Find a therapist in Texas — covered by insurance

Taking the first step is the hardest part—but you do not have to walk it alone.

Welcome! I am a Licensed Clinical Social Worker with over 29 years of experience helping adults, children, and families transform their lives. I help clients cope with depression, anxiety, anger, coping skills issues, and past traumas. Together, we will clear the path toward your mental health goals, breaking down big obstacles into manageable steps. Your courage brought you here, and my expertise is here to support you the rest of the way. Let’s build the future you deserve.

Some seasons of life are just hard, and you don’t have to go through them alone. As a Licensed Professional Counselor who is passionate about helping people feel supported and understood, I believe everyone deserves to be seen and heard.

I also believe our backstory matters. It often shapes how we think, feel, and relate to others. My role is to help you make sense of those experiences while building the tools you need to overcome insecurities, heal from past trauma, and manage anxiety and stress. Together, we’ll work toward helping you feel more confident, empowered, and in control of your life.

I believe that effective therapy must be as multifaceted as the individuals it serves. As a licensed clinical psychologist who specializes in treating mood and anxiety disorders, PTSD and other trauma-related disorders, and multicultural issues, my work is deeply informed by competencies in multicultural populations and alternative approaches to behavioral healthcare, ensuring that every client receives care that is culturally resonant and scientifically sound.

Prisca Oketch, APRN, PMHNP-BC, with over 17 years of dedicated clinical experience, specializes in comprehensive mental health treatment. I combine evidence-based psychiatric care with compassionate listening, creating personalized treatment plans that address each patient's unique needs. I am accepting new patients of all ages, from children to adults, both for cash pay and insurance with same-day availability.

I am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with a DNP (Doctor of Nursing Practice) degree from the University of Massachusetts Global. I have experience working with adolescents and adults in multiple settings facing various complex mental health issues, including OCD, depression, anxiety, ADHD and mood disorders.

What truly sets me apart is my calm, compassionate, and nonjudgmental approach. I believe in meeting every individual exactly where they are, creating a safe and affirming space for open, honest communication. Together, we’ll build a collaborative relationship where goals, preferences, and values guide every step of your care. I am committed to providing stigma-free care; including those navigating challenges related to neurodivergence, substance use, trauma, identity or difficult past experiences. Everyone deserves to be seen, heard, and respected without fear of shame or judgment.

You might look like you're holding it all together on the outside while feeling exhausted, anxious, disconnected, or overwhelmed on the inside. Maybe you've spent so much time taking care of everyone else that you've stopped checking in with yourself. Or maybe life changed unexpectedly, and you're trying to figure out who you are now.

If that sounds familiar, you're not alone.

I work with children, teens, adults, couples, families, veterans, first responders, and LGBTQ+ individuals who are navigating anxiety, depression, trauma, grief, relationship struggles, major life transitions, and the stress that comes from simply trying to keep up. My goal isn't to tell you how to live your life. It's to help you understand yourself more deeply, quiet the constant mental noise, and feel more confident in the choices you make.

Clients often tell me they appreciate that I'm easy to talk to, calm, honest, and genuine. Therapy with me is a place where you don't have to have it all figured out. You can show up exactly as you are, and we'll take it one step at a time.

I am a Psychiatric Nurse Practitioner with experience providing care in both inpatient and outpatient psychiatric settings. My clinical background allows me to support adults across a wide range of mental health needs—from acute stabilization to ongoing outpatient treatment—while maintaining a thoughtful, individualized approach to care.

I received my Psychiatric Mental Health Nurse Practitioner (PMHNP) degree from Texas State University, where I developed a strong foundation in evidence-based psychiatric assessment, diagnosis, and treatment. I am known for my warm, approachable style and for taking the time to truly listen, as I believe effective mental health care begins with trust, collaboration, and feeling understood.

I specialize in the evaluation and treatment of anxiety, depression, bipolar disorder, schizophrenia, schizoaffective disorder, ADHD, trauma-related concerns, and life stressors. My approach emphasizes conservative medication management, clear patient education, and shared decision-making so individuals feel informed and confident in their care.

In addition to my psychiatric training, I have a background in women’s health, which enhances my understanding of how physical health and life-stage factors can influence mental well-being. This perspective allows me to provide well-rounded, inclusive care for all adults.

Whether you are seeking psychiatric care for the first time, transitioning from inpatient treatment, or looking for ongoing outpatient support, my goal is to provide a supportive, non-judgmental environment where you feel respected, heard, and empowered throughout your care.

I am committed to providing compassionate, evidence-based psychiatric care. As a Doctor of Nursing Practice and Board-Certified Psychiatric–Mental Health Nurse Practitioner, I approach every patient with respect, empathy, and a focus on safety. My clinical decisions are grounded in current research, best practices, and your individual needs.

I believe in a collaborative and transparent treatment process. I value open communication. I want you to feel comfortable discussing your symptoms, concerns, and goals so we can work together to create a plan that truly supports your mental health.