Online Therapists in Texas

Explore online therapists and medication management providers in Texas. Compare their approach and availability, then contact providers directly.
About finding online care in this state

In a state as large as Texas, the right therapist may not be the closest one. This page helps you browse therapists licensed in Texas who offer online care, so you can compare providers across the state and focus on fit, availability, and the kind of support you are looking for. Use the filters to narrow your search by specialty, therapy modality, language, age group, insurance, and therapist or medication management. You can also compare payment options, including in network benefits, out of network reimbursement with a superbill when available, and self pay.

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164 providers · Showing 121–132
Tena Thomas

Sunridge Counseling

LPC

Licensed In:
Arizona, Delaware, Florida, Idaho, Iowa, Michigan, Minnesota, New Mexico, Ohio, Pennsylvania, Texas, Vermont
“I specialize in helping teens 16+ and adults navigate Borderline Personality Disorder or traits, trauma, ADHD, and Autism. Many of my clients experience emotions intensely, struggle with rejection sensitivity, masking, or relational instability, and feel frustrated that insight alone has not created change. 
”
Services:
Individual Therapy
Specialties:
ADHD · Anxiety · Autism · Depression · Dissociative Disorders · Life Transitions · Obsessive-Compulsive Disorder (OCD) · Personality Disorders · Self-Harming · Suicidal Ideation · Trauma & PTSD
Leah S. Levenson, Psy.D.

LSL Psychological Services, P.A.

Psy.D.

Licensed In:
Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington, DC, West Virginia, Wisconsin, Wyoming
“Many of the people I work with are capable adults who look like they have everything together but feel anxious, overwhelmed, or exhausted behind the scenes. They often know what they "should" be doing, but still find themselves stuck in the same patterns. I also work with teens, college students, and parents navigating anxiety, perfectionism, stress, and life's many transitions. My style is warm, direct, and practical. Therapy with me is a conversation, not a lecture. I'll ask questions, notice patterns, and offer honest feedback while helping you develop tools that fit your life. You don't have to have everything figured out before you start. Most people don't. We'll work together to understand what's getting in your way and help you move toward lasting, meaningful change.”
Services:
Individual Therapy, Parenting Therapy, Teen Therapy
Specialties:
Anxiety · Burnout · Life Transitions · Perfectionism · Pregnancy, Postpartum & Perinatal Mental Health
Jennifer Cepeda LCSW

Jennifer Cepeda LCSW

LCSW

Licensed In:
Texas
“I work with children, adults, and families navigating anxiety, depression, ADHD, trauma, emotional and behavioral concerns, life transitions, and relationship challenges. I support clients from diverse backgrounds and strive to create a safe, welcoming environment where they feel heard, respected, and understood.”
Services:
Individual Therapy
Specialties:
Anger Management · Anxiety · Behavioral Issues · Depression · Mood Disorders · Self-Harming · Suicidal Ideation · Trauma & PTSD · Women’s Mental Health
Destinee

Your Healthy Destiny Counseling & Consulting, PLLC

LPC

Licensed In:
Texas
“If you’re feeling overwhelmed, emotionally drained, or stuck in patterns that keep repeating in your relationships, you’re not alone. I work with individuals who are navigating anxiety, stress, relationship challenges, life transitions, and the weight of trying to hold everything together for everyone else. Many of my clients are used to being the strong one, yet inside they feel unheard, disconnected, or unsure of how to move forward. Together, we create a safe and supportive space where you can slow down, process what you’re experiencing, and begin building healthier ways to cope, communicate, and care for yourself. If you’re ready to better understand yourself, heal from what’s been weighing on you, and move toward a more balanced and fulfilling life, you’re in the right place.”
Services:
Couples Therapy, Family Therapy, Group Therapy, Individual Therapy, Teen Therapy
Specialties:
Margaret Bean

ABC Counseling Inc.

LMFT-S

Licensed In:
Colorado, Montana, Texas
“I work with adults, teens, couples, and helping professionals who feel overwhelmed by anxiety, burnout, relationship stress, life transitions, and the pressure of holding everything together. Many of my clients are overthinkers, people pleasers, high achievers, cycle-breakers, or the “strong one” in their family who’s exhausted from carrying everyone else emotionally. You may look successful on the outside while privately struggling with self-doubt, emotional exhaustion, boundaries, communication, trauma, or feeling disconnected from yourself and others. I also work with clients navigating identity exploration, attachment wounds, grief, ADHD-related challenges, and difficult relationship dynamics. If you’re self-aware but still stuck in the same patterns, craving healthier relationships, or simply tired of surviving instead of living, you’re in the right place.”
Services:
Couples Therapy, Family Therapy, Group Therapy, Individual Therapy, Parenting Therapy, Sex Therapy, Teen Therapy
Specialties:
Addiction · ADHD · Aging · Anxiety · Attachment · Bipolar Disorder · Burnout · Cancer · Career Counseling · Chronic Pain and Illness · Codependency · Consensual Non-Monogamy · Depression · Disability · Divorce · Domestic Abuse · Gender Identity · Grief · Immigrant & Refugee Mental Health · Life Transitions · Older Adults & Aging · Panic · Perfectionism · Pregnancy, Postpartum & Perinatal Mental Health · Psychosis · Relationship Issues · Religious Trauma & Spiritual Abuse · Self Esteem · Self-Harming · Sexual Abuse · Spiritual Abuse · Spirituality · Substance Use · Suicidal Ideation · Trauma & PTSD · Women’s Mental Health
Lydia Anthony

Rejoice in the Rain Counseling

LPC #85822

Licensed In:
Texas, Vermont
“At Rejoice in the Rain Counseling, I provide evidence-based and trauma-informed care tailored to your unique needs, helping you heal, grow, and build resilience. Specialties include:
(1) Anxiety and Panic Disorders, (2) Depression, (3) Grief Counseling, (4) Trauma Treatment, (5) Health-Related Stressors, and (6) General Life Concerns (e.g., career, relationships, life transitions).”
Services:
Individual Therapy
Specialties:
Anger Management · Anxiety · Bipolar Disorder · Burnout · Career Counseling · Chronic Pain and Illness · Depression · Disability · Gender Identity · Grief · Insomnia & Sleep Disorders · Life Transitions · Older Adults & Aging · Panic · Psychosis · Relationship Issues · Self Esteem · Self-Harming · Spiritual Abuse · Spirituality · Suicidal Ideation · Trauma & PTSD · Traumatic Brain Injury (TBI) · Women’s Mental Health
Rachel Cooper

Amority Health

LPC Associate

Licensed In:
Texas
“Anxiety Therapist for High-Achieving Adults in Austin & Online Across Texas If anxiety, overthinking, or burnout are making it difficult to feel in control while you continue to appear composed on the outside, you’re likely a strong fit for my work. You may find your mind racing, replaying conversations, or holding yourself to relentlessly high standards. From the outside, everything looks “put together.” Internally, it can feel like pressure, exhaustion, or quiet self-doubt. I work with high-achieving adults who are navigating anxiety, perfectionism, burnout, and imposter syndrome, often simultaneously. Together, we focus on helping you feel more grounded, more confident, and more in control, not by lowering your standards, but by creating a way of operating that actually supports you.”
Services:
Individual Therapy
Specialties:
Anxiety · Depression · Life Transitions · Perfectionism · Relationship Issues · Self Esteem · Trauma & PTSD
Samantha Espinoza

Carving Souls Counseling

LPC

Licensed In:
Texas
“My name is Samantha Espinoza. I am a Licensed Professional Counselor. I own a virtual therapy in Texas. I specialize in several different forms of Cognitive Behavior Therapy which will help you learn coping skills to help with anger, anxiety, ADHD and depression. I am trained in trauma.”
Services:
Individual Therapy, Parenting Therapy
Specialties:
ADHD · Anger Management · Chronic Pain and Illness · Depression · Disability · Educational and Learning Disabilities · Life Transitions · Panic · Self Esteem · Trauma & PTSD · Weight Loss · Women’s Mental Health
Rachel Saffer

Spry Little Birds Counseling

LCSW-S

Licensed In:
Texas
“I work with children, teens and young adults to help build confidence, explore emotions and feel understood.”
Services:
Child Therapy, Clinical Supervision, Individual Therapy, Teen Therapy
Specialties:
ADHD · Anxiety · Depression · Grief · Mood Disorders · Panic · Perfectionism · Personality Disorders · Self Esteem · Trauma & PTSD · Women’s Mental Health
Caycee Terrell-Vining

Counseling Through Vision, LLC

LPC, NCC, BC-TMH

Licensed In:
Idaho, Louisiana, Minnesota, Ohio, Texas, Wisconsin
“I work with adults who may be struggling with adjustment issues, stress, anxiety, and depression.”
Services:
Individual Therapy
Specialties:
Anxiety · Burnout · Depression · Life Transitions · Perfectionism · Self Esteem
Gabriela Trevino

