You deserve support that actually fits.
Maybe you've been carrying anxiety for so long it just feels like your personality. Maybe you're in the middle of a life that looks fine on the outside but feels like a lot on the inside. Maybe you've always suspected your brain works a little differently — and you're finally ready to explore that.
Whatever brought you here, we're glad you came. Sage & Soul offers therapy for adults and teens navigating the full, complicated experience of being human.
All sessions are virtual throughout Texas. BCBS and Cigna accepted.
Ways We Can Help
🌿 50-minute individual session w/ LPC Associates
$120
In-network with BCBS and Cigna/Evernorth
75-minute and 90-minute sessions may be available at an additional fee
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When your nervous system is working overtime and rest feels out of reach
You're not imagining it — and you're not overreacting. Anxiety has a way of making everything feel urgent, heavy, and hard to turn off. The overthinking. The perfectionism. The people-pleasing. The physical tension that never quite goes away. The feeling that even when things are fine, you're waiting for something to go wrong.
Anxiety shows up differently for everyone. Sometimes it's loud — panic attacks, racing heart, constant worry. Sometimes it's quieter — chronic stress, exhaustion, a low-level hum of dread that's just always there.
Our therapists work with:
Generalized anxiety and chronic worry
Perfectionism and high-achieving anxiety
Social anxiety and people-pleasing patterns
Panic attacks and nervous system dysregulation
Burnout and stress from high-pressure careers
Anxiety in new mothers and during pregnancy
Anxiety related to life transitions and identity shifts
Virtual therapy for anxiety in Texas. BCBS & Cigna accepted.
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The kind that's quiet and heavy, or loud and disruptive — both count
Depression doesn't always look like not being able to get out of bed. Sometimes it looks like going through the motions perfectly while feeling nothing inside. Losing interest in things that used to matter. Moving through your days on autopilot, wondering when you started feeling so disconnected from your own life.
However depression shows up for you — we take it seriously. You deserve more than just surviving your days.
Our therapists work with:
Persistent low mood and loss of motivation
Emotional numbness and disconnection
Depression related to major life changes
Postpartum depression and perinatal mood disorders
Depression alongside anxiety (they often show up together)
Self-esteem and identity struggles that feed depression
High-functioning depression — when you look fine but feel anything but
Virtual therapy for depression in Texas. BCBS & Cigna accepted.
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Processing what happened so it stops running the show
Trauma doesn't always come from one dramatic event. Sometimes it's the accumulation of years of feeling unsafe, unseen, or not enough. Sometimes it's a relationship that left you questioning your own reality. Sometimes it's something you can't even name — just a persistent sense that something happened that changed you.
Whatever shape your trauma takes, it has a way of showing up in the present. In how you respond to conflict. In the patterns you keep finding yourself in. In the way your body holds tension you can't explain.
Healing is possible. Not by reliving everything — but by building enough safety to process what happened and actually move forward.
Our therapists work with:
Complex trauma and childhood wounds
Relationship trauma and emotional abuse
PTSD and trauma symptoms
Attachment wounds from early experiences
Trauma that shows up in relationships and patterns
Trauma-informed care that prioritizes your pace and safety
Virtual trauma therapy in Texas. BCBS & Cigna accepted.
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Real treatment for OCD — not just talk therapy
If you have OCD, you already know that most people don't really understand it. They think it's about being neat. They don't know about the intrusive thoughts that feel shameful and terrifying. The compulsions that temporarily quiet the anxiety but never make it stop. The exhausting loop of doubt that follows you everywhere.
Here's what matters: OCD is treatable. With the right approach.
We have an ERP-trained specialist on our team who treats OCD the way it's meant to be treated — with Exposure and Response Prevention therapy, the evidence-based gold standard that actually works for OCD. This isn't talk therapy dressed up as OCD treatment. This is specialized care from a therapist who understands OCD at a clinical and deeply human level.
Our OCD specialist works with:
Obsessive-compulsive disorder (OCD)
Intrusive thoughts — harm OCD, relationship OCD, religious OCD, contamination OCD
Pure O (primarily obsessional OCD)
ERP (Exposure and Response Prevention therapy)
OCD in adults and teens
OCD alongside anxiety and depression
If you've been waiting for an OCD specialist who takes insurance — we have availability now.
Virtual OCD therapy and ERP treatment in Texas. BCBS & Cigna accepted.
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Support for the season nobody fully prepares you for
Pregnancy and new motherhood are supposed to feel magical. And sometimes they do. But sometimes they feel nothing like what you expected — and nobody tells you that's allowed.
Perinatal anxiety. Postpartum depression. The identity shift of becoming a mother while still figuring out who you are. The exhaustion that goes deeper than sleep deprivation. The guilt about not feeling the way you thought you would.
You're not broken. You're not failing. You're going through one of the most significant transitions a human being can experience.
Our perinatal specialist works with:
Prenatal and postpartum anxiety
Postpartum depression and postpartum rage
Birth trauma and traumatic delivery experiences
The identity shift of new motherhood
Pregnancy loss and fertility grief
Returning to work after maternity leave
Relationship changes after having a baby
Virtual perinatal and postpartum therapy in Texas. BCBS & Cigna accepted.
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Understanding a brain that works differently, and building a life that works with it
If your brain works differently, you've probably spent a lifetime being told to try harder, focus more, or just figure it out. You've tried the planners, the apps, the systems that work for everyone else — and still feel scattered, behind, or exhausted from pretending to be someone you're not.
