Mental Health Counseling for Adults
Compassionate support when you haven’t been feeling like yourself
If you have been feeling overwhelmed by depression, struggling with anxiety, coping with grief, or simply feeling like something is just “off,” you don’t have to carry that weight alone. Everyday stress, relationship struggles, or sudden life changes can take a heavy toll on your emotional well-being. At Western Tidewater Community Services Board (WTCSB), our Adult Mental Health Counseling program offers a safe, judgment-free space to help you understand your emotions, process difficult experiences, and rebuild your confidence.
We provide person-centered treatment, meaning we focus entirely on you and your unique goals. Whether you are dealing with negative self-talk, trouble at work, trauma, or thoughts of self-harm, our trained counselors use proven methods to help you develop practical life skills and improve your overall mental health.
We believe therapy should fit your life, which is why we offer both one-on-one individual sessions and supportive group therapy (online or in-person), allowing you to choose the environment where you feel most comfortable.
Types of Counseling We Offer
Therapy is a collaborative process designed to help you solve problems, manage your emotions, and function better in your daily life. Because everyone’s needs are different, our local therapists offer multiple types of counseling:
Individual Counseling: In a private, one-on-one setting, your counselor will provide an empathetic ear and introduce you to proven coping strategies. Individual counseling is highly effective for targeting specific challenges like anxiety, depression, grief, and trauma.
Group Therapy: If you prefer a shared experience, our professionally led group therapy sessions allow you to connect with others facing similar feelings. It provides a powerful reminder that you are not alone in your struggles.
Specialized Counseling: We provide tailored therapy for neurodiverse adults, including adults with Autism, as well as individuals with Intellectual or Developmental Disabilities (ID/DD), ensuring care is accessible and effective for everyone.
Goal-Oriented Progress: No matter which type of counseling you choose, it is an active process. You and your counselor will regularly review your progress to ensure you are moving closer to emotional stability.
Specialized care for diverse needs
Mental health care is not one-size-fits-all. WTCSB is proud to offer highly specialized counseling for adults with unique neurological or developmental needs:
Adults with Autism: Neurodiverse individuals often process life events and manage stress differently. Our counselors do not try to make you act “neurotypical.” Instead, we work with you to embrace your differences and utilize your unique strengths to achieve your wellness goals. Learn more about mental health counseling for autistic adults.
Adults with Intellectual or Developmental Disabilities (ID/DD): Individuals with ID/DD are often overlooked in mental health care, yet they can be highly susceptible to trauma, bullying, and anxiety. Our specialized providers offer tailored counseling to help individuals process their feelings and find relief in a way that makes sense to them. Learn more about mental health counseling for adults living with ID/DD.
You’re not alone. Help is here.
If you are struggling with your mental health, reaching out is the most important step you can take. If you or someone you love is experiencing a psychological emergency, please call or text 988. For urgent, walk-in stabilization and evaluation, our Crisis Receiving Center (CRC) is open 24/7 with no appointment needed.
How to Access Mental Health Counseling?
Starting therapy shouldn’t require jumping through hoops or waiting weeks for a callback.
Same Day Access (SDA): You can walk into any of our community counseling centers (located in Suffolk, Franklin, and Isle of Wight) during designated intake hours to receive an immediate clinical assessment.
No Referral Needed: You do not need a doctor’s referral to begin. Simply call us at (757) 758-5106 or request an appointment online to find the best time to come in.
The First Step: During your intake assessment, you will meet with a professional to discuss how you have been feeling. This helps us match you with the right counselor and create your personalized service plan.
How to Pay for My Visit
WTCSB accepts public insurance, private insurance, and self-pay. If you have insurance, we will use your coverage when eligible and let you know if any copays or costs apply. WTCSB’s published payment options include Virginia Medicaid (including CCC Plus plans), Medicare, and many commercial insurance plans.
If you do not have insurance, or if you are underinsured, WTCSB also offers income-based financial assistance through an Ability to Pay (ATP) system (often called a sliding scale). Fees are based on what you can afford, and some services may have different fee rules than others.
WTCSB’s published self-pay methods include cash, check, and major credit cards
Questions about cost? Call (757) 758-5106 and ask about payment options for the service you need and whether you qualify for Ability to Pay.
Payment Options: https://www.wtcsb.org/payment-options/
Income-Based Fees (Ability to Pay): https://www.wtcsb.org/income-based-fees/
Where can I find Mental Health Counseling?
WTCSB offers outpatient mental health counseling at all of our Community Counseling Centers. Click here to find the location nearest you.
FAQs About Counseling
All Adult Services
Employee Portal
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Who We Are
Western Tidewater CSB is the leading authority in mental health and developmental services in Franklin, Suffolk, Isle of Wight County, and Southampton County. Learn more about what truly sets us apart.
