East Texas is full of strong communities, but specialized mental health care is stretched thin behind the Pine Curtain. If you're in Tyler, Longview, Texarkana, Lufkin, Nacogdoches, Marshall, or Paris, finding a therapist with real training in OCD, ARFID, or autism-related anxiety often means a long drive toward Dallas or settling for general counseling. Online therapy with Layers Counseling Specialists changes that. You meet by secure video with the same specialist clinicians our Plano families see, each one focused on a specific area like OCD (using ERP and I-CBT), anxiety and panic, ADHD, autism, ARFID, or trauma.
We specialize in OCD (including ERP and I-CBT), anxiety disorders, ADHD, autism, ARFID, eating disorders, and trauma — for children as young as 3, teens, and adults.
There's no drive at all. From Tyler or Longview, specialty care has usually meant a two-hour trip to Dallas each way, and from Lufkin or Texarkana it's even further. With telehealth, your appointment happens right at your kitchen table. All you need is a private space and an internet connection, and a phone or tablet works just fine. And if you're ever out our way, our Plano office at 8105 Rasor Blvd., Suite 206 is always open to you.
East Texas towns are close-knit, and that's a real strength, but it can make therapy feel complicated when the counselor's office is right on the square and everyone knows everyone. Online sessions give you genuine privacy: no waiting rooms, no familiar faces, just a quiet conversation from home. We work with children, teens, and adults across the region, and when a child is too anxious to attend sessions themselves, our parent-based SPACE program runs entirely through you. It's the same warm, evidence-based care our DFW families get, wherever you are in the Piney Woods.
It is. Research consistently shows that telehealth ERP for OCD and video-based therapy for anxiety, ADHD, and autism support work just as well as meeting in the same room. And for East Texas families, it usually means starting with a true specialist within the week instead of driving to Dallas or waiting months for an opening closer to home.
Yes. Our clinicians are licensed in Texas, so we can work with anyone in the state by secure video. That includes Tyler, Longview, Texarkana, Lufkin, Nacogdoches, Marshall, Paris, Palestine, and every small town in between. If you live in Texas, we can see you.
Absolutely, and often beautifully. Exposure work happens where your triggers actually live, which is usually your own home, not a therapy office. Doing ERP in your real kitchen or bathroom, or ARFID work with your own food at your own table, makes the progress more meaningful. Your clinician guides you through every step, live on video.
We do, from young children through teens and adults. Our child specialists adapt playful, developmentally appropriate approaches for video, and parents stay closely involved. If your child refuses therapy altogether, our SPACE program works entirely through you as the parent, and it's fully online.
Just a private space, a device with a camera, and a stable internet connection. Sessions run on a secure, HIPAA-compliant video platform with nothing to install. We'll send a simple link before each appointment, and if a connection ever drops mid-session, we just pick right back up.
We're a private-pay practice, and we provide superbills you can submit for out-of-network reimbursement. We offer two pricing tiers, experienced specialists and lower-cost supervised clinicians, plus sliding-scale options to make care more accessible. Getting started is easy. Book a free 15-minute video consultation with the clinician you'd actually work with, and if it feels like a good fit, your first session can often happen within the week.
