Specialist care by secure video, with no drive from El Paso, Lubbock, Midland, Odessa, Amarillo or the towns in between.

In much of West Texas, the nearest OCD or ARFID specialist can be hours away. Layers Counseling Specialists closes that distance with secure video therapy from specialists in OCD, anxiety, ADHD, autism, avoidant/restrictive food intake disorder (ARFID) and trauma. We work with children, teens and adults in El Paso, Lubbock, Midland, Odessa, Amarillo, San Angelo and small towns across the region, using treatments with strong research behind them, like exposure and response prevention (ERP) for OCD.
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, and in West Texas that matters more than almost anywhere. A therapist with real training in exposure and response prevention (ERP) for OCD, or in ARFID, can be hundreds of miles from towns like Alpine, Fort Stockton, or Pecos. With online therapy, your appointment is as close as your kitchen table. All you need is a private space and an internet connection, and a phone or tablet works fine.
El Paso and part of far West Texas are on Mountain Time, an hour behind our Plano schedule, so we’ll confirm every appointment in your local time. Evening sessions are available, and you can join from home, work or a parked truck, wherever you have privacy and signal.
For most people, yes. Research shows online ERP for OCD and online treatment for anxiety work about as well as meeting in person, and for many West Texas families the nearest in-person specialist is a long day’s drive away.
Yes. Anywhere in Texas works, from cities to ranch towns, as long as you’re in Texas for each session.
Yes. Both involve practice in real life, and doing it at home with your therapist on video often carries over well. Your therapist plans each step with you and checks in on practice between sessions.
Tell us during your consult, and we’ll test the connection together and plan what to do if it drops.
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.
Our schedule runs on Central Time. If you’re in El Paso or elsewhere on Mountain Time, we’ll confirm each appointment in your local time so nothing gets missed.