Services Provided

Monarch 21 PPG LAB
Abel Assessment
Test Site

Psychosexual Evaluation

The evaluation process establishes a foundation to develop a treatment plan and appropriate treatment goals. We utilize a comprehensive approach to risk assessment and evaluation. Our approach is grounded in the latest research as well as legal and ethical standards. We have the ability to incorporate specialized testing instruments such as the Monarch 21 Penile Plethysmograph, The Abel Assessment of Sexual Interest, and polygraph evaluations. The service is intended  for individuals that may be required to participate in a psychosexual evaluation due to legal problems or other life circumstances. Others may be concerned about sexual thoughts and behaviors that are creating difficulties in their lives and may be escalating to the degree of causing irreversible life consequences. We are here to help! If you are interested in more information regarding consultation please click here for referral instructions.

Treatment for Sexually Addictive Behaviors

Some people use sex to medicate their feelings and/or cope with stress much in the same way as others would use alcohol or drugs. Lack of sexual self-control can manifest in the form of excessive use of porn sites, phone sex, sexting, sexual related chat, and strip bars; it can lead to multiple infidelities, risky sexual behavior, bankruptcy, harm to those in your life, self-harm, or the loss of a job due to out of control behaviors. Rooted in factors such as shame and low self-esteem, there is little satisfaction gained from the sexual activities and rarely an interest in intimacy or emotional connection. Treatment allows individuals to address the lack of sexual self-control where their behavior is interfering with their relationship, job, and reputation. Treatment involves teaching relapse prevention methods, increasing motivation to change, addressing underlying issues such as cognitive distortions (the need for immediate gratification, deviant sexual fantasizing) and developing healthy emotional and sexual intimacy. If you or a loved one is struggling with a sexual addiction and would be interested in more information regarding a consultation or treatment. Click here for referral instructions.

Pornography Time Statistics

Children Internet Pornography Statistics

Average age of first Internet exposure to pornography

11 years old

Largest consumer of Internet pornography

35 - 49 age group

15-17 year olds having multiple hard-core exposures


8-16 year olds having viewed porn online

90% (most while doing homework)

7-17 year olds who would freely give out home address


7-17 year olds who would freely give out email address


Children's character names linked to thousands of porn links

26% (Including Pokemon & Action Man)

Adult Internet Pornography Statistics

Men admitting to accessing pornography at work


US adults who regularly visit Internet pornography websites

40 million

Christians who said pornography is a major problem in the home


Adults admitting to Internet sexual addiction


Breakdown of male/female visitors to pornography sites

72% male - 28% female

Women and Pornography

Women keeping their cyber activities secret


Women struggling with pornography addiction


Ratio of women to men favoring chat rooms


Percentage of visitors to adult websites who are women

1 in 3 visitors

Women accessing adult websites each month

9.4 million

Women admitting to accessing pornography at work


Women, far more than men, are likely to act out their behaviors in real life, such as having multiple partners, casual sex, or affairs.

Click here for referral instructions.

Court Mandated Evaluation and Treatment Services for Adults and Adolescents

Individuals that have been charged or convicted of a sexually related offense are often encouraged or required to comply with a psychosexual risk assessment and/or sex offense specific treatment. The evaluation and psychosexual risk assessment process is based on extensive research and a best practices standard protocol designed to assess the individuals static risk factors, dynamic risk factors, sexually deviant thoughts/behaviors, deviant sexual interests, and deviant sexual arousal. Treatment is provided in an individual or group format as clinically indicated. The goal of treatment is to ensure public safety, reduce the risk factors associated with recidivism, educate the client regarding the pathways of committing a sexual offense, enhancing the individual’s motivation and commitment to change, challenging cognitive distortions, encouraging accountability, developing and enhancing empathy, addressing underlying factors that may contribute to offending such as mental health issues and unresolved trauma. Interested in more information regarding a consultation or treatment? Click here for referral instructions.

The Domestic Violence alternatives Program (DVAP)

The Domestic Violence Alternatives Program (DVAP) is a Virginia Certified Batterer Intervention Program. DVAP is a specialized program that provides treatment ot individuals that utilize emotional or physical violence in their relationships. Visit for more information. If you are interested in more information regarding a consultation or treatment click here for referral instructions.

Substance Abuse Treatment Program (SATP)

Certified Substance Abuse Counselor on staff to provide substance abuse assessment and treatment. Individual and group treatment programs are available. For information regarding a consultation or treatment click here for referral instructions.

Mental Health Evaluation and Treatment

Our caring professionals are available to assess and treat a wide range of mental health diagnosis. Our treatment professionals specialize in the treatment of mood disorders (depression and Bipolar Disorder), Anxiety Disorders, Panic Disorder, PTSD, and adolescent behavioral issues. For information regarding a consultation or treatment click here for referral instructions.

