Evaluation

A longer first appointment to work out what's going on and whether medication is the right lever at all. Sometimes the answer is no.

Ongoing management

Short, regular reviews. Dose changes, side effects, and whether the thing is actually doing what you hoped.

Alongside therapy

Your prescriber can offer psychotherapy sessions as well, and if you're seeing one of our therapists, your prescriber can work directly with them. You don't have to explain yourself twice.

Controlled substances

Prescribed only where clinically appropriate and permitted for telehealth under current rules. Ask before you assume.

Substance withdrawal

Active detox needs medical supervision we can't provide over video.

Eating disorders

Where medical monitoring — weight, labs, cardiac — is part of treatment.

Court-ordered evaluations

Custody, fitness, and forensic assessments are a different discipline with different obligations.

Anyone under 18

We see adults. A youth and family provider will do this better.

Emergencies

We are not a crisis service and we are not monitored. Call or text 988.

• Acceptance & Commitment Therapy (ACT)

  Anxiety, depression, and the struggle with difficult feelings

  In the roomYou practice letting a hard thought or feeling sit there without arguing with it, while you take a small step toward something that actually matters to you. Some of the exercises feel odd — saying a painful word out loud until it turns back into just a sound, or watching a thought the way you'd watch a car go past. The point isn't to feel better on command; it's to stop the fight with your own head from deciding how you live.

• Active Parenting

  Parent-child conflict, power struggles, and discipline that isn't working

  In the roomIt feels more like a class than a therapy session — structured, and built around skills you practice. Instead of just venting about the latest blow-up, you learn to read what your kid's behavior is actually after — attention, power, a reaction — and rehearse a different response to it. It suits parents worn out by nagging who want a straight playbook instead of more theory.

• Bowenian Transgenerational Systems Theory

  Recurring family patterns, chronic anxiety, and emotional cutoff

  In the roomEarly on you'll map your family across several generations — a genogram — and start seeing the same conflicts and anxieties repeat down the branches. The therapist stays deliberately neutral, more coach than ally, helping you step back and watch the family's patterns instead of getting pulled into them. Much of the real work happens between sessions, going back to your actual family and practicing staying steady where you'd normally react. It suits people who want to break a generational cycle, not just describe it.

• Cognitive Behavioral Therapy (CBT)

  Anxiety, depression, OCD, PTSD, insomnia, and chronic pain

  In the roomIt's structured and focused on the present — you'll set an agenda each session rather than following wherever the conversation drifts. The core move is catching an automatic negative thought and treating it as a hypothesis to test instead of a fact, using thought records and small real-world experiments between sessions. It suits people who want a clear plan and concrete homework — a skills-based roadmap more than open-ended talk.

• Cognitive Processing Therapy (CPT)

  PTSD and the stuck beliefs trauma leaves behind

  In the roomIt's a structured therapy for trauma that focuses less on the event itself and more on the conclusions you drew from it — things like "it was my fault" or "I can't trust anyone." You'll work these stuck points on paper, with worksheets and sometimes a written account of what happened, testing whether they still hold up. The aim is to loosen the beliefs the trauma left behind, which is often what keeps it running long after the danger is gone.

• Collaborative Language Systems (CLS)

  Feeling unheard, or reduced to a diagnosis

  In the roomThe therapist sets aside the expert role on purpose and works from a stance of not-knowing — you're treated as the authority on your own experience. It's mostly open, unhurried conversation, where understanding gets worked out between the two of you rather than handed down as an interpretation or label. It tends to suit people who've felt talked-at elsewhere and want to actually be heard.

• Culturally Sensitive Therapy

  When your background and identity are central to the work

  In the roomThe therapist treats your culture, identity, and background as central to the work, not as details to look past. You shouldn't have to spend the first stretch explaining or defending where you come from before anything useful can happen. It suits people who've felt subtly misread by a therapist who didn't share or understand their context.

• Dialectical Behavioral Therapy (DBT)

  Overwhelming emotions, self-harm urges, and relationships that keep combusting

  In the roomIt's heavily skills-based — you'll learn concrete tools for getting through a crisis without making it worse, across four areas: mindfulness, riding out distress, managing emotion, and handling relationships. It often runs as a mix of a skills class and individual sessions, with coaching available when you're actually in the moment and need it. The "dialectical" idea underneath is holding two truths at once — you're doing the best you can, and you still need to change. It's built for people whose emotions hit like a ten when someone else's would land at a three.

