Operation Resiliency
Direct-Access Integrative Telehealth
Operation Resiliency
Direct-Access Integrative Telehealth
Our Location
Virginia
Based in Fredericksburg and serving all of Virginia, we deliver secure, HIPAA-compliant direct-access telehealth for primary care, mental health, and hormone optimization with true continuity of care.
Telehealth services also available in California, DC, Florida, Idaho, Maryland, Montana, and North Carolina.
Meet Our Team
Keifer Walsh, DO
Board Certified Sports Medicine Physician
Family Medicine Physician
Performance. Recovery. Longevity.
Dr. Walsh works with active individuals, athletes, and high performers who want to recover faster, move better, and perform at a higher level.
His approach focuses on identifying the root cause of pain, fatigue, or performance decline, then building a clear plan to restore function and long-term performance.
WHAT HE TREATS
- Hormone optimization, including TRT and HRT, for performance, recovery, and energy
- Injury recovery and return to training
- Musculoskeletal pain and movement issues
- Strength, conditioning, and physical performance
- Fatigue, sleep, and recovery optimization
- Weight loss and metabolic health
- Injury prevention and long-term durability
APPROACH
Care is direct, structured, and focused on results.
- Identify the source of pain, fatigue, or limitation
- Build a plan to restore movement, strength, and recovery
- Adjust based on progress and performance over time
The goal is simple: get you back to training, work, and life performing at a higher level, without unnecessary setbacks.
BACKGROUND
Board Certified in Sports Medicine and Family Medicine, Dr. Walsh completed his residency and Sports Medicine fellowship at Naval Hospital Camp Pendleton, where he served as Chief Resident.
He has experience working with collegiate and high school athletes across multiple sports including football, basketball, soccer, hockey, and track and field.
His training focused on musculoskeletal care, sports injury management, and performance medicine, and he continues to stay engaged in evidence-based practice.
WHO THIS IS FOR
- Athletes dealing with injury or recurring pain
- Active individuals who feel limited or off
- People struggling with fatigue, low energy, recovery, or performance decline
- Those who want to get back to training safely and effectively
Train. Recover. Perform at a higher level.
Emily Drouin, DNP, FNP-BC
Board-Certified Family Nurse Practitioner
Patient-Centered. Integrative. Longevity.
Emily works with individuals of any fitness level who are looking to improve their healthspan, not just lifespan.
This focus is proactive medicine rather than reactive disease management.
Her approach to bridging primary care with performance and longevity medicine involves a systems-based approach that treats the whole person.
WHAT SHE TREATS
- Primary care for acute and chronic conditions
- Hormone optimization for men and women, including TRT and HRT
- Medical weight loss and metabolic health management
- Women’s health and routine screenings
- Preventative approach to athlete wellness
- Lifestyle, nutrition, and behavior-focused interventions
- Fatigue, sleep, and recovery optimization
APPROACH
Care is comprehensive and patient-centered.
- Modern medicine for modern problems
- Individualized healthcare that aims to optimize
- Adjust based on physiologic response
Integrating clinical precision with practical lifestyle strategies helps patients not only treat illness but build resilience, improve performance, and sustain long-term health.
BACKGROUND
Board Certified as a Family Nurse Practitioner, Emily earned her Doctor of Nursing Practice (DNP) at University of Alabama at Birmingham. She also holds a Bachelor of Science in Nursing from the same institution.
She previously worked in various specialty clinics as a Registered Nurse including gastroenterology, rheumatology, and public health.
A former Division I athlete in both cross country and track and field, she completed a quality improvement project on mental health screening in collegiate athletes at UAB. She has experience working with athletes in a clinical setting as well.
WHO THIS IS FOR
- Children and adults seeking quick but comprehensive solutions
- Individuals wanting individualized preventative care
- Poor performers who know that they’re capable of more
- Athletes from weekend warriors to elite performers who want to develop a starting point for preventative medicine
Prevent. Optimize. Add life to your years, not just years to life.
Amanda Hurley, PA-C
Certified Physician Assistant
Primary Care. Sick Visits. Nutrition.
Amanda is the provider you see when something comes up. Sick visits, acute issues, day to day concerns, and primary care needs. She focuses on getting you taken care of quickly, clearly, and the right way the first time.
She also brings a strong background in nutrition, helping patients improve how they eat, recover, and function on a daily basis.
