Many of the individuals and couples I work with are at a crossroads—frustrated, sometimes burnt out, and seeking practical, workable strategies for change. Therapy offers a dedicated, supportive space to identify obstacles and map a path toward meaningful personal growth.
With over 15 years of experience across healthcare, restorative justice, and outpatient settings, I provide telehealth therapy at Grow for adults and couples. My practice focuses on:
*Chronic Pain & Complex Medical Issues
*Anxiety & Phobias
*Fertility & Family Building Support
*LGBTQ+ & Gender-Affirming Care
*Eating Disorder/Substance Use Step-Down Maintenance: Supporting ongoing recovery from substance use or eating disorders following higher levels of care.
*Couples Therapy: Improving communication and relational dynamics (clinical outpatient focus only).
Practice Boundaries & Administrative Policies
To maintain a clear focus on clinical care, please review the following scope boundaries:
*Legal & Forensic Services: I do not provide forensic evaluations, court-ordered treatment, litigation support, or expert witness testimony for legal proceedings, divorce, or custody disputes.
*Disability & Administrative Paperwork: I do not perform disability evaluations or complete short/long-term disability claims; I do not write Emotional Support Animal (ESA) letters.
*Telehealth & Medical Requirements: Virtual therapy for chronic pain, ARFID, or medical distress serves strictly as a complementary psychological service. Because virtual care lacks physical monitoring:
A. Clients with ARFID or eating disorders must maintain ongoing care with an in-person physician for routine medical safety.
B. Clients seeking pain reprocessing or somatic therapy must have their pain evaluated by a physician.
******If medical or psychiatric needs exceed virtual outpatient scope, I will assist with referrals to local in-person providers**************
With over 23 years of experience, I have had the privilege of working with a diverse range of individuals and families navigating life’s challenges. My work includes helping people manage anxiety, depression, grief and loss, relationship concerns, and life transitions. I also bring experience supporting military members and others who have experienced trauma, including PTSD and traumatic brain injuries.
My approach to therapy is collaborative. I believe that therapy works best when we work together as a team. I strive to create a safe, supportive environment where you can share your story openly and feel heard without judgment. From there, we can explore practical tools and strategies that help you make meaningful and healthy changes in your life.
Seeking support can feel like a big step, and I respect the courage it takes to begin the process. My goal is to help you gain insight, develop practical coping skills, and move toward a life that feels more balanced, meaningful, and fulfilling.
Vanessa Fabian is a Licensed Clinical Social Worker in Wyoming, Idaho, and Oregon. She holds a BS in Psychology, a MS in Kinesiology specializing in Outdoor Education, and a Master of Social Work. Vanessa has a wide-ranging professional background in mental health including working in private practice, government and school-based agencies, residential treatment, and wilderness therapy. She has extensive experience working with adults, teens, and families, treating trauma, depression, anxiety, neurodivergence, PTSD, ADHD, and oppositional defiant disorder.
With more than two decades of experience, I've been privileged to work in a variety of settings including psychiatric hospitals, residential treatment centers, domestic violence shelters, juvenile justice, forensic facilities & child advocacy centers. I am currently licensed in AK, DE, FL, GA, ID, LA, MN, NH, OH, SC, TN, UT and VT. I hold a M.Ed and an Ed.S in counseling and I am also a a Certified Professional Counselor Supervisor (CPCS).
One of the most rewarding aspects of my work was partnering with local law enforcement & district attorneys as an expert witness in trauma & abuse cases, conducting 300+ forensic interviews across metro Atlanta. I served as an Executive Board Member on the State of GA Sexual Offender Registration Review Board for 10+ years & conducted workshops on a range of topics, including relationships, parenting, stress management & child abuse.
I help countless people "figure it out". Whether you're battling anxiety, depression, self-esteem, or struggling with relationships, I believe you are the expert of your life. Together we'll work towards finding solutions to the problems that are holding you back, so you can focus on living your best life.
I’m a Licensed Clinical Social Worker and Certified Clinical Trauma Professional with a Doctorate in Clinical Social Work. I specialize in supporting women who are carrying the weight of the world—juggling responsibilities, managing emotional wounds, and trying to hold it all together. My approach is rooted in compassion, cultural sensitivity, and evidence-based practices. I create a space where women feel safe to unpack their pain, process life’s challenges, and reconnect with their inner strength. My goal is to help you move from surviving to thriving—on your terms.
I come from a first responder family, and it shaped how I understand the people I work with. I built my practice specifically for law enforcement, fire, EMS, dispatchers/911, and veterans — people who carry things most providers have never had to sit with, let alone treat. I'm not interested in being another therapist who nods along without understanding the job. I get it, and that changes what happens in the room.
Not all the work is about the job, either. Plenty of clients come to me for personal issues — relationship struggles, childhood stuff, grief, anxiety, things that have nothing to do with the badge or uniform. Being from this world just means I already understand the context you're operating in, whatever you're bringing to the room.
I use evidence-based treatments — including EMDR, Brainspotting, and Prolonged Exposure, among others — to help clients process trauma that others may not fully understand. I also draw on Critical Incident Stress Management and Psychological First Aid for cumulative exposure, not just single-incident trauma. Whether it's an officer-involved shooting, years of runs finally catching up with someone, or something from long before the job started, I know how to work with it directly instead of dancing around it.
My style is direct and less formal. I'm not going to make you explain your job to me or treat your coping mechanisms as automatically pathological. I'll call things what they are and won't waste your time with fluff. I work entirely via telehealth — meet with me from home, your vehicle between calls, wherever gives you privacy. If you want a therapist who won't flinch and actually understands the world you operate in, I'd like to work with you.
I have lived a long and colorful life. Like everyone else, I've made good and bad choices and learned from each. I have 22+ years experience in the mental health and substance abuse treatment field. I DO NOT JUDGE, AT ALL, PERIOD. I can be both blunt and gentle as appropriate. My role is to offer another perspective, a way to see life more fully and function better, no more, no less. I don't pretend to have all the answers but only one slice of wisdom. I just share what can help someone. Some people are not yet ready to be helped. Yet for those who are feeling lost on life's journey and are willing to listen and learn, I'm here to assist. My life work can be summed up in three words, "offering people hope. "
"The wound is where the light enters." - Jeladdin Rumi
"A coward dies a thousand deaths, a brave man only once." Martin Luther King Jr.
"Wouldn't take nothin' for my journey now." - Maya Angelou
"The past is gone, and there is left only a blessing." - Kahlil Gibran
"Be true to yourself, and you will be false to no one else." - William Shakespeare
"How very lucky are we, for just a moment to be, part of life's eternal rhyme." Charlotte's Web, movie
"Not all who wander are lost." J.R.R. Tolkien