The problem was never effort. The problem was that most advice is designed for neurotypical brains.
Our neurodivergent-affirming therapist specializes in ADHD, executive functioning, and the full emotional experience of having a brain that works differently — including the shame, the late diagnosis grief, and the exhaustion of masking.
Our therapist works with:
ADHD in adults — newly diagnosed, late diagnosed, or still exploring
Executive functioning challenges — time blindness, task initiation, organization
Rejection sensitive dysphoria (RSD)
Autism spectrum experiences and neurodivergent identity
High-masking neurodivergent adults
Emotional dysregulation and impulsivity
ADHD alongside anxiety and depression
Virtual ADHD and neurodivergent therapy in Texas. BCBS & Cigna accepted.
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When the patterns keep showing up no matter how hard you try
You keep ending up in the same dynamic. Different person, different situation — same exhausting feeling. You give everything and still feel like it's not enough. You know you need to set a boundary but the thought of it makes your stomach drop.
Relationship patterns run deep. They usually started long before the relationship you're in now — in the earliest connections that shaped what love looks and feels like.
Our therapists work with:
Relationship conflict, communication breakdown, and recurring patterns
Codependency and people-pleasing
Difficulty setting limits and asserting needs
Attachment wounds and anxious or avoidant attachment styles
Breakups, divorce, and relationship transitions
Dating patterns and choosing unavailable partners
LGBTQ+ affirming relationship support
Virtual relationship therapy in Texas. BCBS & Cigna accepted.
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Career changes, relationship shifts, identity questions, the "what's next" moments
Change is hard — even when it's good change. Even when you chose it. Career shifts, relationship changes, becoming a parent, leaving a marriage, graduating, moving somewhere new, getting older — transitions crack open questions about who you are and what you want that can feel impossible to sit with alone.
The in-between is one of the hardest places to be. Not who you were. Not yet who you're becoming.
Our therapists work with:
Career changes and professional identity shifts
Relationship transitions — divorce, breakups, new relationships
Becoming a parent and the identity shift of new motherhood
Graduating and navigating early adulthood
Moving, relocating, and building a new life somewhere new
Aging, midlife, and evolving sense of self
The "what's next" feeling that follows big life changes
Virtual therapy for life transitions in Texas. BCBS & Cigna accepted.
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Figuring out who you are and learning to trust that person
Sometimes the hardest thing to name is the feeling that you don't really know who you are. Or that you know — but you don't feel like you're allowed to be that person. That your worth is conditional. That you have to earn your place in relationships, at work, in your own life.
These aren't small things. They shape everything — how you make decisions, how you show up in relationships, how you talk to yourself when nobody's watching.
Our therapists work with:
Chronic self-doubt and low self-esteem
Emotional patterns that developed in childhood and show up everywhere now
People-pleasing and losing yourself in relationships
Identity questions related to culture, sexuality, gender, and role changes
The gap between who you are and who you feel you're allowed to be
Self-worth tied to achievement, productivity, or others' approval
LGBTQ+ identity exploration and affirmation
Virtual therapy for identity and self-worth in Texas. BCBS & Cigna accepted.
Therapy at Sage & Soul is provided by skilled associate clinicians — therapists who have completed their graduate training and are working toward full licensure under the direct supervision of Casey Davids, LPC-S.
This means you get a therapist who is fully engaged in their own growth, closely supervised, and backed by a support system that keeps their practice sharp. Many clients find that associate clinicians bring an energy and investment to the work that is hard to find elsewhere.
Our associates also tend to have more availability and offer competitive session rates — making quality therapy more accessible.
To work with Casey directly, explore her supervision and consulting services — or join The Bestie Collective, her free community for prelicensed clinicians.
The Practical Stuff
Where we work:
Virtual sessions are available for clients throughout Texas including Dallas, Fort Worth, Austin, Houston, San Antonio, and surrounding areas. Limited in-person sessions are available in the Austin area.
Getting started:
Start with a free consultation — no pressure, no commitment. Just a chance to see if it feels right.
Frequently Asked Questions
New therapist, associate, intern or grad student? This is a space for consultation, workshops, and clinical supervision that actually support you as you grow — without pressure to have it all figured out.
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Our associate clinicians are in-network with Cigna and Blue Cross Blue Shield of Texas (BCBS of TX). We are not accepting new clients through UMR, Oscar, or Optum/United Healthcare.
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Paying privately allows for more flexibility in session length and frequency, the freedom to use whatever approach works best for you, and complete confidentiality — records aren't shared with third parties except in rare legal exceptions.
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If your insurance isn't listed above, we can provide a Superbill to submit to your provider for potential reimbursement. Some clients also use Flexible Spending Accounts (FSA). We partner with Reimbursify to make the claims process easier — your first claim is free.
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Yes. For therapy you must be physically located in a state where your therapist is licensed. Our associate clinicians are licensed in Texas only.
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We require 24 hours notice for cancellations or reschedules. Missed or late-canceled sessions are charged at the full rate. Emergencies are reviewed on a case-by-case basis.
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No. We do not provide ESA letters or complete short-term disability or FMLA paperwork.
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Yes — our perinatal specialist works with prenatal and postpartum anxiety, postpartum depression, birth trauma, and pregnancy loss. BCBS and Cigna accepted.