HIGHLIGHTS
- Handles acute visits, sick visits, and same day concerns
- Strong primary care background with a practical approach
- Registered dietitian with advanced training in nutrition
- Experience working with active duty military and high demand environments
- Focused on clear answers and efficient care
WHAT SHE TREATS
- Acute illnesses and sick visits
- Upper respiratory infections, sinus issues, and common illnesses
- Minor injuries and urgent concerns
- Primary care management
- Preventative care and screenings
- Nutrition and dietary guidance
- Weight management support
- Fatigue, general health, and lifestyle concerns
APPROACH
Care is direct, efficient, and focused on getting you better.
- Evaluate symptoms and treat quickly
- Provide clear guidance on what to do next
- Address both the immediate issue and underlying factors
- Use nutrition and lifestyle to support recovery and long term health
The goal is simple: fix the problem, support your health, and keep you moving.
TREATMENT METHODS
- Acute care evaluation and treatment
- Primary care management
- Medication management when appropriate
- Nutrition counseling and dietary planning
- Preventative care and screening
- Lifestyle and health optimization strategies
BACKGROUND
Amanda is a Certified Physician Assistant and Registered Dietitian. She earned her bachelor’s degree from South Dakota State University and completed her dietetic internship at the Minneapolis VA Medical Center.
She later earned her Master’s degree in Physician Assistant Studies from Quinnipiac University to expand her role in diagnosis and treatment.
Amanda served six years on active duty in the United States Navy as a Physician Assistant. She was stationed on an aircraft carrier and later in Quantico, working closely with Marines and supporting high demand operational environments.
Her background gives her a practical, no-nonsense approach to care while still treating every patient with respect and professionalism.
WHO THIS IS FOR
Individuals who need quick, reliable care for acute issues
Patients looking for primary care without the wait
People who want clear answers and straightforward treatment
Those looking to improve nutrition and overall health
Individuals who want both medical care and practical guidance
Get seen. Get treated. Get back to it.
Michael Evans, PA-C
Certified Physician Assistant
Faith-Based Primary Care. Women’s Health. Pro-Life Care.
Michael Evans, PA-C provides compassionate, evidence-based healthcare rooted in Catholic values and guided by the Ethical and Religious Directives for Catholic Health Care Services. He offers primary care, acute care, women’s health services, pregnancy confirmation, and prenatal support with a life-affirming, patient-centered approach that respects both the physical and spiritual aspects of care.
Michael holds a Master of Arts in Moral Theology from Christendom College Graduate School of Theology and understands the theological and moral considerations that can impact medical decisions.
HIGHLIGHTS
- Faith-based, life-affirming approach to healthcare
- Primary care and acute/sick visit management
- Women’s health and prenatal support
- Pregnancy confirmation and early pregnancy care
- Guided by the Ethical and Religious Directives for Catholic Health Care Services
- Master of Arts in Moral Theology from Christendom College Graduate School of Theology
- Understands theological and moral considerations in medicine
WHAT HE TREATS
- Acute illnesses and sick visits
- Primary care management
- Women’s health concerns
- Pregnancy confirmation and prenatal visits
- Preventative care and screenings
- General health and lifestyle concerns
- Fatigue, wellness, and long-term health optimization
APPROACH
Care is compassionate, respectful, and grounded in dignity.
- Provide clear and honest medical guidance
- Deliver life-affirming care for women and families
- Support patients through important healthcare decisions
- Care for both physical and spiritual well-being
The goal is simple: provide excellent medical care while honoring the dignity of every person and every life.
WHO THIS IS FOR
- Individuals and families seeking faith-based healthcare
- Women seeking pro-life and prenatal care
- Patients looking for compassionate primary care
- Those wanting medical care aligned with Catholic values
- People seeking respectful, relationship-centered healthcare
Faithful care. Compassionate medicine. Care for the whole person.
Kimberly Freisenbruch, DNP, APRN, PMHNP-BC, CCM
Psychiatric Mental Health Nurse Practitioner
Trauma. Recovery. Regulation.
Kimberly works with individuals, families, and high-functioning adults dealing with trauma, stress, and complex mental health challenges.
Her approach focuses on stabilizing symptoms, improving emotional regulation, and building a clear path toward long-term recovery and resilience.
HIGHLIGHTS
- Thoughtful medication management and de-prescribing when appropriate
- Whole-person approach to mental health and recovery
- Trauma-informed care grounded in safety, structure, and long-term healing
WHAT SHE TREATS
- PTSD and trauma-related conditions
- Traumatic brain injury and cognitive recovery support
- Anxiety, depression, and stress-related disorders
- Emotional regulation and nervous system dysregulation
- Chronic stress, burnout, and life transitions
- Caregiver strain and family-related stress
APPROACH
Care is structured, consistent, and focused on stability and progress.
- Stabilize symptoms and improve daily function
- Support emotional regulation and nervous system balance
- Use therapy, education, and medication when appropriate
- Adjust care based on response and long-term goals
The goal is simple: help you regain control, improve function, and move forward with clarity.