• Emotionally Focused Therapy (EFT)

  Couples stuck in the same recurring fight

  In the roomIt's usually couples work, and it goes after the emotional current running under the same argument you keep having. You'll slow the fight down enough to see what's actually happening — often a reach for closeness or reassurance that isn't landing. The frame is attachment: the point isn't to win the disagreement but to feel safely connected again, which is usually what the fight was about anyway.

• Existential Therapy

  Meaning, mortality, freedom, and the big "what's the point" questions

  In the roomIt's less about fixing a symptom and more about facing the things nobody gets out of — that life ends, that you're freer and more responsible than is comfortable, that a certain aloneness comes with being a person. The sessions are open and philosophical, closer to serious conversation than to worksheets. It suits people whose distress isn't really a disorder so much as an honest reckoning with being alive.

• Eye Movement Desensitization and Reprocessing (EMDR)

  Trauma, single-incident and repeated

  In the roomYou hold a difficult memory in mind while following a repeated left-right cue. It sounds strange and it feels strange. You don't have to narrate the memory in detail, which is why some people can do this when they can't talk about it.

• Family Systems Therapy (FST)

  When the problem lives in the family, not one person

  In the roomOften the whole family comes in, because the approach treats the problem as living in the relationships rather than inside one person. You'll look at the roles everyone's fallen into and the loops where each person's reaction quietly feeds the next. It suits families who've noticed the same knot keeps re-tying itself no matter which member they pin it on.

• Feminist Therapy

  Distress that's tangled up with power, gender, and social context

  In the roomIt takes seriously that some of what you're feeling has roots outside you — in power, gender, and the social context you're moving through, not just in your own wiring. The therapist works to flatten the usual hierarchy, treating the relationship as more of a collaboration than an expert issuing verdicts. It suits people who want their struggles read in context rather than filed entirely as a private malfunction.

• Gestalt Therapy

  Feeling numb, split, or cut off from what you actually feel

  In the roomIt stays firmly in the present — the therapist keeps bringing you back to what you're feeling and doing right now, in the room, rather than narrating the past. You might do something that feels unusual, like speaking to an empty chair standing in for a person or a part of yourself. It can feel exposing at first, but it's aimed at reconnecting you to feelings you've been quietly routing around.

• Humanistic Therapy

  Growth, self-understanding, and becoming more yourself

  In the roomIt's warm and non-directive, resting on the idea that you already carry what you need to grow if the conditions are right. There's less technique on display and more of a genuine relationship — being met and taken seriously without judgment. It suits people who want room to work themselves out rather than a step-by-step protocol laid over them.

• Internal Family Systems (IFS)

  Feeling at war with yourself, or run by parts you can't control

  In the roomIt treats your mind as a collection of parts — the anxious one, the harsh critic, the one that just wants to numb out — rather than a single unified voice. Instead of fighting a part, you get curious about it and learn what job it thinks it's doing, working from a calmer core the model calls the Self. The starting assumption is that there are no bad parts, only protectors going about things badly. It suits people who feel divided against themselves.

• Motivational Interviewing

  Ambivalence about a change

  In the roomNobody argues you into anything. The work is drawing out your own reasons, including the reasons not to. Often used alongside another approach rather than on its own.

• Narrative Therapy

  When one story about yourself has taken over

  In the roomIt works from a deliberate separation — you are not the problem, the problem is the problem — and you'll often name it and treat it as something outside you rather than a flaw in your character. Together you'll hunt for the moments that don't fit the dominant story, the times the problem didn't win. The work is slowly re-authoring a version of yourself with more room in it than the one you arrived carrying.

• Neuro-Linguistic Programming (NLP)

  Specific habits, phobias, and patterns you want to shift

  In the roomIt's more toolkit than deep exploration — a set of techniques for shifting the patterns in how you think and talk to yourself, like reframing an internal script, "anchoring" a calm state to a physical cue, or mentally rehearsing a feared situation. Sessions tend to be practical and technique-driven, aimed at a specific change rather than a slow unfolding. It suits people who want concrete tools for a defined problem; it's worth knowing its research base is thinner than for approaches like CBT or EMDR.

• Nonviolent Communication (NVC)

  Conversations that keep turning into conflict

  In the roomIt teaches a specific structure for hard conversations — naming what happened, what you feel, the need underneath it, and a clear request — without slipping into blame or demand. You'll practice translating your criticism and heat into what you're actually needing, which is harder and more revealing than it sounds. It's more a learnable skill than a treatment, and it suits people whose toughest problems tend to happen inside particular conversations.

