Sexual Addiction Therapists in Roanoke City County, VA
I am a Christian counselor/coach and I am passionate about helping men experience freedom from compulsive behaviors and, as a result, a deeper connection with God, themselves, and others. I specialize in helping men struggling with addictive and compulsive behaviors like pornography, sex, drugs, alcohol, food, work, video games, relationships, etc.
After more than 20 years of experience, I have found that true lasting healing does not happen in isolation. Weekly recovery groups provide the accountability, honesty, and brotherhood required for lasting transformation. That is why I now fully focus on the power of group work.
I am a Christian counselor/coach and I am passionate about helping men experience freedom from compulsive behaviors and, as a result, a deeper connection with God, themselves, and others. I specialize in helping men struggling with addictive and compulsive behaviors like pornography, sex, drugs, alcohol, food, work, video games, relationships, etc.
After more than 20 years of experience, I have found that true lasting healing does not happen in isolation. Weekly recovery groups provide the accountability, honesty, and brotherhood required for lasting transformation. That is why I now fully focus on the power of group work.
Certified Sex Addiction Therapist (CSAT) helping men struggling with sexual addiction and/or porn addiction stop their compulsive sexual behavior and live healthy productive lives.
I specialize in helping men overcome porn addiction, sexual addiction, and compulsive sexual behavior through a structured, supportive recovery coaching program.
Certified Sex Addiction Therapist (CSAT) helping men struggling with sexual addiction and/or porn addiction stop their compulsive sexual behavior and live healthy productive lives.
I specialize in helping men overcome porn addiction, sexual addiction, and compulsive sexual behavior through a structured, supportive recovery coaching program.
Are you or someone you love unable to break the grip of Alcohol or Drug Addiction? We know how to break it! Living with addiction or living with someone who is addicted to alcohol or drugs is devastating. You are exhausted as you go through the cycle, trying to stop on your own, yet one more time. You feel, helpless, hopeless, and terrified of what the future holds. You want desperately to break free and move forward but your best efforts end only in more disappointment and shame. There is help! It can end today! You can move forward!
Are you or someone you love unable to break the grip of Alcohol or Drug Addiction? We know how to break it! Living with addiction or living with someone who is addicted to alcohol or drugs is devastating. You are exhausted as you go through the cycle, trying to stop on your own, yet one more time. You feel, helpless, hopeless, and terrified of what the future holds. You want desperately to break free and move forward but your best efforts end only in more disappointment and shame. There is help! It can end today! You can move forward!
I specialize in working with anxious, quirky, kids and teens whose self-esteem has taken a blow in a world with a deficit in kindness. I also see many children and teens who are angry, don't like folllwing rules, are mad at the world or just feel plain lost. Many young adults, feeling adrift, seek me out to help them find their footing. My practice is focused on older children, tweens, teens, and young adults. However, I also see many individuals of various ages, who come to therapy looking for assistance in understanding themselves, their emotions, life experiences, relationships, and how they might move into new ways of relating.
I specialize in working with anxious, quirky, kids and teens whose self-esteem has taken a blow in a world with a deficit in kindness. I also see many children and teens who are angry, don't like folllwing rules, are mad at the world or just feel plain lost. Many young adults, feeling adrift, seek me out to help them find their footing. My practice is focused on older children, tweens, teens, and young adults. However, I also see many individuals of various ages, who come to therapy looking for assistance in understanding themselves, their emotions, life experiences, relationships, and how they might move into new ways of relating.
I know first hand how hard it can be to reach out for help and begin the therapy journey. I have been in the mental health field for 15 years, and a licensed professional counselor for the past 8 years. My main focus is 18+ clients dealing with substance issues, depression, and anxiety. I also experienced and trained with LGBTQ+ clients, both in therapy and social advocacy.
I know first hand how hard it can be to reach out for help and begin the therapy journey. I have been in the mental health field for 15 years, and a licensed professional counselor for the past 8 years. My main focus is 18+ clients dealing with substance issues, depression, and anxiety. I also experienced and trained with LGBTQ+ clients, both in therapy and social advocacy.
To put it bluntly, I am here for you. I want to hear about what is hurting you and stopping you from moving forward in a happy and positive way in your life. I want your input on what the problem is and what plan will work with you personally. We will gather all our information and decide on a plan of action to get you back to where you want to be as quickly as possible and develop a way to keep you there.
To put it bluntly, I am here for you. I want to hear about what is hurting you and stopping you from moving forward in a happy and positive way in your life. I want your input on what the problem is and what plan will work with you personally. We will gather all our information and decide on a plan of action to get you back to where you want to be as quickly as possible and develop a way to keep you there.
Are you feeling stuck in a cycle of anxiety, depression, or a range of symptoms that leave you feeling lost and like you can't move forward? Maybe you are having a mental health crisis, have lost a loved one, are feeling unbearable sadness from recent life changes, or have a new diagnosis that has left you with more questions than answers. Or maybe you are experiencing addictions, compulsions, or obsessive thoughts that keep you from doing the things that you used to love and enjoy. If any of this sounds like you, I would love to chat more about ways to help you reclaim your sense of control, safety, and joy in life.
Are you feeling stuck in a cycle of anxiety, depression, or a range of symptoms that leave you feeling lost and like you can't move forward? Maybe you are having a mental health crisis, have lost a loved one, are feeling unbearable sadness from recent life changes, or have a new diagnosis that has left you with more questions than answers. Or maybe you are experiencing addictions, compulsions, or obsessive thoughts that keep you from doing the things that you used to love and enjoy. If any of this sounds like you, I would love to chat more about ways to help you reclaim your sense of control, safety, and joy in life.
Clarity Counseling and Assessment
Clinical Social Work/Therapist, LCSW, CSOTP
2 Endorsed
Roanoke, VA 24016
Whether you’re a student finding your way, a young adult building relationships, a spouse navigating conflict, or a parent breaking cycles. you don’t have to face it alone. If you’re struggling with anxiety, depression, panic, the impact of trauma, or facing a difficulty decision, therapy can be a safe space for healing and growth.
Change happens when therapy is a true partnership: collaborative, supportive, and grounded in respect.
Together, we’ll work to clarify your goals and find the treatment path that feels both meaningful and effective for you.
Whether you’re a student finding your way, a young adult building relationships, a spouse navigating conflict, or a parent breaking cycles. you don’t have to face it alone. If you’re struggling with anxiety, depression, panic, the impact of trauma, or facing a difficulty decision, therapy can be a safe space for healing and growth.
Change happens when therapy is a true partnership: collaborative, supportive, and grounded in respect.
Together, we’ll work to clarify your goals and find the treatment path that feels both meaningful and effective for you.
Adrien Monti
Clinical Social Work/Therapist, LCSW
12 Endorsed
Roanoke, VA 24016
Waitlist for new clients
I am the only couples therapist within 50 miles of Roanoke who has completed Gottman level 3 training and offers in person sessions. Gottman Method Couples Therapy is proven to be effective, research-based, and evidence-supported for improving relationship satisfaction, enhancing communication, and reducing destructive conflict. It works especially well for couples looking to rebuild trust and navigate long-term issues. I have been with my husband since 2010. I know from personal experience that being in a long-term committed relationship takes dedication and willingness to grow, both individually and together.
I am the only couples therapist within 50 miles of Roanoke who has completed Gottman level 3 training and offers in person sessions. Gottman Method Couples Therapy is proven to be effective, research-based, and evidence-supported for improving relationship satisfaction, enhancing communication, and reducing destructive conflict. It works especially well for couples looking to rebuild trust and navigate long-term issues. I have been with my husband since 2010. I know from personal experience that being in a long-term committed relationship takes dedication and willingness to grow, both individually and together.
We don't have to go through it alone. Even when we feel stuck and overwhelmed, meaningful change is always possible. I take a solution oriented approach that applies evidence-based techniques for exploring and shifting old patterns of feeling and thinking that are getting in the way of growth. Employing curiosity and compassion, we can heal wounded parts and build new connections to your authentic self. A primary focus of my couples work is to practice new ways of communicating our needs more effectively with both our partners and ourselves. I also specialize in supporting the unique concerns and strengths of the LGBTQIA+ community.
We don't have to go through it alone. Even when we feel stuck and overwhelmed, meaningful change is always possible. I take a solution oriented approach that applies evidence-based techniques for exploring and shifting old patterns of feeling and thinking that are getting in the way of growth. Employing curiosity and compassion, we can heal wounded parts and build new connections to your authentic self. A primary focus of my couples work is to practice new ways of communicating our needs more effectively with both our partners and ourselves. I also specialize in supporting the unique concerns and strengths of the LGBTQIA+ community.
Something brought you here today. Maybe you’ve been carrying the weight of old experiences that seem impossible to shake. Maybe anxiety keeps pulling you out of the present moment, no matter how hard you try to stay grounded. Maybe you’ve tried talking about it — and still feel stuck.
That’s exactly where I work.
Something brought you here today. Maybe you’ve been carrying the weight of old experiences that seem impossible to shake. Maybe anxiety keeps pulling you out of the present moment, no matter how hard you try to stay grounded. Maybe you’ve tried talking about it — and still feel stuck.
That’s exactly where I work.
Something brought you here today. Maybe you’ve been carrying the weight of old experiences that seem impossible to shake. Maybe anxiety keeps pulling you out of the present moment, no matter how hard you try to stay grounded. Maybe you’ve tried talking about it — and still feel stuck.
That’s exactly where I work.
Something brought you here today. Maybe you’ve been carrying the weight of old experiences that seem impossible to shake. Maybe anxiety keeps pulling you out of the present moment, no matter how hard you try to stay grounded. Maybe you’ve tried talking about it — and still feel stuck.
That’s exactly where I work.
I specialize in couple and sex therapy, and family therapy. I help couples improve communication, improve their sexual relationship and intimacy, move forward from pain caused by their spouse or partner's actions, and, for those on the brink of divorce, figure out together whether to save the marriage or end it. I'm happy to help with these and any other concerns you may bring up in session. In family therapy sessions, I help families improve their mental health by strengthening parent-child, sibling, in-laws and other family relationships. I am a Solution-Focused Brief Therapy expert, with a background in family systems theory.
I specialize in couple and sex therapy, and family therapy. I help couples improve communication, improve their sexual relationship and intimacy, move forward from pain caused by their spouse or partner's actions, and, for those on the brink of divorce, figure out together whether to save the marriage or end it. I'm happy to help with these and any other concerns you may bring up in session. In family therapy sessions, I help families improve their mental health by strengthening parent-child, sibling, in-laws and other family relationships. I am a Solution-Focused Brief Therapy expert, with a background in family systems theory.
Growth can be such a complicated and overwhelming experience. It can be hard to navigate through these challenges as you explore your ever changing identity, relationships, and environment. Sometimes your feelings can become so big and consuming that you might act out in ways that can be harmful to yourself or others around you. I want you to know that you don’t have to struggle through these big changes and challenges alone.
Growth can be such a complicated and overwhelming experience. It can be hard to navigate through these challenges as you explore your ever changing identity, relationships, and environment. Sometimes your feelings can become so big and consuming that you might act out in ways that can be harmful to yourself or others around you. I want you to know that you don’t have to struggle through these big changes and challenges alone.
Dialectical behavior therapy (DBT) is a type of talk therapy for those who experience emotions intensely. It focuses on helping people accept themselves as they are, feel safe, and manage their emotions with the goal of no longer being destructive to themselves or their relationships. You are exhausted as you go through the cycle, trying to stop on your own, yet one more time. You feel, helpless, hopeless, and terrified of what the future holds. You want desperately to break free but your best efforts end only in more disappointment and shame. There is help! It can end today! Our group is powerful & can help you forward!
Dialectical behavior therapy (DBT) is a type of talk therapy for those who experience emotions intensely. It focuses on helping people accept themselves as they are, feel safe, and manage their emotions with the goal of no longer being destructive to themselves or their relationships. You are exhausted as you go through the cycle, trying to stop on your own, yet one more time. You feel, helpless, hopeless, and terrified of what the future holds. You want desperately to break free but your best efforts end only in more disappointment and shame. There is help! It can end today! Our group is powerful & can help you forward!
My eclectic approach to therapy begins with the belief that each person is the expert regarding their issues. Many people experience symptoms and challenges so uncomfortable that their instinct is to avoid thinking or talking about them. I help people discover ways to face the things bothering them and ultimately chart a path to fulfilling lives.
I’ve worked as a therapist treating individuals and couples since 2017. I draw from training in a variety of evidence-based approaches and my personal journey in recovery from substance and alcohol abuse, beginning in 2008. I serve clients in Virginia and North Carolina.
My eclectic approach to therapy begins with the belief that each person is the expert regarding their issues. Many people experience symptoms and challenges so uncomfortable that their instinct is to avoid thinking or talking about them. I help people discover ways to face the things bothering them and ultimately chart a path to fulfilling lives.
I’ve worked as a therapist treating individuals and couples since 2017. I draw from training in a variety of evidence-based approaches and my personal journey in recovery from substance and alcohol abuse, beginning in 2008. I serve clients in Virginia and North Carolina.
Online Therapists
As your counselor, I’ll guide you through some of your toughest challenges in life with a gentle but “real” approach. Within our counselor-client relationship, I prioritize developing trust and openness, allowing you the freedom to share anything on your mind without fear of judgment or criticism. I often see people struggling with anxiety, OCD, depression, relationship issues, low self-esteem, or just dealing with the stress of life. I am also a Certified Sex Therapy Informed Professional.
As your counselor, I’ll guide you through some of your toughest challenges in life with a gentle but “real” approach. Within our counselor-client relationship, I prioritize developing trust and openness, allowing you the freedom to share anything on your mind without fear of judgment or criticism. I often see people struggling with anxiety, OCD, depression, relationship issues, low self-esteem, or just dealing with the stress of life. I am also a Certified Sex Therapy Informed Professional.
