
You don't have to go through this alone.
Whatever you're going through (anxiety, depression, trauma, substance use, or something you can't quite name yet), our team is here. No judgment. Just help.
Telehealth appointments available for new & existing clients
Healing starts here
We offer a full range of behavioral health services, from talk therapy and trauma work to medication management and DUI education. Whatever brought you here, there's a path forward.
Mental Health Therapy
Individual, couples, and family therapy for anxiety, depression, trauma, grief, and more.
Learn more about Mental Health TherapyMarriage & Couples Counseling
Couples and marriage counseling for communication, conflict, trust, and life transitions.
Learn more about Marriage & Couples CounselingTargeted Case Management
Connecting you to medical, social, and educational resources in your community.
Learn more about Targeted Case ManagementSubstance Abuse Counseling
Individual and group counseling to help you take back control of your life.
Learn more about Substance Abuse CounselingDUI Education
State-approved DUI classes with flexible scheduling that works around your life.
Learn more about DUI EducationMedication Management
On-site psychiatric evaluations and medication management.
Provided by Endeavor Health
Learn more about Medication ManagementSchool-Based Services
Meeting kids where they are: therapy and support across 12 Madison County schools.
Learn more about School-Based ServicesBehavioral Health Services in Richmond, KY
G&A Counseling is a locally owned behavioral health practice in Richmond, KY, serving children, teens, adults, and families across Madison County. Since 2017 we have offered a full range of behavioral health care under one roof, in office, in home, in school, and online, so you can find the right support without being passed from clinic to clinic.
Our services include mental health therapy, marriage and couples counseling, substance abuse counseling, targeted case management, medication management, school-based services, and telehealth across Kentucky. We accept all Kentucky Medicaid plans and most major insurance, and most Medicaid members have no out-of-pocket cost.
We treat people, not diagnoses.
G&A Counseling is a locally-owned practice in Richmond, Kentucky, founded on a simple belief: everyone deserves access to compassionate, quality mental health care. We're not a corporate clinic. We're your neighbors: therapists, case managers, and support staff who genuinely care about this community.
- Warm, judgment-free environment for every client
- Licensed therapists specializing in trauma, anxiety, and more
- Flexible scheduling including telehealth options
- Serving Madison County families since 2017

Real stories from real people
“I am a Veteran and had been through several companies before G&A. Bad experiences all around until I landed here. G&A has given me and my family the support we truly needed.”
Joe A.
“My experience with G&A Counseling has been nothing short of life changing. Not only have I received compassion and understanding, but real tools to help me navigate my journey.”
Lucy S.
“The staff at G&A truly care about their clients. Every visit I feel heard, supported, and encouraged. I highly recommend them to anyone looking for real help!”
Ammie F.
“Excellent counseling services. Really helped me learn to cope with recent PTSD and ADHD diagnosis. Love them!”
Kimberly L.
People who care about people

Toni Gaines, LPCC-S
“I believe in an empathetic, self-empowering approach to therapy which will provide the client with sufficient education and resources necessary to live a more satisfying life.”
Licensed Professional Clinical Counselor (LPCC) • Certified Accelerated Resolution Therapist (ART) • Richmond, KY native
Meet the full teamThree simple steps
Reach Out
Call, book online, or submit a referral
Get Matched
We'll connect you with the right provider
Start Healing
In-person, telehealth, or school-based
The hardest step is the first one.
We'll walk with you.
Whether it's your first time seeking help or you're looking for a new provider, we make it easy to get started.
