Obsessive-compulsive disorder therapists & psychiatrists in Nacogdoches, TX

As someone who has been a school counselor I realize that a child's mental health is often times directly correlated to their parents mental health. For that reason I love serving children and or adults that struggle with ADHD, anxiety, depression, grief, and trauma. I also have a huge heart for those who are in need of pregnancy related counseling. Those dealing with loss, infertility, or postpartum depression are a population that is underserved and in need of mental health assistance.

I specialize in dysregulated kids and women healing from childhood trauma. I use a playful, relationship-based approach and incorporate therapy animals, which helps clients feel safe quickly.

I tend to work best with families looking for more in-depth, personalized support

It's easy to feel stuck in life with limited support. As a Licensed Professional Counselor with experience in private practice and inpatient settings, I strive to make my clients seen and heard for who they are.

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.

Is your child feeling overwhelmed, withdrawn, or unlike themselves? I’m an LPC with 5 years of experience as a teacher and 9 years as a high school counselor. I support children and teens navigating trauma, suicidal thoughts, self-harm, depression, anxiety, trauma, and other challenges that can feel overwhelming for the whole family. I offer counseling in English and Spanish.

Sometimes life looks fine from the outside, while inside you're carrying far more than anyone realizes. You may be juggling work, relationships, parenting, or constant responsibilities while wondering why everything feels harder than it should. You don't have to keep carrying it all on your own.

Before becoming a counselor, I spent many years in education helping people recognize strengths they often couldn't see in themselves. That experience continues to shape the way I approach therapy today. I believe people are incredibly resilient. With the right support, meaningful change is possible. Whether you're feeling overwhelmed by anxiety, struggling to focus because of ADHD, navigating a difficult relationship, processing trauma, or adjusting to a major life transition, my goal is to help you feel heard, supported, and more like yourself again.

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.

Hi, I’m Macheda, a Licensed Clinical Social Worker (LCSW). I work with adults navigating anxiety, stress, grief, relationship challenges, and life transitions that can leave you feeling overwhelmed, emotionally exhausted, or uncertain about what comes next. Many of my clients are used to being strong for others but privately feel stretched thin, disconnected from themselves, or unsure how to keep carrying everything they’ve been holding. Therapy can be a space to pause, make sense of what you’re experiencing, and begin moving forward with greater clarity and self-understanding.

Through my experience in healthcare and individual settings, I’ve supported people and families during some of life’s most challenging and vulnerable moments. As an immigrant, I also understand how culture, identity, family expectations, and lived experiences can shape the way we see ourselves, relate to others, and navigate change. I recognize that emotional struggles do not happen in isolation, and I take care to understand the full context of your experiences rather than focusing only on symptoms.