Lighthouse Counseling ofMedication Management in Fredericksburg, VA
Great to meet you
Lighthouse Counseling of Fredericksburg, PLC is located in Fredericksburg and provides counseling and therapy services to individuals dealing with addiction, mental health concerns, and gender diversity issues. They offer both in-person and telehealth services. The practice specializes in helping clients with substance use disorders through various approaches including harm reduction, abstinence, and medication assisted therapy. They provide Dialectical Behavior Therapy (DBT) for individuals with dysregulated emotions related to Borderline Personality Disorder, dissociative disorder, Bipolar disorder, depression, and trauma. They also serve clients with court-ordered and mandated treatment needs, offering anger management and DOT/SAP assessments and treatment. The practice takes a gender-affirming approach and helps individuals with gender diversity and affectional orientation concerns. All staff have training in evidence-based treatment approaches including DBT, Motivational Enhancement Therapy, Cognitive Behavioral Therapy, and EMDR. The practice supports harm reduction efforts and provides free Narcan, Fentanyl test kits, Xylazine test kits, and medication disposal kits.
Role
Medication Management
Specialties & focus areas
Recovery focus
Co-occurring
Other focus areas
Evidence-based approaches
Anger management
A therapeutic approach included in this provider’s plan of care. Contact for specifics on how it shows up in their work.
Brief intervention
A therapeutic approach included in this provider’s plan of care. Contact for specifics on how it shows up in their work.
Cognitive behavioral therapy
Cognitive Behavioral Therapy. Spots the thought-feeling-action loops that fuel urges, then rewires them with practical skills you take into the moment.
Contingency management/motivational incentives
Contingency Management. Evidence-based reinforcement approach: small, immediate, tangible rewards for verified abstinence and engagement. Strongest evidence base of any non-medication intervention for stimulant + gambling disorder.
Motivational interviewing
Motivational Interviewing. A collaborative conversation that strengthens your own reasons for change rather than arguing you into it.
Matrix model
A therapeutic approach included in this provider’s plan of care. Contact for specifics on how it shows up in their work.
Relapse prevention
Relapse Prevention. Identifies your specific high-risk situations, warning signs, and choice points. Then builds a written, rehearsed plan for each so the moment is not the first time you decide.
Substance use disorder counseling
A therapeutic approach included in this provider’s plan of care. Contact for specifics on how it shows up in their work.
Trauma-related counseling
A therapeutic approach included in this provider’s plan of care. Contact for specifics on how it shows up in their work.
Telemedicine/telehealth therapy
Telehealth Therapy. Real clinical sessions delivered over video. Same evidence base as in-person care for most conditions; meets you where you actually are instead of where the office is.
12-step facilitation
Twelve-Step Facilitation. Helps you engage with mutual-aid fellowships (GA, AA, SMART) as a recovery community rather than a solo grind.
What this facility offers
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