Lisa Osborne

Maybe you’ve been telling yourself you should be able to handle this on your own, but lately it feels harder to keep everything contained. Anxiety or panic may be taking over more of your day, depression can make it difficult to feel like yourself, mood changes may feel unpredictable, or substance use may have become a way of coping that no longer feels manageable. You may also be carrying trauma, grief, relationship stress, or concerns around food and eating that are affecting how you feel about yourself and your life. I provide virtual individual and family therapy for adolescents and adults throughout Texas, with a focus on anxiety, depression, panic disorders, bipolar disorder, and substance use or addiction. I also support clients navigating trauma and PTSD, eating disorders, stress, anger, grief and loss, maternal mental health, women’s issues, and relationship concerns. With more than 20 years of experience, I offer a warm, accepting space where you do not need to have everything figured out before we begin.

I want therapy to feel safe enough for you to be honest and useful enough that something begins to change. We’ll work together at a pace that feels right for you, while also getting curious about the patterns, relationships, experiences, and coping strategies that may be contributing to what you are going through now. Depending on your needs, I may use Cognitive Behavioral Therapy to help you identify thought and behavior patterns that reinforce anxiety, depression, panic, or unhealthy coping, and Trauma Focused CBT when painful experiences continue affecting the present. I also draw from Psychodynamic and Psychoanalytic approaches to better understand deeper emotional or relationship patterns, Motivational Interviewing when you feel uncertain about making a change, and Solution Focused and Strength Based Therapy to build on what is already working. When family relationships or bipolar disorder are part of the picture, I may incorporate family-focused and cognitive behavioral family approaches to strengthen communication, support, and stability.

Our first session is a conversation, not a test, and there is no pressure to tell me everything at once. We’ll spend time getting to know each other, talking about what brought you to therapy, and understanding what has been most difficult lately. You can share as much or as little as feels comfortable, and you do not need to arrive knowing exactly what your goals should be. We’ll figure those out together. You can expect me to be open-minded, solution-oriented, and empowering, while creating room for difficult emotions without losing sight of where you want to go. Progress might mean experiencing fewer panic symptoms, feeling more stable through depression or mood changes, developing a healthier relationship with substances or food, processing trauma or grief, responding to stress and anger differently, or communicating more effectively with the people you care about. My goal is for you to feel understood while becoming increasingly confident in your ability to make choices that support the life you want.