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 25–36
Licensed In:
California, Florida, Texas
“I work with adults navigating trauma, attachment wounds, and relational ambivalence. Many of my clients are high-functioning professionals who appear capable on the outside yet carry unresolved childhood experiences—parental substance use, emotional neglect, or inconsistent caregiving—that surface as anxiety, OCD symptoms, flashbacks, or difficulty setting boundaries. I support clients who feel conflicted in relationships, struggle with avoidance, or question whether they are in the right partnership. Through grounding skills, trauma hierarchies, safe-place work, and experiential visualization, I help them build emotional regulation, self-trust, and the courage to create healthier, more secure connections.”
Services:
Individual Therapy
Specialties:
Anxiety · Obsessive-Compulsive Disorder (OCD) · Relationship Issues · Trauma & PTSD
Sarah Sustaita

Inner Archive Therapy, PLLC

MS, LPC-Associate, LPCC

Licensed In:
Colorado, Texas
“I work with adolescents (16+) and adults navigating chronic pain, medical and institutional betrayal trauma, religious trauma, dissociation, identity concerns, and spirituality. Many of the clients I work with understand on a logical level that they are safe enough, yet their nervous system continues to respond as though danger is present. In many ways, I work with danger that has overstayed its welcome.”
Services:
Individual Therapy, Teen Therapy
Specialties:
ADHD · Attachment · Autism · Chronic Pain and Illness · Disability · Dissociative Disorders · Gender Identity · Grief · Religious Trauma & Spiritual Abuse · Self Esteem · Sexual Abuse · Spiritual Abuse · Spirituality · Trauma & PTSD
Gregory Gooden

Emergence Therapy

LMFT

Licensed In:
California, Florida, Texas
“My ideal clients live in the intersectionality of LGBTQIA+, identity development, life transitions, addiction issues, and non-standard relationships such as non-monogamous and/or polyamorous people.”
Services:
Couples Therapy, Individual Therapy
Specialties:
Jill Lees

Meer Soul Counseling

LCSW

Licensed In:
Colorado, Florida, Idaho, Montana, Oregon, Texas, Washington, Wyoming
“I work with millennial women experiencing grief, anxiety, or trauma.”
Services:
Individual Therapy
Specialties:
Anxiety · Grief · Trauma & PTSD · Women’s Mental Health
Caitlin Mosman Block

Riverbirch Therapy

LPC

Licensed In:
Texas, Wisconsin
“I work with clients who are their own worst critic, have high self-expectations, and are trying to make those around them happy while all the while feeling like they are barely keeping their own head above water. My clients are tired of anxiety, OCD, stress, people pleasing, perfectionism, and burnout taking it's toll and ready to try something different. I find that I can see the change before it happens and recognize the relief before it takes occupancy in your day to day. I genuinely look forward to figuring out together how to let go of your hold ups and how you can live beyond old habits and hurts in service of creating the life you crave. I get what it means to be smart, talented, successful—to be recognized for potential—and yet be left wondering if it’s enough, and really asking yourself if you’re enough?”
Services:
Individual Therapy
Specialties:
Anxiety · Burnout · Codependency · Grief · Men’s Mental Health · Obsessive-Compulsive Disorder (OCD) · Panic · Perfectionism · Relationship Issues · Self Esteem · Women’s Mental Health
Danette Dollison-Johnson

Danette Dollison-Johnson, LLC

LPC-S, MT-BC

Licensed In:
Arizona, Louisiana, Minnesota, Ohio, Texas
“I work with high-functioning adults and couples who may look successful on the outside while privately struggling with anxiety, trauma, relationship wounds, burnout, overthinking, perfectionism, grief, or a deep sense of disconnection from themselves. Many of my clients are helpers, creatives, professionals, therapists, musicians, caregivers, and highly sensitive people who have spent years holding everything together for everyone else. I also work with adults healing from childhood trauma, attachment wounds, narcissistic abuse, emotionally immature family systems, and experiences that still live in the body long after the events are over. My practice is especially supportive for clients who want more than traditional talk therapy and are drawn to experiential, somatic, creative, and trauma-focused approaches that help create lasting emotional and nervous system change.”
Services:
Couples Therapy, Individual Therapy
Specialties:
Adoption · Anxiety · Attachment · Chronic Pain and Illness · Codependency · Depression · Divorce · Grief · Highly Sensitive People (HSP) · Menopause & Perimenopause · Perfectionism · Relationship Issues · Trauma & PTSD · Women’s Mental Health
Ashley Hamm

Hamm Counseling

LPC

Licensed In:
Texas
“I specialize in helping people disentangle from religious beliefs that no longer serve them, find ways to navigate climate change distress, and overcome the stuckness of anxiety. Many of my clients are deeply feeling people who care a lot about the world and the people around them, but struggle to find inner calm and to know their inner values and goals. We'll work together to peel off the layers of the expectations of others, and allow your own inner voice to shine through. Often the people I work with experience a harsh inner voice that judges them for many of their choices, so our work is also about rebuilding your relationship with yourself into one based on kindness and care.”
Services:
Individual Therapy
Specialties:
Anxiety · Burnout · Gender Identity · Perfectionism · Religious Trauma & Spiritual Abuse · Self Esteem · Spiritual Abuse
Jennifer McAdams

Jennifer McAdams, Ph.D., PLLC

PhD Psychologist

Licensed In:
Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, DC, 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
“I work with questioning or late identified "high masking" Autistic and/or ADHDer adult clients in Texas and most states in the US via online individual, couples, & group therapy, from a strengths-based and neurodivergent affirming approach. I also specialize in helping therapists and those who have experienced narcissistic abuse.”
Services:
Couples Therapy, Group Therapy, Individual Therapy, Sex Therapy
Specialties:
ADHD · Anxiety · Attachment · Autism · Burnout · Depression · Highly Sensitive People (HSP) · Life Transitions · Obsessive-Compulsive Disorder (OCD) · Panic · Perfectionism · Relationship Issues · Religious Trauma & Spiritual Abuse · Self Esteem · Women’s Mental Health
Julia Vahlsing

Main Line Cognitive Behavioral Therapy, LLC

PsyD

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
“Dr. Vahlsing is experienced in treating children, adolescents, and adults. She has specialized interests in treating all types of anxiety, depression, parenting concerns, self-esteem issues, grief issues, college stress, trauma, and developmental concerns.”
Services:
Individual Therapy, Parenting Therapy
Specialties:
ADHD · Anxiety · Attachment · Behavioral Issues · Burnout · Depression · Divorce · Grief · Insomnia & Sleep Disorders · Obsessive-Compulsive Disorder (OCD) · Panic · Parent-Child Bonding & Attachment · Perfectionism · Phobias · Self Esteem · Self-Harming · Sexual Abuse · Suicidal Ideation · Trauma & PTSD
Dr. Bethany Friedman

BraveFull Psychology

PSYD, CEDS

Licensed In:
Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New York, 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
“Do thoughts about food, your body, or your worth consume you, leaving you exhausted and uncertain about what comes next? Are you just trying to stay afloat while everyone else seems to have it figured out? Are your emotions so intense that it feels like you might burst from the pain, and you feel desperate for a way out, or do you work hard to keep them locked up tightly? Do you hold on to old experiences or painful memories that make you feel stuck, even when you want to move forward? If this sounds familiar, you're not alone. With expert support, you can recover from eating disorders, anxiety, depression, self-harm, and trauma.”
Services:
Family Therapy, Individual Therapy, Teen Therapy
Specialties:
Anxiety · Attachment · Body Dysmorphia · Depression · Eating Disorders · Self Esteem · Self-Harming · Suicidal Ideation · Trauma & PTSD
Aara Abu Laban

Healing Intimacies

LPC, CST

Licensed In:
Florida, Maryland, South Carolina, Texas, Virginia
“I'm an AASECT certified sex therapist who specializes in supporting individuals whose sexuality has been negatively impacted by religious trauma, cultural expectations, betrayal, low self-esteem, anxiety, or negative body image. I understand that these issues are not just about sex itself — they are about reclaiming your sense of self and your confidence.”
Services:
Couples Therapy, Individual Therapy, Sex Therapy
Specialties:
Consensual Non-Monogamy · Men’s Mental Health · Relationship Issues · Religious Trauma & Spiritual Abuse · Sexual Abuse · Trauma & PTSD · Women’s Mental Health
Karen Lucas

Radiant Health Center

LMHC, LMP

Licensed In:
Texas, Washington
“You don’t have to have it all figured out to reach out. Most people who find their way to my office — or to a virtual session — arrive carrying something they’ve been holding for a long time. Maybe it’s anxiety that never fully quiets. Maybe it’s a relationship pattern that keeps repeating no matter how hard you try. Maybe you’ve always felt a little different from the people around you, and you’re not sure why. Maybe something happened — or many things happened — and your body and mind haven’t felt safe since. Whatever brings you here, you are welcome. My practice is built around the belief that healing happens in relationship, and that every person deserves a space where all of their parts — even the ones that feel messy, confusing, or hard to explain — are met with warmth and curiosity. I work with individuals and couples in person on Capitol Hill in Seattle, and virtually in WA & TX.”
Services:
Couples Therapy, Individual Therapy, Parenting Therapy
Specialties:
ADHD · Anxiety · Attachment · Autism · Burnout · Chronic Pain and Illness · Codependency · Depression · Divorce · Highly Sensitive People (HSP) · Life Transitions · Pregnancy, Postpartum & Perinatal Mental Health · Relationship Issues · Self Esteem · Trauma & PTSD

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.