Therapy for Texas adults and couples
Online therapy for relationships, infidelity recovery, intimacy work, and neurodivergent adults across Texas, including ADHD, Autism, and AuDHD. Licensed in Texas, available statewide via secure telehealth.
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. The work is focused on three areas where I have specialty training: trust and infidelity recovery, intimacy and connection, and neurodivergent-affirming therapy for ADHD, Autistic, and AuDHD adults and couples.
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 evening and weekend availability. Just delivered through video instead of a waiting room.
Three areas of focused training
Specialty experience matters more than general practice. These three areas are where my training and clinical focus live, available for both individual therapy and couples therapy across Texas.
Affair recovery and betrayal repair
For Texas couples navigating physical affairs, emotional affairs, online or app-based betrayals, financial deception, or sustained dishonesty. Gottman-method affair recovery, attachment-informed work, and structured repair when both partners want to try.
Learn moreCouples therapy and marriage counseling
For Texas couples experiencing communication breakdown, emotional distance, desire discrepancy, sexual disconnection, or the slow drift that happens when work and life crowd out the relationship. Includes 3-hour couples intensives for couples who want to move faster than weekly sessions.
Learn moreADHD, Autism, and AuDHD adults & couples
For Texas adults and couples navigating ADHD, Autism, AuDHD, or any combination. AANE-trained, neurodivergent-affirming work built around how you actually function rather than neurotypical assumptions. Late diagnosis, self-identification, and questioning all welcome.
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
Evening and Saturday appointments available. 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, DBT for neurodivergent clients, and inference-based CBT.
Neurodivergent-affirming
If you or your partner are ADHD, Autistic, or AuDHD, the work is built around how you actually 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 can be 50 minutes, 90 minutes, or 3-hour intensives depending on what fits.
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. The work moves between understanding and action so something actually changes.
Clear rates, no surprises
Sagebrush Counseling is a private pay practice. Rates are the same for individuals and couples, with no surprises and no insurance company deciding what kind of work you're allowed to do.
- Standard session: $200 (50 minutes)
- Extended session: $350 (90 minutes)
- Couples intensive: $600 (3 hours)
- Same rates apply to individuals and couples
- Superbills available on request for possible out-of-network reimbursement
For full details on rates and session formats, see the services page.
When sessions happen
Monday through Friday and Saturday 8am to 5pm in your time zone. The first step is a free 15-minute consultation call to see whether the fit feels right.
- Monday through Friday appointments
- Saturday appointments 8am to 5pm
- 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.
Three main areas: trust and infidelity recovery for couples, intimacy and connection work, and neurodivergent-affirming therapy for ADHD, Autistic, and AuDHD adults and couples. Couples counseling, individual therapy, and 3-hour couples intensives are all available.
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 a private pay practice. Rates are $200 for a 50-minute session, $350 for a 90-minute extended session, and $600 for a 3-hour couples intensive. Same rates apply to individuals and couples.
Superbills are available on request, which you can submit to your insurance company for possible out-of-network reimbursement. Out-of-network coverage varies significantly by plan, so please contact your insurance company directly if you'd like to explore that option.
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.
Yes. Hours are Monday through Friday and Saturday 8am to 5pm in your time zone. This accommodates Texas clients in demanding professional roles, dual-income households, and those who cannot take time during the workday.
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.
Ready to start the work?
The free 15-minute consultation is the first step. No pressure, no commitment. Just a conversation to see if this is the right fit.