Services We Offer

Thrive is proud to offer a variety of therapy options for clients of all ages and in all seasons of life. The most common therapeutic options are listed below, you may click on an option to read more about it or continue scrolling to read about all of the options listed. Please do not hesitate to contact us if you feel your specific needs are not described by one of these options. We are eager to help anyone in need, and we are happy to accommodate other therapeutic needs if we possibly can.​


Diagnostic Assessment

     A diagnostic assessment takes place at the start of services, and it begins with an in-depth interview with the client(s) (and the guardian if the client is a minor) where background information, family medical and mental health history, and information about current struggles and behaviors are collected. More specialized assessment measures and/or interview forms may be used in addition to the interview process if necessary, as well. All of the information collected during this process is used to determine whether the client(s) meet the criteria for a specific diagnosis, and also to aid in the development of treatment goals and decisions regarding which treatment methods are most appropriate. 

Therapy for Individuals

     Individual outpatient therapy will consist of sessions between an individual client and his or her therapist, and can take place at our office location, in school, or in the home. Individual therapy can take place from 1 to 4 times per month, depending on the client's needs. Individual sessions can provide you with support and guidance for any struggle that you may be facing, whether it is an ongoing challenge like anxiety or depression or a significant life event, like the death of a loved one or a divorce. If the individual client is a minor, please refer to therapy for children and adolescents (described below) for more information.

Therapy for Children and Adolescents

     Therapy for child and adolescent clients, like therapy sessions for individuals, can take place at our office location, in school, or in the home 1 to 4 times per month. When the client is a child or adolescent we typically incorporate family sessions into the treatment plan in order to treat the "whole" person, because we believe the family plays an important role in helping a child grow and meet therapeutic goals. The terms and limits of client confidentiality with minor clients and information that can be shared with parents will be reviewed during the first session to ensure a transparent and honest therapeutic relationship with both the clients and the parents or guardians. In addition to the rooms used for counseling appointments we also have a game room in our office, which can help younger clients feel more at ease if the therapy process is intimidating for them. Sessions for child and adolescent clients can provide much-needed support during challenging life events, as well as diagnosis and support for any ongoing struggles like anxiety, depression, or social challenges.

Family Therapy

     Family therapy will consist of the family as a whole attending sessions, which can take place at our office or in the home. There are many dynamics at play in every family, and family therapy can be a great way to teach or clarify roles, rules, and boundaries for parents and children. It can be difficult to communicate some things to the people closest to you, and family therapy can create opportunities to open those lines of communication and to create a more open, functional dynamic of communication between family members. Some life events can take a toll on families, such as the illness or death of a family member, financial difficulties, divorce, or remarriage, among others, and working through these things together can allow families to become closer and stronger by doing so.

Pre-Marital Counseling

     Marriage is one of the most monumental decisions we make in life, and there are so many important factors to consider that the process can be overwhelming. There are some things on which a couple may not agree, but not yet realize that simply because those things haven't happened yet. It can be hard to anticipate things that don't yet seem relevant, or to plan for situations that seem unlikely, but these can be the things that end up being the biggest challenges for a couple. Pre-marital counseling provides couples with an objective, supportive space where they can ensure that there is agreement or acceptance of differences on the things that will influence their marriage the most, such as each person's desire to have or not have children, philosophies on long-term career plans, deciding where to live, and expectations regarding relationships with friends and family members, among many other things. We also offer Christian-based pre-marital counseling for couples that prefer a faith-based approach.

Couples/Marriage Counseling

     Even the strongest relationships and marriages face highs and lows, and there are many ways that counseling can benefit a couple. Whether you're struggling with communicating effectively, trust issues, opposing parenting styles, conflicts related to a blended family, or any other challenges with your significant other, Thrive can help you process and work through these things together. We are eager to give couples the tools they need in order to have a successful and fulfilling relationship, and we encourage couples to consider therapy if they are facing struggles together, no matter how frustrating or hopeless it may seem. (Please note that if domestic violence has occurred therapy must take place at our office.)

Substance Abuse/Addiction Counseling

     Challenges stemming from the excessive use of drugs, alcohol, other substances, as well as to activities like gambling, eating, exercise, or sex, are difficult to acknowledge and overcome, and at Thrive we are here to offer a safe, supportive place to guide you through this process. Many times it is not just the biological factors of addiction that must be addressed, but also underlying issues that may be contributing to the use of substances. Regardless of the cause, length, or severity of any substance use issues, we are here to support you as much as you may need in order to take back control of your life. 

Christian Counseling

     For some people, their faith is an integral part of their lives, and for them it may be beneficial to acknowledge and incorporate their faith into their therapeutic process. There may be times when you seek Christian counseling for prayer, to gain a stronger grounding in your faith and beliefs, or to try to improve your understanding of Christian values. For many people going through struggles and transitions in life, a counselor who shares in your faith and who will incorporate prayer and biblical principles throughout the counseling process can be instrumental in helping you through these seasons of your life.

Distance Counseling

     This is a counseling approach that takes the best practices of traditional counseling and adapts them for delivery to clients via electronic means: e-mail, phone, video sessions. Distance counseling can take place in the comfort of your own home, which can be beneficial for clients with limited mobility or transportation options. It can also allow multiple family members who reside in different areas to come together in order to work through issues with the guidance of a counselor, providing the option of family therapy when it may not otherwise be an option due to the geographical distance between family members. Thrive Family Services LLC can serve consumers who live in Virginia, North Carolina, and South Carolina through distance counseling. (Please note that it is important to clarify with insurance providers whether distance counseling is included in their mental health coverage prior to the start of this service. Cash rates and our sliding scale fees for families in need are also available if your insurance does not cover distance counseling.)

Sandtray therapy​

     Sandtray therapy is like a rare gem that only a selected few have experienced. Those who know the wonders of sandtray work are fortunate. I can incorporate sandtray therapy into my clinical practice for clients of all ages.Sandtray therapists are abundantly aware of it's amazing power to heal and can't wait to share the latest research or newest miniatures to be added to their sandtray collection. I am also a strong sandtray advocate and want to yell through the rooftops that "SANDTRAY IS FANTASTIC AND LIFE CHANGING." This form of treatment should be recognized and introduced to as many people as possible. Our work is about healing and sandtray's healing capacity is limitless.  (Janel Guntle, MA, LPC)