Meredith Migliaccio

Meet Meredith.

In-Person and Virtual Counseling for Adults and Teens Navigating Anxiety, Stress, and Life Transitions in Fredericksburg and Throughout Virginia

I’m Meredith Migliaccio, a Supervisee in Clinical Social Work, and I provide in-person and online therapy for adults and teens (ages 16 and up) who are working through stress, anxiety, depression, relationship challenges, and major life transitions.

Life can feel overwhelming sometimes—whether you’re juggling responsibilities, facing a big change, or just trying to keep your anxiety from taking over. My goal is to help you find calm, clarity, and confidence again.

I believe therapy works best when it feels like a genuine conversation. You don’t have to show up perfect—you just have to show up. Together, we’ll unpack what’s been weighing you down, build on your strengths, and create a path toward the balance and peace you’ve been missing.

who I Help

I work with:

• Adults managing stress, burnout, or feeling disconnected from themselves or their goals.

• Teens and young adults navigating anxiety, perfectionism, self-esteem issues, or academic pressure.

• Individuals facing big transitions—career shifts, loss, or relationship changes—who want to feel grounded again.

My hope is that each session helps you feel more centered, capable, and confident in your next steps.

Background & Approach

I earned my Bachelor’s degree in Sociology from the University of Mary Washington and my Master’s in Social Work from Virginia Commonwealth University. My approach blends Cognitive Behavioral Therapy (CBT), mindfulness, and trauma-informed care to help you understand how thoughts and emotions interact and how to create lasting, positive change.

I focus on empowerment, resilience, and self-discovery. Whether we meet in person or online, my goal is to create a supportive, collaborative space where you can explore challenges, learn new coping tools, and reconnect with your sense of balance and purpose.

If you’re ready to make some changes or just need a space to talk things through, I’m here and looking forward to supporting you on your journey. 

connect with me

I offer in-person therapy in Fredericksburg, Virginia, and online counseling for clients across the state under the supervision of licensed clinical social workers at Thrive Counseling for Healing and Connection.

If you’re ready to make meaningful changes—or simply need a safe space to talk things through—I’d be honored to walk beside you on your journey toward growth and peace.