Telehealth Across Texas
Online Therapy Across Texas
Secure video sessions reach you anywhere in Texas, in English or Spanish. You choose the room, and the work is the same work I do in my Southwest Austin office: warm, direct, and paced by you.
How a Video Session Works
Telehealth sessions happen over secure video, so all you need is a phone, tablet or computer with a camera and a steady connection. Sessions run 50 or 80 minutes, the same as in the office, and you can choose English or Spanish; there is a page written in Spanish at terapia en español. One requirement matters more than any technology: you need to be located in Texas during every session. My license is a Texas license, so therapy happens only while you are in the state, whether that is your living room, your office with the door closed, or a quiet corner of a relative's house over the holidays.
Finding a Private Spot, Even a Parked Car
The office comes with a door that closes. At home, you have to find your own version of that door, and it is worth a little planning. A bedroom away from the busiest part of the house, a home office at an hour when everyone is out, or a parked car between commitments all count. Headphones help if anyone else is nearby. If privacy is genuinely hard to come by, say so on the free consultation, and we can think it through together instead of you spending a session half listening for footsteps in the hall.
The Same Consultation and Fees Online
Nothing about the cost changes because we meet on a screen. Everything starts with the free consultation, a 15-minute phone call about what is bringing you in, fit, scheduling, cost and format. The initial assessment for all services is 80 minutes and $275. After that, individual sessions are $190 for 50 minutes or $275 for 80 minutes, couples sessions are $215 for 50 minutes or $300 for 80 minutes, and family sessions are $275 for 80 minutes. Every fee and the cancellation policy are listed on the rates page.
Online or in person, this is a self-pay practice, with payment due at the time of service. I provide monthly superbills for possible out-of-network reimbursement, and the guide to superbills and out-of-network benefits lists the questions to ask your insurer. Limited sliding scale spots between $90 and $190 are available too. I only ask that you come from a place of integrity about what you truly can afford, and if that is you, no judgment.
Mixing Video With Fridays in Austin
Telehealth does not have to be all or nothing. If you live in or near Austin, or come through regularly, you can mix video sessions with time at my office at 5900 Southwest Pkwy, Building 5, Suite 230. In-person sessions are on Fridays and some select other times and days as schedules allow, and Friday appointments fill first. You might meet online most weeks and come in when you want the steadiness of the same room and the same chair, or try a walk-and-talk session outdoors when the weather cooperates.
If you are coming to Austin from elsewhere in Texas, an intensive can gather the work into one to three days in person instead of one session a week, with breaks and pacing built in. Longer does not mean forced; safety, consent and your capacity still guide the day. The intensives overview explains the eating disorder, trauma and family formats, and the consultation is a good place to weigh weekly video sessions against a few focused days.
When Meeting in Person May Suit You Better
Video works for a great deal of therapy, but it is not the right room for every week, and I would rather say so plainly than stretch a format to fit. Sometimes the screen becomes a place to hide, or home is full of the very pressures you need to talk about. A few signs that in person, or a mix, could serve you better:
None of these rules telehealth out. They are simply worth naming early, because how we meet is part of the work, not an administrative detail. You can also change course along the way. Some weeks call for the office, some for a screen, and some for being outdoors, and we can adjust as life and weather allow without losing the thread of what we are working on.
- There is no place at home where you can talk without being overheard
- You notice you stay guarded or distracted on a screen
- You can get to Southwest Austin on a Friday
- You want to try the movement of a walk-and-talk session
- You are weighing an intensive and can travel to Austin
What Stays the Same Through a Screen
The way I work does not shrink to fit a laptop. I am not a therapist who only nods through a session. If I notice a pattern, I will name it, kindly and clearly, whether you are across the room or across the state. Trauma-informed means the pace belongs to you, and that holds on video too: you can say no to a topic and nothing bad happens. We move as fast as your nervous system allows and as slow as your story requires. The approach page explains the methods underneath, from CBT to Trauma-Focused CBT.
Common Questions
Do I need to be in Texas for online sessions?
Yes. Therapy is offered only in Texas, so you need to be located in Texas during each session, whether you are at home, at work or in a parked car. Christian coaching and athletic mental health coaching are separate, non-clinical services that are not limited to Texas, and they are not therapy.
Do online sessions cost the same as office sessions?
Yes. The free consultation, the $275 initial assessment and the session fees are the same whether we meet by video or in person. Individual sessions are $190 for 50 minutes or $275 for 80 minutes.
Can I switch between online and in-person sessions?
Yes. You can mix formats as life allows. In-person sessions are at the Southwest Austin office on Fridays and some select other times and days as schedules allow, and walk-and-talk sessions are another option when you are in Austin.
Are telehealth sessions available in Spanish?
Yes. Sessions are available in English and Spanish, both by telehealth and in person.
The consultation is free and there is no obligation on either side.
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