Find a therapist in New Braunfels, TX — covered by insurance

I am a Licensed Clinical Social Worker (LCSW) who works with individuals struggling with substance use disorders, depression, anxiety, grief, relationship issues, identity exploration, and difficult life transitions. I also have experience working with adolescents and understand the unique emotional, relational, and developmental challenges that can come during those years.

I believe therapy works best when people feel genuinely safe, understood, and respected. My goal is to create a space where clients can show up honestly without fear of judgment. I know that starting therapy can feel uncomfortable or vulnerable, especially for people who are used to carrying things on their own, and I take seriously the trust it takes to open up to another person.

I am an LGBTQ-affirming clinician and believe deeply in creating a supportive and inclusive environment where clients can explore their experiences authentically. I approach therapy with compassion, curiosity, and respect for each person’s individual story and lived experience.

Much of my work centers around helping people who feel overwhelmed, disconnected, stuck, emotionally exhausted, or unsure how to move forward. Whether someone is navigating addiction, anxiety, depression, grief, relationship struggles, or major life stressors, I aim to help them feel less alone while working toward meaningful and lasting change.

Above all, I believe the therapeutic relationship itself is one of the most important parts of the healing process. Research consistently shows that a strong connection between therapist and client is one of the strongest predictors of success in therapy. Because of that, I place a high value on building a relationship grounded in trust, honesty, collaboration, and authenticity.

Seeking support can feel overwhelming, and I know that starting therapy is not always easy. My goal is to create a space where you feel comfortable, understood, and never judged. I believe therapy should feel like a place where you can take a breath, be yourself, and talk openly about what you are carrying.

I’m passionate about helping people work through life’s challenges with compassion and practical support. Whether you are dealing with anxiety, stress, relationship struggles, life transitions, low self-esteem, or feeling emotionally stuck, I strive to meet you where you are. I want patients to feel heard, supported, and empowered as they move toward healing and growth.

Are you feeling overwhelmed by anxiety, relationship stress, or difficult life experiences? You might be struggling to manage emotions, feeling stuck in patterns that aren’t working, or unsure how to move forward. I work with children, teens, adults, and couples facing challenges like depression, trauma, family conflict, and major life transitions. Together, we’ll create a space where you feel understood, supported, and equipped with tools to build confidence, improve relationships, and feel more in control of your life.

Prisca Oketch, APRN, PMHNP-BC, with over 17 years of dedicated clinical experience, specializes in comprehensive mental health treatment. I combine evidence-based psychiatric care with compassionate listening, creating personalized treatment plans that address each patient's unique needs. I am accepting new patients of all ages, from children to adults, both for cash pay and insurance with same-day availability.

Education:

St Mary’s University, San Antonio, TX

Ph.D. Counselor Education and Supervision: 2001-2006 (GPA 3.83)

Minor: Vocational Rehabilitation

Alabama Agricultural & Mechanical University, Huntsville, AL

M.S. Counseling Psychology: 1996-1998 (GPA 3.82)

Emphasis in Vocational Rehabilitation

The University of Alabama in Huntsville, Huntsville, AL

M.A. English: 1992-1994 (G.P.A. 4.00) summa cum laude

Teaching Certification: Technical Writing/Editing (G.P.A. 4.00)

Teaching Certification: TESOL (G.P.A. 4.00)

(Teaching English to Speakers of Other Languages)

B.A. English: 1987-1992 (G.P.A. 3.68) cum laude

Minor: Technical Writing/Mathematics

Minor: Communication Arts

Minor: Latin/History

University of Kentucky, Lexington, KY

Honors Program, 60 semester hours, 1977, 1982-83 (G.P.A. 3.58)

Northern Arizona University, Flagstaff, AZ

Honors Program, 27 semester hours, 1978 (G.P.A. 3.50)

National Collegiate Honors Council Experimental Education Semester at the Grand Canyon, Arizona. Forty honor students from 20 states, primarily seniors and graduate students, engaged in Southwestern Cultural Studies. Only college freshman in the United States selected to attend.

Published author and very experienced presenter.

I earned a Masters degree in Clinical Mental Health Counseling. I have experience working with adults who are struggling with trauma and grief.

Healing isn't linear and I understand that deeply, both professionally and personally. As a dual -certified Family and Psychiatric Nurse Practitioner, and an attorney, I bring a unique, comprehensive perspective to care. But more than titles, I bring lived experience.

I know grief intimately. The pain I carried afterwards was unexplainable. It didn't fit into a neat diagnosis or timeline. That experience shaped not only how I show up for others but why I do my work.

Whether you are navigating the aftermath of a death, a medical diagnosis, a relationship rupture, or job loss, I offer a safe, grounded and trauma focused space. I help clients process complex emotions, rebuild self-trust, and gently move toward healing, at your own pace.

If you're carrying something heavy, you don't have to carry it alone. I'd be honored to walk with you.

I am highly trained and deeply committed to helping teens and families thrive. I hold a Master’s degree in Counseling, advanced training in Christian counseling, and I am a Licensed Professional Counselor with certifications in school counseling, trauma-informed care, youth mental health, and human resources. I am also completing my Doctorate in Educational Leadership, where my research focuses on mental health needs and counselor workload.

My education and experience allow me to blend clinical expertise with a strong understanding of how families, schools, and communities shape well-being.

I love working with teens because adolescence is a powerful and challenging season. I have supported young people through anxiety, grief, trauma, identity concerns, academic stress, and family conflict, and I am passionate about creating a space where they feel seen, supported, and understood. I also work closely with families, helping them improve communication, strengthen relationships, and build healthier patterns together.

My practice is guided by faith, compassion, and professionalism. I offer biblically based counseling for clients who desire it, while always maintaining a safe, respectful, and evidence-based approach. Above all, I am a counselor who listens. I honor your experiences, respect your values, and work with you at a pace that feels right as we move toward healing and growth.