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Elva 'Julia' Garafola

Clinical therapist offering therapy in TX, La Grulla
Counselor License Type(s): LCSW
Stress, AnxietyRelationship issuesGriefDepressionCoping with life changes
12 years of experience

Ms. Garafola received her Bachelor's degree in Psychology from Texas Woman's University and earned her Master's degree in Mental Health and Social Work from the University of Texas at Arlington, as well as her Associate's degree in Nutrition from Tarrant County College. Over the past ten years, she has had the opportunity to work with seniors and their families in a myriad of settings to include end of life issues, chronic illness, grief and loss, life transitions, caregiver issues and aging parents. Ms. Garafola practices client-centered philosophy, utilizing cognitive behavior therapy, mindfulness, and solution-focused therapy. She believes in developing a non-judgmental and trusting therapeutic relationship with each client in order to provide guidance in discovering qualities and strengths, tools, and skills they can use in maneuvering life's challenges. Ms. Garafola's happy place is the beach has relocated from Texas to Florida where she lives with her husband and 15 year old pup Lola. Spending time outside in the sunshine biking and gardening are activities of choice, as well as dining out, shopping, traveling, and family vacations with her adult children. She is active in her church as well as her husband's vacation property business.

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Ariel Kruemcke

Clinical therapist offering therapy in TX, La Grulla
Counselor License Type(s): LPC
Stress, AnxietyRelationship issuesIntimacy-related issuesCareer difficultiesCoping with life changes
4 years of experience

I work with adults and adolescents dealing with issues such as career decisions, anxiety, relationship issues, depression and much more. I have experience in inpatient treatment working with a variety of different psychiatric disorders and situations. I have experience in career counseling and helping people of all ages navigate career decisions or changes and it is something I am truly passionate about. In my work with clients I take a client-centered approach, viewing counseling as a collaborative effort on both client and therapist. I also see that most of our issues come from early life and hold us back if we do not address them. If you are looking for someone to work with you, and help you through whatever stage in life you are at then I would love to help.

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Patrick Ramsey

Clinical therapist offering therapy in TX, La Grulla
Counselor License Type(s): LPC-S
Stress, AnxietyLGBTRelationship issuesIntimacy-related issuesDepression
18 years of experience

Hi, I'm Patrick. I'm the father of two, so when I'm not counseling I'm either spending time with my kids or I'm engaging in one of several hobbies that provide enjoyment or help me cope with stress. Besides being a book and movie nerd, I like to write essays, stories and poetry, play guitar, train for 5K runs and occasionally travel or go camping. I've practiced counseling as a therapist, as an educator and as a crisis specialist. Although my degree is from the University of North Texas, I've learned much of my current set of skills from the experience of counseling clients and through specific training and workshops aimed at improving myself professionally. As a therapist, I tend to be very relaxed, coming alongside clients to help them at situations that feel like dead ends or like they are in a fog with no clear direction in sight. With people, one size usually does not fit all, so I like to have a variety of techniques available to assist them. Sometimes a path can be made clear simply by sorting through thoughts with someone, but often situatons are more complex with more variables in play, such as with addiction, feelings of uncontrollable anger, trauma that seems to overwhelm or something that feels more physical like sexual dysfunction. My starting point is usually listening to try to wrap my mind around a client's story and then I work alongside my client to see if our combined efforts and experience can help them go forward. I bring to the table training in anxiety and depression, bipolar disorder, anger management, communication, boundaries, sexual issues, spiritual abuse, grief and consciousness growth.

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Dale Barrett

Clinical therapist offering therapy in TX, La Grulla
Counselor License Type(s): MA, LCPC, LPC-S
Stress, AnxietyTrauma and abuseGriefSelf esteemDepression
30 years of experience

Let's move forward together! Sometimes we feel our life is out of control and the first thing we need to do is to identify how and why. Once we can identify how we feel our life is out of control, we can work on the why. Now we can begin to identify what we want our life to be and what we need to do to move forward toward our goals. We will work as a team and I will provide a safe, secure and non-judgemental environment for you to share and explore your world in order to develop goals and a plan to move forward. I have over thirty years of experience and am licensed in Illinois as a Licensed Clinical Professional Counselor(LCPC), Texas as a Licensed Professional Counselor-Supervisor(LPC-S), and Wisconsin as a Licensed Professional Counselor(LPC). Everyone is unique and the therapy must be tailored to fit the individual. I have experience working with anxiety, depression and other mood disorders, forgiveness, grief, trauma and abuse, psychosis, life transitions and addictions. Clinical Approaches: Client-Centered therapy, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Mindfulness Therapy, Motivational Interviewing, Solution-Focused Therapy, Trauma-Focused Therapy, Reflective and Reframing

