Team Thriveworks Richmond

Angela Holden, LPC, NCC

Angela Holden is a Licensed Professional Counselor who is nationally certified. She earned her Bachelor's Degree at Randolph-Macon College and her Masters of Clinical Mental Health Counseling at South University in Richmond, VA. Angela holds membership in the American Counseling Association (ACA).  

She has provided services in the community, psychiatric hospital and outpatient partial hospitalization programs. Angela provides individual and group psychotherapy to adults. She has experience working with individuals struggling with anxiety, depression, mood and thought disorders, personality disorders, substance abuse, relationship issues, stress management and self-esteem issues. Angela utilizes an eclectic approach in therapy, including a wide range of therapeutic techniques: Cognitive Behavioral Therapy, Person-Centered, Solution Focused, Existential, Rational Emotive Behavior Therapy, and Reality Therapy. 

She engages individuals in therapy by developing rapport, empathy, being non-judgmental and actively listening. She uses a collaborative approach with the individual to meet the individual where they are and to help facilitate the achievement of their identified goals. Angela empowers individuals to explore themselves in an open and safe environment to promote growth, mentally and emotionally. She utilizes humor in sessions. Her style is informal, open and accepting. Angela understands that starting therapy is difficult for individuals and ensures they are treated with respect and care in order to feel comfortable sharing information and emotions. 

Her personal interests include reading, traveling, painting and photography. 

Clifford Marsh, LCSW

My name is Clifford Marsh.  I am a Clinical Social Worker and have been a licensed Clinical Social Worker since 2003.  I have an earned undergraduate degree (B.A.) in Applied Sociology and a master’s degree (M.S.W.) in Clinical Social Work from the University of South Carolina.  In addition, I have second master’s degree (M.S.) in Criminal Justice from Capella University, a third master’s degree (MAEd.) in Higher Education Administration from United States University.  My terminal degree, aside from the social work credential, is the Educational Specialist (Ed.S.) degree in Educational Leadership earned from Walden University. Throughout my nearly two-decade career working within various specialties, I have a track record for being empathic, caring, understanding, and experienced with working with children, adolescents, and adults.  I have worked as a Social Worker IV (Juvenile Sexual Offender Therapist), School Social Worker/Department Chair for Social Work, Private Practice Practitioner/Clinical Supervisor, Military Family Life Consultant, and most presently, as a full-time Senior Social Worker for the federal government. Aside from social work, I hold Adjunct teaching responsibilities with several colleges and universities.  Collectively, therapy and education are intertwining niches. My philosophy as a therapist is to be client-centered and to genuinely work with each client individually towards identifying his/her strengths so that s/he can build in other areas of their life. When I am not working, I am studying, traveling, and enjoying quality time with close family and friends.

Karem Vega, LPC

Karem is a Licensed Professional Counselor in the Commonwealth of Virginia. She received a Bachelor in Psychology from the Inter American University of Puerto Rico and a Master in Counseling from Regent University. Karem has been a military spouse for over 20 years and has both personal and professional experience working with clients struggling with life transitions and challenges.

Karem uses a variety of approaches in her clinical work with children and adults including Person-Centered Therapy, Cognitive Behavioral Therapy, Trauma-Focused Cognitive Behavioral Therapy, and Play Therapy. She has experience treating clients experiencing depression, anxiety, relationship issues, anger management, and adjustment issues.  She also has extensive training and experience helping clients with substance abuse issues and trauma.

Karem is passionate about empowering clients to become the best version of themselves. She believes that we all have the potential to THRIVE.

In her free time, Karem enjoys cooking, running, and spending time with her family and friends.

Karem is fluent in English and Spanish.

** Mi nombre es Karem Negron Vega y soy Consejera Profesional Licenciada en Virginia. Como esposa de un militar por más de 20 años, he tenido experiencias personales y profesionales con clientes que experimentan transiciones y desafíos en su vida. Trabajo con niños, adolescentes y adultos. Tengo experiencia trabajando con personas que han experimentado depresión, ansiedad, problemas en sus relaciones, dificultad manejando su enojo, problemas de comportamiento y problemas de ajuste. También tengo amplia experiencia y entrenamiento ayudando a personas que han experimentado trauma y abuso de sustancias. Siento mucha pasión por mi trabajo y me gusta motivar a mis clientes a que se conviertan en la mejor versión de ellos mismos.  Soy una firme creyente de que todos tenemos el potencial de poder prosperar. En mi tiempo libre disfruto cocinar, correr y pasar tiempo con mi familia y amistades.**

Rhiannon Alley, LPC

Rhiannon Alley is a Licensed Professional Counselor from the Richmond area, she completed her undergraduate degree at Virginia Tech and obtained her Master’s in Marriage and Family Counseling at The College of William and Mary. Rhiannon has worked with families, couples, youth, and adults in multiple settings; she became a Certified Sex Offender Treatment Provider while working with at-risk youth in residential treatment centers. Rhiannon is driven to assist clients overcome and manage traumatic experiences, depression, anxiety, aggression, and mood disturbances. She enjoys helping clients develop healthy relationships, practice effective communication, and find authenticity in their lives. She is passionate about her work with families and couples and enjoys working with individuals to achieve their counseling goals. She is a person-centered counselor utilizing cognitive behavioral techniques, a humanistic approach, mindfulness-based interventions, family systems view, and holistic therapy with clients. Outside of counseling, Rhiannon loves animals, gardening, family, and staying active.