Treatment Program for Adolescents

For information regarding a consultation or treatment click here for referral instructions.

Polygraph - Risk Management of Virginia

Polygraph Examiner – Jeffrey A. McCorkindale

Occupation: Engaged in the field of Detection of Deception to determine the truthfulness of individuals involved in Criminal, Civil, and Domestic matters.

Training: Involved in insurance and commercial investigation from 1960 to 1989, specializing in theft, fraud and embezzlement cases as a professional investigator. Educated at Roanoke College Institute of Applied Sciences, and Backster School of Lie Detection in New York, NY, in licensed since 1973 in the Commonwealth of Virginia through the Department of Professional and Occupational Regulation. Served as auxiliary officer with the Roanoke City Police Department for 21 years, retiring in 1985 with the rank of lieutenant. Attended and completed numerous polygraph seminars in professional education through the American Polygraph Association and the Virginia Polygraph Association. Also completed the certification requirements for Forensic Polygraph Examiner at the Argenbright International Institute of Polygraph, Atlanta, GA for the Polygraph Monitoring of Sex Offenders. Also was involved as an instructor for Mr. William Franklin in the Virginia School of Polygraph in teaching in the course required by the Commonwealth of Virginia for Examiners involved in the monitoring of sex offenders in Virginia. In 2008 was one of the authors of the book "Sex-Offender Therapy," published by The Hawthorn Press, Taylor & Francis Groups.

Testimony Given as a Polygraph Examiner: In Courts of Record in City of Roanoke, City of Lynchburg, Roanoke County and Bedford County.

Representative Clients: Woods, Rogers and Hazlegrove, Attorneys; Bird, Kinder and Huffman, Attorneys; Harry F. Bosen, Attorney; Deborah Caldwell-Bono, Attorney; Frith, Anderson & Peake, Attorneys; John E. Lichtenstein, Attorney; Public Defender's Office, Roanoke, Virginia; Department of Corrections, Probation & Parole, Commonwealth of Virginia (Districts 13, 14, 15, 16, 17, and 22); Community Corrections of Virginia, Inc. (Roanoke Area Sex Offender Program); North Roanoke Family Counselors; Shenandoah Valley Sex Offender's Treatment Program; Flora Counseling Services; Federal Probation & Parole, Western District.

Professional Membership: American Polygraph Association.


Meet Our Staff of Caring Professionals

Roanoke Area Manager - Angela Hall

Angela Hall has been involved in the field for approximately fifteen years. She will provide information on services and assist you in scheduling an appointment for services. She also serves as the main point of contact for referral sources. She will provide timely information and assist with any questions that you may have.

To contact please email (specific to therapists)

To schedule an appointment email

Daniel E. Karnes, MSW, LCSW, CSOTP

Keith E. Fender, Ph.D., MSW, LCSW, CSOTP

Dr. Fender is the President and Clinical Director of Radford Counseling and Blue Ridge Counseling. Dr. Fender received a BSW in 1993, an MSW in 1996 and a PhD in 2000. He is currently a Licensed Clinical Social Worker, a Certified Sex Offender Treatment Provider, Clinically Certified Domestic Violence Counselor, and a Diplomate of the Board of the National Association of Forensic Counselors. He is a clinical member of the Association for the Treatment of Sexual Abusers (ATSA).

He has qualified as an expert witness in the state of Virginia and North Carolina in forensic mental health cases involving violent offenders, sexual offenders, and issues regarding parental capacity. He has served as an expert witness on behalf of the Office of the Attorney General for Virginia, the Virginia Department of Corrections, and Federal Probation in the Western District of Virginia, as well as numerous private attorneys throughout the state of Virginia in Juvenile and Domestic Relations Court, Circuit Court, and Federal Court. He has served as a consultant and provided professional services for attorney's, clients, and individuals in Virginia, California, North Carolina, Maryland, Utah, Texas, Tennessee, Kentucky, Pennsylvania, and West Virginia.

Dr. Fender has consulted with law enforcement at the local, state, and federal levels on criminal investigations involving violent offenses, sexual offenses, and managing violent offenders and sexual offenders in the community post incarceration. He has provided law enforcement training in various capacities including the Sex Crimes School at the Cardinal Police Academy.

Dr. Fender opened Blue Ridge Counseling in 1996 and has treated a wide range of psychiatric disorders including mood disorders, anxiety disorders, psychotic disorders, cognitive disorders, personality disorders, and sexual disorders. He has operated batterer intervention programs in southwest Virginia since 1996 and the programs have been certified since 2000. He served as the Chair of the Virginia Batterer Intervention Certification Board for approximately ten years and is currently the Executive Secretary.

His other specialty areas include: forensic mental health, geriatric mental health, violence risk assessment, sex offender evaluations/treatment, and batterer intervention treatment programs. He has completed over 3000 domestic violence risk assessments since 1996. He is currently responsible for the operation of certified batterer intervention programs throughout Central and Southwest Virginia.