Do you feel chronically disconnected or stuck in unhelpful patterns despite "knowing better"? This misalignment might be affecting your physical health, your relationships, your sense of self, and your visions for the future. While many of the strategies you relied upon in early life were both necessary and adaptive, they can also become what hold you back later in life. What if we explore some of your origin stories and update those defaults to better reflect who you are, instead of who you believed you had to be? What if we deepen your self-belonging, thereby strengthening your capacity to connect more effortlessly with others?
Do you feel chronically disconnected or stuck in unhelpful patterns despite "knowing better"? This misalignment might be affecting your physical health, your relationships, your sense of self, and your visions for the future. While many of the strategies you relied upon in early life were both necessary and adaptive, they can also become what hold you back later in life. What if we explore some of your origin stories and update those defaults to better reflect who you are, instead of who you believed you had to be? What if we deepen your self-belonging, thereby strengthening your capacity to connect more effortlessly with others?
From day one I seek to help clients reach autonomy through collaborative treatment. Counseling, for the majority of individuals, is not something that should last a lifetime. Focusing on your goals, identifying barriers to progress, and seeking how to sustain the progress you have made is my philosophy.
From day one I seek to help clients reach autonomy through collaborative treatment. Counseling, for the majority of individuals, is not something that should last a lifetime. Focusing on your goals, identifying barriers to progress, and seeking how to sustain the progress you have made is my philosophy.
When life hurts, I can help. Are you struggling with difficulties that have you feeling depressed, angry, worried, or guilty? Are your relationships at home or work in trouble or conflict? I help individuals and couples who are facing a variety of issues such as depression, anxiety, anger, infidelity, pornography, coping w/chronic illness, sexual problems, PTSD, OCD and much more. I started out my professional career as a church pastor, and in my 40's transitioned into becoming a counselor/therapist. I guide people to get over problems and to be their deeper, higher, and more loving, compassionate self.
When life hurts, I can help. Are you struggling with difficulties that have you feeling depressed, angry, worried, or guilty? Are your relationships at home or work in trouble or conflict? I help individuals and couples who are facing a variety of issues such as depression, anxiety, anger, infidelity, pornography, coping w/chronic illness, sexual problems, PTSD, OCD and much more. I started out my professional career as a church pastor, and in my 40's transitioned into becoming a counselor/therapist. I guide people to get over problems and to be their deeper, higher, and more loving, compassionate self.
Rooted in a love of community and new experiences, Alexis brings curiosity and balance to both her personal and professional life. Born in Jacksonville, North Carolina, and raised in Fredericksburg, Virginia, Alexis has lived in Mount Holly, New Jersey, Augusta, Georgia, and now Washington, DC, alongside her husband of four years, who is active duty in the United States Air Force.
Rooted in a love of community and new experiences, Alexis brings curiosity and balance to both her personal and professional life. Born in Jacksonville, North Carolina, and raised in Fredericksburg, Virginia, Alexis has lived in Mount Holly, New Jersey, Augusta, Georgia, and now Washington, DC, alongside her husband of four years, who is active duty in the United States Air Force.
See more therapy options for Roanoke City County
Sexual Addiction Therapists
When should someone seek treatment for sex addiction?
People should seek treatment for sex addiction if they cannot control their sexual thoughts or behaviours to the point that it disrupts their ability to function in daily life, for example by threatening their finances, career, or relationships. This may include spending an excessive amount of time obsessing over sex, planning sex, watching pornography, or masturbating, as well as consistently engaging in risky sexual activities, using sex to escape distressing feelings, or attempting yet failing to control sexual behavior.
What are the most common treatment options for sex addiction?
Psychotherapy is the most common treatment for sex addiction; therapy helps patients better understand their compulsive thoughts and behaviors and develop strategies to manage their desires. Therapy may be supplemented by medications, such as antidepressants, mood stabilizers, anti-androgens, and the alcohol and substance use medication Naltrexone, as well as support groups, such as 12-step programs.
How long does therapy take for sex addiction?
Recovering from compulsive behavior takes time and effort. There’s no precise timeline for treatment, but research suggests 12 therapy sessions may be enough to see change. Treatment for sexual compulsions requires honesty in therapy, a commitment to understanding triggers and developing coping skills, and potential lifestyle changes such as cutting out alcohol or drugs.
What if sex addiction is left untreated?
Compulsive sexual behavior can have serious repercussions if left unaddressed. For example, if sexual obsessions consume the vast majority of a person’s time, they may lose their job. If they can’t stop paying for sex, their finances may suffer. If they’re dishonest in their relationships, their partner may leave them. If they consistently feel shame, they may struggle with anxiety, depression, or loneliness. Therapy can help people develop the tools to manage sexual thoughts and behaviors that feel uncontrollable.


