to approach for helping people in teen counseling is making sure I spend a lot of time fortifying our relationship and building trust with my teen clients. I find the best benefit in focusing on scaffolding my treatment to meet the client where they are and to focus on building a trusting, nurturing relationship with them as my primary base for treatment. I find that it leads to better therapeutic outcomes, as it enables us to more effectively co-collaborate when they believe that they have a professional adult who believes in them, validates them, and is consistently supportive of them in becoming the best and most effective version of themselves.

What tools do you teach in teen counseling?

I teach the following tools in teen counseling:

  • Mindfulness training: Mindfulness training involves the use of mindfulness and grounding skills to help clients remain in the present moment, not in the past or the future. These skills are critically important in a client's healing journey as they promote healthy emotion recognition and coping skill use and raise overall levels of resiliency and distress tolerance. Mindfulness training in teens sets a foundation for them to have a healthy, accepting relationship with themselves and their experienced emotions for a lifetime.
  • Cognitive challenging/reframing: Cognitive challenging and reframing skills help clients be able to identify, recognize, and replace negative automatic thoughts about self and others that cause impairments and disruptions to their healing journey as well as daily life. Cognitive challenging skills teach clients to put their thoughts “on trial;” that is, to ask if they are rooted in evidence-based fact or in a simple worry that is not factual. If our worries are not rooted in fact, they are not rooted in reality and are therefore causing us an impairment. Then, we can reframe them to something that is more adaptive to reality. This equips teens to not second-guess themselves and provides them with rational, logical problem-solving skills that are not rooted in shame or self-criticism.
  • Psychoeducation: Providing a thorough education to clients on grief, the brain, loss, and other aspects associated with the grieving process is another important component of healthy processing during times of grieving because it provides clients with a context and a “why” for their thoughts and behaviors. When we understand context, it can sometimes help us get to the root cause and prevent problems from continuing into perpetuity due to ignorance. Further, providing psychoeducation to parents is critical in helping them gain insight and understand their teen's condition and the treatment plan.
  • Behavior activation: Behavior activation skills and schedules are schedules created with activities that are congruent with and revolve around a person's identified personal values. Creation of these schedules involves identification of your personal values by importance; being able to translate those values into daily, tangible activities and routines; and then looking at creating a way to incorporate these activities into your daily routines and rituals. Regular engagement in behavior activation increases self-esteem and overall life satisfaction, so equipping teens with these skills is critical.

How do you know when a client is making meaningful progress in teen counseling?

I know a client is making meaningful progress in teen counseling when they are reporting a significant decrease in frequency and intensity of symptoms that are causing daily distress and disruption to their schedules and routines. Clients are continuing to make progress when they are visibly more comfortable identifying and healthily processing experienced emotions and have regularly incorporated healthy coping and emotion regulation skills into their daily routines and engage in them with minimal clinician prompting. I also look for increases in self-esteem and self-confidence as well as self-efficacy in teens.

What can clients do in their personal time to supplement teen counseling?

Clients can supplement their time in teen counseling by making sure that they are engaging in activities that are nourishing and are not isolating themselves. Regularly engaging within your social support system is absolutely critical to human health and development, but especially for teenagers—having a strong social support system is critical. Making sure you're regularly engaging in your hobbies and other value-congruent behaviors can also significantly contribute to progress made in therapy.

What should someone do to prepare for starting teen counseling?

To prepare for their first teen counseling session, a teen can discuss expectations with their parents, especially levels of autonomy with treatment that they'd like to have. How comfortable are they with their parents being involved in treatment, and vice versa? Discussing boundaries and expectations can be critical in avoiding conflict once you enter therapy!

Teen counseling FAQs

What is teen counseling?

Teen counseling helps young individuals better understand and manage the challenges that affect their mental health. Common challenges amongst teens include anxiety, depression, ADHD, and problematic relationships with food.

How does teen counseling work?

Teen counseling works by using multiple techniques, tailored to fit the teen’s unique needs — based on their age group, their challenges, and the severity of their challenges. It might involve cognitive behavioral therapy, dialectical behavior therapy, art therapy, and others for varying ages. In any case, Thriveworks teen therapists in Richmond have the expertise and experience to help young individuals at their level.

Does my teen need therapy?

Signs that teens might need Teen counseling can be very subjective, as they are experiencing many changes and can have intense reactions to them. As parents, you know your child best and are best equipped to judge whether certain reactions are standard behaviors for your teen or whether they might be hinting at a larger problem. Even so, there are a few common signs and events that often point to a need for therapy, such as experiencing divorce or loss, grief, consistent low moods, teens distancing themselves and becoming isolated, losing interest in hobbies, excessive anger or irritability, substance use issues, and suicidal ideation, among others.

