Therapy at Real Talk
PhD-level, depth-oriented psychotherapy in Houston.
Covered by insurance.
Real Talk provides doctoral-level therapy in Houston, online across Texas, and, through PSYPACT authorization, in other participating states.
Our clinicians come from different cultural backgrounds and have practiced in several countries. Our approach is primarily depth-oriented. 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, EMDR, and ACT.
How We Work
Many patients arriving at Real Talk have already tried therapy and found it did not go far enough. Below is a description of how treatment works 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 clinician will want to understand what brought you here and what has already been tried. The early weeks are for seeing the shape of the concerns you carry.
Why sessions are regular, and why a steady team matters
Recurring sessions provide stability and allow continuity to develop, so that deeper work can unfold. We also do not rotate clinicians. Most of our team has been with us for years, which shapes how treatment happens and how the practice runs.
What happens between your sessions
Our clinical team meets weekly to discuss cases, risk assessment, treatment documentation, and coordination of care. We consider ongoing consultation part of responsible practice, so difficult cases have more than one clinical mind on them. We also keep a regular schedule of study and continuing education. Training at Real Talk does not end at licensure.
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: clinicians who have completed their doctoral degree in psychology and are accruing the supervised hours Texas requires for independent licensure. Training fellows is how we maintain our standard of care from one generation of clinicians to the next.
If you are looking for therapy where expertise and care matter more than trends or easy answers, welcome to
Real Talk.