What we offer

We don't believe in siloing people into service categories. Most of what we do overlaps: trauma and identity, recovery and relationships.

Individual therapy

Individual therapy is a 55-minute session that is only about you and what is going on in your life.

Our therapists use a trauma-informed, collaborative approach. We figure out together what helps, and adjust as we go.

  • Anxiety, depression, and mood
  • Trauma and PTSD processing
  • Identity, sexuality, and gender exploration
  • Life transitions and relationship challenges
  • ADHD and neurodivergent experiences
  • Addiction and recovery support
  • Grief and loss
Get started → Meet our therapists
Therapy office at Houston Heights Therapy

EMDR and trauma therapy

EMDR (Eye Movement Desensitization and Reprocessing) is an evidence-based therapy for trauma that works differently than talk therapy. Instead of just talking about what happened, EMDR helps your brain process and integrate traumatic memories so they carry less emotional charge.

Our approach integrates EMDR with Internal Family Systems (IFS) and narrative therapy, tailored to what feels safe and effective for you. We don't rush the process.

  • Single-incident trauma and complex PTSD
  • Combat and first responder trauma
  • Childhood and relational trauma
  • Trauma from discrimination or minority stress
  • Anxiety rooted in past experiences
  • Dissociation and somatic symptoms
EMDR is offered by Hannah Drury (EMDR Trained) and Joe Lenhoff (EMDR & ART Trained).
Request a consultation →
Open road and West Texas sky

LGBTQ+ and gender-affirming care

In affirming therapy, your identity is where we start from. Our clinicians have training and experience across the full range of gender identity and sexual orientation.

We work with LGBTQ+ clients on everything from identity exploration and coming out to minority stress, family ruptures, relationship dynamics, and the compounded weight of navigating hostile systems while also trying to just live your life.

  • Gender identity exploration and transition support
  • Coming out at any age, in any context
  • Minority stress and discrimination processing
  • LGBTQ+ family and relationship dynamics
  • Intersecting identities: race, disability, neurodivergence
  • Kink and non-monogamy affirming
  • Sex-positive, shame-free approach
Get started →
Houston Heights Therapy exterior with pride flag

Neurodivergent-affirming therapy

Neurodivergent-affirming therapy starts from the premise that ADHD, autism, and other neurological differences are ways of being, with real strengths and real challenges, especially in a world not designed for them.

We don't try to make neurodivergent clients neurotypical. We help them understand themselves, develop strategies that fit how their brain works, and process the accumulated weight of masking, misdiagnosis, and systems that failed them.

  • ADHD in adults, diagnosed or suspected
  • Autism spectrum experiences
  • Late-identified and self-identified neurodivergence
  • Masking, burnout, and identity after diagnosis
  • Sensory processing and emotional regulation
  • Executive function and life structure support
Request a consultation →
West Texas landscape near Marfa

Couples therapy

Couples therapy at HHT helps two people understand themselves and each other more clearly, and decide together what they want to build from there.

We work with couples of all kinds: same-sex, different-sex, non-monogamous, long-term, and newly formed. We're affirming across relationship structures and don't operate from a "preserve the relationship at all costs" framework.

  • Communication and conflict patterns
  • Trust and repair after ruptures
  • Intimacy and connection
  • Navigating non-monogamy and relationship structures
  • Pre-marital and life transition work
  • Trauma's impact on relationships

Couples work begins with a separate 80-minute individual session with each partner, focused on the relationship and what each person brings to it. From there we meet together. Every session, including each individual intake and every joint session, is 80 minutes at $150.

Couples therapy is self-pay only. Insurance does not cover relationship work unless one partner is given a mental health diagnosis, and we don't diagnose one person to make a couple's care billable. Paying directly keeps the work focused on the relationship.

Because couples therapy is self-pay and does not involve assigning a diagnosis, we do not provide superbills for relationship work.

The couples rate is the same for every clinician. If cost is a barrier, just ask.

Couples therapy: $150 per 80-minute session · self-pay only. Offered by Hannah Drury, LMSW, Ron Youngblut, LMSW, and Thunder Chen, LMSW. Associate therapists are LMSWs practicing under the supervision of Joe Lenhoff, LCSW-S. Every session is billed at this rate, including each partner's individual intake. See full rates.
Get started →
Ron's therapy office at Houston Heights Therapy

Therapy intensives

Sometimes a 55-minute weekly session isn't enough. Intensives are extended sessions, from a couple of hours to several days, for deeper work than a weekly hour allows, especially trauma processing with EMDR or ART.

Each intensive is built around your specific goals. The format cuts down the check-in and wrap-up time of regular sessions, leaving more time for the work itself. They can be a good fit for people who feel stuck, want to accelerate progress, or are navigating a significant life transition.

  • Complex and incident trauma processing
  • EMDR and ART in extended format
  • Focused goal-setting over a condensed period
  • A focused start for people who are stable and have a specific goal
  • Complement to ongoing weekly therapy
Note: Intensives are with Joe Lenhoff, LCSW-S, in person or by telehealth in Texas and Virginia. They are self-pay only; we don't bill insurance for them. Each intensive includes a Foundation Session (90 min) for history and goal-setting, the intensive hours, and a follow-up session within 6 months. Packages start at $700, with full pricing on the intensives page.
See intensives and pricing →
West Texas canyon landscape near Marfa

Common questions

Do I need a diagnosis to start therapy?
No. You don't need a diagnosis, a referral, or a specific "reason" to start therapy. If you're curious whether it might help, that's enough.
What's the difference between in-person and telehealth?
Both formats use the same clinical approach. In-person sessions take place at our office at 1533 1/2 Heights Blvd., Rear Building, Houston, TX 77008. Telehealth is available by secure video for anyone in Texas, with the same therapist and the same work.
How long does therapy take?
It depends entirely on what you're working on and what you want from therapy. Some people come for 3–6 months around a specific issue. Others work with a therapist for years. We don't push length in either direction. You set the pace.
What if I'm not sure which service is right for me?
That's exactly what the free 20-minute consultation is for. You don't need a diagnosis or a specific request. Tell us what's going on, and we'll help figure out what makes sense.
How affirming are your therapists?
Our clinicians have training and experience working with LGBTQ+ clients, including kink and non-monogamy affirming practice. You won't be asked to explain basic concepts or navigate a therapist's discomfort with your identity.

Not sure where to start?

The consultation is free and takes 20 minutes. Tell us what's going on and we'll help figure out what fits.