Are you tired of trying to handle the stresses of life alone? Do you feel like there is something holding you back from reaching your full potential? We believe that everyone can benefit from counseling with a skilled and caring professional. We want to help you make meaningful and extraordinary advances in your life, career, relationships, and happiness.

We offer individual and family therapy to various populations, including adults, teens, children, families, and couples. Our experienced counselors are here to help.

We are currently offering face-to-face sessions as well as telehealth sessions as long as insurance allows! We are here to walk alongside you through life's challenges.

We accept Medicaid as well as most private insurance. We also have self-pay options at each of our office locations. We have offices in Forest, Roanoke, Harrisonburg, and Fairfax, and provide telehealth services to residents of Virginia. Request an appointment today.

Our Services

Management Staff

Travis Butner

**Director of Behavioral Health**
Travis is a Licensed Professional Counselor (LPC) and Certified Substance Abuse Counselor (CSAC). He received his B.A. in Psychology from Southwest Baptist University in 2004 and his M.A. in Professional Counseling from Liberty University in 2013. Travis has been working in the mental health field since 2004, first serving within various leadership roles at a residential treatment center in Texas and then working for a privately owned mental health organization in Virginia. Travis enjoys working with both children and adults, but specifically has a passion for those who have substance-related disorders. In his free time, Travis enjoys spending time with his family, cheering for the Kansas City Chiefs, working out, doing projects around the home, and traveling whenever possible.

Christina Hayes

**Outpatient Director**
Christina is a Licensed Professional Counselor and has been in the mental health field since 2008. She has experience with clients from ages three to eighty-three. She has extensive experience working with victims of domestic violence, trauma, anxiety, and depression and is certified in EMDR. Her passion is providing outpatient counseling and supervising resident counselors. In her free time, she enjoys traveling, sitting by the pool, and spending time with her children and friends.

Amy Parsons

**Problematic Sexual Behavior Program Director**
Amy is a Licensed Clinical Social Worker (LCSW) and Certified Sexual Offender Treatment Provider (CSOTP) with ten years of experience providing therapy to children, adolescents, and adults. She earned a Bachelor's of Social Work from Ferrum College and a Master's of Social Work from the University of South Carolina. Amy enjoys working with at-risk youth with complex trauma, including those in foster care or involved with the criminal justice system. She has extensive training in serving children and adolescents with sexual behavior problems. Amy is certified in TF-CBT and trained in EMDR.

Rusty Bays

**Director of Community Counseling**
Rusty is a Licensed Professional Counseling (LPC) with over 10 years experience working in the mental health field. He received his B.A. in Interpersonal Communications and Religious Studies from James Madison University in 2011 and his M.A. in Professional Counseling from Liberty University in 2014. Rusty has worked in the mental health field in a variety of programs including a college-age mentoring program, waiver-based daily life support for the intellectually disabled population, providing direct care and therapeutic counseling services within a hospital psychiatric setting, and community based counseling services for adults and youth. Rusty enjoys spending time with his family, rooting for West Virginia University sports, and listening to a variety of podcasts and audiobooks.

Bethany Steele

**Regional -** **Lynchburg Outpatient Coordinator**
Bethany is a Licensed Professional Counselor and obtained her Bachelor’s degree in Psychology from Grand Canyon University. She holds a Master’s degree in Clinical Mental Health Counseling from Liberty University. Since 2018, Bethany has been working with children and young adults through trauma, attachment issues, ADHD, Autism, traumatic brain injury, anxiety, and depression. Bethany believes strongly in a collaborative approach to healing and strives to create a safe environment in therapy where individuals feel accepted, valued, and empowered toward change and growth.
She is also trained in EMDR (Eye Movement Desensitization and Reprocessing).

Al Friedman

**Regional- Fairfax & Harrisonburg Outpatient Coordinator**
Al is a Licensed Clinical Social Worker who obtained his Bachelor’s degree in Psychology from the University of Maryland and a Master’s degree in Social Work from the University of Maryland at Baltimore. Since 1986, Al has been working with children, teenagers, and adults with depression, anxiety, trauma, family and relationship challenges, as well as adults with serious mental illness. He has worked in foster care, hospital, outpatient, and community-based settings. Al is an active therapist who combines his experience, education, and sense of humor with a humane, down-to-earth approach to counseling.

Amanda Johnston

**School Based Outpatient Coordinator** Amanda is a Licensed Professional Counselor who earned her BA in Psychology at University of Virginia and her M.Ed. in Clinical Mental Health Counseling at University of Lynchburg. During her career, she has provided an array of services in the home, school, and community settings to adults and children. She believes strongly in holistic care which is rooted in research and individualized for each person. In her counseling practice, she specializes in working with individuals who have experienced trauma and perinatal mental health. Amanda is certified in Trauma-Focused Cognitive Behavioral Therapy and Trauma Center Trauma-Sensitive Yoga, both of which are evidence-based practices for PTSD.
She is also trained in EMDR (Eye Movement Desensitization and Reprocessing).

Erica Cotton

**Community Counseling Coordinator** Erica is a Licensed Professional Counselor in the state of Virginia. She holds a B.A. in Psychology and M.A in Clinical Mental Health from Liberty University. Since 2014, Erica has worked in various settings in the field including emergency services, therapeutic foster care, intensive services, and outpatient services. Erica enjoys working with adolescents and adults and has experience with clients who have experienced trauma, anxiety, and depression. She speaks Spanish fluently and is always excited to help those in the Hispanic community.

Ryan Flack

**Regional - Roanoke & Bedford Outpatient Coordinator**
Ryan holds an M.A. in Professional Counseling and is an LMHP-R in Virginia. He has worked in Psychosocial Rehabilitation, Mental Health Skill-Building, Crisis Stabilization, and Outpatient Therapy. Ryan primarily works with depression/anxiety issues, relationship distress, complex and acute trauma, attention deficit, addictions, and self-esteem.

Ciera Taylor

**Regional - Virginia Beach Outpatient Coordinator**
Ciera obtained her Bachelor of Science in Sociology and Criminal Justice at Old Dominion University and her Master of Arts in Professional Counseling from Liberty University. She specializes in CBT, Interpersonal Relationship Troubles, Parenting Coaching, Adjustment Disorder, Anxiety Disorders, ADHD, Conduct Disorder, Oppositional Defiant Disorder, Depression, Occupational Problems. Ciera has provided services in community settings, including intensive in-home, parenting coaching, mental health skill building services, intensive outpatient services, and outpatient counseling. In her free time, she enjoys roller skating, singing, dancing, and coaching cheerleaders. She believes that every individual is capable of working through difficult life experiences and improving their wellness with the appropriate support and resources.

Request an appointment

Impact Living Services (ILS) was created by a team of professionals that had the audacious goal of changing outcomes in foster care and families. The status quo was simply unacceptable. Impact Living Services operates under the principle that no one is transformed by services alone but rather by outcome-based services in the context of meaningful engaged and purposeful relationships.

ILS is comprised of a talented team of committed and empathetic staff. ILS employees have extensive experience in operating residential facilities, case management, in-home counseling, directing independent living arrangements and licensed child-placing agencies, and serving as foster and adoptive families. ILS aids youth and families in reaching their potential socially, academically, and vocationally through creating relationships, creating community, and creating permanency.