Book a therapist or psychiatrist in San Marcos, TX covered by Aetna

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.

As a Doctor in Professional Counseling, DPC, LPC-S ,MEd., is my mission to provide compassionate, confidential, and Professional counseling services for individuals, couples and families. My goal is to help you improve your relationships and overall mental health . I understand the important role that your mental health plays in your overall well-being.

Hi, I'm glad you're here! I’m a licensed therapist with over a decade of experience supporting individuals through anxiety, depression, grief, stress, and life transitions. I offer a collaborative, supportive space where individuals feel understood and empowered to create meaningful change.

My background includes work in high-acuity settings such as correctional facilities, inpatient psychiatric units, and hospital-based outpatient care. At the Harris County Jail in Houston, Texas, I developed reentry-focused assessment tools to improve continuity of care between the court and medical systems.

I’ve been part of a team that built programs from the ground up, including a home visitation program for mothers, now offered through telehealth in both virtual and hybrid formats. I use structured therapeutic tools to help individuals actively engage in treatment.

I have a focused interest in depression, anxiety, grief, and women’s mental health, including pregnancy and postpartum. I offer telehealth sessions across Texas, with insurance and private pay options available.

Hello and Welcome,

My name is Nancy Twining, LPC, LCDC in Lubbock, Texas with M.Ed. (Counseling), BA (Psychology). Accepting New Clients with services: in -person, virtual, hybrid

If you are here looking for ways to have a better connection with yourself and others and find yourself thinking:

*What do I do now"?

(Neurodivergent informed therapy, Life stages, Sp. Ed. disabilities advocacy, chronic conditions/illnesses)

"I wish I had someone to talk to about this"

(Relationships, Grief, Communication skills, aging & life stages)

"I am tired of feeling like this and want to feel better

(Anxiety, Depression, Self - Love, Empowerment)

"What is it that makes me feel/believe like this"?

(Understanding yourself, what makes you You)

I can help. I want you to feel better, have a lighter spirit and help you find your personal best ways as we walk on your journey together.

This is what I know:

In my family, we have Neurodivergence, some anxiety, depression, grief, life stages, chronic illnesses and conditions and pain issues.

My belief: You are the Key to your Solutions!

I came to counseling after realizing at age 16 that I was meant to be counselor. Since then, working as a Sp. Ed. teacher and a regular education and Sp. Ed. counselor and in IOP therapy have added up while I persisted to make my dream come true to be an LPC. Yes, dreams do come true!

Personally, I offer experience and life perspective learned from nearly all the eras of our human experience and I hope to share it with my clients.

Therapies and techniques, and plans are customized just for you: Person-Centered, Cognitive - Behavioral, Solution Focused, and Self - Expression and Mindfulness through art and nature. All are holistically for your mind, body and spirit benefit.

“Everything can be taken from a man but one thing: the last of the human freedoms—to choose one’s attitude in any given set of circumstances, to choose one’s own way.”

― Viktor E. Frankl, Man's Search for Meaning

I am a firm believer that life–even the best of lives– has moments of pain and suffering; however great or small. Some come to pass quickly and float away from our consciousness, while others stay with us, shape us, change our relationships and the way we see the world. The rest of our life is filled with moments dependent on how we cope with, process and accept those moments of pain or suffering.