Family therapy and counseling in San Marcos, TX

I’m direct, supportive, and collaborative.

I’m Gen X, which tends to resonate with clients who appreciate a straightforward, no-nonsense approach grounded in real-world experience.

I’m also a counselor who is a Christian—but not a “Christian counselor.”

I understand that attending therapy can feel intimidating and overwhelming, and frequently, the most difficult aspect of the entire process is simply taking the initial step to begin. Nevertheless, you are here now, and you are officially embarking on your personal path to heal and rebuild. I genuinely welcome the chance to connect with you and discover more about exactly how I can support you. My personal approach is consistently warm, deeply empathetic, and highly collaborative.

Hi, I’m Stephen. I work with people who feel overwhelmed, pulled in too many directions, or stuck in cycles of anxiety and depression. Many of my clients are juggling work, relationships, and health while struggling to be kind to themselves. Therapy with me is a space to slow down, regain balance, and reconnect with what matters most.

I believe you deserve support that meets you with compassion and respect. Seeking therapy can feel intimidating, but it’s also a powerful step toward healing and growth. My goal is to help you feel supported as you work through the habits, patterns, and stressors that have been holding you back.

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.