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Family therapy and counseling in Pasadena, TX


Top family therapists in Pasadena, TX
Navigate family challenges with evidence-based therapy in Pasadena, including attachment-focused approaches and parent-teen support. With providers available within two weeks and sessions as low as $0 through insurance, families can access the care they need without financial stress.
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.
My clinical style is warm, structured, and collaborative. I emphasize clear communication and shared decision-making with my patients. I strive to create a safe and non-judgmental environment where people feel heard and respected.
I have an AGACNP background, which supports my ability to assess medical comorbidity and understand complex medical/psychiatric overlap. I am also DOT-certified, which reflects my knowledge of safety-sensitive considerations and careful medication risk assessment.
My educational background consists of earning my Bachelor of Arts in Psychology, a Master's in clinical counseling, and a Master's in Addictions. I am a Licensed Professional Clinical Counselr (LPCC #16395) and am a certified addictions counselor. My areas of concentration include grief and significant trauma, PTSD, anxiety, depression, addictions, and a sub-concentration in eating disorders.
Frequently asked questions


Find the right counselor for your family
Headway makes it easier to find family-focused support — from finding the right provider, to understanding costs, to scheduling with ease.
Factors to Consider When Choosing a Family Therapist in Pasadena
Finding family therapists in Pasadena starts with knowing what your family wants to work on together. Family therapy can support concerns like parenting conflict, adolescent struggles, blended family dynamics, and communication patterns across generations. Family therapists are trained to work with the relational system, not just one person. As you compare Pasadena therapists, look for experience with your specific needs, such as parent-teen support, marriage counseling, or family sessions that include multiple generations.
Pasadena is a smaller local market, so the number of nearby family therapists may be more limited than in Houston or other larger Texas cities. Virtual care can expand your options while still giving you access to licensed therapists in Texas. Some family therapy sessions include the full family, while others focus on parents, siblings, couples, or individual family members. Before booking, read each therapist’s profile to understand their approach, session structure, availability, and whether they offer a free phone consultation.
Family therapy in Pasadena can be a significant expense without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs. Headway helps you find therapists who match your needs, and you can review which providers accept your plan and are accepting new patients. You can review bios, see estimated costs before booking, and choose between in-person and virtual appointments when available.
If you're experiencing or worried about violence, threats, or coercion in your relationship, couples therapy isn't usually the right starting point — individual support is safer. The National Domestic Violence Hotline (1-800-799-7233, or text START to 88788\) can help you think through next steps.
If anyone in your family is experiencing or worried about abuse, threats, or coercion, joint family or couples therapy usually isn't the right starting point — individual support is safer. The Childhelp National Child Abuse Hotline (1-800-422-4453) and National Domestic Violence Hotline (1-800-799-7233, or text START to 88788\) can help you think through next steps.
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