Mental Health Services in Lexington, VA
Rockbridge Area Community Services provides mental health care in Lexington, VA across Rockbridge County, Buena Vista, and Bath County. Call (540) 463-3141 today to speak with a licensed professional.
Rockbridge Area Community Services has been the region's primary behavioral health provider since 1982. As a Virginia Community Services Board (CSB), it delivers Mental Health Services in Lexington, VA for depression, anxiety, trauma, bipolar disorder, and co-occurring conditions.
Mental Health Service Lines Available at RACS
RACS offers behavioral health care across the Shenandoah Valley. Core service lines include:
- Outpatient therapy: individual and group counseling for anxiety, depression, trauma, grief, and relationship challenges.
- Psychiatric evaluation and medication management: licensed psychiatrists assess needs, prescribe, and monitor treatment.
- 24/7 crisis intervention: a licensed clinician available to assess risk and coordinate follow-up care.
- Adult and child case management: case managers connect clients with housing, medical care, employment, and community supports for independent living.
- Psychosocial rehabilitation (PSR): structured activities and coaching help clients rebuild daily life skills and confidence.
- Therapeutic day treatment and intensive care coordination: school-based clinicians serve children and adolescents with families and teachers.
Services are for ages three and older. Learn more on our services page.
Does RACS Accept Medicaid for Mental Health Services?
Yes. RACS accepts Medicaid, Medicare, and most private insurance for covered care. For those without coverage, a sliding fee scale based on ability to pay keeps cost from being a barrier. Bring your insurance or Medicaid card, photo ID, current medications, and proof of income to your first appointment. View payment details on the
fee schedule page.
How to Get Started at RACS
Getting started follows these steps:
- Call (540) 463-3141 or visit the appointment request page to request an intake.
- A clinician reviews your history, concerns, and goals at the initial assessment.
- Your care team develops a personalized plan — therapy, psychiatric support, or case management.
- Services begin and adapt as your needs change.
- After hours, call the 24-hour crisis line at
1-855-222-2046.
Frequently Asked Questions
Who Qualifies for Care at RACS?
RACS serves children, adolescents, adults, and families facing emotional and behavioral challenges, from short-term stress to serious mental illness. No residency restrictions apply to an intake assessment.
What Conditions Does RACS Treat?
RACS treats depression, anxiety, trauma, grief, relationship problems, bipolar disorder, schizophrenia, and co-occurring mental health and substance use disorders. Clinicians provide assessment, diagnosis, counseling, psychiatry, and case management.
Are Crisis Services Available After Hours?
Yes. Emergency behavioral health services are available 24/7. In a crisis, call 1-855-222-2046to reach a licensed clinician anytime.
Does RACS Offer Care for Children?
Yes. RACS provides age-appropriate services for children three and older, including school-based therapy, case management, therapeutic day treatment, and crisis therapy.
Start Your Path to Wellness in Lexington, VA
RACS serves Lexington, Buena Vista, Rockbridge County, and Bath County with trusted behavioral health care. Licensed professionals are ready to help. Call (540) 463-3141 or request an appointment online to begin.
