Prenatal and postpartum therapists & psychiatrists in Boerne, TX

Accepting new clients. Flexible hours available. Kathleen is Board Certified (CCMHC), Licensed Professional Counselor w/ 30+ years of experience.

Choose Kathleen when you want expert help! Licensed in five states! Texas, Florida, Alaska, Oregon, and Montana.

Graduate of University of North Florida.

Reviews:

"My connection with Kathleen feels like she understands what I’m going through and has helped me make sense of my thoughts and not fear them. I’m really fortunate and grateful she exists and I found her."

"Kathleen really cares, and it shows!"

"I saw incredible improvement in less than a month!"

My name is Angel Ramos Estrada, and I am a Licensed Clinical Social Worker (LCSW) and founder of Keystone Clinical Services PLLC. I am passionate about helping individuals, couples, families, and veterans navigate life's challenges while fostering resilience, healing, and personal growth.

Before becoming a social worker, I proudly served over 20 years in the United States Army. My military experience shaped my values of integrity, compassion, and service, which continue to guide my work as a therapist. Throughout my career, I have worked in school social work, hospice care, and outpatient mental health, providing support to clients facing anxiety, depression, trauma, relationship challenges, grief, and major life transitions.

My therapeutic approach is collaborative, client-centered, and grounded in evidence-based practices, including Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy, Motivational Interviewing, and trauma-informed care. I strive to create a safe, supportive, and nonjudgmental environment where clients feel empowered to identify their strengths and achieve meaningful change.

As a bilingual clinician fluent in English and Spanish, I am committed to making quality mental health care accessible to diverse communities. I believe every individual has the capacity for growth, and I consider it a privilege to walk alongside my clients as they work toward healthier, more fulfilling lives.

Together, we will explore your life experiences, childhood, relationships, attachment patterns, identity, values, and parenting beliefs to better understand how they influence your current challenges and strengths. I work best with children, teens, women, parents, and families navigating life's transitions.

I have personal and professional experience with family conflict, divorce, parenting challenges, teen parenting, grief and loss, relationship concerns, and the complexities of balancing family, work, and everyday life. I understand the desire for peace, joy, and healthy relationships when they can feel just out of reach.

As a Licensed Professional Counselor, my goal is to provide a warm, supportive space where healing, growth, and meaningful change can occur.

I’m Alison (Ali) Pugh, a Clinical Social Worker, USAF veteran, and mom of two. I help adults who are juggling work, family, caregiving, or major life changes that feel heavier than they look on the surface. If you’re feeling stretched thin, overwhelmed, or unsure of your next step, you’re in the right place. My style is calm, collaborative, and steady. There’s no pressure to have the perfect words.

LIFE be LIFING...You’ve been carrying a lot for a long time. Maybe anxiety, depression, past experiences, or high-stress situations are starting to catch up with you, and it’s getting harder to manage on your own. You might feel stuck in patterns you don’t fully understand or unsure how to move forward. If you’re ready to feel more in control, break unhealthy cycles, and finally have space to focus on yourself, we can work together to help you create clarity, stability, and real, lasting change.

I specialize in dysregulated kids and women healing from childhood trauma. I use a playful, relationship-based approach and incorporate therapy animals, which helps clients feel safe quickly.

I tend to work best with families looking for more in-depth, personalized support