Your Questions, Answered

If you're feeling stuck, overwhelmed, or like your thoughts and fears are running your life, therapy can help. You don't need to be in crisis to reach out — in fact, the earlier you start, the more quickly things can shift. If OCD, anxiety, or intrusive thoughts are interfering with your relationships, work, or sense of self, we'd love to connect with you.

This is a brief, no-pressure conversation where you can share a little about what's bringing you to therapy and ask any questions you have about our approach. We'll get a feel for whether we're a good fit, and you'll leave with a clearer sense of what working together might look like. There's no commitment required.

Simply reach out through our contact page to schedule a free 15-minute consultation. We'll guide you through the rest — from selecting the right therapist to scheduling your first session.

Yes. We work with teens, young adults, and adults. For minors, we require parental consent and typically include parents in the initial consultation to establish goals and expectations together.

Exposure and Response Prevention (ERP) is the gold-standard, evidence-based treatment for OCD. It works by gradually and intentionally exposing you to the thoughts, images, or situations that trigger anxiety — while helping you resist the urge to engage in compulsions or avoidance behaviors. Over time, your brain learns that the feared outcome doesn't require a compulsive response, and anxiety naturally decreases. ERP is structured and collaborative; we build a plan together and move at a pace that is both challenging and sustainable.

Inference-Based Cognitive Behavioral Therapy (I-CBT) is an evidence-based treatment specifically developed for OCD. Rather than focusing primarily on managing anxiety, I-CBT targets the reasoning process that fuels OCD — the way OCD creates a convincing but distorted narrative about who you are and what could happen. I-CBT helps you reconnect with your real-world sense of self and trust your own perceptions, so the OCD "story" loses its grip.

We treat both. OCD and anxiety often overlap, and our team is experienced with the full spectrum — including generalized anxiety, panic, social anxiety, health anxiety, perfectionism, and more. We also draw from ACT (Acceptance and Commitment Therapy), IFS (Internal Family Systems), and psychodynamic approaches to address the deeper emotional roots of anxiety when appropriate.

Yes. We offer faith-informed therapy for clients who want their spiritual life to be part of the therapeutic process. This is especially meaningful for those dealing with scrupulosity (religious OCD) or navigating spiritual questions alongside their mental health journey. Faith integration is always offered as an option — never imposed.

We do work with couples, but with a specific focus: helping partners navigate OCD within their relationship dynamic. This is not general couples therapy or marriage counseling. Instead, we help couples understand how OCD affects their bond, reduce accommodation patterns, and build a relationship where both partners feel supported without enabling the OCD cycle.

At this time, we are a fully virtual practice. All sessions are conducted via secure, HIPAA-compliant telehealth video. This allows us to serve clients across the entire state of Texas without the barriers of commute or geography.

We serve Texas residents only. In addition, you must be physically located within the state of Texas at the time of each session. This is a licensing requirement and applies to all clients, regardless of where they are registered.

You'll need a reliable internet connection, a private space where you feel comfortable speaking freely, and a device with a camera and microphone (smartphone, tablet, or computer all work). We'll send you a secure link before your first session with everything you need to get connected.

We are a private-pay practice and do not bill insurance directly. This was a deliberate, values-driven decision: when therapy is billed through insurance, clinicians are required to provide a formal mental health diagnosis that becomes a permanent part of your medical record — which can affect life insurance applications, certain job opportunities, and security clearances. As a private-pay practice, we are not required to diagnose you in order to work with you, and your care stays entirely between you and your therapist. It also means we have the freedom to tailor your treatment around your needs without being bound by insurer-defined standards — something that matters especially for specialized OCD care.

If you have a PPO plan with out-of-network benefits, you may be eligible for partial reimbursement. Superbills are available to clients working with Luke Mayeux, LPC only — our associate clinicians (Camille and Tanner) are not yet fully licensed and are unable to issue them. We also provide a Good Faith Estimate to all clients prior to starting therapy, as required under the No Surprises Act. We recommend calling the member services number on your insurance card to ask about your out-of-network mental health benefits, and we’re happy to answer any questions during your free consultation.