Anxiety & Depression
Build practical tools for managing stress, difficult thoughts and overwhelming emotions.
Outpatient Counseling
Support forlife's challenges.
Compassionate, evidence-based counseling for adolescents, adults, couples and families, with in-person care in Salem and virtual appointments available across Virginia.
Accepting new clients
Virtual across Virginia
In person in Salem
Mental health support on your terms.Care tailored to your needs and goals.
Personalized careTherapist matching based on your needs
Flexible accessVirtual and in-person appointments
Research-groundedEvidence-based therapeutic approaches
Insurance optionsCoverage varies by therapist and plan
How we can help
You don't have to navigate it alone.
Our therapists provide individualized support for a range of mental health concerns and life experiences.
Trauma & PTSD
Work at a pace that feels manageable with trauma-informed, evidence-based support.
Behavioral & Emotional Concerns
Support for children and adolescents navigating emotional regulation, school or social challenges.
Relationships & Family
Strengthen communication, navigate conflict and develop healthier patterns together.
Grief & Loss
Find support while processing change, loss and the experiences that come with them.
Life Transitions
Move through major changes with support, perspective and strategies that fit your life.
Our Counseling Team
Find a therapist who fits your needs.
Learn about each clinician's specialties and approach.Insurance participation and appointment availability vary by therapist.
Kristy Ayers, LCSW
Outpatient Clinical Coordinator
Kristy provides individualized counseling with an emphasis on trauma-informed care and support that reflects each client's needs.
Christopher Smallwood, LCSW
Outpatient Therapist
Christopher works with clients using collaborative, evidence-based approaches tailored to their experiences, strengths and goals.
Taylor Hurst
Taylor supports adolescents, including at-risk youth, and women navigating trauma, anxiety, school issues, and life changes through creative, strengths-based approaches.
Taylor is not currently accepting clients.
Brandon Rose
Director of Clinical Services
Brandon provides leadership and oversight for HopeTree's clinical services and counseling team.
Brandon is not currently accepting outpatient clients.
Care for real life
Counseling centered on you.
HopeTree offers individual, family and group counseling tailored to each client's needs. Our team serves people across the lifespan, including children, adolescents and adults.
Children & Adolescents
Adults
Couples & Families
Foster & Adoptive Families
Our therapists use approaches grounded in research and proven practices. Treatment is tailored to the individual client, therapist and goals for counseling.
Explore therapist specialties →Getting started
A simple path to support.
Taking the first step should feel clear. Here's what to expect when you reach out.
Tell us what you need
Use the form below or contact our referral team. Share only what you're comfortable sharing at this stage.
We'll explore the fit
Our team will review your needs, discuss availability and help identify an appropriate therapist.
Begin counseling
Your therapist will work with you to clarify goals and develop an individualized treatment plan.
Using insurance? HopeTree works with a variety of insurance plans, including selected Medicaid and commercial plans. Participation varies by therapist and plan, so our team will help you confirm coverage before services begin.
Take the next step
Let's talk about what support could look like.
Use the form to request an initial conversation. A member of the HopeTree team will follow up about fit, availability and next steps.
If the calendar does not load, open appointment booking in a new tab.
Quick answers
Questions we hear often.
Who can receive outpatient counseling?
HopeTree serves children, adolescents, adults, couples and families experiencing mental health concerns, relationship challenges or major life transitions. Our team will help determine whether the program is a good fit.
Do you offer virtual counseling?
Yes. Virtual counseling is available to clients located across Virginia. In-person appointments are available in Salem, Virginia.
Is counseling covered by insurance?
Outpatient counseling may be covered by Medicaid or commercial insurance. Because each therapist participates with different plans, our team will help confirm coverage and discuss available options.
How quickly can I get started?
Timing depends on therapist fit, scheduling and insurance verification. Submit an inquiry and our team will contact you with current availability.
What happens after I submit the form?
A member of our team will review your inquiry, contact you to learn more and discuss the most appropriate next step. Submitting the form does not obligate you to begin services.