About Ava
Ava Roush is a licensed professional counselor (LPC) based in West Virginia who helps people handle stress, anxiety, depression, grief, addiction, and relationship and intimacy concerns. She also addresses issues related to LGBT matters, trauma and abuse, self-esteem, and coping with life changes. Her manner is warm and upbeat.
She aims to create a nonjudgmental space where people can talk about hard things and work toward change. Sessions focus on practical steps and steady progress rather than long lectures.
How Ava works
Ava uses a mix of approaches to fit each person. She draws on acceptance and commitment work, cognitive and behavioral strategies, dialectical behavior skills, and emotionally-focused techniques to help people manage emotions and improve connection. Plans are adjusted to match what each person needs and prefers.
Over nine years of practice have given her experience with a wide range of concerns, including addiction, bipolar mood patterns, eating and sleeping struggles, compassion fatigue, and caregiver stress. She has supported people dealing with chronic pain, body image and control issues, codependency, and domestic violence consequences.
People can expect clear goals, skill practice, and a steady focus on what matters to them. Ava encourages small, realistic steps and checks in about progress. She welcomes people who want a hopeful, active path forward.
Ava lists 10 ways of working on the entry:
What Ava works with
The areas below are the ones Ava selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Addictions
- Anger management
- Avoidant personality
- Bipolar disorder
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Domestic violence
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Fertility issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Post-traumatic stress
- Postpartum depression
- Relationship issues
- Self esteem
- Self-harm
- Self-love
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
Training and background
| Register | LPC |
|---|---|
| Years in practice | 9 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | West Virginia |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How her approaches translate to online therapy
Ava commonly integrates Acceptance and Commitment Therapy and Cognitive Behavioral Therapy into sessions. ACT focuses on clarifying values and taking committed action even when strong emotions are present, which helps with decisions and motivation. CBT targets unhelpful thinking and behavior patterns by teaching concrete skills to manage anxiety, depression, and sleep or eating struggles.Finding the right approach is part of the work together. The therapist will talk with each person about goals and preferences, then choose strategies that fit. This collaborative process helps keep sessions focused and relevant to day-to-day life.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for longer therapy sessions and guided skill practice. Phone sessions work well when bandwidth is limited or a simpler check-in is needed. Live chat and text messaging can support short check-ins, coping reminders, or between-session coaching. These options make therapy more flexible and easier to fit into a busy schedule.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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