Specialist care by secure video in English or Spanish, with no drive from McAllen, Edinburg, Harlingen, Brownsville or Weslaco.

Families across the Rio Grande Valley often tell us there are few local specialists for OCD, anxiety or autism, and the ones nearby are booked for months. Layers Counseling Specialists offers secure video therapy in English or Spanish for children, teens and adults in McAllen, Edinburg, Mission, Harlingen, Brownsville, Weslaco and the towns in between. We use treatments with strong research behind them, like exposure and response prevention (ERP) for OCD and anxiety, and neurodiversity-affirming care for autism and ADHD.
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.

There’s no drive at all. The Valley has good primary care and general counseling, but specialty care for OCD, ARFID, or autism-related anxiety often means four or five hours on the road. Online therapy removes that. You need a private space, an internet connection, and a device with a camera, and a phone works fine. If you’re ever in Dallas-Fort Worth, our Plano office at 8105 Rasor Blvd., Suite 206 welcomes you.
Family is part of how we help children here, and parents, grandparents and other caregivers are welcome in parent sessions, in whichever language feels most natural. Evening times are available, and sessions happen from home.
Yes. Our therapists are licensed in Texas, so we can meet by secure video with anyone located in the state, from Brownsville to Rio Grande City.
Yes. Karla Pineda and Isaac Rosas offer therapy in Spanish or English by secure video, including ERP for OCD and anxiety. Families can mix both languages in sessions.
All of them: McAllen, Edinburg, Mission, Pharr, Harlingen, Brownsville, Weslaco, Rio Grande City and smaller communities, as long as you’re in Texas for each session.
Yes. For children, the adults who care for them every day are part of the plan. With your permission we include them in parent sessions so everyone responds the same way.
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. Our neurodiversity-affirming therapists work with autistic kids and teens on anxiety, big feelings and daily routines, with sensory-friendly sessions and no forced eye contact. With young children much of the work happens alongside parents.