Autism Therapists in Brewster County, TX

Photo of Kayla Paul Wiggins, Clinical Social Work/Therapist, LCSW-S
Kayla Paul Wiggins
Clinical Social Work/Therapist, LCSW-S
2 Endorsed
Online Only
Whether you're navigating these challenges yourself, or supporting a child who is, you've probably spent years being told to change many behaviors to fit more appropriately into systems that weren't built with neurodivergent minds in mind.
I have extensive experiences working with young adults, adolescents, and children, as well as understanding unique developmental challenges and family dynamics that young people navigate. However, I welcome clients across all age ranges and any stage of life. I believe in creating a safe, non-judgmental space to help you better understand your journey.
Whether you're navigating these challenges yourself, or supporting a child who is, you've probably spent years being told to change many behaviors to fit more appropriately into systems that weren't built with neurodivergent minds in mind.
I have extensive experiences working with young adults, adolescents, and children, as well as understanding unique developmental challenges and family dynamics that young people navigate. However, I welcome clients across all age ranges and any stage of life. I believe in creating a safe, non-judgmental space to help you better understand your journey.
(210) 960-1569 View (210) 960-1569
Photo of Esmeralda Cruz, Licensed Professional Counselor Associate, LPC-A
Esmeralda Cruz
Licensed Professional Counselor Associate, LPC-A
2 Endorsed
Serves Area
If you’re here, you may be feeling overwhelmed by your thoughts and emotions—anxious, stuck in overthinking, disconnected, or repeating patterns that no longer feel helpful. You might be dealing with anxiety, OCD, depression, trauma, relationship stress, or self-esteem concerns, and feel tired of carrying this for so long. Reaching out can feel scary, but wanting support makes sense. Therapy can be a place to slow down, feel understood, and learn practical ways to feel more grounded, rebuild trust in yourself, and move through life with greater ease and confidence.
If you’re here, you may be feeling overwhelmed by your thoughts and emotions—anxious, stuck in overthinking, disconnected, or repeating patterns that no longer feel helpful. You might be dealing with anxiety, OCD, depression, trauma, relationship stress, or self-esteem concerns, and feel tired of carrying this for so long. Reaching out can feel scary, but wanting support makes sense. Therapy can be a place to slow down, feel understood, and learn practical ways to feel more grounded, rebuild trust in yourself, and move through life with greater ease and confidence.
(915) 600-7747 View (915) 600-7747

Online Therapists

Photo of Colleen Johnston, Licensed Professional Counselor, MA, LPC
Colleen Johnston
Licensed Professional Counselor, MA, LPC
2 Endorsed
Marfa, TX 79843
I’m so glad you’re here. Taking this first step in getting support takes courage and true grit. My clients come from diverse backgrounds and experience anxiety, depression, and trauma. They often struggle with setting boundaries, managing stress, adjusting to a new phase in life, or navigating difficult relationships. Currently, I work with adolescents and adults utilizing a client-centered and attachment-based approach. Other modalities I practice include EMDR, Cognitive Behavioral Therapy (CBT), Dialectical Behavior (DBT), Internal Family Systems (IFS), sand tray therapy, trauma focused, and Mindfulness-Based methods.
I’m so glad you’re here. Taking this first step in getting support takes courage and true grit. My clients come from diverse backgrounds and experience anxiety, depression, and trauma. They often struggle with setting boundaries, managing stress, adjusting to a new phase in life, or navigating difficult relationships. Currently, I work with adolescents and adults utilizing a client-centered and attachment-based approach. Other modalities I practice include EMDR, Cognitive Behavioral Therapy (CBT), Dialectical Behavior (DBT), Internal Family Systems (IFS), sand tray therapy, trauma focused, and Mindfulness-Based methods.
(512) 641-4431 View (512) 641-4431

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Autism Therapists
What is the most effective treatment for autism?
Applied Behavior Analysis (ABA) has come to be considered the standard treatment for children with autism spectrum disorder, and research has confirmed its effectiveness for many children. Therapists trained in ABA techniques work with children (and their parents) on developing social skills, communication and learning abilities, and everyday habits of hygiene and grooming. The clinician will tailor their program to the child’s particular need but the overarching goal will be to help them advance as far as possible toward independence based on their level of symptoms and decrease the need for additional special services. Families should seek a mental health professional specifically trained in ABA, and holding special certification in the technique, who has extensive experience not only with the approach but in using it with children with the same level of symptoms as the child who needs care.

How does ABA work?
Applied Behavior Analysis (ABA) sessions, which typically focus on positive reinforcement, can be intensive, lasting two or more hours several times a week, and continuing for two years or more. Therapists can also be expected to ask parents to take an active role in reinforcing lessons. Research has found that the technique can lead to major improvements that decrease the need for additional special services.

How does treatment for autism work?
Therapy sessions based on Applied Behavior Analysis will likely be frequent, intensive, and highly structured. After a thorough assessment, a therapist will help a child understand and develop skills in a range of areas, including communication, motor skills, social skills, self-care, play, and academic skills, as well as routines of daily living like hygiene. Typically, the therapist will help a child break down the components of a behavior—often referred to as the antecedent (what prompts an action), the behavior, and the consequence(what immediately follows)—and then reward the child at every step, while also asking parents to reinforce the lessons, and the rewards, throughout the day. This core therapy may be supplemented by occupational or speech therapy, and antidepressants, antipsychotics, and anticonvulsants may be prescribed to address specific severe symptoms.

How long does therapy for autism take?
Some people with autism spectrum disorder may be engaged in some level of therapy for many years, but research shows that treatment will be most effective if it is begun early and delivered intensively. When therapy begins by age 3, children tend to be better able to grasp and adopt the skills needed to manage everyday life, including attending school and establishing social relationships. This type of early-intervention treatment regimen is highly structured, typically involving 20 to 40 hours of one-on-one therapy per week, along with additional hours of engagement managed by parents, for a period of two years or more, although the duration of treatment is dependent on the child’s level of symptoms and pace of progress.