You may face challenges too big to handle alone

If you struggle with daily life or mental health, there are options to get help. Whether you come to the office or receive a visit from a counselor or case manager, see below for more information on services specifically for adults.

Please see the Contact page for more details. For a list of outpatient counselors, please visit the Counselors page.


Are you seeking more self-awareness, balance and hope? Counseling helps you identify your strengths and work toward a happier, healthier future.

We accept most insurance plans and offer counseling services on a sliding-fee scale based on your family’s income and ability to pay. Day and evening appointments are available. If English isn’t your first language, a trained interpreter can be provided.

Adult Survivors 

As an adult survivor of childhood sexual abuse, you may have difficulty with relationships, trust, self-care and healthy decisions. Counseling can help you get your life back.

Couples Therapy

Power struggles, arguments and disconnection. Does this sound familiar? You are not alone. Therapy can help you and your spouse/partner get back the relationship you desire. Get help as soon as you feel unhappy or unfulfilled.

Domestic Violence Survivors

If you are a survivor of domestic violence or your children have witnessed domestic violence, then reach out to someone who can help you.

Individual Therapy

Do you feel depressed or anxious, out of control, out of place, or stressed? Therapy can help you discover skills to feel better and get back to your life.

For more information:

Case Management

Protect your well-being and ensure access to the help you need by checking out these options.


Our community’s most vulnerable individuals deserve to feel safe and secure.  The Public Guardian & Conservator Program provides case management services to vulnerable adults found to be incapacitated by the circuit court and have no one available to help them make decisions.  We provide advocacy through monitoring all aspects of a person’s life to ensure they have the best life possible in a safe and least restricted environment.  The Public Guardian & Conservator Program serves the Cities of Roanoke, Salem, Bedford and Lynchburg and the Counties of Roanoke, Franklin, Craig, Appomattox, Amherst, Botetourt, Campbell, and Bedford.

Virginia Public Guardian-Conservator Program Referral Form (Microsoft Word Format)

Virginia Public Guardian-Conservator Program Referral Form (PDF Format)

Client Rights

After completing the form/for more information:
Maggie Evans

Personal Affairs Management

Financial abuse and scams are real. If you know someone at risk, let them know about representative payee services. This helps protect the personal and financial affairs of adults, especially those with substance use/misuse/abuse or mental health disorders. Personal Affairs Management (PAM) manages social security or veterans affairs benefits and ensures adults remain safely housed and able to afford what they need.

For more information:
Melinda Persinger

Life Skills

Life Skills are needed to make the most out of day-to-day situations. Problem-solving, conflict resolution and communication are skills that make a difference for all adults.

Anger Management

If you experience anger in your daily life and personal relationships, you may benefit from group counseling to identify and change your behavior. Counseling is also available on an individual basis.

Child Parent Relationship Therapy

Parenting groups add extra support and teach skills you can use at home to connect with your children. Caregivers who participate typically experience a better understanding of how their child feels, less stress, fewer acting out behaviors from their child, and overall healthier family relationships.

Domestic Violence

Could you or someone you know benefit from group therapy for Domestic Violence Batterer’s Intervention? Professional counseling is available for adults who use violence in their personal relationships.

For more information: