Family therapy and counseling in San Marcos, TX

I have over 24 years of experience working with all different age groups and diagnoses. I have extensive experience working with complex trauma to include military, veteran and first responder related experiences. I have years of experience working with PTSD, moral injury and survivor's guilt.

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.

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).

My name is Carolyn Cole (she/her), and I am a lifelong social worker in Texas, (born & raised in Louisiana).My social worker life has had twists and turns- I am grateful for the broad and diverse learning. I have worked in/with hospice, hospital settings, substance use disorder, teen pregnancy/parenting, and school districts, I received my LCSW (clinical social worker license) before the pandemic, a traumatic and anxious time for many of us. And, the impact still lingers with us.

I am trained in many modalities and work with my clients to identify and empower their strengths, their health. and and any roadblocks in life

My academic research includes integrated services for positive educational outcomes, and the lived experience of LGBTQIA+ individuals, including those with religious and church trauma. I have significant experience working with trauma, grief, and loss. I also teach clinical focused social work masters level (MSW) students at the university level.

I offer a strengths-based approach to our work; what is possible and positive.

My work includes adults of all ages, adolescents, and a warm, empathetic demeanor. I look forward to navigating your success with you!

Best of all: I can see you virtually "On Your Time"; weekends and nights available.