Therapists in Austin, TX
I have over 20 years of experience providing and developing behavioral health services for diverse populations. My background includes individual, group, and family therapy, treatment planning, crisis intervention, and clinical assessment. I specialize in creating evidence-based, client-centered programs that address complex mental health needs.
I have over 20 years of experience providing and developing behavioral health services for diverse populations. My background includes individual, group, and family therapy, treatment planning, crisis intervention, and clinical assessment. I specialize in creating evidence-based, client-centered programs that address complex mental health needs.
Maybe you grew up being the responsible one — the fixer, the strong one who didn’t get to fall apart. Now you’re anxious, overwhelmed, and carrying emotional baggage that was never yours to begin with.
I work with high-functioning adults who appear “fine” but feel exhausted, stuck in people-pleasing, perfectionism, anxiety, or generational patterns. You want clarity, emotional regulation, healthier boundaries, and relief from overthinking — not just coping, but real change.
I offer a direct yet compassionate space to unpack patterns, challenge what’s keeping you stuck, and build practical tools for lasting growth.
Maybe you grew up being the responsible one — the fixer, the strong one who didn’t get to fall apart. Now you’re anxious, overwhelmed, and carrying emotional baggage that was never yours to begin with.
I work with high-functioning adults who appear “fine” but feel exhausted, stuck in people-pleasing, perfectionism, anxiety, or generational patterns. You want clarity, emotional regulation, healthier boundaries, and relief from overthinking — not just coping, but real change.
I offer a direct yet compassionate space to unpack patterns, challenge what’s keeping you stuck, and build practical tools for lasting growth.
Many of my clients feel overwhelmed by anxiety, trauma, burnout, or relationships. They may notice repeating patterns, difficulty regulating emotions, or a sense of disconnection from themselves or others. Often they are thoughtful, self-aware individuals who want more than symptom relief—they want to understand themselves more deeply, feel safer in their bodies, and build healthier relationships. Some may feel stuck between who they've been and who they want to become. Their goal is to develop greater emotional balance, resilience, and authenticity so they feel more grounded, connected, and move forward with clarity and confidence.
Many of my clients feel overwhelmed by anxiety, trauma, burnout, or relationships. They may notice repeating patterns, difficulty regulating emotions, or a sense of disconnection from themselves or others. Often they are thoughtful, self-aware individuals who want more than symptom relief—they want to understand themselves more deeply, feel safer in their bodies, and build healthier relationships. Some may feel stuck between who they've been and who they want to become. Their goal is to develop greater emotional balance, resilience, and authenticity so they feel more grounded, connected, and move forward with clarity and confidence.
My name is Dr. Erin Scarth, a Licensed Psychologist with over 22 years of clinical experience working with Individuals, Minors, and Preteens with Adolescents/Teens, Anxiety, Trauma, PTSD, Depression, and Dissociative Disorders. I also have a history of working with individuals who have disabilities or are caring for individuals with disabilities. I use a mix of Cognitive Behavioral (CBT), Culturally Sensitive, and Strength-Based therapies during treatment. I believe that developing a therapeutic relationship is the most essential step in the process.
My name is Dr. Erin Scarth, a Licensed Psychologist with over 22 years of clinical experience working with Individuals, Minors, and Preteens with Adolescents/Teens, Anxiety, Trauma, PTSD, Depression, and Dissociative Disorders. I also have a history of working with individuals who have disabilities or are caring for individuals with disabilities. I use a mix of Cognitive Behavioral (CBT), Culturally Sensitive, and Strength-Based therapies during treatment. I believe that developing a therapeutic relationship is the most essential step in the process.
My ideal patient is self-motivated and curious about their socioemotional growth. They may present with a wide range of issues, but they're looking for someone to meet them where they are and approach growth at a pace that feels right for them. They are open to trying multiple approaches to find the best fit. My therapeutic style is conversational and goal oriented. I try to ensure that goals are re-assessed every 6-8 weeks and can change as needed. I work best with patients who like direct answers to direct questions.
My ideal patient is self-motivated and curious about their socioemotional growth. They may present with a wide range of issues, but they're looking for someone to meet them where they are and approach growth at a pace that feels right for them. They are open to trying multiple approaches to find the best fit. My therapeutic style is conversational and goal oriented. I try to ensure that goals are re-assessed every 6-8 weeks and can change as needed. I work best with patients who like direct answers to direct questions.
