Book a therapist or psychiatrist in Austin, TX covered by Cigna

I’m a warm, down-to-earth therapist who will work to help you feel truly heard and understood. I believe therapy should be a safe, supportive space where you can show up just as you are—no pressure, no judgement. I am ready to walk with you on your journey. Together we will work toward greater peace and balance in your life.

I am a licensed therapist with over 20 years of experience in the mental health field, working in private practice, school settings, and inpatient hospitals settings along with lived experience in adoption, cancer, infertility, and blended family.

I am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) providing evidence-based, insurance-accepted mental health care to children, adolescents, and adults. I offer both psychotherapy and medication management, allowing for a comprehensive and integrated approach to mental health treatment.

My clinical work includes the assessment, diagnosis, and treatment of a wide range of mental health conditions, including anxiety disorders, depression, ADHD, mood disorders, trauma-related conditions, and other psychiatric concerns. I believe effective treatment is highly individualized, and I work collaboratively with clients to develop care plans that align with their goals, preferences, and lived experiences.

I strive to create a safe, respectful, and non-judgmental environment where clients of all ages feel heard and supported. Whether you are seeking therapy, medication management, or a combination of both, I am committed to providing compassionate care that supports long-term mental wellness.

Have you ever felt like you're accomplishing everything but still feel unfulfilled or unsatisfied? Do you give so much of yourself to others that little is left for you at the end of the day? Does your child's behaviors (fighting, defiance, truancy, argumentative) leave you wondering what's really going on beneath the surface. It just might be time to take a deeper look.

I’m Tiana Welch, a Licensed Independent Clinical Social Worker, providing telehealth therapy for children, teens, and young adult/adult women. With six years of experience, I have supported clients facing many challenges, including mental health concerns, behavioral issues, and substance abuse. My passion lies in helping children, teens, and families take a deeper look at behaviors to uncover the root causes, and in supporting young adult and adult women as they peel back the layers of perfectionism, burnout, and societal expectations to reconnect with their true selves.

Outside of therapy, I enjoy attending Pilates and spin classes, coloring, painting, reading, and exploring new creative hobbies like learning to sew (this month).

Hi, I'm glad you're here! I’m a licensed therapist with over a decade of experience supporting individuals through anxiety, depression, grief, stress, and life transitions. I offer a collaborative, supportive space where individuals feel understood and empowered to create meaningful change.

My background includes work in high-acuity settings such as correctional facilities, inpatient psychiatric units, and hospital-based outpatient care. At the Harris County Jail in Houston, Texas, I developed reentry-focused assessment tools to improve continuity of care between the court and medical systems.

I’ve been part of a team that built programs from the ground up, including a home visitation program for mothers, now offered through telehealth in both virtual and hybrid formats. I use structured therapeutic tools to help individuals actively engage in treatment.

I have a focused interest in depression, anxiety, grief, and women’s mental health, including pregnancy and postpartum. I offer telehealth sessions across Texas, with insurance and private pay options available.

I am a Los Angeles native with a Bachelor’s in Business and a Master’s in Social Work, I’ve spent the past 10 years doing work I genuinely love. I bring both real‐world perspective and clinical experience into the therapy space—with a little humor along the way. I’m excited to offer a safe, affirming place where we can process together and work toward your ideal goals.

Life can often feel like a series of overwhelming transitions, leaving you feeling disconnected or unsure of your next step. I provide a dedicated space for adults (22+) to slow down, reflect, and move forward with renewed clarity.

Whether you are navigating the complexities of trauma, managing a mood disorder, or facing significant life changes, my goal is to help you transform "feeling stuck" into a journey of intentional growth.

How We Will Work Together

My approach is relational, honest, and depth-oriented. Rather than just addressing surface-level symptoms, we will explore the unspoken beliefs and past experiences that quietly shape your daily life. By learning to listen to what your emotions are communicating, you can begin to respond to life’s challenges in ways that promote genuine healing and authentic connection.

Specialized Support for Couples

In addition to individual therapy, I specialize in marriage and pre-marital counseling. I help couples at all stages build resilient foundations, repair emotional disconnections, and foster a deeper sense of intimacy and mutual understanding.

**Please note: While I accept insurance for individual therapy, all couples counseling is private-pay only. Insurance does not cover relationship-focused therapy.

Your Journey Starts Here

You deserve a space where you are fully seen, heard, and empowered. No matter where you are in your journey, I am here to support you in creating meaningful, lasting change.