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Trauma-Informed Care You Can Trust

Since [founding year], T.H. & Associates has provided compassionate therapy and professional court evaluations across Virginia and DC.

About Dr. Tierra Hereford & T.H. & Associates

T.H. & Associates was founded by Dr. Tierra Hereford to provide accessible, trauma-informed mental health care and forensic evaluation services to underserved communities across Virginia.

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Dr. Hereford earned her BSW from the University of Kentucky, MSW from the University of Louisville, and DSW from Simmons University. With experience in child welfare, military behavioral health, substance use treatment, and private practice, she brings a deep understanding of how mental health and the justice system intersect.

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After years serving military families, rural communities, and justice-involved populations, Dr. Hereford saw a critical need for culturally competent, clinically skilled evaluators—and created T.H. & Associates to meet it.

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Today, the practice offers therapy for individuals, couples, and families through telehealth and in-person sessions in Alexandria, along with court-ordered evaluations delivered with professionalism and timely results.

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Mission Statement

We exist to provide trauma-informed, culturally competent mental health services and forensic evaluations that honor the dignity and complexity of every client we serve. Whether you're seeking therapy to heal from past wounds or need a court evaluation to move forward, we're here to support you with professionalism, compassion, and expertise.

Our Values

Trauma-Informed

We understand that healing requires safety, trust, and empowerment

Culturally Competent:

We honor diverse backgrounds, identities, and lived experiences

Accessible

We offer telehealth statewide, flexible payment plans, and no waiting lists

Professional Excellence

Our team holds advanced degrees and specialized certifications

Community-Focused:

We serve rural, underserved, and marginalized communities often overlooked by traditional mental health systems

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What We Offer

Therapy Services

Trauma, anxiety, depression, attachment, relationship challenges, grief, life transitions, LGBTQ+ affirming care, couples therapy, sex education and wellness.

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Court Evaluation Services

DUI/DWI evaluations, substance use assessments (ASAM criteria), anger management evaluations, domestic violence assessments, return-to-work evaluations. Court-approved credentials accepted by Virginia and DC courts.

Insurance & Payment

We accept:

  • Aetna

  • Anthem

  • Blue Cross Blue Shield (BCBS)

  • CareFirst

  • Sentara

  • Cigna/Evernorth

  • United Healthcare

  • Curative

We also offer:

  • Private pay options

  • Flexible payment plans

  • Superbills for out-of-network reimbursement

Not sure if we accept your insurance?

Call us at (540) 358-0423 and we'll verify your coverage.

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Ready to Get Started?

Our therapists are here to support you. Book your consultation today.

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