Hannah Rakestraw
Clinical Social Work/Therapist, MSSW, LMSW
Austin, TX 78701
Waitlist for new clients
Hi there! I specialize in supporting teens and young adults (14-30) through identity development, family conflict, anxiety, and depression. My counseling approach is warm and collaborative, blending cognitive, experiential, and body-based techniques tailored to your unique goals for therapy. As a bicultural Mexican-American, I strive to create a welcoming space where clients of all identities can authentically express themselves.
Hi there! I specialize in supporting teens and young adults (14-30) through identity development, family conflict, anxiety, and depression. My counseling approach is warm and collaborative, blending cognitive, experiential, and body-based techniques tailored to your unique goals for therapy. As a bicultural Mexican-American, I strive to create a welcoming space where clients of all identities can authentically express themselves.
The adults and couples I often work with are folks who, in their pursuit to “have it all,” are feeling stuck, lonely, and at times may feel overwhelmed by a harsh inner critic. Often times, my clients are introspective, deep thinkers and deep feelers, who want to do what's best for them and their loved ones, but struggle to find the right balance between the two for themselves.
The adults and couples I often work with are folks who, in their pursuit to “have it all,” are feeling stuck, lonely, and at times may feel overwhelmed by a harsh inner critic. Often times, my clients are introspective, deep thinkers and deep feelers, who want to do what's best for them and their loved ones, but struggle to find the right balance between the two for themselves.
Therapy can be beneficial for dealing with the challenges of life; both the ongoing and the sudden. You may be feeling lost, overwhelmed, or dissatisfied; maybe you have stubborn patterns, or you want to get to know yourself a little more. I will work with you where you are at, using various approaches from CBT, Mindfulness, Existentialism and traditional psychotherapeutic methods. Sometimes, we will laugh or cry; some sessions will feel supportive, and others, frank and challenging. I encourage you to bring your whole self to the sessions, ask whatever you want, and risk going to uncomfortable places.
Therapy can be beneficial for dealing with the challenges of life; both the ongoing and the sudden. You may be feeling lost, overwhelmed, or dissatisfied; maybe you have stubborn patterns, or you want to get to know yourself a little more. I will work with you where you are at, using various approaches from CBT, Mindfulness, Existentialism and traditional psychotherapeutic methods. Sometimes, we will laugh or cry; some sessions will feel supportive, and others, frank and challenging. I encourage you to bring your whole self to the sessions, ask whatever you want, and risk going to uncomfortable places.
I witness people in their present predicaments and tell them what I see and feel. Acknowledgement of pain, a counterintuitive process, is the secret sauce of ordering our lives into functional, fun, and life-affirming behaviors. The process of emotional healing takes time, dedication, and practice. Willingness to feel what has been unfelt and to voice what has been unsaid will help you see positive changes in your life.
I witness people in their present predicaments and tell them what I see and feel. Acknowledgement of pain, a counterintuitive process, is the secret sauce of ordering our lives into functional, fun, and life-affirming behaviors. The process of emotional healing takes time, dedication, and practice. Willingness to feel what has been unfelt and to voice what has been unsaid will help you see positive changes in your life.
Accepting New Clients - Whether you are going through a difficult time or looking for some support, I'm here to help you develop the necessary insights and tools you need to achieve clarity and healing. As a licensed psychotherapist, I believe that we can all benefit from learning more about ourselves in a safe, compassionate and collaborative environment.
My goal is to help you create lasting change that supports a happier, more balanced, and fulfilling life.
Accepting New Clients - Whether you are going through a difficult time or looking for some support, I'm here to help you develop the necessary insights and tools you need to achieve clarity and healing. As a licensed psychotherapist, I believe that we can all benefit from learning more about ourselves in a safe, compassionate and collaborative environment.
My goal is to help you create lasting change that supports a happier, more balanced, and fulfilling life.
My name is Bre, and counseling has always been a calling for me. I am a Licensed Professional Counselor (LPC) with dual master’s degrees in Clinical Mental Health Counseling and Marriage and Family Therapy. I specialize in trauma-focused therapy and am trained in EMDR to help clients process and heal from difficult experiences. My goal is to provide a safe, compassionate space where clients can feel understood and supported as they work toward growth and healing.
