Madison · 208 Key Drive, Suite C  |  Starkville · 201 Academy Rd., Unit 1  |  Mon–Thu 8–5 · Fri 8–12In crisis? Call or text 988 · Emergencies 911
Counseling

Life comes with challenges. You don't have to face them alone.

Individual therapy for adults, adolescents and children, tailored to your experience and goals, with minimal wait times.

Psychiatric medication management

Medication care, connected to your therapy.

Rosalie Casano, MD
Gracie Smith, PMHNP-BC
Rachael Stout, PMHNP-BC
Danielle Pugh, PMHNP-BC
Madison
Starkville
Two locations · plus telehealth

Madison and Starkville. Close to home.

Therapy and medication management in both offices, or by secure video from wherever you are.

  • Therapy and medication under one roof
  • Minimal wait times
  • Adults, adolescents & children
  • In-person & telehealth
How we help

Two kinds of care, one team working together.

Vitality Counseling is a full-service behavioral health clinic. Your therapist and your medication provider work under the same roof, so your care stays connected.

Therapy

Counseling for every stage of life

Individual therapy for adults, adolescents and children. Your therapist works with you to find the approach that fits your experience and your goals.

  • Anxiety & depression
  • Trauma & PTSD
  • Grief & loss
  • Substance use & recovery
  • Family & relationships
  • Child & play therapy
Therapy services →   Meet our therapists →
Psychiatric care

Medication management

Evaluation, prescribing and ongoing follow-up with a psychiatrist and board-certified psychiatric nurse practitioners.

  • ADHD
  • Anxiety & depression
  • Bipolar disorder
  • OCD
  • PTSD
  • Life stressors
Medication management →   Meet our prescribers →
Already a medication patient? Refills need an active follow-up appointment. Check with your pharmacy first, then send routine requests to care@vitalitycounsel.com. Refill policy
What we treat

Evidence-based care for what you're carrying.

Our clinicians treat a wide range of concerns. Choose one to learn how we help and who specializes in it.

Adults

Therapy and medication support for anxiety, depression, trauma, substance use and the stress of everyday life.

Adolescents

A place for teens to be heard, with clinicians experienced in school, family and identity concerns.

Children

Play therapy, behavioral support and ADHD care, with parents included in the plan.

Locations

Two offices. Telehealth when it's easier.

The Vitality Counseling team outside the Madison office

Madison

Address
208 Key Drive, Suite C
Madison, MS 39110
Phone
601-775-2144
Hours
Mon–Thu 8–5 · Fri 8–12
Therapy and medication management with 7 clinicians.
The Vitality Counseling Starkville office on Academy Road

Starkville

Address
201 Academy Rd., Unit 1
Starkville, MS 39759
Phone
662-366-3221
Hours
Mon–Thu 8–5 · Fri 8–12
Therapy and medication management with 7 clinicians.
A Vitality clinician in a telehealth video session with a client on a laptop

Telehealth

Where
Secure video, wherever you are
Who
Nearly every clinician
The same care as an office visit, without the drive.
Getting started

Three steps to your first visit.

Schedule an appointment

Book online or call the Madison or Starkville office. Choose in-person or telehealth.

Complete your paperwork

We'll send your intake forms ahead of time so your first visit can focus on you.

Meet your clinician

Talk through what brought you in and build a plan together, at your pace.

Questions

Answers before you book.

Still wondering about something? Call either office and we'll walk you through it.

All questions →
How can therapy help me?

Therapists provide support, problem-solving skills and better coping strategies for depression, anxiety, relationship troubles, unresolved childhood issues, grief and stress. At Vitality we specialize in evidence-based treatment for depression, anxiety and substance use.

Does Vitality Counseling offer medication management?

Yes. A psychiatrist and board-certified psychiatric nurse practitioners provide evaluation, prescribing and follow-up in both offices, coordinated with your therapy.

Is therapy confidential?

Yes. What you share stays between you and your clinician, with the limited exceptions required by law. Your clinician will explain these at your first session.

What can I expect in my first session?

Your clinician will get to know you, what brought you in and what you'd like to change, then build a plan with you.

Do you see children and teens?

Yes. We care for adults, adolescents and children, including play therapy and ADHD care.

Ready when you are.

Book online in a few minutes, or call and we'll find a time that works, often within days.