• Person-Centered Therapy

  When you mostly need space to be heard, not steered

  In the roomThe therapist follows your lead rather than steering — no set agenda, no techniques laid over the top of you. What's meant to do the work is the relationship itself: steady, non-judgmental, and genuinely accepting, session after session. It suits people who think best out loud when someone is actually, fully listening.

• Prepare Enrich

  Couples preparing to commit, or wanting a tune-up

  In the roomIt's built around a detailed questionnaire you and your partner each complete on your own, which then maps where you're strong and where the friction sits. Sessions walk through the results one area at a time — communication, money, expectations, in-laws — so the conversations stay focused rather than free-floating. It's structured and practical, and it fits couples preparing to commit or wanting a tune-up more than those in acute crisis.

• Psychodynamic Therapy

  Recurring patterns, relationships, "why do I keep doing this"

  In the roomSlower and more open-ended. Fewer worksheets, more noticing what comes up — including about the therapy itself. Suits people whose problem isn't one situation but a shape that keeps recurring.

• Rational Emotive Behavioral Therapy (REBT)

  Rigid "shoulds" and self-defeating beliefs that fuel the distress

  In the roomIt's the older, more direct cousin of CBT, and it goes straight after the rigid demands underneath your distress — the "I must," "they should," "this can't happen." The therapist will actively dispute those beliefs with you rather than gently explore them, so it can feel more like a sharp debate than a soft unpacking. It suits people who don't mind being challenged and want the machinery behind their reactions pulled apart and rebuilt.

• Reality Therapy / Choice Theory

  Feeling stuck, and wanting to focus on what you can actually control

  In the roomIt stays firmly in the present and skips the deep dive into causes — the question is less why you feel this way and more what you're currently doing, and whether it's getting you what you actually want. You'll take an honest look at your own part in things and choose different actions, on the premise that your choices are the piece genuinely under your control. It suits people who are done rehashing the past and want to change what they're doing this week.

• Relational Therapy

  Patterns that only show up in relationships

  In the roomIt starts from the idea that much of who you are — and much of what hurts — takes shape inside relationships, so that's also where the repair has to happen. The relationship with the therapist becomes a kind of live sample: the patterns you struggle with tend to surface right there in the room, where you can work with them as they happen. It suits people whose core difficulties are really about connection.

• Seeking Safety

  Trauma and substance use, when you need stability before digging in

  In the roomIt's present-focused and deliberately gentle — it does not ask you to go back and relive the trauma in detail. The whole emphasis is on safety and coping first: grounding, handling triggers, and building stability you can rely on. It's built for when trauma and substance use are tangled together, where steadiness has to come before any deeper processing can safely start.

• Solution-Focused Brief Therapy

  One specific decision or stuck point

  In the roomShort. Often six to eight sessions. Starts from what's already working rather than what's broken, and aims at a concrete change you'd notice.

• Strength-Based Therapy

  Rebuilding from what's already working in you

  In the roomIt deliberately starts from what's already working in you — the skills, resources, and past wins you've stopped giving yourself credit for — rather than leading with the deficit. Together you'll take stock of those strengths and aim them at the problem in front of you. It suits people who are worn down from feeling like nothing more than a list of things to fix.

• Structural Family Therapy

  Families where the boundaries and roles have gotten tangled

  In the roomIt looks at the family's structure — who's teamed up with whom, where the boundaries have gone too rigid or too blurry, who's been pushed to the edge. The therapist is active and will sometimes rearrange things right in the session, having you talk to each other directly so the dynamic shows itself and can shift. It suits families where the roles have drifted out of place — a child effectively running things, parents divided, someone left on the outside.

• Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)

  Children and teens working through trauma, with a caregiver involved

  In the roomIt's a structured, step-by-step approach built specifically for children and teens, usually with a trusted caregiver taking part alongside them. It front-loads coping skills, then moves gradually toward the trauma itself at a pace the child can handle — never a cold plunge into the worst of it. It suits families who want a proven, well-paced path through a young person's trauma rather than open-ended talk.