My name is Bre, and counseling has always been a calling for me. I am a Licensed Professional Counselor (LPC) with dual master’s degrees in Clinical Mental Health Counseling and Marriage and Family Therapy. I specialize in trauma-focused therapy and am trained in EMDR to help clients process and heal from difficult experiences. My goal is to provide a safe, compassionate space where clients can feel understood and supported as they work toward growth and healing.
Are you feeling stuck in the same old patterns in your life and ready for a change? Maybe you're feeling the weight of anxiety, depression, grief, or trauma and could use a hand in healing the past to experience freedom from it in the future. Have you noticed you keep getting into the same types of relationship challenges? It is normal for people to feel conflicted and get in our own way - it's part of being human! And we often need someone outside ourselves, friends, and family to help sort through the nitty-gritty thoughts, feelings, and fears. You don't have to face these issues alone.
Are you feeling stuck in the same old patterns in your life and ready for a change? Maybe you're feeling the weight of anxiety, depression, grief, or trauma and could use a hand in healing the past to experience freedom from it in the future. Have you noticed you keep getting into the same types of relationship challenges? It is normal for people to feel conflicted and get in our own way - it's part of being human! And we often need someone outside ourselves, friends, and family to help sort through the nitty-gritty thoughts, feelings, and fears. You don't have to face these issues alone.
Do you have trouble concentrating or sleeping because you spend time worrying you either said or did something wrong, or you will in the future? Is anger becoming your go-to reaction in the face of frustration or being disregarded? Not sure how to make tough decisions in relationships or at work? These are some common concerns I hear from clients. We will work together to make sense of these experiences and plan a way toward the goals you want to reach.
Do you have trouble concentrating or sleeping because you spend time worrying you either said or did something wrong, or you will in the future? Is anger becoming your go-to reaction in the face of frustration or being disregarded? Not sure how to make tough decisions in relationships or at work? These are some common concerns I hear from clients. We will work together to make sense of these experiences and plan a way toward the goals you want to reach.
Calling all intellectualizers and overthinkers: you don't have to keep existing this way!
If you're constantly feeling exhausted, overwhelmed, unheard, and misunderstood - you've come to the right place. My hope is to give folks a place to safely explore and connect with their authentic self.
Calling all intellectualizers and overthinkers: you don't have to keep existing this way!
If you're constantly feeling exhausted, overwhelmed, unheard, and misunderstood - you've come to the right place. My hope is to give folks a place to safely explore and connect with their authentic self.
I specialize in the treatment individuals and couples dealing with sexual addiction (Problematic Sexual Behavior - PSB) and have for 20 years, treating hundreds of addicts and their partners. I am certified in treating sex addiction (S-PSB). PSBs reflect underlying problems in relationships, emotional attachment, affect management, and impulse control. Treatment engages the whole person, not merely suppression of problem behaviors. Therapy requires compassion, acceptance, and respect. I combine knowledge and wisdom with understanding, creativity, and humor in a down-to-earth, practical approach.
I specialize in the treatment individuals and couples dealing with sexual addiction (Problematic Sexual Behavior - PSB) and have for 20 years, treating hundreds of addicts and their partners. I am certified in treating sex addiction (S-PSB). PSBs reflect underlying problems in relationships, emotional attachment, affect management, and impulse control. Treatment engages the whole person, not merely suppression of problem behaviors. Therapy requires compassion, acceptance, and respect. I combine knowledge and wisdom with understanding, creativity, and humor in a down-to-earth, practical approach.
With over 20 years of experience as a therapist, I am deeply passionate about helping adults and adolescents navigate life’s challenges and overcome seemingly impossible odds. I became a therapist because I know first hand the benefits of counseling...I have sat where you will sit having been a client myself! There is enormous benefit in unloading the emotions, hurts and traumas that we ignore and bury within ourselves. Avoiding the hard stuff can only last so long, eventually we have to face our burdens and walk through them; therapy gives you the chance to do just that, my role is to help you walk through that journey.
With over 20 years of experience as a therapist, I am deeply passionate about helping adults and adolescents navigate life’s challenges and overcome seemingly impossible odds. I became a therapist because I know first hand the benefits of counseling...I have sat where you will sit having been a client myself! There is enormous benefit in unloading the emotions, hurts and traumas that we ignore and bury within ourselves. Avoiding the hard stuff can only last so long, eventually we have to face our burdens and walk through them; therapy gives you the chance to do just that, my role is to help you walk through that journey.
