Specialist care for OCD, anxiety, ADHD, autism, ARFID and trauma by secure video, for kids, teens and adults across the state.

Layers Counseling Specialists offers online therapy to people anywhere in Texas, with the same specialists who see clients at our Plano office. Sessions happen by secure video from home, work or school, and last about 50 minutes. We treat obsessive-compulsive disorder (OCD) with exposure and response prevention (ERP) and inference-based CBT (I-CBT), anxiety and panic with cognitive behavioral therapy, avoidant/restrictive food intake disorder (ARFID), ADHD and autism with neurodiversity-affirming care, and adult trauma with Accelerated Resolution Therapy (ART). Therapy is available in English or Spanish.
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.

We meet by secure, private video anywhere in Texas, from Houston, Austin, and San Antonio to small towns in between. All you need is a private space and an internet connection, and a phone or tablet works fine. If you’re ever near Dallas-Fort Worth and would like to come in, our Plano office at 8105 Rasor Blvd., Suite 206 is always open to you.
You’ll need a private spot, a phone, tablet or computer with a camera, and a steady connection. Our therapists are licensed in Texas, so you need to be in Texas for each session. As a private-pay practice, we don’t send your information to an insurance company.
For most people, yes. Research shows that online treatment for OCD and anxiety, including ERP, works about as well as meeting in person. What matters most is working with a therapist trained in the right approach.
All of it. Clients join from Houston, Austin, San Antonio, the Valley, West Texas, East Texas and small towns in between. As long as you’re in Texas during the session, you can work with us.
Yes. OCD shows up at home, so practicing exposures in your own kitchen, car or bedroom with your therapist on video can carry straight over to daily life.
Yes. Karla Pineda and Isaac Rosas offer therapy in Spanish or English by secure video anywhere in Texas.
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.
A private space, a device with a camera and microphone, and a reliable internet connection. Headphones help with privacy. We’ll send a secure link before each session.