Family therapy and counseling in Tucson, AZ

I am a master’s-level licensed psychotherapist providing therapy for adults ages 20 to 93 for more than 20 years. I help individuals and families navigate life’s challenges with clarity, compassion, and practical tools for change. I specialize in trauma, substance use, and relationship dynamics, and I strive to create a space where you feel safe, heard, and understood. I believe healing begins with honest, conscious communication—starting within and extending to others—and my focus is helping you move forward with greater confidence and purpose.

Hello. My name is Mary ‘Sarah’ Houston. I have been a Mental Health nurse for 20 years. I have been a Psychiatric Mental Health Nurse Practitioner (PMHNP) since November, 2016. As a PMHNP, I have worked inpatient and outpatient psychiatry, along with working at a crisis stabilization unit for mental health crises. As well, I have training in mental health Telehealth. I have worked with clients with depression, anxiety, insomnia, schizophrenia, bi-polar disorder, substance use disorder, and PTSD.

I have a passion to help those with emotional and mental health needs.

I work with adults (18+) and provide individual virtual counseling. I strive to help the people I support gain awareness while incorporating evidence-based practices. Together, we can discover strategies to overcome what might be holding you back from emotional regulation and happiness.

I specialize in treating depression, anxiety, PTSD, trauma-related disorders, and behavioral challenges in children, teens, and adults. My approach integrates CBT, Acceptance and Commitment Therapy (ACT), Motivational Interviewing, trauma-informed care, and attachment-focused therapy to help clients build practical coping skills, improve emotional regulation, and create meaningful, lasting change.

I am a Licensed Professional Counselor (LPC) with over 12 years of clinical experience, including 4 years as a licensed counselor in behavioral health settings. I support individuals and families navigating life transitions, chronic stress, and complex emotional challenges, helping them move toward greater confidence and resilience.

I have extensive experience working with foster and adoptive families, focusing on attachment, trauma, parenting stress, and family transitions. My background within the Department of Child Services (DCS), juvenile detention, and family court systems allows me to guide families through both the emotional and procedural aspects of these environments with clarity and confidence.

I strive to create a supportive, non-judgmental space where clients feel heard and empowered. My approach is flexible and tailored to each client’s unique needs, ensuring therapy is both practical and impactful.

If you do not see a time that fits your schedule, please reach out—I will do my best to accommodate your needs.