About Ava
Ava Roush is a Licensed Professional Counselor (LPC) based in West Virginia who helps people manage anxiety, stress, depression, and related concerns. She works with people facing trauma, grief, addiction, relationship and intimacy challenges, and struggles with self-esteem and body image. Ava speaks English and accepts international clients when appropriate.
Her style is warm and upbeat. She uses a nonjudgmental tone and aims to make sessions approachable. Conversations focus on practical steps the client can try between visits.
Background and approach
Ava prefers to tailor communication and plans to each person's situation. She draws on several therapy approaches to guide work in sessions. That includes Acceptance and Commitment Therapy, Dialectical Behavior Therapy, and Cognitive Behavioral Therapy.
These methods are used to help people notice unhelpful patterns, learn new skills, and take small actions that match their values. Over nine years she has supported people dealing with trauma and abuse, mood disorders such as bipolar and disruptive mood dysregulation concerns, eating and sleep problems, and caregiver stress.
She also addresses issues like codependency, control problems, and gender dysphoria when they come up in treatment. Therapy often includes skill practice, goal setting, and reviewing what worked or didn’t between sessions. Ava encourages clients to set realistic steps and pays attention to emotions and behavior in everyday life.
She aims to create an honest, compassionate space for steady progress.
Therapeutic approaches and how they work online
Ava commonly uses Acceptance and Commitment Therapy (ACT) to help people clarify their values and take small steps toward them. ACT involves noticing thoughts and feelings without getting stuck, then choosing actions that matter to you. Cognitive Behavioral Therapy (CBT) is also part of her work and focuses on identifying unhelpful thinking patterns and testing new behaviors to reduce anxiety and depressive symptoms. Dialectical Behavior Therapy (DBT) skills may be used to teach emotion regulation, distress tolerance, and communication tools when strong emotions get in the way of daily life.Finding the right mix of approaches is part of the process. The therapist collaborates with the client to see which methods fit the person's goals, preferences, and daily routines. Together they set small, practical goals and adjust techniques based on what helps most.
Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy more flexible. Video lets people work face to face when convenient, phone calls are useful when bandwidth is limited, and chat or messaging supports brief check-ins or ongoing skill practice. These options make it easier to fit sessions around work, caregiving, or travel while keeping a steady plan for progress.
Questions people ask
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What this therapist works with
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
Therapeutic approaches
- Experience
- 9 years
- Licensed
- West Virginia
- Languages
- English
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