online counseling for anxiety in Virginia
psychotherapy that feels like a breath of fresh air.
Melissa Rolfes, LPC
Virginia Licensed Professional Counselor (LPC) with 10+ years of experience
Specializing in anxiety, depression, life transitions, and existential concerns
A compassionate, affirming, and effective approach to therapy that helps you understand patterns, feel more steady, and create real change
Based in Roanoke, Virginia, offering telehealth counseling for adults across the state
100% online, secure HIPAA-compliant telehealth therapy
In-network with Aetna, Anthem/Carelon, Cigna, and UnitedHealthcare. Self-pay option available as well.
TRUSTED BY
about your therapist
dog mom • Yoga Teacher • plant enthusiast
I have been working in the mental health field for over a decade, and have a wide range of clinical experience, including hospital, community health, and private practice settings.
I’m most effective working with adults who are struggling with anxiety, mood, grief, relationship issues, high stress, life transitions, and existential concerns.
My style is compassionate, affirming, and direct. I’ll meet you where you are with positive regard, non-judgement, and genuine curiosity, and tailor your care to your unique needs.
frequently asked questions
-
Our first session is when we start to get know each other. I will ask you questions about what’s going on and share my initial clinical impressions, then we will discuss your goals and collaborate on a plan of care.
-
I am in-network with Aetna, Anthem/Carelon, Cigna, and United Healthcare. Your co-pay is determined by your insurance provider.
Before we begin treatment we will verify your insurance to ensure your copay is feasible for you.
I also have a self-pay option, $120/session (60 minutes).
-
Telehealth (or online) counseling can be just as effective as in-person, depending on the person and their specific concerns. I’ve been providing mental health services via online platforms since 2016, and have found this mode of individual therapy excellent for numerous clients.
Sessions are conducted over a secure online platform, much like FaceTime, but HIPAA-compliant. I conduct all of my sessions from my private home office, with no distractions in the background.
-
![Testimonial from Michelle Smith, owner of Dogwood Counseling Center, sharing her experience working with Melissa Rolfes]()
Michelle D. Smith, LPC, PMH-C, EMDRIA Approved Consultant, RPT-S
“I have known Melissa professionally for almost 15 years. She and I "came up together" so to speak, and there aren't many others I trust in terms of clinical best practices quite like I do her. She is thoughtful, ethical, and has always put the client first. With Melissa, you will get a direct, methodical approach coupled with caring passion that is sure to lead to healing.”
-
![Brent Williams, owner of Iron Oak Fitness, smiling while holding a dumbbell and a bowl of fruit, symbolizing strength, fitness, and nutrition, wearing a black tank top with the Iron Oak Fitness logo.]()
Brent Williams, Owner, Iron Oak Fitness
“Melissa is insightful, empathetic and incredibly intuitive. I practice a holistic approach to fitness and believe mental and emotional health are equally as important as the health of the physical body. I think Melissa is an asset to the Roanoke Valley and am confident referring anyone in need of understanding and guidance her way.”
-
![Logo for Restoration Direct Primary Care, provider Rachel Meadows]()
Rachel Meadows, NP-C, Owner of Restoration Direct Primary Care
“Referring patients to Melissa has been such a consistently positive experience. She is incredibly responsive, ensuring that those in need receive timely support. The feedback I’ve received from my patients has been overwhelmingly good - they feel truly heard, valued, and supported throughout their journey with her…. I know anyone I send her way will receive thoughtful, compassionate, and effective care. Her passion for this work shines through in everything she does.”
-
![A trusted colleague's testimonial about Inhale Exhale Counseling’s dedication to client well-being and mental health support.]()
Jen K Webb, RN MSN CEO Free Clinic of Central Virginia
"Melissa is not only knowledgeable and compassionate but also has a remarkable ability to connect with her patients on a human level—creating a space where true healing and transformation can take place. With a strong foundation in evidence-based practices like cognitive therapy and mindfulness, Melissa is deeply committed to providing ethical, high-quality care that leads to the best possible outcomes. I highly recommend her to anyone seeking a skilled, insightful, and deeply attuned therapist."
how to get started
