Care without the wait

149 licensed therapists & providers in Virginia—5 in Roanoke. 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

http://Thriveworks%20Forbes%20Award%20Logo%20for%20Best%20Online%20Couples%20Therapy%20Services%20of%202024

106,635 people sought couples therapy help in Virginia in the last year

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

Meet with a therapist as soon as this week

Lynchburg

As a working wife and mother of two adult children, I understand the struggles that life can bring....

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Henrico

Patricia "Tricia" McCarty is a Licensed Clinical Social Worker who enjoys helping people work through life transitions, addiction...

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Virginia Beach

Gwendolyn Fisher is a Licensed Professional Counselor who has over 3 years of experience helping children and adults seeking help ...

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Lynchburg

am a female who understands the importance of being relatable and creating a safe place to explore feelings and emotions....

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Lynchburg

As a recent counseling graduate passionate about mental health, I understand the challenges of navigating life transitions and fin...

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Hear from our clinicians

What is your go-to approach for couples/marriage counseling?

Leeann: As a licensed professional counselor (LPC), my go-to approach for helping people in couples therapy is a cognitive behavioral approach. As a therapist, I find the best benefit in helping couples learn about each other, define their expectations, and reframe the way they think in the moment to help change their emotional response and behavior toward their partner over time.

Catherine : I use an eclectic approach and mix and match approaches according to the client's needs. I find this to be helpful because there are so many different reasons people come to therapy.

What tools do you teach in couples/marriage counseling?

Leeann: As an LPC, I teach the following tools: active listening, reflective listening, reframing, communication tools and techniques, boundary setting, goal setting, conflict resolution, etc.

Catherine : "I teach the following tools in couples and marriage therapy:

  • Emotional expression and regulation
  • Self-esteem/self-confidence
  • Communication skills
  • Stress management skills
  • Conflict resolution skills
  • Other skills as needed
"

How do you know when a client is making meaningful progress in couples/marriage counseling?

Leeann: As a therapist, I know a client is making meaningful progress in couples/marriage counseling when they are able to use their techniques more effectively, verbalize noticeable changes, and/or meet previously established goals.

Catherine : I know a client is making meaningful progress in couples and marriage counseling when they are happier, smiling more, more excited about coming to sessions and improving in their relationship, or feeling more confident handling life and its difficulties.

What can clients do in their personal time to supplement couples/marriage counseling?

Leeann: Clients can supplement their time in couples/marriage counseling by practicing techniques learned during sessions, setting aside time for midweek check-ins with their partner, reading a recommended book, and working on individual recommendations such as starting/continuing individual therapy, self-awareness, etc.

Catherine : I do not have a one-size-fits-all list for supplementing therapy. However, clients can make the most of their time in couples and marriage counseling by preparing what they would like to talk about beforehand and completing any requests that have been asked of them.

What should someone do to prepare for starting couples/marriage counseling?

Leeann: To prepare for your first couples/marriage counseling session, you can reflect on the reason for coming to therapy at this time, write down a list of goals for therapy, and bring your important medical information (diagnoses, medications, treatment, etc.).

Catherine : To prepare for their first couples/marriage counseling session, a client can come open-mindedly and have an idea of what they feel is important to address.

Couples therapy FAQs

What is couples therapy?

Thriveworks Couples therapy helps couples work through their specific relationship issues. It is led by licensed professionals — often licensed marriage and family therapists (LMFTs) — who are experts in their field and best-equipped to help couples. Some examples of common focuses within couples therapy include:

  • Jealousy
  • Trust issues
  • Infidelity
  • Opposing values
  • Different visions for the future
  • Disagreements in parenting
  • Lack of trust
  • Financial distress
  • Sex issues

How does couples therapy work?

Couples therapy works by helping couples identify and better navigate their unique challenges. Following an initial assessment of the couple in terms of strengths and needs, the therapist would then discuss their therapeutic goals and any possible approaches or ways of working together as therapist and couple.
Couples attend sessions together, whether they meet in person or by video. In addition to regular couples therapy sessions, each partner may also be asked to attend a few individual sessions to supplement their progress. This will allow their counselor to get to know each individual better, assess each of their personal needs, and develop the very best treatment plan moving forward.

Is couples therapy conducted in person or online?

Couples therapy at Thriveworks is conducted both in person and via Online therapy. We encourage you to choose the option that works best for you and your partner.

How long does couples therapy last?

On average, couples attend couples therapy for 12 weeks. However, couples therapy may last longer or shorter, dependent on the couples’ needs, the challenges they’d like to work through, and the pace of their progress.