TREATMENT METHODS
- Neurofeedback and biofeedback for emotional regulation
- Trauma-informed therapy and recovery planning
- Psychiatric evaluation and medication management
- Individual, family, and caregiver support
BACKGROUND
Kimberly is a Doctor of Nursing Practice, board-certified Psychiatric Mental Health Nurse Practitioner, and Certified Case Manager.
She completed both her master’s and doctoral degrees at Old Dominion University and currently serves as Director of Clinical Education for the PMHNP program, where she mentors future psychiatric providers.
Her clinical experience includes working with high-stress populations, including service members and individuals recovering from trauma and brain injury.
She is also the spouse of a retired Navy SEAL and a mental health advocate within the Special Operations community, bringing a unique understanding of the demands placed on individuals and families in high-performance environments.
WHO THIS IS FOR
- Individuals dealing with trauma, stress, or emotional overwhelm
- Those struggling with anxiety, depression, or burnout
- People who feel stuck, off, or not like themselves
- Caregivers and families navigating ongoing stress
- Anyone looking for structured, thoughtful mental health care
Stabilize. Recover. Move forward with clarity.
Lisa Hedrick, LCSW, CBIS
Licensed Clinical Social Worker
Trauma. Brain Injury. Real Recovery.
Lisa works with individuals, families, and high-functioning adults navigating trauma, brain injury, and high-stress life experiences.
Her work combines trauma-informed care with structured, evidence-based therapies to support healing, stability, and long-term recovery.
HIGHLIGHTS
- Certified Brain Injury Specialist with over 20 years of experience
- Trauma-informed care using EMDR and evidence-based therapies
- Extensive experience supporting high-stress professions, including military and first responders
WHAT SHE TREATS
- Brain injury and cognitive recovery support
- PTSD and trauma-related conditions
- Anxiety, depression, and stress-related disorders
- Chronic stress, burnout, and life transitions
- First responder stress and critical incident exposure
- Family-related stress and caregiver strain
APPROACH
Care is structured, consistent, and focused on stability and recovery.
- Support recovery from brain injury and trauma
- Improve emotional regulation and daily function
- Use EMDR and evidence-based therapy approaches
- Provide practical strategies for long-term stability
The goal is simple: help you regain function, improve stability, and move forward with confidence.
TREATMENT METHODS
- Eye Movement Desensitization and Reprocessing (EMDR) therapy
- Brain injury recovery support (CBIS)
- Trauma-informed therapy and counseling
- Crisis response and critical incident debriefing
- Individual, family, and caregiver support
BACKGROUND
Lisa brings over two decades of experience supporting individuals recovering from brain injuries and more than a decade working with high-stress populations.
She began her career at Adventist Rehabilitation Hospital in Rockville, Maryland, where she served as lead social worker for brain injury patients and families and earned her Certified Brain Injury Specialist credential.
She has worked with the Defense and Veterans Brain Injury Center (DVBIC) and the National Intrepid Center of Excellence (NICoE) at Walter Reed, supporting individuals navigating trauma, brain injury, and recovery.
Lisa has also supported law enforcement through the Metropolitan Police Employee Assistance Program in Washington, DC, providing crisis response, critical incident debriefing, and ongoing counseling.
She is licensed in Maryland, Virginia, Florida, and Washington, DC.
WHO THIS IS FOR
- Individuals recovering from brain injury or cognitive changes
- Those dealing with trauma, stress, or emotional overwhelm
- First responders and high-stress professionals
- Individuals navigating burnout, life transitions, or ongoing stress
- Families and caregivers supporting someone in recovery
Recover. Stabilize. Move forward with confidence.
Jamie Mucciarelli, LCSW
Licensed Clinical Social Worker
Trauma. Exposure. Real Change.
Jamie works with individuals, couples, and high-functioning adults dealing with trauma, stress, and life-impacting experiences.
Her work uses structured, evidence-based therapies to help patients process difficult experiences, regain control, and improve day-to-day function.
HIGHLIGHTS
- Extensive experience in trauma-focused therapy and recovery
- Advanced therapies including Prolonged Exposure, CBT, and CPT
- Strong focus on relationships, communication, and family dynamics
- Background working with high-stress populations, including military and first responders
WHAT SHE TREATS
- PTSD and trauma-related conditions
- Anxiety and depression
- Alcohol use and behavioral patterns
- Anger and emotional regulation challenges
- Sleep issues and insomnia (CBT-I)
- Relationship and communication challenges
- Life transitions, stress, and burnout
APPROACH
Care is structured, direct, and focused on measurable progress.