• Trauma Model Therapy (TMT)

  Complex trauma and dissociation rooted in childhood abuse or neglect

  In the roomIt's a foundational, psychoeducational approach to complex trauma — it starts by helping you understand what happened, how it shaped you, and the survival rules a child had to adopt to get through abuse or neglect. There's a structured, assessment-driven side, including naming dissociation or a parts system where that fits, but the tone is deliberately neutral and destigmatizing: putting words to how the mind divided itself to survive, without shame, while building resources to steady you. It keeps careful attention on keeping you stable through the work, and it suits people whose trauma runs deep enough that ordinary talk therapy couldn't quite hold it.

Not every clinician practices every model, and the match matters more than the label. Say what you're hoping for and let it be made for you.

Screen before names

The first thing you meet is an anonymous, multiple-choice check. It can tell you we're wrong for you without ever knowing who you are. Nothing about you enters a record until you decide to register.

One roof

Therapy and psychiatry in the same practice. The most common handoff in mental health care — therapist to prescriber — is the one that most often drops people. Here it's an internal conversation.

Say the wait out loud

If no clinician matches your state, payment, and availability, we say so and point you elsewhere. A waitlist you didn't agree to is just a slower no.

• Amanda Frey Therapist Accepting
• AshleyDawn Sheppard Therapist Full
• Colin Ross Psychiatrist Full
• Kalyn Bae Student Counselor Accepting
• Kelle Phan Prescriber Accepting
• Nicolle McCullough Therapist Full
• Tabitha Jones Therapist Full
• Veronica Gaytan de la Rosa Therapist Accepting
• H. Xavier Reveles Therapist Accepting

Full entries — license numbers, languages, supervision and current availability — are on the clinicians page. How fees, the sliding scale and self-pay work is below.

Insurance

We're credentialed with most major Texas plans, but credentialing runs per person, not per practice — a plan one clinician takes may still be pending for another. The filter on the insurance page answers it for each of them. If we're in network, your plan sets what you owe — deductible, copay, coinsurance — and the tiers below don't apply to you.

Sliding scale

A reduced fee with one of our licensed clinicians, based on what you can manage. It applies to self-pay sessions only — if we're billing your insurance, your plan sets what you owe, not us. Ask at intake; you won't be asked to justify it twice. There are a limited number of places, including some at no charge; (512) 686-6012 to ask what's open or to go on the list.

Sessions with a student counselor

Offered at a lower set fee. This isn't a discount you have to qualify for — it's the rate, and it's the same for everyone. These sessions are self-pay and can't be billed to insurance, because a student counselor isn't licensed to bill in their own right. Their work is supervised by a licensed clinician, named on their entry. The graduate student tier below.

Before your first appointment

You're entitled to a written estimate of what care will cost if you're uninsured or not using insurance. See the Good Faith Estimate.

Tier 1Clinician & psychiatrist

$180–$325

Tier 2Clinician & psychiatric nurse practitioner

$75–$175

Tier 3Senior clinician

$130–$175

Tier 4Clinician

$90–$130

Tier 5Supervised clinician

$50–$90

Tier 6Graduate student in training

$0–$50

License numbers, where shown, are verifiable against the issuing board's register. A supervised trainee holds no license of their own and practices under the supervisor named on their entry; their work is self-pay, not billed to insurance — see fees and insurance for how that differs from the sliding scale offered by our licensed clinicians. Credentialing is done per person, not just the group — a plan one clinician takes may still be in progress for another. You can verify any license, or raise a concern about one, through Know your rights — the board that issued it is independent of this practice.

Step one

Your patient completes the anonymous check. No identifiers are collected at any point — it is closed-choice throughout.

Step two

Routing runs immediately. They see one of five outcomes on screen: crisis resources, a referral list, the training pathway, an honest waitlist, or a reference code.

Step three

If they're clinically appropriate, they get a reference code and the portal link. The code is the only copy — we have no way to email it to them.

Step four

They register in the portal and give the code. It retrieves their screening answers so a person can confirm the match — state, plan, availability — and the clinician assignment, before intake forms go out.

New to us

Start with the anonymous check. It's faster than a phone call and it tells you whether we're the right practice before you give us anything. Start the check

Already a client

Message your clinician through the patient portal. It's monitored during business hours and it's the only channel that's safe for clinical detail.

By phone

(512) 686-6012, business hours. Best for questions the check couldn't answer — whether we can fit you in, what a plan covers, or what to do if you were told to wait.

Billing or insurance

Through the portal, or on (512) 686-6012 during business hours. Have your member ID to hand.

Records requests

In writing, through the portal — see Know your rights for every route, including by email. We'll need to verify identity before releasing anything.

A provider referring

No form needed — send your patient the check. How referrals work