Healing Lane Therapy

LCSW

Licensed In:
Texas
“Gabriela specializes in working with adolescents, young adults, and adults navigating the complexities of complex trauma, Borderline Personality Disorder (BPD), and intense emotional cycles. With a clinical background from The Menninger Clinic and UT Health, she provides a compassionate, trauma-informed space to help clients heal from the past and quiet a hypervigilant nervous system. As a bilingual, mixed-race Latina, Gabriela offers relatable, evidence-based support in both English and Spanish to help individuals move from a state of survival toward a life of safety, ease, and secure connection.”
Services:
Couples Therapy, Family Therapy, Individual Therapy, Parenting Therapy, Teen Therapy
Specialties:
ADHD · Anxiety · Attachment · Behavioral Issues · Depression · Life Transitions · Men’s Mental Health · Parent-Child Bonding & Attachment · Perfectionism · Personality Disorders · Self Esteem · Self-Harming · Sexual Abuse · Suicidal Ideation · Trauma & PTSD · Women’s Mental Health
Jessica Aleman

Own Your Story Counseling PLLC

LCSW-S

Licensed In:
Maine, Texas
“You might be someone who looks like you have it together on the outside, but inside your mind never slows down. You replay conversations, overanalyze decisions, and worry you’re falling behind everyone else. Maybe you feel pressure to make the “right” choices about your career, relationships, or future, but the constant second-guessing leaves you feeling anxious and unsure of yourself. Many of the people I work with are young adults and women who are tired of living in their own heads and want more clarity, confidence, and peace of mind. You deserve to feel grounded in your decisions, trust yourself, and move through life without the constant weight of self-doubt. Therapy can be a place to sort through the noise, understand what’s really driving the anxiety, and start building a life that actually feels like yours.”
Services:
Individual Therapy
Specialties:

Finding online care in Texas

For many people, online therapy in Texas makes it easier to look beyond the nearest office and consider a wider range of options. That can be especially helpful in a state where large metro areas, suburbs, college towns, and rural communities may all involve very different access to care. Remote sessions can also make it easier to keep therapy consistent when long drives, work schedules, caregiving, or family routines make in person appointments harder to maintain.

Online care can be especially practical in Texas because day to day logistics are not always simple. Most of the state follows Central Time, but El Paso and parts of far West Texas follow Mountain Time. In a state this large, the specialist you want may be in another region entirely. As you compare providers, it can help to start with fit, availability, scheduling, and payment options. The resources below can help you verify licenses, review crisis supports, and explore lower cost mental health options if needed.

Online therapy in Texas: common questions

How do I use this page to find the right fit for online therapy in Texas?

Start with the issue that matters most to you, such as specialty, therapy modality, language, age group, insurance, and whether you are looking for therapy or medication management. Then read a few profiles closely and compare things like approach, availability, and whether the provider feels like a good match for what you want help with. It can help to reach out to two or three people so you can compare fit before booking.

What should I ask before booking with a therapist?

Before you book, ask a few practical questions that make the decision easier. Ask whether they are accepting new clients, what concerns they work with most often, how they usually structure sessions, and whether they offer the style of therapy you want. It is also a good idea to ask about session length, how often they usually recommend meeting, if they accept insurance or what self-pay costs are, and how cancellations work. If you travel often, ask what happens if you are outside Texas on the day of a session. If you are considering medication, ask whether they provide medication management directly or work alongside another prescriber.

Does my online therapist have to live in Texas, and what happens if I travel out of state?

Not necessarily. Your therapist does not have to live in Texas. What matters most is whether they are authorized to treat clients who are physically in Texas at the time of the session. If you travel out of state, even temporarily, your therapist may not be able to keep meeting with you unless they are also allowed to practice where you are located that day. Ask about this before you travel, and if you split time between states, start with our find a therapist licensed in multiple states page. If you want to double-check a provider’s Texas license, the official board links are in the resources below.

What types of mental health services are available online through telehealth in Texas?

Telehealth in Texas can include individual therapy, child or teen therapy, couples counseling, family therapy, group therapy, medication management, and sometimes testing and evaluations. What is available online depends on the provider’s license, specialty, and how they deliver care. Some people want one service, while others want a combination.

Can I find medication management providers here, and how is medication management different from online therapy?

