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Sagebrush Counseling

Online Therapy for
Couples & Individuals

Now serving Texas, Maine, Montana, and New Hampshire

Neurodivergent-affirming therapy for relationships, BFRBs, anxiety, and burnout. Join from home or any private space.

Licensed Therapist
100% Virtual
Private Pay & Insurance
Confidential Sessions
Amiti Grozdon, therapist at Sagebrush Counseling
Licensed In
Texas Maine Montana New Hampshire
Meet Your Therapist

Amiti Grozdon, LPC, LCMHC, LCPC

My approach is direct, warm, and approachable, and sessions are solutions-driven. You'll always know what we're working toward, and you'll leave with something you can use.

Whether you arrive on your own or with your partner — with burnout, a relationship that needs a shared language, a new or suspected Autism or ADHD identification, or simply a sense that something needs to change — you'll find space to be exactly where you are. I'll help you make sense of what's underneath and build tools that fit how you function, using evidence-based approaches matched to what you need.

Specialized Training
Couples Infidelity Repair: Treating Affairs and Trauma (Gottman)
AANE Neurodiverse Couples Therapy
AANE Neurodiverse Couples Intimacy
AANE Pathological Demand Avoidance (PDA)
Integrative Couples Sex and Intimacy Training
Solutions-Focused Brief Therapy (Institute for Solution-Focused Therapy)
ACT for Autism and Adult ADHD
DBT for Neurodivergent Clients
Process-Based Therapy for Body-Focused Repetitive Behaviors (BFRBs) — OCD Training School
Emetophobia: Assessment and Treatment — OCD Training School
ARFID: Diagnosis, Anxiety-Based Treatment, and Neurodivergent-Informed Approaches — Anxiety Institute
My Specialties

What I specialize in

My practice is intentionally specialized: neurodiverse couples, neurodivergent adults, anxiety and depression, and body-focused repetitive behaviors. The kind of support that's hard to find from a generalist therapist.

Neurodiverse Couples

Couples — Mixed-Neurotype & ND Partnerships

AANE-informed couples therapy built for how neurodivergent relationships work, not a neurotypical template.

  • Autistic, ADHD, AuDHD, and mixed-neurotype partnerships
  • Communication that keeps missing, even when you both try
  • Sensory needs, parallel play, and different ways of showing love
  • A late identification that changed how you understand your relationship
  • Neurotypical partners looking to understand, not fix
  • RSD, shutdowns, and meltdowns between partners
  • Trained through AANE in neurodiverse couples therapy and intimacy
Neurodiverse Couples Therapy →

Neurodivergent Adults

Individuals — Autistic, ADHD & AuDHD Adults

Individual therapy that works with how you're wired, not against it. Self-identified clients welcome.

  • Late or newly identified, and rethinking your story
  • Masking, and the exhaustion of holding it up
  • Rejection sensitive dysphoria (RSD)
  • Alexithymia and finding words for what you feel
  • Executive function, planning, and follow-through
  • Sensory sensitivities and overwhelm
  • Neurodivergent burnout
  • Emetophobia, misophonia, and ARFID
Neurodivergent Adults →

Anxiety & Depression

Individuals

Practical, solutions-driven support for anxiety and depression, whether it's new, long-standing, or hard to put into words.

  • Lying awake replaying conversations and rehearsing tomorrow's
  • Panic attacks that seem to come out of nowhere
  • Canceling plans, then feeling guilty about canceling
  • Holding it together all day and falling apart at home
  • Going through the motions, feeling flat or numb
  • Small tasks piling up until everything feels like too much
  • Anxiety and depression tangled with ADHD or Autism

Body-Focused Repetitive Behaviors (BFRBs)

Individuals — Hair Pulling, Skin Picking & More

Structured, shame-free treatment using the ComB model — understanding what the behavior does for you, without "just stop."

  • Trichotillomania (hair pulling) and dermatillomania (skin picking)
  • Nail biting, cheek biting, and related behaviors
  • Mapping your triggers, urges, and patterns
  • The shame spiral after an episode
  • Strategies that fit your sensory system
  • Autistic and ADHD adults welcome
  • Trained in process-based BFRB treatment
BFRB Therapy →
About Sagebrush

A practice rooted in
connection

Sagebrush Counseling is a virtual therapy practice for neurodivergent adults. Whether you're navigating a neurodiverse relationship, making sense of a late Autism or ADHD identification, or working through the anxiety that shapes your days, this is a place to be understood without having to translate yourself.

Solo

Individual Therapy

Working through it on your own, at your pace

For couples

Neurodiverse Couples

Couples therapy for mixed-neurotype and ND partnerships

Telehealth

100% Virtual

Secure video sessions from anywhere private

Payment

Private Pay & Insurance

In-network with major providers, plus private pay rates

Neurodiverse couples
and individual therapy.

My flagship focus is neurodiverse couples therapy for ADHD, Autistic, AuDHD, and mixed-neurotype partnerships. For individuals, I offer specialized one-on-one support.

Private Pay & Insurance

Choose what fits you

Sagebrush Counseling accepts private pay and is in-network with several major insurance providers. Pick the option that works best for you.

Option One

Private Pay

Check-In Session
30 minutes · For established clients
$120
Standard Session
55 minutes · Individual or couples
$200
Option Two

In-Network Insurance

Accepted with several major providers

  • Carelon Behavioral Health
    TX ME NH MT
  • Cigna
    TX ME NH MT
  • Aetna
    TX ME NH MT
  • Quest Behavioral Health
    TX ME NH MT
  • Providence Health Plan
    TX ME NH MT
  • Point32 Healthcare
    ME NH
  • Anthem Blue Cross and Blue Shield
    ME NH
  • Blue Cross Blue Shield of Texas
    TX
  • Ascension (SmartHealth)
    TX
How It Works

Getting started, step by step

1
Reach Out

Fill out the contact form — even one or two sentences is enough.