- Process difficult experiences using proven therapeutic approaches
- Improve emotional regulation and daily functioning
- Address sleep, anger, and behavioral patterns
- Strengthen communication and relationship dynamics
The goal is simple: help you regain control, improve function, and move forward.
TREATMENT METHODS
- Prolonged Exposure Therapy
- Cognitive Behavioral Therapy (CBT)
- Cognitive Processing Therapy (CPT)
- CBT for Insomnia (CBT-I)
- Anger management and behavioral strategies
- Individual, couples, and family counseling
BACKGROUND
Jamie brings over 30 years of experience in mental health and service.
She served 12 years in the United States Air Force, initially as a Mental Health Technician before transitioning to a C-130 Loadmaster following September 11th. She completed multiple combat deployments supporting operations across Southwest Asia.
Her clinical career includes roles within the VA Healthcare System, nonprofit leadership, and behavioral health support in high-stress environments, where she worked closely with individuals and families navigating complex challenges.
Her ability to connect with patients is grounded in both clinical expertise and lived experience, allowing her to build trust quickly and work effectively with those under pressure.
WHO THIS IS FOR
- Individuals dealing with trauma, anxiety, or depression
- Those struggling with anger, sleep, or alcohol use
- People navigating stress, burnout, or major life transitions
- Individuals or couples experiencing relationship challenges
- Those who feel stuck, off, or not like themselves
Process it. Take control. Move forward.
Camille LoRocco MSW, Therapist, SISW
Therapist
Kids. Families. Real connection.
Camille works with children, adolescents, and families facing stress, behavioral issues, and everyday life challenges. Her focus is simple: help kids feel safe and understood and help families get back on the same page.
She cares deeply about the kids she works with. She takes the time to understand how they think, what they are feeling, and what is actually going on beneath the surface. At the same time, she works closely with parents to build stronger relationships at home and create an environment where kids can grow and succeed.
With over 30 years of lived experience as a military spouse, Camille brings a deep understanding of resilience, transition, and identity into her work. She has firsthand experience with the challenges families face, including deployments, stress, constant change, and the impact those pressures can have on relationships and children.
She also works with military members, first responders, and their spouses who are navigating relationship strain, life transitions, caregiving demands, and chronic stress.
Her approach is warm, direct, and practical. Sessions are not just about talking. They are focused on real tools and real changes that families can use right away.
Highlights
- Strong focus on children, adolescents, and families.
- Passionate about helping kids feel seen, heard, and understood
- Deep understanding of military and high-stress family life
- Works closely with parents to improve connection and communication.
- Experience supporting families through stress and life transitions
Challenges We Work Through Together
- Child and adolescent behavioral concerns
- Anxiety, stress, and emotional regulation
- Parent-child conflict
- Family stress and home dynamics
- Couples and relationship challenges
- Military family stress and transition
- Life transitions affecting families
Approach
Care is built around trust and connection.
- Help kids understand and express emotions
- Strengthen parent-child relationships
- Give families practical tools that work in real life
- Help couples communicate and reconnect
The goal is simple. Help kids feel secure. Help families feel stronger.
Therapeutic Approaches
- Child-centered therapy
- Family and parent-focused counseling
- Cognitive behavioral therapy-informed approaches
- Play-based and developmentally appropriate techniques
- Couples counseling
- Somatic Interventions
- Strength-based approach
Background
Camille’s work centers on children and families. She is passionate about helping kids navigate emotions and challenges in a way that builds confidence and stability.
Her personal and professional experience gives her a strong understanding of the pressures placed on families, especially those in military and high-stress environments.
She works to help families create stability, improve communication, and build stronger relationships at home.
Who this is for
- Kids struggling with emotions or behavior
- Parents who want to better understand their child
- Families dealing with conflict or disconnection
- Couples working to improve communication
- Military families and first responders
- Families going through stress or transition
Availability
- Telehealth appointments available throughout Virginia
- In-person sessions available for clients local to the Fredericksburg area
You do not have to keep doing this alone. Change can start sooner than you think.
Schedule a consultation today.
Take the first step toward a calmer, more connected home.
Help your child feel understood. Strengthen your family. Move forward together.
About Operation Resiliency
Healthcare should be simple, accessible, and built around you.
Most clinics offer isolated visits.
We provide structured, ongoing care designed to improve how you feel, function, and perform over time.
Operation Resiliency delivers direct-access telehealth across:
Primary care
Mental health and therapy
Hormone optimization
Sports medicine and injury care
Weight loss and metabolic health
Performance and longevity planning
All virtual.
Built for consistency, access, and real progress.
