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31 Years
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Your Trusted Mental Health Partner in Roanoke
ABT Counseling has been a trusted provider of mental health services in Southwest Virginia since 1995. Our team of over 25 licensed professionals specializes in solution-focused therapy, offering practical, action-oriented approaches to address emotional and behavioral challenges. We combine warmth, care, and clinical expertise to deliver rapid recovery solutions for anxiety, depression, ADHD, grief, and relationship issues. With five physical locations and statewide telehealth access, we prioritize accessibility and personalized care. Our clinicians hold advanced degrees and certifications in specialties like trauma treatment and substance abuse counseling.

We maintain strict confidentiality while empowering clients to build resilience and improve their quality of life. Our evidence-based methods emphasize clients' strengths and inner resources, avoiding excessive analysis in favor of concrete problem-solving strategies. As one of the region's largest counseling practices, we provide clinical supervision for emerging professionals while maintaining a commitment to community mental health education.
Services
Anxiety Counseling Depression Treatment Grief Counseling Couples Therapy ADHD Management Medication Assisted Treatment Telehealth Services Solution-Focused Therapy Clinical Supervision Employment Opportunities
Details
  • Year established: 1995
Highlights and features
  • 25+ licensed therapists with advanced degrees and specialized certifications
  • Telehealth services available across Virginia for convenient access
  • Specialized treatment programs for anxiety, depression, and ADHD
  • Solution-focused therapy techniques since 1995 with proven results
  • Comprehensive clinical supervision for emerging mental health professionals
Services
Anxiety Counseling
Our specialized anxiety treatment program addresses panic disorders, social anxiety, and generalized anxiety through evidence-based techniques. Our clinicians help clients identify triggers and develop coping strategies that reduce symptoms. With over 25 therapists trained in anxiety management, we provide personalized care plans that may include cognitive-behavioral therapy and mindfulness practices.
Depression Treatment
We offer comprehensive depression treatment addressing persistent sadness, loss of interest, and related symptoms. Our approach combines talk therapy with practical tools to improve daily functioning. Our team works with clients to address underlying causes while developing strategies for managing symptoms and preventing relapse through both individual and group therapy options.
Couples Therapy
Our couples counseling services help partners improve communication and resolve conflicts. Therapists work with both married and unmarried couples to strengthen relationships through structured sessions. We focus on developing practical solutions for current challenges while building long-term relationship resilience using evidence-based therapeutic techniques.
ADHD Management
We provide comprehensive ADHD treatment for children, adolescents, and adults. Our approach combines behavioral therapy with medication management when appropriate. Therapists work with clients to develop organizational skills, improve focus, and manage impulsivity through personalized treatment plans that address both professional and personal life challenges.
Telehealth Services
Our secure telehealth platform provides remote access to mental health services across Virginia. Patients receive the same quality care through video consultations without travel requirements. This service maintains full confidentiality while offering flexibility for clients with scheduling or mobility challenges.
People
David Mortellaro
Clinical Director
Licensed Professional Counselor and Marriage & Family Therapist with over 20 years of experience in solution-focused therapy and clinical leadership.
AJ Reinhart
Assistant Clinical Director
Licensed Professional Counselor specializing in trauma-informed care and serving as Testing Center Administrator for psychological assessments.
Dr. Leo Campbell
Medical Director
Board-certified physician leading our Medication Assisted Treatment program for opioid addiction with over 15 years of clinical experience.
Bridgette Vest
Medical Director
Physician Assistant and Licensed Professional Counselor co-leading medication-assisted treatment programs with specialized training in addiction recovery.
Rhoda Hurst
Counselor
Licensed Clinical Social Worker and Marriage & Family Therapist providing counseling services at our Floyd affiliate office with expertise in trauma treatment.
Questions
What therapeutic approaches does ABT Counseling use?
We specialize in solution-focused therapy that emphasizes practical problem-solving and leverages clients' strengths for rapid recovery.
Do you offer telehealth services?
Yes, we provide secure video telehealth appointments available to patients anywhere in Virginia.
What mental health conditions do you treat?
We treat anxiety, depression, ADHD, grief/loss, relationship issues, and substance use disorders through medication-assisted treatment.
Are your counselors licensed professionals?
All our therapists hold advanced degrees and professional licenses including LPC, LCSW, and LMFT designations.
How can I schedule an appointment?
Call our main office at 540-772-8043 or visit our website to connect with a counselor matching your needs.
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