Therapy for Texas adults and couples
Select insurance and private pay options available
Online therapy for neurodiverse couples, neurodivergent adults, anxiety and depression, and BFRBs across Texas — including ADHD, Autism, AuDHD, burnout, ARFID, PMDD, and complex PTSD. Licensed in Texas, available statewide via secure telehealth.
Amiti Grozdon, M.Ed., LPC
Texas LPC #92348 · Telehealth across Texas
I'm a licensed therapist specializing in neurodiverse couples, neurodivergent adults, anxiety and depression, and body-focused repetitive behaviors. I work with people who are carrying things they were never given the tools to set down, and I help you set them down at your pace.
My approach is direct, warm, and solutions-driven.
A licensed Texas therapist for your zip code
Texas is the second largest state in the country. The right therapist for what you're navigating may not be the closest one to your zip code. From the Hill Country to the Panhandle, from East Texas to the border, online therapy means you're not limited to whoever happens to practice within driving distance.
Sagebrush Counseling is a solo Texas practice serving adults and couples across all 254 counties via secure telehealth. My practice is focused on four areas where I have specialty training: neurodiverse couples, neurodivergent adults, anxiety and depression, and body-focused repetitive behaviors.
You don't have to choose between a local therapist and the right therapist. Online therapy means you can have both.
Whether you live in a major Texas metro or a smaller community, this practice serves you the same. Same depth of work, same specialty training, same availability. Just delivered through video instead of a waiting room.
Specialized areas of focused training
Specialty experience matters more than general practice. These are the areas where my training and clinical focus live, available for both individual therapy and couples therapy anywhere in Texas. In-network with major insurance plans in Texas; private pay welcome.
Couples therapy for ND and mixed-neurotype partnerships
For Texas couples where one or both partners are Autistic, ADHD, or AuDHD: communication that keeps missing, sensory needs between partners, and understanding without blame. AANE-informed couples therapy, available anywhere in Texas via telehealth.
Learn moreIndividual therapy for Autistic, ADHD, and AuDHD adults
For Texas adults navigating late identification, masking, RSD, alexithymia, executive function, and burnout. Affirming, practical, and built around how you're wired. Self-identified clients welcome.
Learn moreAnxiety and depression therapy
Practical, solutions-driven support for Texas residents: racing thoughts, panic, canceling plans then feeling guilty, holding it together all day and falling apart at home. Insurance accepted for most plans.
Learn moreHair pulling and skin picking treatment
Structured, shame-free treatment for trichotillomania, dermatillomania, and related behaviors using the ComB model, without "just stop." Available to anyone in Texas via secure telehealth.
Learn moreBuilt for the scale of this state
Texas geography creates real barriers to specialty care. Houston traffic alone makes weekly in-person therapy difficult. For Texans outside the major metros, the nearest specialty-trained therapist may be an hour away or more.
Online therapy removes those barriers. It also serves Texans who prefer privacy. In smaller Texas communities, seeing a local therapist can mean visibility within a professional or social network. Telehealth means a session from your home with no community exposure.
No commute, no waiting room
Sessions from home, your office, or any private space with internet access. Reclaim the hour you'd spend driving to and from in-person therapy.
Access to specialty training
You're not limited to whoever practices in your zip code. Specialty training in ADHD, Autism, AuDHD, infidelity recovery, and neurodiverse couples work is available to every Texas community.
Privacy and discretion
Especially important in smaller Texas communities or for professionals concerned about visibility. Sessions are HIPAA-compliant and fully confidential.
Flexible for Texas schedules
Couples can join from separate locations within Texas, useful for partners with different work schedules.
Therapy across Texas's largest metros
Each major Texas city has dedicated content for the specific patterns that bring local clients to therapy. Online sessions, same depth of work, served from wherever you are in the metro.
Austin draws tech professionals, creatives, and transplants in roughly equal measure. The city has a high concentration of late-identified neurodivergent adults, dual-career couples managing demanding work cultures, and partnerships shaped by relocation, growth, and fast change. ADHD therapy, Autism therapy, AuDHD therapy, and neurodiverse couples counseling are particularly common reasons Austin clients come to therapy.
