Teletherapy and Online counseling
have grown enormously as a medium for therapy since the advent of social distancing. Most therapists are happy to provide sessions by video or phone.
All professionals are licensed to provide video therapy to clients within the State in which they hold their license. Cross State licensing exists, but is rare.
So if you're a client in Roanoke, this list of teletherapists are licensed to provide therapy to you online (by phone, video or text based chat) because they are within your state. They are sorted nearest to furthest, with professionals in Roanoke listed first.
Teletherapy via phone or video can be very similar to conventional in person sessions. The message is the same, even if the medium is different. There are some advantages in the form of convenience, lack of travel and being in comfort of your own home. Set against those, professionals find it more difficult to read non-verbal signals of their clients, and you may find you yourself can be more easily distracted.