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Kristine Boehnke

Clinical therapist offering therapy in TX, La Grulla
Stress, AnxietySelf esteemDepressionADHD
6 years of experience

I am licensed in Texas with 4 years of professional work experience. I have experience in helping clients with stress and anxiety, motivation, self esteem, and confidence, & depression. I also have experience working with concentration, memory and focus (adhd). I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

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Autry Jamison

Clinical therapist offering therapy in TX, La Grulla
Stress, AnxietyRelationship issuesTrauma and abuseGriefDepression
8 years of experience

I am a Licensed Marriage and Family Therapist (LMFT) with a Masters degree in Clinical Psychology. I have worked with individuals, couples, families, and groups for over 8 years, in person and telehealth. I am currently licensed in California and Texas. I was the Executive Director at Discovery Counseling Center for several years and transitioned to Director-at-Large in 2022 when I relocated to San Antonio, TX to focus on my nonprofit, Isaiah D. Jamison Community Wellness Center. We are a community and faith-based organization that offers multiple programs and services that is fluid and designed to provide a continuity of care for the population we serve. I am currently providing consultation, training, and clinical supervision to staff and colleagues at Discovery Counseling Center in Morgan Hill, CA. Due to my journey and rich exposure to multicultural, diversity, and intersectional experiences: I can effectively serve culturally diverse populations from all SES. I also appreciate the beautiful diversity in God's creations, and am open to assisting/supporting clients from the Queer Community. My clinical experience includes helping clients with stress and anxiety, relationship issues, trauma and abuse, & coping with grief and loss. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. I am here to help you heal, explore, and discover a full healthier you. I enjoy working from an integrative approach that is uniquely tailored to help meet the needs of clients based on their individual experiences. I also have a compassion for teaching individuals how to connect, communicate, utilize resources, and build and restore relationships. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started! You can find additional information about me by visiting my website or on Psychology Today at: https://idjcommunitywc.org/ or https://www.psychologytoday.com/us/therapists/autry-jamison-san-antonio-tx/347822

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Marcela Fernandez

Clinical therapist offering therapy in TX, La Grulla
Stress, AnxietyTrauma and abuseGriefDepressionCoping with life changes
13 years of experience

I am licensed in Texas with 13 years of professional work experience. I have experience in helping clients with stress and anxiety, trauma and abuse, coping with grief and loss, & depression. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.

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Amanda Tindell

Clinical therapist offering therapy in TX, La Grulla
Stress, AnxietyTrauma and abuseSelf esteemDepressionCoping with life changes
4 years of experience

I am licensed in Texas with 3 years of professional work experience. I have experience in helping clients with stress and anxiety, trauma and abuse, motivation, self esteem, and confidence, & depression. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!

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Alexander Leerburger-Mahl

Clinical therapist offering therapy in TX, La Grulla
Stress, AnxietyLGBTBipolar disorderDepressionADHD
6 years of experience

Do you often feel weighed down by feelings of depression, anxiety, or overthinking? If you find it challenging to advocate for yourself, talk to me! Whether you’re seeking help for the above, or topics such as LGBTQ+ issues, lack of direction, career issues, or something else, I want to help! Together, we will work on strategies that will allow you to address the root cause of said difficulty and build meaningful connections and confidence. It can be difficult and overwhelming to begin the counseling process but remember that asking for help is a sign of strength. Let's create a judgment-free, safe, and exciting sesh. My approaches to counseling are entrenched in motivational interviewing, cognitive-behavioral therapy (CBT), gestalt therapy, and solution-focused therapy. With these tools and our connection, we will create a plan for meaningful change.

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Allison Burrell

Clinical therapist offering therapy in TX, La Grulla
LGBTRelationship issuesIntimacy-related issuesAnger managementSelf esteem
3 years of experience

I am licensed in Texas with 3 years of professional work experience. I have experience in helping clients with lgbtq+ related issues, relationship issues, intimacy related issues, & anger management. Additionally, I have several years of experience working with people with intellectual and developmental disabilities and autism. I am currently in progress of completing the Certified Sex Therapist with the Sexual Health Alliance. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.

How to find a therapist for counseling in La Grulla

Finding the best therapist close by in La Grulla can feel challenging, but know that once you narrow your search for a counselor serving your area, you can find a therapist in your city that is accepting new clients and fits your goals. Whether you're struggling with depression, anxiety, marriage, family issues, or other emotional challenges, feel proud that you have begun your search to find the mental health care services with therapists in La Grulla that work best for you in order to begin your personal journey towards emotional healing with a therapist.