Dallas couples often arrive with the specific strain of corporate culture: long hours, frequent travel, emotional absence, and the gradual erosion of intimacy that happens when both partners are running at full capacity. Infidelity work and affair recovery are common entry points. Both-partners-neurodivergent dynamics are also a notable pattern in Dallas's professional and tech corridors.
Houston's geographic sprawl makes weekly in-person therapy genuinely impractical for many couples. The city is also one of the most demographically diverse in the country, with bilingual households, international families, and the cultural complexity that adds to relationship work. Online therapy removes the commute that often kills consistency in this metro.
Fort Worth and the western DFW corridor including Arlington, Benbrook, and Southlake bring couples navigating family-of-origin patterns, parenting strain in marriages, and the specific cultural backdrop of Tarrant County. Marriage counseling and individual therapy for Fort Worth adults is available alongside the full range of services offered statewide.
San Antonio's military presence shapes much of the relationship work that comes up here: deployment cycles, reintegration, military marriages under strain, and the impact of repeated relocation on family stability. Multigenerational households are also more common in San Antonio than in much of Texas, which adds its own dynamics to couples and individual therapy.
El Paso's geographic distance from the rest of Texas and its cross-border culture create unique therapy needs. Specialty-trained therapists are sparse in far west Texas, making telehealth particularly valuable. Online therapy in El Paso means access to ADHD therapy, Autism therapy, AuDHD work, neurodiverse couples therapy, and infidelity recovery work that may not exist locally.
The Permian Basin brings its own pattern: oilfield families navigating long absences, boom-bust financial stress, and the strain that long-distance work puts on marriages. Affair recovery and rebuilding intimacy after extended separations are common reasons Midland and Odessa couples come to therapy.
Online therapy for every Texas community
Telehealth means therapy is available in every Texas suburb, smaller city, and rural area at the same depth as the major metros. If your Texas community is on this list or not, you can still book.
- Plano
- Frisco
- McKinney
- Allen
- Richardson
- Garland
- Irving
- Carrollton
- Lewisville
- Flower Mound
- Coppell
- Southlake
- Grapevine
- Keller
- The Colony
- Prosper
- Celina
- Round Rock
- Cedar Park
- Leander
- Pflugerville
- Georgetown
- Kyle
- Buda
- San Marcos
- Lakeway
- Bee Cave
- Dripping Springs
- Wimberley
- Fredericksburg
- The Woodlands
- Spring
- Tomball
- Conroe
- Magnolia
- Cypress
- Katy
- Sugar Land
- Pearland
- Friendswood
- League City
- Missouri City
- Richmond
- Rosenberg
- Galveston
- Beaumont
- Tyler
- Longview
- Marshall
- Texarkana
- Waco
- Temple
- Killeen
- Bryan · College Station
- Lubbock
- Amarillo
- Abilene
- San Angelo
- Wichita Falls
- Brownsville
- McAllen
- Edinburg
- Harlingen
- Laredo
- Corpus Christi
- Victoria
- New Braunfels
- Schertz
- Cibolo
- Boerne
- Kerrville
If you live in Texas and don't see your community listed, you can still book. Telehealth covers every Texas zip code.
How I work with Texas clients
Solo practice. No interns, no associates, no rotating providers. The therapist you meet on the consultation call is the therapist you work with.
Specialty-trained, not generalist
Advanced certifications in Gottman affair recovery, AANE neurodiverse couples and intimacy, AANE PDA, ACT, and DBT for neurodivergent clients.
Neurodivergent-affirming
If you or your partner are ADHD, Autistic, or AuDHD, therapy is built around how you function. No fixing, no neurotypical assumptions, no pathologizing.
Direct and warm
I'll tell you what I'm seeing. I won't perform neutrality when something's clearly off. Therapy that's too gentle to land doesn't help anyone.
Couples or individual
Both partners welcome for couples work. Individual therapy alongside or instead. Sessions are 50 to 55 minutes, with 30-minute check-ins available for established clients.
