Ava Roush , LPC

Ava Roush is a licensed professional counselor (LPC) who helps people facing stress, anxiety, depression, relationships, trauma, and issues related to gender and sexual identity. She works with concerns around self-esteem, intimacy, eating and sleeping problems, addiction, grief, and burnout among caregivers. Her approach is practical and straightforward, aimed at making small changes that add up over time.

Ava brings nine years of counseling experience and adapts sessions to each person's needs. She uses clear, down-to-earth language and a warm, nonjudgmental style. Sessions focus on skills you can use between meetings as well as talking through difficult moments in the present.

Her work draws from Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and emotionally-focused ideas. That means she helps people notice their thoughts and feelings, practice new behaviors, and build stronger emotional connections in relationships.

Ava pays attention to body image, codependency, chronic illness and pain, caregiver stress, and issues that come up around fertility and gender dysphoria. She also supports people dealing with anger, bipolar mood patterns, grief, domestic violence histories, and difficulties with control or dependent personality traits.

Sessions are offered in English and are provided online in West Virginia, including video, phone, chat, and text formats. People from other regions may also connect remotely. To begin, a short matching questionnaire helps pair a person with a schedule that fits them.

Therapeutic approaches and how online sessions fit

Ava often uses Acceptance and Commitment Therapy to help people notice painful thoughts and choose actions that match their values. ACT helps with anxiety, depression, and life changes by teaching strategies to live with difficult feelings without getting stuck.

She also draws on Cognitive Behavioral Therapy to identify unhelpful thinking patterns and try new behaviors. CBT is practical and problem-focused, useful for sleep problems, eating concerns, anxiety, and mood management.

Finding the right approach is part of the work. Ava will collaborate with each person to decide which methods fit their goals and preferences. She tailors plans over time, mixing techniques as progress is made and new issues appear.

Online therapy offers flexibility for people with busy schedules or limited local options. Video calls let you work face to face from anywhere, phone sessions use less bandwidth, live chat can be a quick check-in between meetings, and text messaging supports regular, short updates. These formats make it easier to keep continuity and practice new skills between sessions while adapting to daily life.