I support people experiencing anxiety, trauma, PTSD, ADHD, stress, grief and significant life transitions. Many of my clients are thoughtful, capable people who find themselves overthinking, over-giving or repeating patterns they feel ready to change.

I offer individual counseling, intensive therapy, EMDR and somatic therapy. My approach brings together evidence-based therapeutic techniques with an intuitive, heart-centered understanding of the connection between mind, body and spirit.

EMDR helps the brain process distressing experiences and memories, while somatic therapy explores how emotional experiences are held within the body. Both approaches can support greater awareness, nervous system regulation and a sense of feeling more grounded in yourself.

Yes. As a Virginia Licensed Professional Counselor, I offer secure online counseling to clients located throughout the state, including Blacksburg, the New River Valley, Fairfax and Northern Virginia.

Sessions are $200 for 50 minutes (a therapeutic hour). You can submit for reimbursement from your insurance plan by submitting a monthlysuperbill. On average, out-of-network benefits cover up to 70-80 percent of costs but this varies with individual plans.

Using your HSA and FSA accounts is also another way to manage costs.

Melissa Tully Counseling is a private-pay practice and does not bill insurance directly. Depending on your plan, you may be able to claim out-of-network benefits or use an HSA or FSA towards the cost of therapy. Please contact your insurance provider to confirm your individual coverage.

Explore individual counseling.

Many people notice shifts within the first few sessions, with meaningful improvements typically emerging within 2–3 months of consistent weekly sessions. As you grow, we can adjust the frequency to every other week or monthly for ongoing support.

Finding the right therapist is personal. An initial consultation gives us an opportunity to talk about what is bringing you to therapy, the support you’re looking for and whether my approach feels right for you.

Yes. I am currently welcoming individuals and couples aged 18 and over for online therapy in Blacksburg and throughout Virginia. Book an initial consultation to explore whether we might be a good fit.