Is teen counseling conducted in person or online?

Teen counseling providers at Thriveworks in Richmond, VA offer both in person and online therapy by video. We encourage you to choose the option that works best for you.

How long does teen counseling last?

The length of teen counseling depends on your teen’s needs as well as the goals that you and their therapist might have for them. Generally, teen counseling sessions will last for several months.

Pricing & insurance

Our therapists accept most major insurance and we offer self-pay options too.
Learn more about pricing for therapy and counseling at Thriveworks.

Our therapists and counselors in Richmond accept 31 insurance plans

  • Adventist Health Associates | Employee Health Plan

  • Adventist Health Associates | Non-Employee Health Plan

  • Aetna

  • Anthem Blue Cross and Blue Shield Virginia Medicare Advantage

  • Anthem Blue Cross and Blue Shield Virginia | BCBS HMO

  • Anthem Blue Cross and Blue Shield Virginia | BCBS PPO

  • Anthem Blue Cross and Blue Shield Virginia | Exchange

  • CareFirst Blue Cross and Blue Shield of Virginia | BCBS HMO

  • CareFirst Blue Cross and Blue Shield of Virginia | BCBS PPO

  • Carelon

  • Cigna | Evernorth

  • Compsych

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Self-pay costs at Richmond
Talk therapy

Talk therapy

Includes individual, couples, child/ teen, & family therapy

First session

$1

Ongoing sessions

$1

Talk therapy

Psychiatry

Includes reducing symptoms with medication & management

First session

$1

Ongoing sessions

$1

Hear from our clients

5.0 Learn about verified reviews
★★★★★
Experience has been easy and flexible
Adeline Aug 2026Thriveworks.com verified review
★★★★★
Thriveworks is very user-friendly when it comes to scheduling and utilizing the dashboard. I am also having a great experience with my provider!
Emilia Jul 2026Thriveworks.com verified review
★★★★★
Alex is the perfect combination of ‘think your way through this’ and ‘let me give you the perspective you need.’ I feel like a new human over the course of our time together.
Felisha Mar 2026Thriveworks.com verified review
★★★★★
My therapist really listens and then tries to find ways to address my mental health concerns. I am very blessed to have her as my therapist.
Tylar Mar 2026Thriveworks.com verified review
★★★★★
I am extremely happy with the therapist I have. She is so down to earth, seems to really listen and understand me in multiple ways. I feel at ease, like I'm talking to a friend. She helps me come up with game plans and supports me in every way I need and isn't judgemental.
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Monika Mar 2026Thriveworks.com verified review
★★★★★
Talking to a professional very beneficial to my health. I always get insight and learn new things in the process
Amy Mar 2026Thriveworks.com verified review
★★★★★
I very much like my provider. And I appreciate how easy it was to get going on the platform. I hate the anxiety and depression survey. I meet with my provider weekly, I have chronic anxiety due to late diagnosis, we all know I have anxiety. The anxiety survey just gives me more anxiety. I wish I could opt out of those.
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Savana Mar 2026Thriveworks.com verified review
★★★★★
I love the flexibility of Thriveworks and my therapist. I love that when I first was looking for a therapist, many locations came up and I was able to pick the provider that best worked for me, and they also took my insurance.
Logen Mar 2026Thriveworks.com verified review
8 of 62 reviews

Where to find us

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Address

1901 E Franklin St Suite 108
Richmond, VA 23223

Getting here

Thriveworks Counseling & Psychiatry Richmond is located in the Superior Building, near the intersection of E Franklin St and N 19th St, off E Main St. It is just around the corner from the Poe Museum and close to the Virginia State Capitol. The office is in a historic multi-story white brick building with green accents; enter through the main lobby to access Suite 108.

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Phone number

(804) 331-2570
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Languages spoken by VA providers

  • English
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Hours

Tuesday 8:00am - 9:30pm
Wednesday 8:00am - 9:30pm
Thursday 8:00am - 9:30pm
Friday 8:00am - 9:30pm
Saturday 8:00am - 9:30pm
Sunday 8:00am - 9:30pm
Monday 8:00am - 9:30pm

Shown in ET

Tuesday 8:00am - 11:00pm
Wednesday 8:00am - 11:00pm
Thursday 8:00am - 11:00pm
Friday 8:00am - 11:00pm
Saturday 8:00am - 6:00pm
Sunday 8:00am - 6:00pm
Monday 8:00am - 11:00pm

Shown in ET

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