Support That Starts Where You Are

When life gets hard, it can be difficult to know where to begin. 
Are you tired of feeling unseen, overwhelmed or alone?

At Lighthouse Counseling of Fredericksburg, you will find a dedicated team of therapists committed to helping you feel better through evidence-based and affirming care. In a compassionate and validating environment, our therapists combine human connection with clinically grounded approaches to meet you where you are, without judgment, and provide specialized support tailored to your needs.
Explore Specialties

A Safe Space to Heal

Counseling Services in Fredericksburg, VA
  • Addiction and harm reduction counseling
  • Dialectical Behavior Therapy (DBT)
  • Gender-affirming counseling
  • Mental health counseling for anxiety, depression, and emotional regulation
  • Court-mandated treatment and DOT/SAP assessments
  • Anger management counseling

We will discuss your needs, challenges, and goals in our first conversation to determine which approach is the best fit.

How to Start Counseling

Illustrated icon showing the steps to begin counseling by reaching out

1. Reach Out

Call the office or submit the contact form and we will get in touch with you to schedule an appointment.
Illustrated icon showing how to complete an evaluation

2. Complete An Initial Evaluation

We spend this first session getting to know you, your concerns, and your unique situation.
Illustrated icon showing the steps to begin a focused treatment plan

3. Start A Focused Treatment Plan

You and your clinician build a practical plan with clear goals and next steps.

Why the Fredericksburg Area Finds Hope At Lighthouse Counseling

  • Thoughtful, individualized care rooted in thorough evaluations and personalized treatment planning
  • Evidence-based therapy approaches including DBT, CBT, EMDR, ERP, motivational enhancement, and gender affirmative therapy.
  • A compassionate team committed to ethical, affirming, and respectful care, especially for the marginalized and stigmatized.
  • Flexible in-person and Telehealth options based on provider availability. Insurance-supported care with self-pay options are also available.

A Space Where You Can Show Up Fully As Yourself.

We provide affirming, respectful care for LGBTQ+ individuals navigating identity, relationships, trauma, anxiety, life transitions, and more.

You deserve support that feels safe, understanding, and free from judgment or the need to explain who you are. Our goal is to help you feel seen, supported, and empowered in the life you want to build.

You don't have to struggle alone.

If you are ready for counseling that is both affirming and based in effective interventions, contact Lighthouse Counseling of Fredericksburg today.