Structured, specialist care for OCD, ARFID and anxiety, about 25 minutes away in north Plano, or fully online from McKinney.

McKinney families often come to us after trying general counseling for OCD or anxiety without much change. Layers Counseling Specialists focuses on treatments with strong research behind them: exposure and response prevention (ERP) for OCD, cognitive behavioral therapy for anxiety, SPACE for parents of anxious children, and specialized care for avoidant/restrictive food intake disorder (ARFID). We see children, teens and adults at our north Plano office, about 25 minutes from most of McKinney, and online anywhere in Texas.
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.

From most of McKinney, our office at 8105 Rasor Blvd., Suite 206 is about 25 minutes away by the Sam Rayburn Tollway (State Highway 121) or US-75. Because that’s a real drive, many McKinney clients do a mix: in person when it helps most, like early ERP sessions or family sessions, and by secure video in between. Others work with us fully online. Every service we offer is available by video anywhere in Texas, with the same therapists.
Structured therapy works best when it carries into daily life, so sessions include practice you can use at home, at school and at work between appointments. McKinney families who’d rather skip the drive can do the same treatment by secure video, and many switch between the two.
About 25 minutes from most of McKinney, by the Sam Rayburn Tollway or US-75. Many McKinney clients mix in-person and online sessions, and some work with us fully online.
Yes. Every service we offer is available by secure video from home in McKinney, with the same therapists who see clients in our Plano office. ERP for OCD works well online, since you can practice where the triggers actually happen.
Yes. Rachel Tipsword specializes in avoidant/restrictive food intake disorder (ARFID) and works with kids, teens and adults. Treatment is gradual, collaborative practice with new foods, and parents are closely involved when the client is a child.
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.
Yes. We offer evening appointments in person and online. Call or text 214.444.8079 and we’ll help you find a time that fits school and work.
Together with your therapist you build a list of situations that trigger the OCD, from easiest to hardest. Then you practice facing them without doing the ritual, starting small and moving up only when you’re ready. The aim is to make more room for daily life, even when anxious thoughts show up.