Mental Health Services in Roanoke, VA
At The Manassas Group, we provide therapy and counseling services in Roanoke, Virginia for adults, teens, children, couples, and families. Whether you are looking for support with anxiety, depression, trauma, parenting stress, relationship concerns, or major life changes, our team offers compassionate, evidence-based care tailored to your needs.
This page is designed to help you explore the services we offer and connect with the type of support that fits you or your family best.
Who We Help
We provide counseling in Roanoke, VA for a wide range of needs and life stages.
• Adults seeking support for stress, anxiety, depression, trauma, grief, or life transitions
• Teens facing emotional, social, academic, or family-related challenges
• Children needing help with big emotions, behavior, anxiety, or adjustment concerns
• Couples working through communication problems, conflict, or disconnection
• Families navigating parenting stress, transitions, and relational strain
Our Counseling Services
Explore the counseling services we currently offer in Roanoke, Virginia.
Adult Therapy
Adult Therapy supports individuals facing anxiety, depression, grief, burnout, trauma, and other major life changes.
Teen Counseling
Teen counseling helps adolescents navigate anxiety, depression, academic stress, identity development, and family conflict.
Child Therapy
Child therapy helps children build emotional regulation, express feelings safely, and improve coping and behavior.
Couples Counseling
Couples counseling helps partners improve communication, rebuild trust, and strengthen emotional connection.
Family Counseling
Family counseling supports healthier communication, reduced conflict, and stronger relationships across the family system.
Parenting Challenges
Parenting support helps caregivers respond more calmly, strengthen connection, and manage difficult behavior and family stress.
Psychological Testing
Psychological testing provides structured assessments to better understand concerns related to learning, attention, mood, personality, and overall mental health. These evaluations help clarify diagnoses and guide more effective treatment and support.
Common Challenges We Help Address
People seek therapy for many different reasons. Below are some of the most common challenges we help individuals, couples, and families navigate.
Anxiety Disorders
Anxiety Disorders are mental health conditions involving excessive fear, worry, or nervousness that interfere with daily life. Examples include generalized anxiety disorder, panic disorder, and social anxiety disorder.
Depressive Disorders
Depressive Disorders are mental health conditions characterized by persistent feelings of sadness, hopelessness, and loss of interest, significantly affecting mood, behavior, and daily activities. Examples include major depressive disorder and dysthymia.
Trauma- and Stressor-Related Disorders
Trauma- and Stressor-Related Disorders are mental health conditions triggered by traumatic or stressful events, causing emotional distress, anxiety, or behavioral changes. Examples include PTSD, acute stress disorder, and adjustment disorders.
Neurodevelopmental Disorders (ADHD, ASD...)
Neurodevelopmental Disorders are conditions that affect brain development, leading to challenges in behavior, learning, social interactions, and communication. Examples include autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), and intellectual disabilities.
Bipolar and Related Disorders
Bipolar and Related Disorders are mental health conditions marked by extreme mood swings, including episodes of mania, hypomania, and depression. These shifts affect energy, behavior, and daily functioning.
Schizophrenia Spectrum and Other Psychotic Disorders
Schizophrenia Spectrum and Other Psychotic Disorders are mental health conditions characterized by distorted thinking, perceptions, emotions, and behaviors. Symptoms include delusions, hallucinations, disorganized speech, and impaired functioning, profoundly impacting daily life and relationships.
Obsessive-Compulsive and Related Disorders
Obsessive-Compulsive and Related Disorders involve persistent, intrusive thoughts (obsessions) and repetitive behaviors (compulsions) aimed at reducing distress. Examples include OCD, body dysmorphic disorder, and hoarding disorder.
Somatic Symptoms and Related Disorders
Somatic symptom and related disorders are mental health conditions where individuals experience intense, distressing physical symptoms–such as pain, fatigue, or weakness–accompanied by extreme, disproportionate anxiety about these sensations.
Dissociative Disorders
Dissociative Disorders are mental health conditions involving disruptions in identity, memory, or perception. Examples include dissociative identity disorder, dissociative amnesia, and depersonalization/derealization disorder, often linked to trauma or stress.
