Family therapy and counseling in Laredo, TX

I’m passionate about helping people who often feel misunderstood or overlooked — especially those navigating substance use and mental health challenges. Over the years, I’ve seen how stigma can prevent people from seeking help, and I strive to create a safe, judgment-free space where clients can feel comfortable being themselves.

With decades of experience, I am well-versed in many different modalities. No one approach works for everyone, so I built a large tool kit to have a broad range of tools available. Areas of expertise include individual, couples and family counseling, trauma recovery, anxiety, depression, special needs of gifted and talented, medical social work, impact of illness, traumatic brain injury, grief and bereavement, positive aging, geriatrics and end of life issues. Having been raised in a military family I enjoy working with our veterans, active duty personnel and their families.

I believe in hope—even when things feel overwhelming. I’ve spent many years supporting people through trauma, anxiety, depression, and life transitions, and I warmly welcome children, teens, and adults to reach out. Clients often describe me as open‐minded, direct, and warm—someone who listens deeply but also helps you challenge what’s holding you back.

I am a Psychiatric Mental Health Nurse Practitioner serving clients in Texas, Maryland & New York. I work with diverse kinds of clients (Age 18 +) with different cultural backgrounds and mental health problems. I specialize in depression, anxiety, ADHD, PTSD, Insomnia, bipolar disorder, eating disorder, personality disorder and much more. I am a compassionate provider with a passion for patients with mental illness.

Have you ever felt like you're accomplishing everything but still feel unfulfilled or unsatisfied? Do you give so much of yourself to others that little is left for you at the end of the day? Does your child's behaviors (fighting, defiance, truancy, argumentative) leave you wondering what's really going on beneath the surface. It just might be time to take a deeper look.

I’m Tiana Welch, a Licensed Independent Clinical Social Worker, providing telehealth therapy for children, teens, and young adult/adult women. With six years of experience, I have supported clients facing many challenges, including mental health concerns, behavioral issues, and substance abuse. My passion lies in helping children, teens, and families take a deeper look at behaviors to uncover the root causes, and in supporting young adult and adult women as they peel back the layers of perfectionism, burnout, and societal expectations to reconnect with their true selves.

Outside of therapy, I enjoy attending Pilates and spin classes, coloring, painting, reading, and exploring new creative hobbies like learning to sew (this month).

I am a Licensed Social Work Clinician (LCSW) with over 20 years of experience working with children, adolescents, adults, and families navigate life's challenges. I hold both a Bachelor's and a Master's degree in Social Work and have extensive experience in child welfare, family systems, and community mental health.

As a Licensed Professional Counselor with experience in hospital-based care, trauma work, and cross-cultural mental health, my practice is guided by the belief that healing starts with safety, clarity, and being truly understood. I offer a steady, compassionate presence and a culturally attuned perspective, respecting both the science of the mind and your personal narrative. I am dedicated to providing care that is thoughtful, grounded, and respectful of your entire experience.