Understanding the type of therapy you'd like to search for is crucial before finding a therapist or psychologist in La Grulla. Perhaps you're interested in narrowing your search for a psychotherapist that can offer psychodynamic, cognitive-behavioral (CBT), talk therapy, provide group therapy, marriage and family therapy for individuals or couples, or couples therapy. Each type of support of this kind with BetterHelp therapists can offer various benefits and address or treat different disorders. If you're still unsure or are new to counseling in La Grulla, feel free to contact the provider via email to find out which methods they practice.

It is also important to understand that mental health professionals in the United States are accredited to provide care, helping individuals and couples, with a variety of licenses for therapists. These include licensed marriage and family therapist (LMFT), licensed clinical social worker (LCSW), and clinical psychologist or doctor of psychology (PsyD). Regardless of their licensure, they are trained able to treat individuals and couples counseling, and sometimes children, in any type of therapy in the La Grulla region and in the state of Texas. Find a therapist under any of these distinctions and know that the sessions they offer can provide a safe place to heal.

A mental health counselor working through their own in-person therapy practice in La Grulla or online may assist clients in improving healthy relationships, communication skills, working through life transitions, couples counseling, managing a mood disorder, improving coping skills, self help tips, offer life coaching, family therapy, or change in negative thinking patterns. A La Grulla therapist may also provide a safe place and validation for clients experiencing emotional pain, or that simply want a psychological assessment. Verified providers and therapists can provide licensed marriage and couples therapy, tailor to individual needs, and create a therapeutic relationship as a National Certified Counselor.

There are all kinds of therapists working with clients today across the United States and in the greater La Grulla area offering:

  • CBT
  • DBT
  • Substance use therapy
  • Couples therapy

When you're ready to start your search keep in mind what support you'd like your provider to be most experienced with and choose an experienced provider with a practice located near you in the city of La Grulla, elsewhere in Starr, or in the greater state of Texas. Get matched with one of the therapists working on the BetterHelp platform today.

Frequently asked questions (FAQs) about therapists and mental health services

Some other commonly asked questions on therapy with a licensed counselor and BetterHelp serving the La Grulla area can be found below:

How does the cost of in-person counseling with a therapist compare to the cost of BetterHelp with a licensed La Grulla therapist?

The average price of an in-person therapy session in the US with most therapists is $100 to $200 per hour. These prices may be higher in La Grulla due to a higher cost of living, and a limited number of therapists taking new clients. The price also depends on the type of provider you are looking for. See the following average prices for various mental health providers without insurance:

  • Counseling with a psychiatrist: $150-$500
  • Counseling with therapists: $100-300
  • Therapy with a psychologist: $100

While many psychologists in La Grulla may not take health insurance, some in the state of Texas may work on a sliding scale, meaning they'll factor in your income and charge what you can afford per session. With a BetterHelp therapist throughout the state of Texas you can expect significantly more affordable options, with therapists sessions ranging from $65 to $100 per week (billed every four weeks). 

How is a licensed therapist on this La Grulla online therapy platform verified?

Therapists in La Grulla, Texas working on BetterHelp are licensed, trained, experienced, and accredited as a doctor of psychology (PhD / PsyD), licensed marriage and family therapists (LMFT), licensed clinical social worker (LCSW / LICSW), or licensed professional counselors (LPC). All of these psychology clinicians have a Masters Degree or a Doctorate Degree in their field of psychology sciences, and follow the APA Code of Ethics. Therapists have been qualified and certified by their state's professional board after successfully completing the necessary education, exams, training and practice with a patient, and extensive experience in a healthcare clinic or treatment centers, in order to become a mental health provider. While their lived experience, expertise, careers, and background vary, therapists here all possess at least 3 years and 1,000 hours of hands-on experience with adult and sometimes teen patients, and have the necessary therapist credentials to provide a safe space for long lasting emotional healing in therapy. 

Please note BetterHelp does not offer or provide care from La Grulla psychiatrists to prescribe a drug or medication as treatment, or perform psychological assessments and other psychiatric services.

How does working with a professional counselor in BetterHelp online therapy sessions work?

BetterHelp clinicians and therapists treat clients online across the United States (individuals and couples) through life transitions, inner child exploration, long term depression or anxiety, post traumatic stress disorder, and more. An online mental health professional, including the therapists in La Grulla above, can work with young adults, children, adolescents, and adults virtually as an accredited licensed clinical social worker (LCSW) or licensed marriage and family therapist (LMFT). You do not have to commute to a an office as a psychotherapy client.