Need more help deciding?

Couples Counseling & Therapy in Roanoke, VA

Being a part of a couple can be an amazing experience, but the experience also brings with it the potential for some of the greatest pain in your life. The closer you get to your partner, the more vulnerable you become; and while that in and of itself is not a bad thing at all, it means that your partner has the potential to hurt you more than anyone else can.

You’ll experience some of the highest highs in your life with your significant other, but to get there, you’ll have to accept that the risk of opening up to them. If you would like some help navigating the ups and downs of you relationship, reach out to Thriveworks Roanoke. We’re here to support you.

How Can Couples Therapy Help?

Navigating the rough waters of a relationship can be very difficult, especially when you, or even you and your partner, decide to face the challenge without a guide. It’s much better to learn from other people’s experiences, their successes as well as their failures, so that you and your partner don’t have to make the mistakes that have already been made or try to develop new solutions where solutions already exist. At Thriveworks Roanoke Couples Counseling, our team of passionate, experienced Couples Counselors know the problems that you’ll face along the way as well as the best solutions, and they are ready to help you implement those solutions in your life.

Couples Counseling and Couples Therapy is a powerful process that can help you and your partner to develop a close, loving relationship, one that stands through the tests and struggles that are sure to come your way as you walk through life together. A Roanoke Couples Counselor at Thriveworks can help you to be prepared for these obstacles before they arrive in your life.

Scheduling Couples Counseling at Thriveworks Roanoke

At Thriveworks Roanoke Couples Therapy, we accept most major insurance plans to help keep your out of pocket expense low. In addition, most often, new clients can meet with a provider within the week of reaching out. In addition, we offer evening and weekend sessions, and we accept most major insurances.

You’ll be glad you took a proactive approach to your relationship! Be prepared for those inevitable challenges that every couple faces. Call Thriveworks Roanoke Couples Counseling today at 540-788-5090. We’re excited to help you and your partner live a happy, successful life together!

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 Roanoke accept 30 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 Roanoke
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

4.9 Learn about verified reviews
★★★★★
My provider is a very good listener. She is able to review what I've said and ask questions that pertain to the current situation. I appreciate her professionalism.
Hazle Mar 2026
Thriveworks.com verified review
★★★★★
A listens very well and gives great advice
Pamela Mar 2026
Thriveworks.com verified review
★★★★★
I wouldn’t change anything about my experience
Reis Mar 2026
Thriveworks.com verified review
★★★★★
Michelle is a true gem! She is helping me work through anxiety by providing me with tools to use along my journey. I am so grateful to have her as my therapist.
Alyson Mar 2026
Thriveworks.com verified review
★★★★★
The platform works well and has a good library of insightful articles. It makes it easy to both attend appointments and has plentiful reminders of upcoming appointments which is appreciated. Lindsey has been very helpful, both in helping me to heal/grow/learn more about myself, but also in guiding me on how to face difficult but necessary things. I am very grateful to her, for her insight, her patience, and her professionalism.
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Dakohtah Mar 2026
Thriveworks.com verified review
★★★★★
Shannon is a great wonderful and caring therapist. She is very supportive and pushes me in the direction that we both know I need to head in. She has been extremely patient with me as I have been processing my feelings and experiences with over the past several years. She is helping me turn the corner towards a much brighter future. Shannon is by far the best therapist I have ever had, and I have had many, many therapists. She is awesome!!
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Emili Mar 2026
Thriveworks.com verified review
★★★★★
It was first day and I felt like it went better than what I truly thought. I was nervous. But she made me feel heard and seen.
Lailah Dec 2025
Thriveworks.com verified review
★★★★
I most appreciate that my counseling sessions improve both my emotional and psychological health.
Kamilla Sep 2025
Thriveworks.com verified review
8 of 82 reviews

Where to find us

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Address

3235 Electric Road Suite 1A
Roanoke, VA 24018

Getting here

Thriveworks Counseling & Psychiatry Roanoke is located near Electric Road and Brambleton Avenue, off Route 419. It is near Cave Spring High School and just a short distance from the Roanoke Partners In Health Pc.

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Phone number

(540) 210-1379
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Languages spoken by VA providers

  • English
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Hours

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
Tuesday 8:00am - 9:30pm
Wednesday 8:00am - 9:30pm

Shown in ET

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
Tuesday 8:00am - 11:00pm
Wednesday 8:00am - 11:00pm

Shown in ET

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