Built for busy Texans
Sessions designed around demanding schedules, dual-income households, frequent travel, and the realities of professional life in Texas. Therapy that fits your week.
Practical, not abstract
Insight matters. So does what you do on Tuesday morning. Sessions move between understanding and action so something changes.
Coverage that works for you
Sagebrush Counseling is in-network with major insurance plans in Texas and also welcomes private pay. Rates are the same for individuals and couples.
- In-network in Texas: Carelon, Cigna, Aetna, Providence, BCBS of Texas, Ascension SmartHealth
- Private pay: $200 standard session (50 to 55 minutes), $120 check-in (30 minutes)
- Not all plans cover couples therapy, so it's worth verifying your benefits
For full details on rates and insurance, see the services page.
When sessions happen
Monday through Friday, 7am to 5pm Central Time. The first step is a free 15-minute consultation call to see whether the fit feels right.
- Monday through Friday, 7am to 5pm Central Time
- Join from anywhere in Texas: home, office, or any private space
- Free 15-minute consultation to see if we are a good fit
- Couples can join from separate Texas locations
- HIPAA-compliant secure telehealth platform
Common questions about Texas therapy
Quick answers to what Texas clients most often ask before booking.
Yes. I'm licensed in Texas (LPC #92348) and serve adults and couples statewide via secure telehealth. This includes Austin, Dallas, Houston, Fort Worth, San Antonio, El Paso, and every Texas community, suburb, and rural area. Wherever you live in Texas, sessions are available.
Four main areas: neurodiverse couples therapy for mixed-neurotype and ND partnerships, individual therapy for neurodivergent adults (ADHD, Autistic, and AuDHD), anxiety and depression, and body-focused repetitive behaviors (hair pulling and skin picking). Infidelity recovery and intimacy work also remain available for couples and individuals.
I draw on ACT (Acceptance and Commitment Therapy), Solution-Focused Brief Therapy, and somatic work, along with specialty methods for each area: AANE-informed approaches for neurodiverse couples, the ComB model for hair pulling and skin picking, and CBT-AR for ARFID. The mix is matched to what you need rather than a one-size-fits-all protocol.
Research consistently shows telehealth therapy is comparable to in-person therapy for most presenting concerns, including couples therapy, anxiety, depression, and ADHD. For Texans, telehealth removes the commute barrier, expands access to specialty-trained therapists, and allows sessions from home or any private space.
Sagebrush Counseling is in-network with major insurance plans in Texas, including Carelon, Cigna, Aetna, Providence, BCBS of Texas, Ascension SmartHealth. Private pay is also welcome: $200 for a 50 to 55 minute session and $120 for a 30-minute check-in. Same rates apply to individuals and couples.
For full details on rates and session formats, see the services page.
Yes. As long as both partners are physically located in Texas during the session, you can join from separate locations. This works well for partners with different work schedules, those who travel within Texas, or military families separated temporarily.
A free 15-minute video call where we discuss what you're navigating, what you're hoping to work on, and whether the fit feels right. No pressure to book afterward. For couples, both partners are welcome on the call.
Sessions are available Monday through Friday, 7am to 5pm Central Time.
No. Self-identified, questioning, late-discovered, and formally diagnosed clients are all welcome. Many Texas adults come to therapy in their 30s or 40s suspecting ADHD, Autism, or AuDHD without ever having been formally evaluated. Therapy can be a place to explore that.
No. Sagebrush Counseling is a fully online practice, serving clients anywhere in Texas through secure, HIPAA-compliant video sessions. You can join from home, your office, your car, or any private space. If you specifically need in-person care, I'm happy to point you toward directories for local providers during a consultation.
No. As a Licensed Professional Counselor (LPC), I provide therapy, not medication. If medication support is something you're looking for, a psychiatrist or prescribing provider is the right professional for that.
No. My practice is for adults, 18 and older, including college students, couples, and late-identified neurodivergent adults across Texas.
Ready to get started?
The free 15-minute consultation is the first step. No pressure, no commitment. Just a conversation to see if this is the right fit.