Through BetterHelp therapy, you can partake in video, phone, or live chat therapy sessions with your licensed therapist. You can work through various symptoms, use the in app journaling feature, and receive worksheets. You'll also find support groups or group therapy helping individuals on topics including managing life transitions, symptoms affecting sexual health, behavioral health, coping skills for anxiety, depression, trauma, stress, marriage counseling, and more. Get matched today.

What mental health issues can psychotherapy address with the help of psychologists?

BetterHelp's verified therapists specialize and have clinical experience in a wide range of mental health issues and modalities, helping clients to feel better and improve their lives every day. See below for examples.

Our therapists specialties on BetterHelp include:

  • Cognitive behavioral therapy - This is provided by professional counselors, helping clients identify and change negative thought patterns through structured sessions.
  • Behavior therapy - Behavior therapy techniques are used to help clients modify harmful behaviors and develop healthier habits, often through the guidance of a professional counselor.
  • EMDR therapy - EMDR therapists assist clients in processing traumatic memories to alleviate emotional distress and improve overall well-being, utilizing the expertise of a professional counselor.
  • Talk therapy - Clients explore their feelings and develop strategies for dealing with various mental health issues, often guided by a professional counselor.
  • Depression - This counseling is designed to help individuals manage symptoms of depression and improve their mood and functioning, often working closely with a professional counselor.
  • Anxiety disorders - Sessions for anxiety disorders, offer strategies to manage and reduce anxiety symptoms effectively, often through counseling sessions with a professional counselor.
  • Stress - Tools and techniques to help clients cope with stress and improve their mental resilience, frequently under the supervision of a professional counselor.
  • Eating disorders - Professionals experienced in eating disorders offer specialized counseling to address unhealthy eating patterns and body image issues, with the support of a professional counselor.
  • Grief - Support and guidance are offered to clients experiencing grief, helping them navigate the stages of loss, often in collaboration with a counselor.
  • Attachment therapy - Therapists use this to help clients understand and improve their emotional bonds and relationships, often with the assistance of a counselor.
  • Relationships - Therapists work with clients to improve communication, resolve conflicts, and strengthen their connections with others, often using the skills of a counselor.
  • Children, adolescents, and teens - Therapists specializing in youth therapy address the unique mental health needs of children, adolescents, and teens, often involving a counselor in the process.
  • Addiction (substance abuse) - Therapists offer counseling for addiction, helping clients overcome substance abuse and maintain long-term recovery, often under the guidance of a counselor.
  • Divorce - Therapists support individuals through the emotional and practical challenges of ending a marriage, often working with a psychologist to provide comprehensive care.
  • Trauma or PTSD - Therapists specializing in trauma and PTSD help clients process traumatic experiences and reduce their symptoms, frequently collaborating with a psychologist.
  • Bipolar disorder - Therapists provide counseling to manage the mood swings and challenges associated with bipolar disorder, often in consultation with a psychologist.
  • Psychodynamic treatment - Therapists use psychodynamic treatment to explore unconscious processes and how they affect current behavior, often guided by psychologists.
  • Career counseling - Therapists assist clients in making informed decisions about their professional paths and resolving work-related issues, often with the help of psychologists.
  • Alcohol use disorders - Therapists offer specialized counseling to help clients manage and overcome alcohol use disorders, frequently under the supervision of psychologists.
  • OCD - Therapists provide strategies and support to manage obsessive-compulsive disorder symptoms, often via psychotherapy.
  • ADHD - Therapists offer counseling to help clients with ADHD improve focus, organization, and overall functioning, often via psychotherapy.
  • Mood disorders - Therapists work with clients to stabilize and improve mood through various therapeutic approaches, frequently in psychotherapy.
  • Sex addiction
  • Complex trauma
  • Life transitions

You may also be struggling with relationship problems that could be addressed in couples therapy or with a sex therapist. In that case, you may choose to work with one of BetterHelp's experienced cognitive-behavioral therapists or licensed marriage family therapists (LMFT) who work with clients in relationships. You can also try a La Grulla provider through BetterHelp's sister platform, ReGain, which is dedicated to couples and spouses worldwide with licensed therapists. 

How do I know if online counseling is right for my family in La Grulla?

One of the potentially rewarding aspects of working with a La Grulla therapist is the validation and active listening they can provide. Your friends and loved ones may also be available to listen, but you may feel that they may lack the skills to provide objective guidance. Counselors and therapists are trained to respond to various concerns, symptoms, and mental health conditions.

Therapists in your city can support you toward a healthier emotional state, regardless of your mental health, life concerns, or healing needs. While supporting individuals in developing healthier habits, another good benefit of La Grulla therapy is having an understanding, safe space with a non-judgmental party who can support you through challenging experiences.