He has served his local community as a member of numerous domestic violence fatality review teams as well as domestic violence task forces throughout southwest Virginia. He has served at the state level on various boards to advance victim safety as well as appropriate treatment responses for domestic violence offenders including work with the Office of the Executive Secretary of the Supreme Court of Virginia and frequent speaking engagements such as the Annual Judicial Conference in Virginia. He has served at the national level as a speaker and consultant to other states in their efforts to develop and implement treatment programs.

Dr. Fender taught at both the undergraduate and graduate levels at Radford University from 1998-2008 and he continues to serve as a guest lecturer in Criminal Justice and Social Work. He is currently assisting in several research initiatives aimed at improving intervention for violent offenders and sexual offenders. He has served on the Ferrum College Social Work Board for approximately ten years.

Dr. Fender started The Radford Counseling Group in 2000 as a specialty forensic mental health practice. The practice has locations in Radford, Virginia and Roanoke, Virginia, and serves central and southwest Virginia via satellite office locations throughout the commonwealth by way of public/private partnerships. Radford Counseling is currently contracted with the Virginia Department of Corrections, the Virginia Department of Juvenile Justice, and Federal Probation and Parole Districts throughout the state to provide substance abuse counseling services, psychosexual evaluations/risk assessments, individual sex offender treatment, and group sex offender treatment programs. He currently oversees the treatment of approximately 250 individuals in outpatient treatment.

Dr. Fender was awarded Best Bedside Manner by Our Health magazine.


Dr. Stephen Strunk

Dr. Stephen Strunk is a dedicated practitioner in the field of mental health counseling who divides his time between clinical practice, training, consulting, and life coaching. In his clinical practice, he delivers cognitive behavioral therapy (CBT) and other evidence-based treatments to adult and adolescent clients with a wide range of emotional, behavioral, and adjustment problems, such as anxiety, stress, depression, and relationship problems. In his consulting work, he has provided intensive supervision to clinicians as they acquired skills to deliver CBT in their own practice as well as seeking licensure under one of the Virginia Board of Health Professions. Dr. Strunk has worked both in the public and private sectors. He has studied under Dr. Albert Ellis, one of the founding fathers of CBT. He is a Board member of the Virginia Sex Offender Treatment Association and has seen dramatic success in his clients as he applies CBT as well as other evidenced based practices. He regularly provides workshops and seminars. Dr. Strunk finds it gratifying to introduce clients and therapists, alike, to CBT and in particular Rational Emotive Behavior Therapy (REBT). He also specializes in the treatment of juveniles and their families. He is eager to apply his experience and compassion with clients as they begin to address issues that will help them to improve their quality of their lives.

Chris Taylor

Chris Taylor received his undergraduate degree from Virginia Tech and his Masters in Social work from Radford University prior to becoming a Licensed Clinical Social Worker and a Certified Sex Offender Treatment Provider. He has served his community for over thirteen years in many different roles related to helping children and their families, both as a direct treatment provider and as a program developer. Chris has been employed with New River Valley Community Services for ten years where he currently serves as the Assistant Director for the Crisis and Family Unit. He has had direct involvement with the expansion of school based counseling services throughout the New River Valley as well as the development of Therapeutic Day Treatment within the local school systems and the Claremont Day Treatment Facility, located in Pulaski, VA. Chris has also served as a foster care social worker for Montgomery County Department of Social Services and has previously facilitated the Domestic Violence Alternatives Program groups for Blue Ridge Counseling. He currently facilitates groups for men convicted of sex crimes through Radford Counseling Group and continues to be involved with many community collaborative projects.

Curtis Sizemore

Curtis Sizemore is a Licensed Professional Counselor in the Commonwealth of Virginia. He is a Doctoral Candidate at Northcentral University. His education also includes: a Master Degree from Radford University, as well as a Bachelors Degree from Old Dominion University. Mr. Sizemore is a National Certified Counselor, a Clinically Certified Domestic Violence Counselor III, as well as a Certified Sex Offender Treatment Provider. He is also an adjunct faculty member for Ashford University teaching various courses in Psychology. Mr. Sizemore has extensive knowledge working with diverse populations on issues such as depression, anxiety, stress management, grief and loss, aging, substance abuse, as well as various mood disorders.

Dr. Martha Haley-Bowling

Martha Haley-Bowling is a graduate of Ferrum College (BSW), Virginia Commonwealth University (MSW), and Capella University (PhD). Dr. Haley-Bowling is licensed as an LCSW by the Virginia Board of Health Professionals and a member of the NASW. Her background includes working with chronic mentally ill individuals, substance abuse and addiction, grief and bereavement, and teaching in the social work program at Ferrum College. Dr. Haley-Bowling is currently in supervision to earn the Sex Offender Treatment Provider certification.