Roanoke Office

3959 Electric Road
Suite 210
Roanoke, VA 24018
Call (540) 206-2385
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Meet Our Team

Dr. G. Todd Vance

Dr. G. Todd Vance is the founder of Breakforth Counseling and Consulting. He a Licensed Clinical Psychologist in Virginia. His goal is to help each of his clients live their fullest, most productive lives. Dr. Vance specializes in the treatment of chronic depression, anxiety, PTSD, and related disorders. He also offers career coaching, couples counseling, performance mastery coaching, and enjoys helping other therapists overcome obstacles in their practices.

Education and Credentials

PhD, Clinical Psychology, Virginia Commonwealth University
Licensed Clinical Psychologist, Commonwealth of Virginia

Academic Affiliations

Adjunct Professor, Liberty University (2009-present)
Assistant Clinical Professor, University of Virginia (2008-2013)

Select Publications

Vance, G.T. (2013) Fearfully and Wonderfully Made: Is There a God Gene? Christian Counseling Today, Vol 20 No 3.
Favorite, T., Vance, T. (2013). Psychosocial intervention for co-existing MDD and PTSD. In Schopf, D. (eds), Psychiatric Disorders - New Frontiers in Affective Disorders, Intech Europe: CR /title/psychosocial-intervention-for-co-existing-mdd-and-ptsd

Vance,, T., Maes, H., Kendler, K.S. (2010) Genetic and environmental influences on multiple dimensions of religiosity: A twin study. Journal of Nervous and Mental Diseases, 198(10), 755-761.

Amy Thomason

Amy Thomason is a Licensed Clinical Social Worker who works with children, adolescents, adults, and families. Amy has experience treating depression, anxiety, bipolar disorder, post-traumatic stress disorder, ADHD, autism spectrum, oppositional defiant, and conduct disorders. Amy also assists with grief and loss issues, as well as family separation and divorce. Methods used include cognitive behavioral therapy, motivational interviewing, and play therapy. Amy uses a person-centered approach to help her clients reach their goals. Her office hours include evening and weekend options.


Dr. Susan S. Mathews-Duvall

Dr. Susan S. Mathews-Duvall is a Licensed Clinical Psychologist. She has experience working with adolescents, adults, and couples. Her goal is to offer support, guidance, and tools to help her clients successfully navigate life transitions. Dr. Mathews-Duvall prioritizes forming collaborative therapeutic relationships in which clients feel respected, secure, and open to new perspectives. Dr. Mathews-Duvall specializes in providing affirming therapy for lesbian, gay, bisexual, and transgender people, as well as treatment for anxiety, depression, grief, unresolved emotional pain, and relationship problems.
Dr. Mathews-Duvall utilizes a variety of therapeutic approaches, including emotion-focused and cognitive-behavioral therapies, career counseling, mindfulness, and hypnotherapy to help clients gain insight, pursue meaningful life goals, explore and express their feelings, heal from traumatic experiences, and regain emotional and life balance. Therapy may also assist clients with improving communication and coping skills, building self-esteem, and increasing relationship satisfaction. Evening office hours available.

Education and Credentials:

PhD, Counseling Psychology, The University of Memphis
Licensed Clinical Psychologist, Commonwealth of Virginia
Licensed Psychologist, Commonwealth of Kentucky

Dr. Dane Hilton

Dr. Dane Hilton is a Licensed Clinical Psychologist. He specializes in the assessment and treatment of attention-deficit/hyperactivity disorder (ADHD) and other disruptive behavior disorders in children and adolescents. He enjoys working collaboratively with families to decrease disruptive behavior patterns, improve relationships with their children, and create a positive home environment. Dr. Hilton also works with children, adolescents, and adults who are struggling with anxiety to help them overcome worries and fears and live a more fulfilled life. Afternoon and evening hours available.


PhD, Clinical Psychology, The University of Alabama

Licensed Clinical Psychologist, Commonwealth of Virginia

Academic Affiliations:

Assistant Professor, Roanoke College (2018 – present)

Select Publications

HiltonD. C., Jarrett, M. A., McDonald, K. L., & Ollendick, T. H. (2017). Attention problems as a mediator of the relation between executive function and social problems in a child and adolescent outpatient sample. Journal of Abnormal Child Psychology, 45, 777-788. doi: 10.1007/s10802-016-0200-6

Jarrett, M. A. & Hilton, D. C. (2017). Cognitive functions. In J. E. Lochman & W. A. Matthys (Eds.), The Wiley Handbook of Disruptive and Impulse-Control Disorders (pp. 159-174). New Jersey: Wiley.

Jarrett, M. A., & Hilton, D. C. (2016). Attention-deficit/hyperactivity disorder (ADHD) and anxiety comorbidity: Implications for clinical practice.  National Academy of Neuropsychology Bulletin.

Breakforth Coaching

Since 2002 Dr. Vance has helped hundreds of clients reach their maximum potential. Breakforth Coaching offers proven methods that will help take you to the next level. From our signature Career Coaching services, to getting a better night's sleep, to finishing a decluttering and tidying project, whatever your goals are, Breakforth can help take you there!

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