Grief counselors and therapists in San Marcos, TX

I have been practicing since 2008 and bring over 17 years of experience helping people move through life’s difficult seasons with more clarity, strength, and self-trust. I grew up in Canada and later moved to Texas, where I completed my master’s in Counseling. Over the years, I have worked with clients navigating anxiety, depression, stress, trauma, grief, relationship issues, and life transitions. Many people come to therapy feeling overwhelmed, emotionally exhausted, stuck in painful patterns, or unsure how to move forward. My goal is to offer a space where you feel safe, understood, and supported as we begin making sense of what is weighing on you and what healing could look like.

I have my LPC-Licensed Professional Counselor and LMFT-Licensed Marriage and Family Counselor licenses. I have my Juris Doctorate and I am an expert in family law. My approach is collaborative, practical, and I make sure the client has something they can use to help themselves by the end of every session. I work with all types of clients, but mostly with adults, individually and as couples.

doing. I have been married, divorced, lived in other countries for several years and had a wide variety of life experiences that I draw on to help my clients.

What truly sets me apart is my calm, compassionate, and nonjudgmental approach. I believe in meeting every individual exactly where they are, creating a safe and affirming space for open, honest communication. Together, we’ll build a collaborative relationship where goals, preferences, and values guide every step of your care. I am committed to providing stigma-free care; including those navigating challenges related to neurodivergence, substance use, trauma, identity or difficult past experiences. Everyone deserves to be seen, heard, and respected without fear of shame or judgment.

If you're feeling overwhelmed by ADHD symptoms, struggling in your relationships, carrying the weight of past trauma, or finding yourself stuck in patterns that no longer serve you, you're not alone. Many of my clients come to therapy feeling exhausted, disconnected, frustrated, or unsure of how to move forward. Others are navigating anxiety, depression, life transitions, grief, caregiver stress, or conflict in their personal relationships.

As a Licensed Professional Counselor, I work with adults and couples seeking support, healing, and meaningful change. My goal is to provide a warm, supportive space where you feel heard, understood, and respected. Together, we'll explore what's contributing to your current challenges while building practical tools that help you improve relationships, manage emotions more effectively, navigate conflict, and create meaningful, lasting change.

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.

I am a licensed clinical social worker with 28 years of experience partnering with adolescents, adults of all ages and families. I am bilingual so I offer therapy in english and spanish.

What I would want clients to know about me is that I understand how heavy life can feel when you are carrying too much for too long. I often work with moms, caregivers, children, teens, and adults who are navigating anxiety, stress, overwhelm, life transitions, and the pressure to keep showing up even when they feel emotionally exhausted. If you are a mom who feels like you are always running, always thinking about what someone else needs, and slowly losing touch with yourself, this can be a space to pause, breathe, and begin finding your way back to you.

I also bring many years of experience in education and school counseling, which helps me support children, teens, and families with a practical understanding of how home, school, relationships, and daily responsibilities can impact emotional well-being. My goal is not to help you chase perfection, but to help you build more balance, clarity, confidence, and peace in your everyday life. Whether you are trying to feel like yourself again or trying to support a child who is struggling, you do not have to figure it all out alone.