Addiction therapists & psychiatrists in Richmond, TX

Are you feeling overwhelmed, emotionally exhausted, anxious, or struggling to find balance in your daily life? You do not have to navigate it alone. I provide compassionate, personalized mental health care in a supportive and judgment-free environment where clients feel heard, understood, and empowered.

Hello, looking for a place to process life? Feeling isolated and alone? Need an outlet? I've been providing talk therapy to adult men and women (and adolescents) since 2013 in several different treatment settings. Safe, open, supportive, but also directive when solutions are needed though space to simply talk through issues and life (Depression, anxiety, hypomania, stress, relationships, relaxation, etc.) I'm a clinical supervisor and terminally licensed in three states (PA,NM, & TX). I'm a husband and father with a young family, enjoy sports and cooking with and for family.

I am a Licensed Clinical Social Worker (LCSW) who works with individuals struggling with substance use disorders, depression, anxiety, grief, relationship issues, identity exploration, and difficult life transitions. I also have experience working with adolescents and understand the unique emotional, relational, and developmental challenges that can come during those years.

I believe therapy works best when people feel genuinely safe, understood, and respected. My goal is to create a space where clients can show up honestly without fear of judgment. I know that starting therapy can feel uncomfortable or vulnerable, especially for people who are used to carrying things on their own, and I take seriously the trust it takes to open up to another person.

I am an LGBTQ-affirming clinician and believe deeply in creating a supportive and inclusive environment where clients can explore their experiences authentically. I approach therapy with compassion, curiosity, and respect for each person’s individual story and lived experience.

Much of my work centers around helping people who feel overwhelmed, disconnected, stuck, emotionally exhausted, or unsure how to move forward. Whether someone is navigating addiction, anxiety, depression, grief, relationship struggles, or major life stressors, I aim to help them feel less alone while working toward meaningful and lasting change.

Above all, I believe the therapeutic relationship itself is one of the most important parts of the healing process. Research consistently shows that a strong connection between therapist and client is one of the strongest predictors of success in therapy. Because of that, I place a high value on building a relationship grounded in trust, honesty, collaboration, and authenticity.

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.