Rhiannon especially enjoys working with individuals who are seeking help for:

• Marriage and Family
• Child Adolescent
• Couples Counseling
• Behavior Modification
• Sex Offender Treatment
• Oppositional Defiance
• Family Systems
• Conduct Disorder
• Mood Disorders
• Depression
• Anger Management

Sarah Degaraff, LCSW

Sarah is a Licensed Clinical Social Worker in the state of Virginia with experience working in multiple settings with individuals and families who have experienced significant trauma and stress.

With a background in Social Work, she earned her Bachelor of Arts Degree in Social Work from Longwood University and completed her Master’s of Social Work from Radford University. Her experience includes working in school based settings, a hospital setting, the department of social services, an outpatient therapy setting, and a community mental health setting.

Sarah has experience working with a mix of ages (children, adolescents, families, and adults). She provides confidential and supportive services from a trauma informed and attachment based approach. She focuses on the whole person, integrating the mind/body/spirit connection. Life experiences, such as family of origin, are commonly explored to manage current symptoms and distressful patterning. Sarah teaches mindfulness practices to help bring compassion and presence to each moment.

“I am passionate about helping others become more self-aware in order to practice greater self-acceptance and self-responsibility to lead more fulfilling, and meaningful lives.” Other modalities Sarah utilizes are play therapy and theraplay techniques, relational, positive psychology, dialectical behavioral therapy, and cognitive behavioral therapy. When not working Sarah can be found working in her garden, running, and spending time with family.

Sarah likes to work with those seeking help with:

• Trauma and PTSD
• Attachment issues
• Parenting issues
• Behavioral issues
• Anxiety
• Depression
• Life transitions
• Relationship Issues
• Family Conflict
• Women’s issues

Tiffany Shaw, LPC, LCAS

Tiffany Shaw is a Licensed Professional Counselor and a Licensed Clinical Addictions Specialist. She is licensed both in the state of Virginia and North Carolina. She earned her Bachelor's Degree in Psychology from Winston-Salem State University and her Masters Degree in Counseling from Webster University.

Tiffany has an extensive history working with adolescents in the criminal justice system both as a Counselor and Juvenile Probation Officer. She has also worked with troubled youth in group home settings to include working with Juvenile Sex Offenders. She has worked as a Clinical Case Manager and Family Counselor in the Residential Treatment Setting; worked as a Utilization Management/Utilization Review Care Coordinator; worked in the Private Practice setting both as an Owner and Contractor. Lastly, Tiffany has worked in Community Mental Health and the Federal Government System providing both Mental Health and Substance Abuse treatment to Active Duty Service Members and their families. The theories that guides her approach to counseling is Cognitive Behavioral Therapy, Solution-focused brief therapy, Person-Centered, Reality Therapy, and Family Systems Therapy.

Tiffany is originally from North Carolina. She moved to Virginia in October 2017. Tiffany enjoys spending time with family and friends, attending church, traveling, and reading.

‘’There are times when we are confronted with some of life’s toughest and most challenging struggles which at times may leave us empty, confused, scared, needing answers, and having to make difficult decisions. You don’t have to struggle alone. I am here to assist you through those difficult times; helping you to discover insight into your current issues and to assist you in identifying your strengths in order for you to maintain your independence and become the individual you were destined to be. I am eager, ready, and willing to assist you through those difficult times. So, don’t wait, let’s make a date and begin working towards a new and improved you!"

Toni Davis, LPC, NCC

Toni Davis is a Licensed Professional Counselor who is nationally certified. She earned her Bachelor’s Degree from the University of Virginia and her Master’s Degree in Counseling from Johns Hopkins University.

“At some point in our lives, we all experience problems we just can’t handle on our own. Sometimes psychological issues such as anxiety and depression can be an underlying cause of physical ailments. Whether you are experiencing relationship issues, job stress, loss of job, home or loved one, a general sense of discontent or lack of connection, or have had trauma in your life, it’s okay to ask for help. In fact, asking for help is a sign of strength not weakness. First, I will listen to you with empathy and without judgment. Then, I will help you fully explore what’s causing you trouble and develop a plan for improving your life.”

Toni has experience treating adults of all ages and couples primarily using cognitive-behavioral, solution-focused, and person-centered therapy. She is also in training for EMDR Therapy, which is used to treat trauma, and has training in the Gottman Method for couples.

