Couples therapists in Waco, TX

Cambiare Counseling and Assessment PLLC, led by Deana, a Licensed Professional Counselor, offers personalized counseling for clients aged 16-60. We create a safe, supportive space to help you explore, cope, and achieve a healthier, more fulfilling life.

My name is Angel Ramos Estrada, and I am a Licensed Clinical Social Worker (LCSW) and founder of Keystone Clinical Services PLLC. I am passionate about helping individuals, couples, families, and veterans navigate life's challenges while fostering resilience, healing, and personal growth.

Before becoming a social worker, I proudly served over 20 years in the United States Army. My military experience shaped my values of integrity, compassion, and service, which continue to guide my work as a therapist. Throughout my career, I have worked in school social work, hospice care, and outpatient mental health, providing support to clients facing anxiety, depression, trauma, relationship challenges, grief, and major life transitions.

My therapeutic approach is collaborative, client-centered, and grounded in evidence-based practices, including Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy, Motivational Interviewing, and trauma-informed care. I strive to create a safe, supportive, and nonjudgmental environment where clients feel empowered to identify their strengths and achieve meaningful change.

As a bilingual clinician fluent in English and Spanish, I am committed to making quality mental health care accessible to diverse communities. I believe every individual has the capacity for growth, and I consider it a privilege to walk alongside my clients as they work toward healthier, more fulfilling lives.

As a Licensed Clinical Social Worker (LCSW) with over five years of experience, I have dedicated my career to helping individuals, couples, families, and adolescents navigate life’s most difficult challenges while building resilience, confidence, and emotional wellness. My approach is rooted in empathy, authenticity, cultural humility, and evidence-based therapeutic practices that meet people where they are.

I am a native Texan, auntie, ice cream-loving, roller skating, retired professional athlete who also happens to be a Therapist. My background in the world of mental health dates back 10 years, in my work with families of Autism, Substance abuse and misuse, Student-athletes, Life- transitions, and family therapy. I enjoy introducing people back to themselves as they unpack their past with grace and patience. If you are experiencing racing thoughts, overthinking, or people-pleasing, let our work together find the root cause and, from there, uncover solutions that work for you. I believe that therapy does not have to be "forever," and my role is to safely get you to a place of wholeness within your next quest and journey.

Adults across the lifespan come to my practice navigating anxiety, depression, life transitions, work stress, relationship challenges, and questions of identity or cultural belonging. Many are high-functioning on the outside but feel overwhelmed, disconnected, or uncertain internally. I also specialize in working with immigrants and individuals exploring multicultural identity. Together, we create a space to slow down, make sense of emotional experiences, understand patterns that may be keeping them stuck, and build resilience and clarity for what comes next.

I specialize in anxiety, depression, life transitions, relationship concerns, and cultural identity exploration. My work integrates CBT, mindfulness, person-centered therapy, and family systems theory, grounded in cultural humility. I help clients build insight, coping skills, and meaningful, lasting change.

You don’t have to carry everything alone. Therapy is a space where you can feel seen, understood, and supported without judgment. Together, we can explore what feels heavy, uncover deeper patterns, and move toward greater clarity and ease. If you’re ready for change, I invite you to take that next step toward yourself.

Volunteering has been vital to me since my teenage years; therefore, it was fitting that I choose therapy as my career. After completing a master's in counseling, I volunteered at Catholic Charities (Houston) to complete my hours for the license. In addition to CBT, DBT, and CPT, I have also added EMDR, among others, to complement my experience and desire for growth.

As a licensed therapist with over three decades of experience, I specialize in supporting individuals through life's complex challenges. My practice centers on helping clients navigate stress, anxiety, family dynamics, grief, and significant life transitions. I have worked with a vast population: healthcare, residential, mental health and the unhoused.

“Only those who sow seeds of change can hope to grow and reap a harvest.”

-Andrea Goeglein

I’m a Doctor of Nursing Practice–trained Psychiatric Mental Health Nurse Practitioner with a career shaped by service, compassion, and a genuine love for helping people feel seen, supported, and capable of healing. Before becoming a PMHNP, I spent many years as a CNA and later earned my BSN from the University of the Incarnate Word in 2015 in San Antonio, TX. I worked bedside at University Hospital, transitioned to hospice in 2016, and later served in case management at UTHSCSA. In 2023, I began my DNP–PMHNP program, completing it while working full time at Clarity Child Guidance Center. On December 13th, 2025, I was officially granted the title of “Dr.”, became board certified as a Psychiatric Mental Health Nurse Practitioner on February 9th, 2026, and finally obtained my APRN with the Texas Board of Nursing on March 12th, 2026!

My doctoral project focused on reducing seclusion rates for children and adolescents with autism spectrum disorder using evidence‐based, trauma‐informed interventions—an area close to my heart as a parent of a special‐needs child. I’m passionate about geriatric psychiatry and child & adolescent psychiatry, and I bring a calm, grounded, and collaborative style to treatment.

I also briefly served in the United States Air Force, an experience that strengthened my commitment to resilience, service, and advocacy. Today, I continue to advocate for women affected by domestic violence, helping them reclaim safety, confidence, and possibility.

On a personal note, I’m a mom of two boys, happily married for 11 years, and the proud owner of four dogs. Outside of work, you’ll usually find me drinking coffee, shopping for plants, collecting perfumes, baking, cooking, or spending time with family and friends. These parts of my life help me stay balanced, grounded, and connected—values I bring into every therapeutic relationship.

I have had a state LAC license in Arizona for 10 years and worked in behavioral health for 14 years. I am Gottman Method certified in couple/marriage therapy and trained in IFS for past traumatic experiences. Extensive training in CBT, ACT modalities to help you learn how the brain processes thoughts and emotions, how you can trick your cognition to commit to the changes needed to live a happy and rewarding life.

I believe therapy should feel less like performing and more like finally being able to exhale. My approach is warm, collaborative, insight-oriented, and rooted in genuine human connection. I specialize in psychoanalytic and narrative therapy, helping clients explore the deeper patterns, relationships, experiences, and stories that shape how they move through the world. Together, we work to uncover the “why” beneath recurring emotions, behaviors, relationship dynamics, and internal conflicts while also rewriting narratives that no longer serve you.