- Therapy and medication under one roof
- Minimal wait times
- Adults, adolescents & children
- In-person & telehealth
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.
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
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
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.
Two offices. Telehealth when it's easier.

Madison
- Address
- 208 Key Drive, Suite C
Madison, MS 39110 - Phone
- 601-775-2144
- Hours
- Mon–Thu 8–5 · Fri 8–12

Starkville
- Address
- 201 Academy Rd., Unit 1
Starkville, MS 39759 - Phone
- 662-366-3221
- Hours
- Mon–Thu 8–5 · Fri 8–12

Telehealth
- Where
- Secure video, wherever you are
- Who
- Nearly every clinician
Clinicians who take the time to know you.









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.
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.

Rosalie Casano, MD
Gracie Smith, PMHNP-BC
Rachael Stout, PMHNP-BC
Danielle Pugh, PMHNP-BC