Toni is a native of Virginia who is very happy to be back in the Old Dominion after six years in Ohio! In her free time, she enjoys cooking, exercise, yoga, reading, and spending time with her family and two dogs.

Toni helps with:

• Anxiety
• Depression
• Relationship issues
• Grief and loss
• Trauma
• Life changes/transitions
• Stress management
• Self-esteem
• Divorce/separation
• Family conflict

Ashley Costello, LPC

Ashley is a Licensed Professional Counselor (LPC) in Virginia. She received her undergraduate degree from The College of William & Mary and her Master’s of Education & Human Development in Clinical Mental Health Counseling from The George Washington University. Ashley is a firm believer in people’s potential for change and growth. She is passionate about helping clients feel empowered, more focused, and more energized to tackle their problems.

Ashley uses a person-centered, strengths-based approach, treating each client individually and holistically, depending on each client’s needs. Ashley values evidence-based therapies that are demonstrated to improve mental health, such as cognitive behavioral therapy, dialectical behavior therapy, and solution-focused brief therapy. She offers culturally competent services that promote personal growth and overall well-being via individual and group counseling.

Ashley has experience working with adults with mental illness, substance abuse, depression, anxiety, trauma, grief and loss, relationship issues, stress management, and other issues related to life transitions.

In her free time, Ashley enjoys taking trips to the beach, going hiking and camping, and spending time with her family, friends, and dog.

Hope Bagley, PhD, LCP

I am very excited to have recently joined the Counseling group at Thriveworks. I have been practicing as a Psychotherapist for 35 years, both in public and private practice. I received my Doctorate in Clinical Psychology in 1998. I went on to receive a post doc in Clinical Neuropsychology from Fielding University in 2010. I currently am a Licensed Clinical Psychologist, with a Post Doc in NeuropsychologyTesting. I specialize in treating adults through the life span, primarily using a Psychodynamic psychotherapy approach, multi-generational family systems theory, while also using other adjunctive therapy approaches, such as, Brief Solution oriented Therapy, Cognitive Behavior Therapy, and Neuropsychology Testing. Lastly, I have a specialty in testing adults and children for ADHD. I am Looking forward to sharing my skills and experience as a member of the Thriveworks team.

Meredith Reed, LPC

Meredith is a Licensed Professional Counselor. Meredith graduated from James Madison University as a "double duke," receiving her Bachelor's of Arts in Psychology and her MA, Ed.S in Clinical Mental Health Counseling. Meredith has extensive history working with children, adults and families dealing with depression, anxiety, crises, life challenges and trauma. Meredith is a Strengths-Based counselor, utilizing Cognitive Behavioral therapy, Solution-Focused therapy, and Person-Centered approaches. Meredith is a firm believer in creating a mutual respectful and trusting therapeutic relationship in order to support clients in reaching their goals.

Meredith is originally from New Jersey. She came to Virginia for school and never went back! In her spare time, Meredith enjoys spending time with family and friends, cooking, listening to music and spending time with her pet.

Nick Smith, MA, LCSW

"I have 10 years of experience after graduating from New York University with a Masters in Social Work. I began working with the serious mentally ill criminally involved individuals with an in home treatment model designed to assist in recovery. I then transitioned to the emergency room at Bellevue Hospital where we, as a team would work to assist those in crisis. In addition I have had a practice in which I provided years of individual therapy for a number of conditions including depression and anxiety as well as psychosis and personality disorders. It is my belief that each individual carries a strength that allows them to continue however at times it is helpful to have a therapist to realize those strengths and use them to overcome the difficulties. Relying on a approach that leans heavily a dialectical process my goal is to assist individuals and couples to reach their full potential and thrive."

Some of Nick's areas of expertise include:

• Anxiety
• Depression
• Self Harming
• Substance Abuse/Use Disorder
• Life Transitions
• Relationships

Ashley Crouch, LPC

Ashley Crouch is a Licensed Professional Counselor who is nationally certified. She earned her Bachelors Degree at Randolph-Macon College. Ashley continued her education at Ashland Theological Seminary, where she received a Master’s degree in Mental Health Clinical Counseling.

Ashley is a strengths-based counselor; she uses Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Person Centered approaches.

“Life's journey can be overwhelming and frustrating. There is no shame in reaching out for support to cope with various life stressors. My goal is to provide a comfortable, non-judgmental environment, with 100% confidentiality. I have an extensive multi-cultural background and have experience working with couples, adolescents ages 11-17, and adults. It would be my pleasure to be a source of support and guidance for you.”

Ashley helps with:

• Anxiety disorders
• Depression
• ADHD
• Anger management
• Adolescent sexual offending
• Family dynamics
• LGBTQ
• Marriage
• Parenting Problems
• Oppositional defiance
• Phase of life problems
• Pre-Marital counseling
• Self Esteem
• Spirituality
• Sex disorder/dysfunction
• Women’s Issues
• Conduct disorder