Specialist care by secure video from anywhere in the Houston area, for kids, teens and adults, in English or Spanish.

In a city as big as Houston, getting across town to a specialist can take longer than the session itself. Layers Counseling Specialists brings specialist care to you by secure video: exposure and response prevention (ERP) for OCD, cognitive behavioral therapy for anxiety, treatment for avoidant/restrictive food intake disorder (ARFID), SPACE for parents of anxious children, and neurodiversity-affirming care for ADHD and autism. We work with Houston children, teens and adults, in English or Spanish. Every session is online; our only office is in Plano.
We specialize in OCD (including ERP and I-CBT), anxiety disorders, ADHD, autism, ARFID, eating disorders, and trauma, working with children as young as 3, teens, and adults.

Sessions happen by secure, private video from home, work, or anywhere private in Texas, from The Heights and Katy to Pearland, Sugar Land, and The Woodlands. All you need is a private space and an internet connection, and a phone or tablet works fine. No traffic, no parking, no waiting room.
Kids and teens can join from home after school, and parents can do SPACE sessions on their own schedule. Evening times are available, so there’s no rush-hour drive to plan around.
Yes. Our therapists are licensed in Texas, so we can meet with anyone located in the state by secure video, including all of greater Houston.
Yes. School-age kids and teens often do well on video, especially with structured treatment like ERP. For younger children, much of the work happens with parents through SPACE or parent coaching.
Yes. Karla Pineda and Isaac Rosas offer therapy in Spanish or English by secure video anywhere in Texas.
Yes. ARFID treatment involves gradual practice with foods, and doing that at home, in your own kitchen, can make it easier to keep going between sessions. Rachel Tipsword works with kids, teens and adults with ARFID.
We’re a private-pay practice, so we don’t send your information to an insurance company. We accept HSA and FSA cards and offer two fee levels: our specialists and our focused clinicians, who are supervised by specialists and cost less. A limited number of sliding-scale spots are available too.
For many people, yes. Research on video-based CBT and ERP shows results similar to in-person care for anxiety and OCD, and skipping the drive makes it easier to show up consistently.