2
Free Consultation

A 15-minute phone call. I'll call you at the time you schedule.

3
First Session

We meet virtually and begin understanding what you need.

4
Ongoing Work

Sessions tailored to your goals and pace.

Virtual Therapy

How virtual
therapy works

No commute. No waiting room. No rearranging your day around a drive across town. Just open your laptop or phone, and we begin.

All sessions happen on a HIPAA-compliant secure video platform, so your privacy is protected from start to finish.

1

Find your space

Join from your couch, a quiet room at home, or a private spot at work — anywhere safe, secure, and free from interruption.

2

Click your secure link

You'll receive your link to use for sessions. One click and you're in. No downloads. No passwords to remember.

3

Start the session

That's it. We meet, we work, we end on time. Your only job is to show up.

The Approach

How I work
with you

My approach is direct, warm, and collaborative. I meet you where you are, work at your pace, and create space for the conversations that matter most, even the ones that feel impossible to start.

Direct and warm

I don't talk around the issue. I address what's happening with honesty and warmth, so you can make steady progress, not just feel heard.

Client-led pacing

There's no rigid timeline. Some sessions go deep, others are about regrouping. I follow your readiness, not a predetermined plan.

A safe, affirming space

Whatever you're carrying, including trauma, identity, relationships, or neurodivergence, you can bring the full truth here without translating yourself or fearing judgment.

Finding the Right Fit

Is this the right place for you?

Fit matters more than anything else in therapy. Here's an honest look at who I work best with, so you can decide before you ever reach out. And one thing worth saying up front: you don't need to be in a crisis to start counseling, and nothing is too small to bring.

We're likely a good fit if…

  • You know or suspect you're Autistic, ADHD, or AuDHD, and you want a therapist who won't make you explain the basics
  • You're in a neurodiverse or mixed-neurotype relationship and want a therapist who understands both sides of it
  • You're working through anxiety, depression, BFRBs, emetophobia, misophonia, ARFID, or burnout
  • You want direct feedback and a clear sense of what we're working toward
  • You're self-identified, questioning, or newly identified, no formal diagnosis needed
  • You've tried therapy before and felt misunderstood, or spent your sessions teaching your therapist about neurodivergence
  • You're brand new to therapy, or just beginning to learn about neurodivergence
  • You've been told you're "too sensitive" or should "just get over it"

I'm probably not the right fit if…

  • You're under 18, and I'd be happy to send referrals to therapists who work with teens and children
  • You're looking for medication management, which comes from a psychiatrist, psychiatric nurse practitioner, or your primary care provider
  • You're in crisis or need a higher level of care than weekly outpatient therapy, where crisis resources are the right first step
  • You're located outside Texas, Maine, New Hampshire, or Montana, since licensing requires you to be in one of these states during sessions
  • You're looking for in-person sessions, as my practice is fully virtual

Ready when you are.

The consultation is free and short. We'll talk by phone — I'll call you at the time you schedule — and see if we're a fit. No pressure, no commitment.

Common Questions

Before you reach out

Quick answers to what people ask most. For everything else, the full FAQ page has more.

Sagebrush Counseling accepts both private pay and in-network insurance with several major providers. Private pay rates are $120 for a 30-minute check-in session and $200 for a 55-minute session, with the same rates for individuals and couples. If you'd like to use insurance, please verify your specific benefits directly with your insurance company before scheduling, as coverage varies by plan. Full details are on the services page.
I'm in-network with Carelon Behavioral Health, Cigna, Aetna, Quest Behavioral Health, and Providence Health Plan in Texas, Maine, New Hampshire, and Montana. I also accept Point32 Healthcare and Anthem Blue Cross and Blue Shield in Maine and New Hampshire, and Blue Cross Blue Shield of Texas and Ascension SmartHealth in Texas. Coverage varies by plan, and not all plans cover couples therapy, so please verify your benefits directly with your insurance company before scheduling.
Self-identified clients are welcome. A formal diagnosis is expensive and hard to access as an adult, and I don't treat it as a ticket for entry. If you recognize yourself in the way I describe this work, that's enough of a reason to reach out.
Neurodivergent-affirming therapy treats Autism, ADHD, and AuDHD as differences rather than disorders to be fixed. Whether you're formally diagnosed, self-identified, questioning, or somewhere in between — you are welcome here. I work to understand your unique needs (including sensory and communication preferences) and help you build a life and relationships that fit how you function, not how the world expects you to.
Your initial session is focused on understanding what brought you to therapy and what you're hoping to work on. We'll discuss your history, current concerns, and begin developing a plan together. There's no pressure to have everything figured out beforehand.
No, my practice is for adults 18 and over. If you're looking for support for a child or teen, I'd be happy to send referrals to therapists who specialize in working with younger clients.
Yes, I am. Availability and session times change month to month, so reaching out is the best first step. We'll find a time that works, and if I'm at capacity when you contact me, I'm happy to send referrals.
Confidentiality is a foundation of our work together, and what you share in session is protected. There are a few limited exceptions required by law, including situations involving imminent risk of harm to yourself or others, suspected abuse or neglect of a child or vulnerable adult, or a valid court order. I'll review these limits clearly during your first session so you know exactly what to expect.

How to connect.

The best way to schedule a session or book a free 15-minute consult is to fill out the contact form. I respond to all inquiries within one business day.

Go to Contact Form →
Virtual Sessions

Available in TX, ME, MT, and NH

Hours

Mon–Fri 8am–6pm EST