Yes. You can use this directory to look for medication management providers in Texas. Medication management focuses on evaluating symptoms, deciding whether medication may help, prescribing when appropriate, and monitoring side effects or dose changes over time. Online therapy is talk-based care that helps with coping, emotions, relationships, behavior patterns, and long-term change. Some people use one or the other, and many use both. If you need controlled substances prescribed, check with the provider before booking about whether they can do that through telehealth, because there may be additional restrictions or requirements around prescribing controlled medications online.

Where can I start if I need lower cost or public mental health support in Texas?

A strong first step is your local mental health or behavioral health authority. Texas has a statewide network of these public agencies, and local mental health authorities may offer outpatient services based on ability to pay. You can also contact 2-1-1 Texas for local mental health and substance use resources. For peer support, family education, and local community connections, National Alliance on Mental Illness Texas can be helpful. If you are helping a teen or family in crisis, the Texas Youth Helpline is a 24/7 option. If you may qualify, Texas Medicaid and the Children’s Health Insurance Program are also worth checking. The official links are in the resources below.

How do I verify a therapist or prescriber’s Texas license?

For psychologists, licensed professional counselors, licensed marriage and family therapists, and social workers, use the Texas Behavioral Health Executive Council license tools. For psychiatrists and other physicians, plus physician assistants, use the Texas Medical Board lookup. For nurse practitioners, including psychiatric nurse practitioners, use the Texas Board of Nursing verification portal. The official links are in the resources below.

Does insurance cover online therapy in Texas, and how does payment usually work?

Often, yes, but it depends on your plan and the provider. Use the insurance filter here as a starting point, then confirm the details before you book. Ask whether the provider is in network, what your copay or deductible is, and whether telehealth is billed differently from in-person care. If the provider is out of network, ask for the cash-pay rate and whether they can provide a superbill for reimbursement. It is also helpful to ask whether payment is charged before the session or after, and whether late cancellation or no-show fees apply. If you use Texas Medicaid or the Children’s Health Insurance Program, confirm coverage and network participation directly with the provider or plan.

What technology or privacy setup do I need for virtual sessions?

For most online therapy appointments, it is best to meet from a secure location with privacy and a reliable internet connection. A computer or laptop is usually ideal, though a phone or tablet may also work depending on the provider and platform. Most sessions happen by video, but depending on the provider and service, phone calls, texting, secure messaging, or email may also be part of telehealth or follow-up communication. Many providers also have their own policies about where sessions can take place, so it is best to check ahead of time if privacy or location may be an issue.

Are there scheduling, regional, travel, or weather issues in Texas that can make online therapy especially practical?

Yes. Texas is a place where distance can affect care in a very real way. In some areas, the best-fit provider may be across a major metro, in another part of the region, or in a different Texas city altogether. Online therapy can make it easier to keep appointments when commuting, long drives, caregiving, shift work, school schedules, travel, heat, or bad weather would otherwise get in the way. It also gives you more freedom to choose a provider based on specialty, language, schedule, or insurance instead of only choosing the closest office.

When is online therapy not the right choice?

Online therapy may not be the best fit if you are in immediate crisis, need emergency support, require a higher level of care, or do not have a private space or secure internet connection for sessions. In those situations, in-person services or local crisis resources may be more appropriate. If you are in immediate danger or need urgent help, contact local emergency services or call the National Suicide and Crisis Lifeline at 9-8-8 right away.

Texas mental health resources

988 Suicide and Crisis Lifeline (Texas HHS)

24/7 support by call, text, or chat.

2-1-1 Texas

Find local services and supports across Texas.

NAMI Texas

Education, advocacy, and support resources for Texans affected by mental health conditions, including local affiliates, programs, events, and ways to get involved statewide.

Texas Behavioral Health Executive Council — Verify a License

License verification for Texas behavioral health professionals.

Texas Medical Board — Look Up a License

License lookup for physicians and other regulated professionals.

Texas Board of Nursing — License Verification

Verify nursing licensure in Texas.

Texas Physician Assistant Board

The board under the Texas Medical Board that oversees physician assistant regulation in Texas.

Texas State Board of Examiners of Psychologists

The Texas board that regulates psychologists.

Looking in another state?

Browse another state or explore options for care in more than one state.

Need urgent support? Therapy Expanded is not a crisis service. If you are in immediate danger, call 911 or go to the nearest emergency room. If you need urgent mental health, suicide, domestic violence, substance use, or LGBTQIA+ support, visit our crisis and mental health resources page.