Lighthouse Counseling of Fredericksburg

A Place to Find Hope

Finding the right therapist can feel overwhelming, especially if you've felt dismissed, misunderstood, or all alone. At Lighthouse Counseling of Fredericksburg, we're committed to helping people find support that fits their needs.

We provide counseling for teens and adults across Fredericksburg and Virginia. We help clients facing substance use concerns, emotional overwhelm, identity-related stress, and other mental health challenges.

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Lighthouse Counseling clinicians in a welcoming Fredericksburg office setting

A Different Approach to Mental Health Care

At Lighthouse, everything we do is guided by three core commitments:
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Compassion

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Advocacy

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Clinical Competence

Those values shape how we care for clients, the specialties we pursue, and the role we play in our community.
therapist and client in a calm conversation setting

A Team That Cares

We genuinely love this work. It shows up in how our team stays current on training, how we advocate for clients inside and outside the therapy room, and how we treat people who are suffering.

Focused Areas of Expertise

We are especially known for addiction and harm reduction work, DBT-informed treatment, and affirming care related to sexual orientation and gender identity.

Care Beyond the Therapy Room

As part of our local harm reduction effort, we offer free Narcan, fentanyl test kits, xylazine test kits, and medication disposal kits through our office.
Diverse adults represented in affirming mental health care

How Therapy Works Here

Psychotherapy (also called counseling) is a collaborative process between you and a trained clinician. Together, we identify goals, reduce distress, and build skills that improve daily life.

Every treatment plan is built around you, not a protocol. Our clinicians draw from a range of evidence-based approaches depending on what you are facing and what fits your life.

Our team uses evidence-based practices, including:

Depending on provider and service type, care may be available in person, by telehealth, or as a combination.
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How We Can Help

We work with clients experiencing concerns such as:

  • Anxiety and depression
  • Emotion regulation difficulties
  • Trauma-related conditions
  • Bipolar and other complex mental health conditions
  • Substance use and behavioral addictions
  • Sexual orientation and gender identity concerns, including documentation support for affirming medical care when clinically appropriate

If we are not the best fit for your needs, we help you find the right referral.

Therapist and client in a supportive counseling session

Meet Our Team

Finding the right therapist is personal. Our team brings a range of lived experiences, backgrounds, and clinical specializations, and we will help match you with a provider who fits your needs.

Visit the Team page to learn more about each provider, or contact us to get started.

Meet Our Team
Professional headshot of Carmen Greiner, LPC, MAC, counselor at Lighthouse Counseling of Fredericksburg
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.

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