
Services & Financial Investment
Below, you'll find a list of the services I offer along with current rates. If you have any questions or need help determining if we’re a good fit, please don’t hesitate to reach out.
I offer individual professional therapy and counseling services to both adults and adolescents throughout the state of Texas. Whether you're navigating anxiety, depression, life transitions, relationship challenges, or simply seeking personal growth, I provide a supportive and non-judgmental space to help you move forward.
Convenient and Secure Telehealth Options
For clients located anywhere in Texas, I offer secure and confidential telehealth sessions. This flexible option allows you to attend therapy from the comfort of your own home or private space, making mental health support more accessible and convenient—no matter your location.
In-Person Sessions Available in Houston
If you’re located in or near the Houston area and prefer face-to-face interaction, I also offer in-person sessions. These are held in a welcoming and private office designed to foster comfort and trust located in the heart of Houston, close to US 59. and Kirby.
Whether you choose telehealth or in-person therapy, my goal is to create a safe, collaborative environment where you can explore your experiences and work toward meaningful change.
I welcome individuals from all walks of life and diverse backgrounds. My practice is rooted in the belief that everyone deserves a safe and affirming space to explore their thoughts, emotions, and experiences—regardless of identity, history, or current challenges.
I provide therapy for adults and adolescents facing a wide range of mental health concerns, including but not limited to:
Adult children of emotionally unavailable parents
Anxiety and stress
Depression and mood disorders
Gender incongruence
Identity exploration
Life transitions and adjustment issues
Relationship and family dynamics
Relationship issues (monogamous/polyamorous/ethically non-monogamous)
Self-esteem and personal growth
Self-harm
Stigmatized identities and minority stress, some examples:
LGBTQIA2S+
Race and ethnicity
Immigration status
People of non-Christian faiths and spiritual practices
Trauma and PTSD
My Approach
I use an integrative, person-centered approach to therapy—meaning our work together is tailored to your unique needs, values, and goals. I draw from a variety of therapeutic modalities and frameworks, but always with the understanding that you are the expert on your own life. My role is to support and guide you in a way that feels collaborative, empowering, and deeply respectful of your lived experience.
Whether you're seeking insight, healing, growth, or change, I strive to create a therapeutic space where you feel seen, heard, and understood.
Immigration Support Letters
Navigating the immigration process can be overwhelming and emotionally taxing. As a licensed mental health professional, I offer Provider’s Letters of Support for immigration-related cases, including asylum, hardship waivers, VAWA, U-visas, and other humanitarian petitions. These evaluations are conducted with great care, clinical integrity, and cultural sensitivity.
Although I currently only speak English, I strive to create a welcoming and inclusive environment for individuals and families from all backgrounds. I am committed to providing a space where you feel heard, respected, and supported—regardless of the language you speak or the path that brought you here.
If you're seeking a mental health evaluation in support of your immigration case, please feel free to reach out with any questions or to schedule a consultation.
LGBTQIA2S+ Affirming Care
While I work with a broad range of clients, my specialized focus is on LGBTQIA2S+ mental health. I have particular experience and commitment to supporting transgender, nonbinary, and gender-expansive individuals as they navigate identity, transition-related experiences, systemic challenges, and self-acceptance.
Whether you’re exploring your gender or sexual identity, seeking support for coming out, or just wanting a therapist who understands the nuances of queer and trans life, I provide affirming, culturally competent care designed to meet you where you are.
You Don’t Have to Be Queer or Trans to Work With Me
While LGBTQIA2S+ mental health is a core focus of my practice, you do not need to be queer or trans to feel welcome here. I work with clients of all identities, and my approach is grounded in empathy, respect, and curiosity. My priority is to create a therapeutic relationship that feels safe, collaborative, and empowering—no matter who you are or what brings you to therapy.
Self-Determined Rates
In our current system, access to mental health care is often treated as a privilege rather than a right. To help challenge that inequity, I offer self-determined rates as a way to make therapy more accessible to all.
You're invited to set a rate that reflects your financial situation and access to resources. As you determine what you’re able to contribute, I encourage you to consider your social location—including your proximity to power, privilege, and economic stability. This model relies on mutual trust and collective care, allowing me to continue offering support to those with fewer financial means while sustaining my practice.
If you have any questions about how to navigate this model, I’m happy to talk through it with you.
$125 - Pay It Forward:
You own the home you live in
benefit from caste / class privilege
have investments, retirement accounts, or inherited money travel for recreation
have access to family money and resources in times of need
work part-time or are unemployed by choice, including unemployment due to full-time school in a degree-earning program.
$100 - Fair:
You rent the home you live in
work part-time or are unemployed not by personal choice
have access to healthcare in the event of an emergency and
are living paycheck-to-paycheck more often than not.
$85 - Supported:
You are supporting children as a single parent or have other dependents
are experiencing discrimination based on caste
are experiencing financial hardship and have instability in home or food
have significant debt
have medical expenses not covered by insurance or a medical condition that prevents you from working
are eligible for public assistance
have immigration related expenses
are an elder with limited financial support
are an unpaid community organizer
are experiencing discrimination in hiring or pay level.
Health Insurance
I am not credentialed with health insurance plans; however, I am able to utilize supervisory billing with Aetna and Cigna plans through Synchronicity Counseling, PLLC.
Good Faith Estimate
Under the No Surprises Act, clients have the right to receive a “Good Faith Estimate” explaining how much their medical care will cost. This means all healthcare providers are required to give an estimate of the bill to clients who don’t have insurance or are not using insurance.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call HHS at (800) 368-1019.
If cost remains a barrier to accessing care, please don’t hesitate to reach out. You’re welcome to call or text my office at (832) 915-0661 or email me at RiotandRefuge@outlook.com. I’m happy to talk with you and explore options that may better meet your needs.