Therapy and coaching for young adults and families.

Valiance specializes in helping young adults navigate anxiety, avoidance, and the pressure to launch into adulthood. We work with individuals and families to build a clear path forward.

Person sitting at a counter with papers and laptop, using a smartphone, surrounded by wireframe chairs.

Stuck doesn't have to be the story.

It's rarely one thing. For most young adults, it's a combination — and it builds quietly until it isn't quiet anymore.

Anxiety & avoidance

The longer they wait, the harder it gets. Avoidance feels like relief until it becomes the whole pattern.

ADHD & executive functioning

Starting tasks, managing time, following through. The gap between knowing what to do and actually doing it.

Substance use

Used to take the edge off, avoid discomfort, or fill the gap. Over time, it becomes part of the problem.

Depression & withdrawal

Less like sadness, more like flatness. The things that used to matter, don't.

Lack of direction

No structure, no clear next step, no momentum. The launch that hasn't happened yet.

Family tension

When one person is stuck, everyone feels it. Patterns build, frustration rises, and communication breaks down.

Anxiety & avoidance

The longer they wait, the harder it gets. Avoidance feels like relief until it becomes the whole pattern.

ADHD & executive functioning

Starting tasks, managing time, following through. The gap between knowing what to do and actually doing it.

Substance use

Used to take the edge off, avoid discomfort, or fill the gap. Over time, it becomes part of the problem.

Depression & withdrawal

Less like sadness, more like flatness. The things that used to matter, don't.

Lack of direction

No structure, no clear next step, no momentum. The launch that hasn't happened yet.

Family tension

When one person is stuck, everyone feels it. Patterns build, frustration rises, and communication breaks down.

A clear plan. Not just a conversation.

Support is tailored to the individual, but always grounded in a clear plan. Here’s what that can look like at Valiance.

Book a free intro call

Individual therapy

One-on-one work that goes beyond talk. We focus on real behavioral change, with tools you can actually use in daily life.

Get started today

Executive functioning coaching

Evidence-based approaches that reduce avoidance and build the capacity to engage with life again.

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Family therapy

Whole family support to address underlying dynamics and shift patterns of communication and connection.

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Parent coaching

The right support at home changes everything. We help you support your child more effectively, without the constant friction.

Get started today
Man with closed eyes and head bowed, multiple blurred ghost images around him on a brown background.

A whole-family approach to moving forward.

When a young adult is struggling, the whole family feels it. At Valiance, family is not an afterthought. Parent coaching and family work are built into the process, because meaningful change doesn’t happen in isolation.

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A team built to deliver exceptional care.

Every clinician at Valiance meets a high standard of training, professionalism, and care.

Justin Carotti

Founder

T.J. Debicella

Senior therapist

Corinne "Cori" Ouellette

Licensed therapist

Alexa Pelletier

Provisionally licensed therapist

Evan Miller

Graduate level therapist

Matt Rieger

Mental performance consultant

Brendan Holland

Licensed counselor associate

Kylie Bray

Clinical administrator
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From the families we've worked with.

Here’s what families had to say about their experience at Valiance.

"Everything was broken down into small steps to keep it from getting overwhelming, which led to great improvements over the long term. Overall, working with Justin was a pleasure."

Client
Individual therapy

"It has been amazing to see our son’s transformation into a more confident young adult, in contrast from someone who was once so afraid of the world around him."

Parent
Individual therapy

"My time spent with Justin was invaluable, really. He helped me navigate several challenging parts of life at once, without ever making me feel overwhelmed or uncomfortable."

Client
Individual therapy
A smiling family of three sitting close on a gray sofa in a bright living room.

Here's how it works:

Getting started is simpler than you think — and you don't have to have it all figured out before you reach out.

01

Free 30-minute consultation

No commitment. Just a conversation to understand where you are and whether we're the right fit.

02

Get matched

We take your goals and preferences into account when guiding you to the right fit.

03

Begin the work

Sessions are structured, goal-oriented, and built around real progress.

The right support changes everything.

A free 30-minute consultation. No commitment, no pressure. Just a real conversation about whether Valiance is the right fit for you.