online counseling for anxiety, depression, and life challenges

how I can help & what it’s like to work with me

Specialities

Anxiety & Stress → Reduce worry, irritability, panic attacks and overwhelm.

Depression & Mood → Support for low mood, emotional numbness, fatigue, and burnout.

Relationship Challenges → Improve boundaries, communication, and recurring relational patterns.

Life Transitions → Navigate change, loss and uncertainty with more clarity and stability.

LGBTQIA+ Affirming Therapy → A space where your identity is understood and affirmed, so you can explore your experiences without having to explain or defend them.

Neurodivergence-Affirming Therapy → Make sense of how you’re wired without pathologizing it, and learn to work with your brain, not against it.

Body Image & Eating Concerns → Address patterns around control, self-image, and your relationship with your body using a more flexible, values-based approach.

Approach

💫 Cognitive Therapy → Restructure negative thought patterns and unhelpful beliefs

💫 Psychodynamic Therapy → Understand how past experiences and unconscious patterns shape current behavior and relationships

💫 Somatic & Mindfulness-Based Work ‍ ‍Learn how anxiety and stress show up in the body and build skills for a more regulated and resourced nervous system

💫 Transpersonal / Existential Therapy → Explore meaning, identity, and what it means to live authentically and in alignment.

💫 Humanistic Therapy → A collaborative non-judgmental space focused on self-compassion & self-acceptance.

💫 Solution-Focused Brief Therapy (SFBT) → Strength-based therapy for fast progress.

💫 Motivational Interviewing → Work through ambivalence and build momentum for change

What May Feel Different After Working Together

🌟 Your mind slows down instead of spiraling

🌟 You feel more steady and less thrown off by things that used to overwhelm you

🌟 You better understand your patterns and how to shift them

🌟 You feel more secure in your relationships, with stronger boundaries and clearer communication

🌟 You trust yourself more, instead of constantly second-guessing

🌟 You’re in better company when you’re alone

🌟 You’re less reactive, with more space to pause and respond intentionally

🌟 You’re not as hard on yourself

🌟 You feel more connected to your body and what you actually need

🌟 Things feel more manageable day to day

TRUSTED BY

Virginia Department of Health Board of Counseling logo, indicating that Inhale Exhale Counseling meets professional and ethical standards for mental health services in Virginia.

meet your therapist

Melissa rolfes, lpc

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.

deepening my practice

In addition to having extensive training in somatic work, I also enjoy keeping up with my mandatory continuing education by choosing topics that I am passionate about and interested in. Here are some of my favorite trainings I’ve completed, that have greatly enhanced my quality as a clinician:

  • Being Neurodivergent in a Neurotypical World

  • Tarot and Therapy: Intuition and Metaphor

  • Psychedelics and Non-Ordinary States

  • Neuroscience and Neurobiology Basics for Therapists

  • ACT for Eating and Body Image Concerns

  • IFS Master Class with Richard Schwartz

  • 3-Day Dialectical Behavioral Therapy Certification Training

  • Treating Adult Clients of Emotionally Immature Parents

  • Demystifying Personality Disorders

  • The Narcissism Spectrum: Myths vs. Reality

  • The Ethics of a Digital Practice

FAQ

  1. How does online therapy work? → Secure video sessions from your home or a safe private space.

  2. Do you take insurance? → Yes! Aetna, Anthem/Carelon, Cigna, and United Healthcare.

  3. How do I book a session? → Click "Book a Session" & I’ll guide you.

  4. What happens in the first session? → We will start to get to know each other, I will share my initial clinical impressions, then we discuss your goals & collaborate on a plan.

Find clarity, balance and emotional strength

Let’s take the first step together!