Therapy at Real Talk
PhD-level, depth-oriented psychotherapy in Houston.
Covered by insurance.
Real Talk provides doctoral-level therapy for complex and long-standing presentations, in person in Houston and by telehealth across Texas and, through PSYPACT authorization, in participating states.
Our clinicians come from different cultural backgrounds and have practiced in several countries. Our approach is primarily depth-oriented. We are interested in what sustains a symptom, not only in how it appears.
We work with presentations that are difficult to place, including bipolar and personality disorders and complex trauma. We also work with people whose treatment history includes hospitalization or intensive programs and who now need ongoing outpatient therapy that will hold over time. Where clinically indicated, we draw on structured approaches such as CBT, DBT skills, EMDR, and ACT.
How We Work
Many patients arriving at Real Talk have already tried therapy and found it did not go far enough. What follows is a description of how treatment actually proceeds here, so you can decide whether it is what you are looking for.
Before the first session
When you write to us, our clinical director reviews your inquiry and recommends a psychologist based on what you share. This is a clinical judgment made by someone who knows every clinician at the clinic. If we do not think we are the right place for what you need, we will say so and point you elsewhere.
The first session and the first weeks
Your psychologist will want to understand what brought you here, and what has already been tried. The early weeks are for beginning to see the shape of the concerns that you carry beyond the symptoms.
Why sessions are regular, and why a steady team matters
Recurring sessions allow continuity to develop and deeper work to unfold. We also do not rotate providers. Our clinicians have been with us for years, which is uncommon in this field and reflects a deliberate choice in how we run the practice.
What happens between your sessions
Our team meets weekly to discuss complex cases. Ongoing clinical consultation is an important part of responsible practice and is reflected in our Notice of Privacy Practices. Alongside this, we maintain a regular schedule of study and continuing education throughout the year. Training at Real Talk does not end at licensure, and difficult cases have more than one clinical mind on them.
Difficult periods in treatment and changing clinicians
Periods of frustration, repetition, and doubt are common in ongoing therapy. However, if you begin to feel that the fit is wrong, talk to your clinician, or write to our clinical director at care@realtalkpsychology.com. We will help you move to another clinician if appropriate, or to someone outside the practice if that is the better answer.
Our Fellowship Program
Real Talk trains postdoctoral fellows. Fellows are not students. They hold a full doctoral degree in psychology and are completing the supervised hours required by Texas for independent licensure. They carry their own caseloads under supervision by senior clinicians at Real Talk.
If you are looking for therapy where expertise and care matter more than trends or easy answers, welcome to
Real Talk.