What We Do
Primary Care
Same-day and next-day virtual care for acute needs, chronic conditions, and ongoing health management.
Mental Health and Therapy
Structured, trauma-informed care focused on clarity, stability, and long-term progress.
Hormone Optimization
Evaluation and treatment for men’s and women’s hormonal health, energy, mood, and metabolic function.
Sports Medicine and Injury Care
Recovery guidance, movement support, and performance-focused care for active individuals.
Why People Choose Us
Direct Access
Direct messaging with your provider and same-day or next-day virtual appointments.
Whole-Person Care
Your mind, body, hormones, and performance are treated as one connected system.
Evidence-Based
Care grounded in research across mental health, hormone therapy, metabolic health, and performance medicine.
Built for People Who Want More
People who are tired of rushed visits, unclear plans, and disconnected care.
Real-World Experience. Real Care.
Our team doesn’t just study stress, trauma, and performance.
They’ve worked in high-pressure environments where these challenges are real.
They bring experience supporting individuals, families, and high-stress populations, including military, Special Operations, and first responders, while also working with those navigating everyday life demands.
What They Understand
- High levels of stress and responsibility
- Burnout, pressure, and performance expectations
- Trauma, loss, and major life transitions
- Identity shifts and feeling off or disconnected
What That Means For You
Care that is:
- Direct and honest
- Trauma-informed and structured
- Grounded in real-world experience
- Focused on clarity, function, and progress
Care built on real understanding, not assumptions.
Trusted By Those In High Stress Roles
We work with individuals in demanding professions, including military, law enforcement, Fire/EMS, and first responders.
Our team understands the realities of high-pressure environments and the impact they have on performance, identity, and long-term health.
What That Means For You:
- Experience working with high-stress professions and operational environments
- Understanding of pressure, responsibility, and performance expectations
- Discreet, confidential, judgment-free care
- Therapy and medical care designed for real-world demands
- Support for performance, recovery, and long-term stability
Care designed for real-world demands.
Membership Overview
Direct access. Real continuity. Built for long-term care.
Only $70 a month
This is not a one-time visit.
This is ongoing care with a provider who knows you, tracks your progress, and adjusts your plan over time.
WHAT’S INCLUDED
- Up to 1 virtual visit per month or 6 visits over 6 months
- Same-day and next-day primary and acute care
- Direct messaging access with your provider
- Primary care medication management and refills
- Hormone optimization for men and women, including TRT and HRT if indicated
- Medical weight loss management, including GLP-1 options when appropriate
- Comprehensive lab panel twice per year
- Preventative care and performance-focused monitoring
WHY IT WORKS
- No waiting rooms.
- No gatekeepers.
- No fragmented care.
Just consistent access, clear plans, and care that evolves with you.
FAMILY ADD-ON
$50 per month per family member
Extend the same level of care to your family.
- Up to 6 virtual visits over 6 months
- Direct messaging access
- Primary care support and oversight
- Comprehensive lab workup
For ages 5 and up.
Single Appointments
Not ready for a membership?
We also offer single appointments for immediate needs, including primary care, mental health, and therapy.
Clinical Focus
Our team stays current with modern medicine, performance science, and evidence-based care, with focused expertise in:
- Hormone optimization and endocrine health
- Longevity and preventative medicine
- Trauma recovery and mental health
- Sports performance and injury recovery
- Metabolic and cardiovascular health
- Cognitive performance, identity, and resilience
We do not practice volume-driven medicine.
Care is intentional, structured, and built around long-term results.
Featured Telehealth Services
Mental Health
Primary Care & Performance
Recovery & Resiliency
- Psychiatric evaluation and diagnosis
- Medication management
- Individual, couples, and family therapy
- Cognitive Behavioral Therapy (CBT)
- Trauma-informed care
- Faith-based care available upon request
Recovery & Resiliency
Primary Care & Performance
Recovery & Resiliency
- Substance use counseling and recovery support
- Relapse prevention planning
- Anger management
- Sleep and insomnia support
- Stress management and resilience training
- Life transitions and performance-focused support
Primary Care & Performance
Primary Care & Performance
Primary Care & Performance
- Same-day and next-day primary care for acute and chronic conditions
- Medication management and optimization
- Hormone optimization, including TRT and HRT
- Weight loss and metabolic health, including GLP-1 options when appropriate
- Sleep optimization and recovery support
- Nutrition and lifestyle guidance
- Longevity and preventative care planning
- Sports medicine and injury recovery support
Referrals & Coordination
Primary Care & Performance
Primary Care & Performance
- Primary care and specialty referrals
- Coordination with trusted partner services
- Connection to community-based resources when needed