Dr. Julia Tillie

Sometimes you can keep functioning on the outside while carrying far more internally than the people around you realize. Anxiety may keep your mind constantly active, chronic stress can leave you emotionally exhausted, trauma may continue shaping the way you respond to relationships and everyday situations, or grief and major life changes can make it difficult to recognize yourself in the life you are living now.

With 20 years of experience, I work with adults and older adults navigating anxiety, stress management, trauma and PTSD, relationship concerns, cultural and ethnic issues, depression, grief and loss, and family challenges. I also support clients working through panic, substance use concerns, and questions of meaning or spirituality when those experiences are important to their healing.

In addition to being a Licensed Clinical Social Worker Supervisor in Texas, my background includes doctoral training in theology. I understand that emotional health, relationships, culture, values, and spirituality can all influence how we experience difficult seasons. My goal is to provide an open-minded and empowering space where you can feel heard, better understand what you are carrying, and begin identifying a meaningful path forward.

I believe therapy works best when you are an active participant in the process and when the work respects both where you have been and where you want to go. My approach is collaborative, compassionate, and empowering. I often use the PACE principles of participation, acceptance, compassion, and empowerment to create an environment where you can explore difficult experiences without feeling judged or defined by them.

Depending on your needs, I may use Cognitive Behavioral Therapy to help you recognize thought and behavior patterns that contribute to anxiety, depression, or stress, and Acceptance and Commitment Therapy to help you respond differently to difficult emotions while staying connected to your values. Trauma-Focused CBT may be helpful when past experiences continue affecting the present, while Interpersonal Psychotherapy can help us better understand how relationships, grief, role changes, and conflict are affecting your emotional wellbeing.

I also incorporate Problem-Solving Therapy when life feels overwhelming and you need help breaking complex challenges into manageable steps. Motivational interviewing may be used when part of you wants change while another part feels uncertain. No single approach fits everyone, so we will shape the work around your needs, strengths, experiences, and goals.

I believe therapy works best when you are an active participant in the process and when the work respects both where you have been and where you want to go. My approach is collaborative, compassionate, and empowering. I often use the PACE principles of participation, acceptance, compassion, and empowerment to create an environment where you can explore difficult experiences without feeling judged or defined by them.

Depending on your needs, I may use Cognitive Behavioral Therapy to help you recognize thought and behavior patterns that contribute to anxiety, depression, or stress, and Acceptance and Commitment Therapy to help you respond differently to difficult emotions while staying connected to your values. Trauma-Focused CBT may be helpful when past experiences continue affecting the present, while Interpersonal Psychotherapy can help us better understand how relationships, grief, role changes, and conflict are affecting your emotional wellbeing.

I also incorporate Problem-Solving Therapy when life feels overwhelming and you need help breaking complex challenges into manageable steps. Motivational interviewing may be used when part of you wants change while another part feels uncertain. No single approach fits everyone, so we will shape the work around your needs, strengths, experiences, and goals.