Working with individuals in transition events is my specialty, including: midlife challenges, identity and self esteem, grief and loss, chronic illness and autoimmune conditions, career change, parenthood and parenting stages, and adjusting to older adulthood and retirement. I have supported individuals experiencing loss in many ways, from long-term caregivers and those with terminal illnesses, to those undergoing divorce and separation. Clients experiencing symptoms of anxiety, depression, complex and developmental trauma, mood imbalances, and perimenopause/menopause find a safe, strong environment of support.
Working with individuals in transition events is my specialty, including: midlife challenges, identity and self esteem, grief and loss, chronic illness and autoimmune conditions, career change, parenthood and parenting stages, and adjusting to older adulthood and retirement. I have supported individuals experiencing loss in many ways, from long-term caregivers and those with terminal illnesses, to those undergoing divorce and separation. Clients experiencing symptoms of anxiety, depression, complex and developmental trauma, mood imbalances, and perimenopause/menopause find a safe, strong environment of support.
In my practice I see clients of all ages, for therapy and testing/evaluations. I specialize in depression, anxiety, trauma, substance abuse/dependence, behavior disorders and family systems issues. Most of my clients present with a combination of symptoms. I tailor treatment to the specific needs of the client and use research proven techniques to meet the needs of the individual, or family, in a collaborative setting. I teach healthy coping skills to address a wide range of symptoms.
In my practice I see clients of all ages, for therapy and testing/evaluations. I specialize in depression, anxiety, trauma, substance abuse/dependence, behavior disorders and family systems issues. Most of my clients present with a combination of symptoms. I tailor treatment to the specific needs of the client and use research proven techniques to meet the needs of the individual, or family, in a collaborative setting. I teach healthy coping skills to address a wide range of symptoms.
My current practice focuses on helping adults with the challenges they face. Adults and their own well-being and mental health can often be overshadowed by the immense amount of responsibility that piles on over time. In sessions with me, you can experience feeling heard, understood, accepted as you are, and cared for, as well as ways to notice any negative thoughts patterns or behaviors that can contribute to mental health issues. Challenging these thought patterns can be helpful, but the long-lasting change happens when we explore the question: "How did we get here?"
My current practice focuses on helping adults with the challenges they face. Adults and their own well-being and mental health can often be overshadowed by the immense amount of responsibility that piles on over time. In sessions with me, you can experience feeling heard, understood, accepted as you are, and cared for, as well as ways to notice any negative thoughts patterns or behaviors that can contribute to mental health issues. Challenging these thought patterns can be helpful, but the long-lasting change happens when we explore the question: "How did we get here?"
Life keeps piling on. Stress, miscommunication, and emotional distance - it’s wearing you out. You’re stuck in the same conversations that go nowhere, leaving you and your partner feeling more disconnected and frustrated. The anxiety and overwhelm creep in fast, and suddenly, it all feels too much to carry alone. You're tired of relationship issues draining your energy, exhausted from the constant effort. Our clients are those who are ready to move past the overwhelm and repair deep, meaningful connections - with themselves and the people they care about. We're here to help.
Life keeps piling on. Stress, miscommunication, and emotional distance - it’s wearing you out. You’re stuck in the same conversations that go nowhere, leaving you and your partner feeling more disconnected and frustrated. The anxiety and overwhelm creep in fast, and suddenly, it all feels too much to carry alone. You're tired of relationship issues draining your energy, exhausted from the constant effort. Our clients are those who are ready to move past the overwhelm and repair deep, meaningful connections - with themselves and the people they care about. We're here to help.
See more therapy options for Austin
How does your Therapist compare?
Number of Therapists in Austin, TX
3,000+
Average cost per session
$150
Therapists in Austin, TX who prioritize treating:
| 93% | Anxiety |
| 86% | Depression |
| 75% | Relationship Issues |
| 74% | Self Esteem |
| 70% | Trauma and PTSD |
| 70% | Stress |
| 62% | Grief |
Average years in practice
11 Years
Top 3 insurances accepted
| 91% | Aetna |
| 72% | Cigna and Evernorth |
| 71% | BlueCross and BlueShield |
How Therapists in Austin, TX see their clients
| 51% | In Person and Online | |
| 49% | Online Only |
Gender breakdown
| 81% | Female | |
| 18% | Male | |
| 1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Austin?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.