Many people have sensitive topics that they may feel ashamed to discuss with their friends or partner. A La Grulla therapist can help you confront these concerns and open up through unique methods of support. There are also many types of therapy, such as art therapy, where you may find you can express yourself through creativity instead of words with a psychotherapist.

With a lot of people in TX, therapists may be booked out with clients. Through the list of profiles or therapists above and others within BetterHelp's team, you may be able to find a psychologist within 24 to 48 hours. If you're searching to find a a nearby psychotherapist close to 78548 or the surrounding zip codes, consider others available through the BetterHelp site where you can schedule a session based on your and the therapist's schedule. No matter if you are seeking help from therapists in your area or beyond, online therapy can be a great option.

How should I prepare for my first therapy session with a La Grulla counselor?

Before seeing your La Grulla therapist, prep for your session by reading to understand the process. You might write a list of questions you want to ask your psychotherapist, any emotional pain you may feel, and the ways in which you hope to improve. When you attend your session, you can let our therapists know if you have any concerns or feel unsure about what to talk about. La Grulla therapists here may help guide you with open-ended therapeutic questions while offering mental health services. The first session will often serve as an intake to get to know you as a person and learn why you're attending therapy.

Should I find a therapist or psychologist for therapy if I feel fine? 

Some simply don't feel the need to see a psychologist. However, some people may avoid attending therapy due to stigma or preconceived notions of what it might entail. Although psychologists often support people with mental health conditions, you do not need a diagnosis or specific condition. You can discuss grief, relationship concerns, stress, or life changes and ask for general feedback. A La Grulla licensed clinical social worker may help you gain power over your life and emotions while you navigate day-to-day experiences.

Gaining a new perspective on yourself through various therapies might allow you to improve your self-esteem, work through relationships, and gain a better sense of your mental health goals. The success you may find with a La Grulla counselor can be dependent on your process.

People may also attend therapy for specific motives, such as bullying, an autism diagnosis, a desire to learn mindfulness meditation, personality concerns, trouble with office workers, specific phobias, and many other principles that a counselor can help with.

Is mental health care and therapy with a therapist worth it?

Therapy with a licensed counselor is effective and has the power to change individuals' lives. Each client is at a different stage of their emotional healing journey in life, as each human can be unique in their personality, expression, skills, and goals. A psychologist can target various symptoms, experiences, and personalities to help you feel your best and put you on the path to healing. Unlike advice from a friend, family, or non-professional, a mental health therapist has an understanding of various disorders like ADHD and depression with many hours of experience in treating adults in their practice. For this reason, seeing an evidence based psychologist in La Grulla, Texas can be worth it. Over 41 million adults in the US attend therapy services each year, showing it's a popular option and is proven to be effective.

La Grulla has many clinicians who practice person or client-centered individual therapy in-person and through online sessions to assist clients in their healing journey. If you opt into online therapy, you might also be able to meet with providers all over the United States and change therapists easily at any time. Many people struggling with anxiety and depression, substance abuse, body image issues, and more find therapists that are a good fit for them, feel supported, and gain further insight into their lives through internet-based therapy.

Do therapists judge you in therapy sessions during telehealth appointments?

The boundaries between you and a therapist are in place to help you and them regarding ethical concerns. Mental health professionals are held by ethical standards through the American Psychological Association (APA) and are not allowed to judge or harm their clients. If you are concerned about sharing details about yourself, feel free to withhold personal information. Their job in the therapeutic relationship is to create a safe place, help you gain a deeper understanding of your mental health, and support you. You might consider changing counselors if you don't feel safe or respected.

Stay up to date with the leading online counseling platform for La Grulla, Texas

To stay up to date with BetterHelp's initiatives through their social channels, you can follow them on PinterestLinkedInInstagramTwitter, and Facebook. For mental health tips, check out the BetterHelp YouTube channel.

Take some time today to learn more about the team of La Grulla therapists at BetterHelp to understand the services available to you clearly. If you are new to therapy or have any questions about the services and terms, please reach out to customer service through the contact page or send an email to contact@betterhelp.com.

If you’re ready to sign up for online therapy, consider signing up with a platform like BetterHelp and get matched within 24 to 48 hours.

If you are experiencing a crisis or emergency, don't use this site's online services. If you are in life-threatening danger, call 911. If you require support for a crisis, reach out to the hotlines below:

A woman meets with a therapist online in her home city of La Grulla.

Below are some of the zip codes served by BetterHelp therapists in La Grulla:

78548, 78582

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