Karen Zagayko, Ph.D.


  • works with children 6 to 12 (parent consultations for ages 5+); adolescents, adults
  • offers Individual Therapy, Family Therapy, and Psychological Evaluations
Karen Zagayko


Dr. Zagayko is a Licensed Clinical Psychologist who has been with WFP for over 20 years. She provides therapy to children, adolescents, and their families, as well as to adults who are dealing with a variety of concerns including anxiety, traumas, depression, ADHD, and behavioral problems. Dr. Zagayko also conducts psychological evaluations in addition to providing evaluation, training, and supervision to other WFP psychologists.

Dr. Zagayko works with teens and adults to help them to integrate their mental, physical, emotional and spiritual wellbeing. She helps children, teens, and their parents to better understand and manage their emotions, behavior, and interactions. She uses a variety of modalities including psychoeducation about the nervous system, mindfulness, guided imagery, art-based techniques, family of origin work, and family systems. Dr. Zagayko is also trained in using EMDR for trauma re-processing.

education & experience

Dr. Zagayko graduated from the University of Virginia with a Bachelors Degree in Psychology. She obtained her Ph.D. from Virginia Commonwealth University, and then completed a postdoctoral fellowship at the Virginia Treatment Center for Children (VTCC) at the Medical College of Virginia, where she had also completed her internship. 

While at VTCC, Dr. Zagayko became interested in the power of music and art in the healing process. Over the next 10 years, she gained training and experience in the Bonny Method of Music and Imagery (GIM). She is a Fellow with the Association of Music and Imagery. GIM is a transformational therapy using music to help clients integrate all aspects of themselves. Dr. Zagayko also uses art therapy techniques such as mandala drawings and MARI assessments to help clients gain further insight and healing. 

Following her fellowship, Dr. Zagayko worked for six years at Henrico Mental Health, where she provided therapy and conducted psychological evaluations for a wide variety of clients. Dr. Zagayko worked for a private practice in Fredericksburg for several years before joining WFP nine years ago. Over time, Dr. Zagayko has become increasingly interested in the power and efficacy of mindfulness and breathing approaches.

Dr. Zagayko lives with her husband, two children and their cat, Socks.


  • Mental Heatlh Clinician at Henrico Mental Health
  • Clinician Psychologist at the Center for Brief Counseling, Fredericksburg, VA
  • Trained and Certified in Guided Imagery and Music (GIM): Previous Fellow of the Association of Music and Imagery
  • Trained in using EMDR

Contact & Insurance

  • Phone: (804) 673-0100 x 209
  • New patients: Please contact our therapy, medication management, and other services coordinator at (804) 673-0100 x 259 or
  • Offices hours: Monday, Wednesdays, Thursdays and some Friday mornings