Feeding and Eating Disorders
Feeding and Eating Disorders involve unhealthy eating behaviors and an intense preoccupation with food, body image, or weight. Examples include anorexia nervosa, bulimia nervosa, and binge eating disorder.
Elimination Disorders
Elimination Disorders involve difficulties with the control of bladder or bowel functions, typically beyond the expected age. Examples include enuresis (bedwetting) and encopresis (involuntary bowel movements).
Sleep - Wake Disorders
Sleep-Wake Disorders are conditions that affect the quality, timing, or duration of sleep, leading to daytime impairment. Examples include insomnia, narcolepsy, sleep apnea, and restless leg syndrome.
Sexual Dysfunctions
Sexual Dysfunctions are disorders that interfere with the ability to engage in or enjoy sexual activity. Examples include erectile dysfunction, premature ejaculation, female sexual interest/arousal disorder, and orgasmic disorders.
Gender Dysphoria
Gender Dysphoria is a condition where a person experiences significant discomfort or distress due to a mismatch between their gender identity and the sex assigned at birth, impacting their mental health and well-being.
Disruptive, Impulse-Control, and Conduct Disorders
Disruptive, Impulse-Control, and Conduct Disorders involve difficulties in managing emotions and behaviors, often leading to aggressive, antisocial, or destructive actions. Examples include oppositional defiant disorder, conduct disorder, and intermittent explosive disorder.
Substance-Related and Addictive Disorders
Substance-Related and Addictive Disorders involve the harmful use of substances like alcohol, drugs, or tobacco, leading to dependence, addiction, and significant impairment in daily functioning. Examples include alcohol use disorder and gambling disorder.
Neurocognitive Disorders
Neurocognitive Disorders involve a decline in cognitive function, affecting memory, reasoning, and problem-solving. Examples include Alzheimer’s disease, Parkinson’s disease, and traumatic brain injury, often leading to significant impairment in daily life.
Personality Disorders
Personality Disorders are mental health conditions characterized by persistent patterns of behavior, thoughts, and feelings that deviate from societal expectations, causing distress or impairment. Examples include borderline, antisocial, and narcissistic personality disorders.
Paraphilic Disorders
Paraphilic Disorders involve intense, persistent sexual urges or fantasies that deviate from societal norms and cause significant distress or harm to others. Examples include voyeuristic disorder, exhibitionistic disorder, and pedophilic disorder.
Other Mental Disorders and Conditions
Other Mental Disorders and Conditions encompass a wide range of mental health issues that don’t fit neatly into specific categories but still cause significant distress or dysfunction. Examples include specific phobias, trichotillomania, and factitious disorder.
Grief and Loss
Support for grief, loss, and major life transitions, including the loss of loved ones, relationships, or meaningful parts of life.
Not Sure Which Type of Therapy Fits Best?
You do not need to have it all figured out before reaching out. Many concerns overlap. For example, anxiety may connect with trauma, parenting stress may affect the whole family, and teen counseling may also involve family support.
If you are unsure where to begin, our team can help match you with the right service and clinician based on your goals, symptoms, and availability.
Mental Health Services FAQs
What types of therapy do you offer in Roanoke, VA?
We offer counseling services for adults, teens, children, couples, and families in Roanoke, Virginia, including support for anxiety, depression, trauma, parenting stress, and relationship concerns.
How do I know which therapy service I need?
Many concerns overlap, so you do not need to know exactly which service fits before reaching out. We can help guide you toward the type of therapy that best matches your needs.
Can I switch services if my needs change?
Yes. Therapy often evolves as new goals or concerns become clearer, and we can help you adjust your care plan if needed.
Do you offer in-person and telehealth counseling in Roanoke, VA?
Yes. The Manassas Group provides in-person counseling in Roanoke, Virginia and telehealth services throughout the rest of Virginia. Contact us for current availability and service options.
Do you offer therapy for both individuals and families?
Yes. We offer therapy for individuals, children, teens, couples, and families depending on the type of support needed.
Find the Right Therapy Support in Roanoke, VA
Whether you are seeking help for yourself, your child, your relationship, or your family, we are here to help you take the next step.