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Meet Alicia Spruill  
Master of Social Work,

Licensed Clinical Social Worker

Alicia Spruill, MSW, LCSW is a compassionate therapist at All Points North Counseling Services who offers a supportive, collaborative space for youth and adults navigating anxiety, neurodevelopmental differences, and life transitions.

 

As an African American woman and inclusive clinician, Alicia is committed to providing affirming care for individuals from diverse backgrounds, including members of the LGBTQIA+ community. Alicia's work is grounded in empathy, patience, and respect, with a focus on helping individuals feel understood, supported, and empowered as they build skills aligned with their strengths and goals.

Top Specialties

  • Life Transitions

  • Anxiety

  • Relationship Issues

 

Expertise
Addiction, Anger Management, Behavioral Issues, Coping Skills, Depression, Domestic Violence, Eating Disorders, Family Conflict, Grief, Mood Disorders, Peer Relationships, School Issues, Self-Esteem, Sexual Abuse, Stress, Substance Use, Trauma and PTSD, Women’s Issues

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A Note from Alicia

​How I got here

My path to therapy grew out of a deep respect for the strength people carry through hardship. I’ve walked alongside people facing trauma, grief, anxiety, and life transitions, and I believe healing begins when we feel truly seen and understood.

How I work

I bring a client-centered, trauma-informed approach to each session. While I use evidence-based methods like CBT, CPT, and mindfulness, I also show up as a real person—steady, compassionate, and grounded.

What to expect

No pressure to “perform” and no one-size-fits-all answers. Our work together is a judgment-free space to explore what lies beneath the surface and experiment with new ways of thinking and being. My goal is to help you reconnect with your own strength and move toward a life that feels more aligned and fulfilling.

"You can't stop the waves but you can learn to surf"

Alicia's Path

Tierra Thomas, LPC, is a licensed professional counselor whose path to therapy began with a deep respect for the strength people carry through hardship. She has supported individuals navigating overwhelming experiences, major life changes, and patterns that no longer serve them. Whether in private practice or working alongside community providers, Tierra has walked with people through trauma, grief, anxiety, and depression—always guided by the belief that healing begins when we feel truly seen and understood.

 

Tierra brings a client-centered and trauma-informed approach to therapy, drawing from Cognitive Behavioral Therapy (CBT), Cognitive Processing Therapy (CPT), and mindfulness practices. These approaches provide structure and practical tools when needed, but Tierra also shows up as a real person in the room—steady, compassionate, and grounded. Each session is shaped by the client’s pace, words, and goals, whether untangling the weight of the past or making sense of the present.

Therapeutic Style

Sessions with Alicia are collaborative, supportive, and grounded in respect, offering a space where you can explore challenges, build skills, and move at a pace that feels right for you.

Clinical Philosophy

For Tierra, therapy is not just about symptom relief—it’s about reconnecting with one’s own strength and building a life that feels aligned and fulfilling. By blending evidence-based methods with authentic human connection, she helps clients cultivate resilience, clarity, and meaningful growth that lasts.

Areas of Focus

Trauma & Grief | Anxiety & Depression | Cognitive Behavioral Therapy | Cognitive Processing Therapy | Mindfulness | Stress & Overwhelm | Life Transitions | Resilience Building | Personal Growth

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MONDAY - THURSDAY

 08:30 - 20:00 

FRIDAY - BY APPOINTMENT-

SATURDAY & SUNDAY

10:00 - 12:00

Our new address is:

1005 Sophia Street, Suite 200

Fredericksburg, VA  22401 

ClientCare@APNCounseling.com

540-445-1803

Fax - 540-318-1483

© 2025 ALL POINTS NORTH COUNSELING SERVICES

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