Therapy at Real Talk
Depth-oriented psychotherapy in Houston and across Texas. Covered by insurance.
Starting therapy does not require a previous diagnosis or clear answers about your feelings, questions, and challenges. Our clinical team will help match you with the right therapist based on your needs, availability, age group, language, and clinical concerns.
How We Work
Our psychologists come from diverse cultural backgrounds, speak multiple languages, and have lived and worked in multiple countries and settings. We are extremely attentive to how culture, migration, race, gender, identity, and social position shape a person’s life.
Anxiety and Overthinking
We often use the word anxiety to describe many forms of overwhelm. Some people experience it as a constant state of alertness, while others find themselves performing under pressure, feeling internally pursued, unable to quiet their thoughts. In therapy, we work to understand what these symptoms may be protecting you from, and how they shape your relationships, decisions, and daily life.
Depression & Low Mood
Depression is a word commonly used to describe many different states: it may come down to numbness or emptiness, a loss of interest in what once mattered, or a slowing of movement. Many people describe going through their days without feeling present or even fully alive. In therapy, we work to understand what sustains this process, what it may be concealing, and how it can replaced by another way of living.
Identity & Cultural Questions
Identity is not fixed or settled once and for all. Many people feel shaped by how others see them, or struggle with labels that no longer fit. For some, there is a sense of becoming someone who cannot yet be named. Therapy is a way of understanding how you have been positioned in the world, what meanings have grown too narrow, and how you might relate to your history differently.
Life Transitions
Significant life changes can unsettle how people see themselves and how they experience others. For some, a move, a loss, or a diagnosis disrupts a sense of continuity. For others, shifts in work or relationships undo what once felt stable. Therapy offers space to understand what is being mourned, what is beginning to emerge, and how one might relate to change differently.
Relationship Issues
Relationships shape people deeply. Some struggle with how they engage with others or pull away from them. Others notice recurring patterns they cannot explain or seem unable to avoid. For many, connections feel burdensome or reactive rather than intentional. In therapy, we explore how these patterns took form, what they protect or defend against, and how you might relate to others differently.
Burnout & Work Stress
Burnout and stress are not only about being busy. They can show up as a loss of desire, a sense that work and life take more than they give back, or the feeling of having to keep moving or performing even when nothing inside responds. In therapy, we explore why stopping has felt impossible, what the pressure has been holding in place, and how you can begin to reclaim what has been lost.
Grief and Loss
Grief is not only sadness. Some people experience a disorientation of time, as though the world has tilted. Others cry without stopping, or find themselves unable to cry at all. Many keep themselves relentlessly busy, while some feel like they have stopped moving entirely. In therapy, we seek to understand the edges of what has been lost, what continues to be missed, and what still feels unfinished or unsaid.
LGBTQ+-Affirming Therapy
Identity and belonging are not always straightforward. Some have had their identity misunderstood or questioned, while others carry internal doubt or invalidation. Many navigate both pride and pain in how they understand themselves. LGBTQ+-affirming therapy explores how your image been shaped, what has been questioned or denied, and how you might claim space for who you are.
Psychoanalysis
Psychoanalysis is not symptom management or a set of tools. It explores patterns in relationships and finds memories that carry hidden meaning, tracing how history continues to shape the present. In analysis, we seek to understand how the past speaks through current choices, what repeats in our lives without being remembered, and how unconscious conflicts shape who we become.
Trauma
Trauma can be carried in many ways. It can be lived in the body as tension, pain, startle, or shutdown. Some experiences may remain quietly present forever, while others return suddenly, without warning. They may surface discretely, in thoughts, dreams, or relationships. Trauma therapy works to understand how the past remains in your body and mind, and creates space for relating differently to it.
Child & Teen Therapy
Children and adolescents communicate in particular ways. Children tend to speak through play and behavior. Teens, through silence or in sudden bursts. Many struggle to find words for what they feel. In therapy, they are supported in understanding their own forms of expression, creating space for their voice to emerge, and being met in ways that feel safe and developmentally appropriate.
In-Person Therapy in Houston
Clinical work unfolds differently when done face to face. Some people find that silence and pauses carry different weight in person; others feel more present when they leave home and enter a space set apart. Being physically present allows something unique to emerge: a special type and quality of connection, a different pace, what can be felt or said that might not surface otherwise.
Online Therapy Across States
Some of our clinicians are authorized to provide care across state lines through PSYPACT, an interstate agreement for licensed psychologists. People may need therapy while living or traveling outside Texas, or they may be seeking specialized care that is not available locally. We know that continuity of care means, and that distance can be bridged without compromising depth.
Therapy in Portuguese
Language shapes how people experience their relationships, their sense of self, and their history. We offer therapy in Portuguese to allow native speakers to express themselves with nuances that may not translate fully into English. In therapy, we look for how your life takes shape in your own language and how you navigate belonging across different cultural contexts.
Couples Therapy
Relationships often break down in patterns and symptoms that feel impossible to escape. Some couples struggle with how they communicate, how they withdraw, or with feeling unheard or misunderstood by one another. Couples therapy offers a space to understand how that partnership took shape and what can shift so each person can feel more fully seen. Sessions are offered online, in English and Spanish.
Online Therapy in Texas
Online therapy offers connection from wherever feels possible and safe. Many people value the flexibility to meet from home or while traveling, and to accommodate demanding schedules or limited mobility. Secure telehealth opens space for what needs to be seen and heard, making it possible to speak openly while maintaining depth and steadiness across distance.
Therapy in Farsi
Houston and Texas are home to a diverse Persian community. Offering therapy in Farsi creates space for complex feelings and experiences to emerge in ways that speaking in a second language may not allow. In therapy, we look for what remains unspoken across languages, how culture has shaped your sense of self, and what it means to hold multiple worlds at once.
Therapy in Spanish
Spanish speakers are a vital part of Houston and Texas. Offering therapy in Spanish allows native speakers to express their feelings with greater freedom and depth. We work to understand how language shapes what can and cannot be said, how emotions find their names, and what shifts when therapy happens in the language of your earliest relationships.