Find a therapist in Texas — covered by insurance

I work best with clients who are navigating anxiety, grief, trauma, life transitions, and everyday stress. Many come to therapy feeling overwhelmed, stuck, emotionally exhausted, or unsure of how to move forward. My ideal clients are looking for a supportive space to process what they are carrying, better understand themselves, and begin healing at a pace that feels right for them. I believe people heal best when they feel truly seen, heard, and understood. My approach to counseling is grounded in kindness, empathy, consistency, and genuine human connection.

For the past 20 years, I have worked in educational counseling and mental health support with children and adolescents ages 5–18. During that time, I’ve had the privilege of walking alongside students and families through some of life’s most challenging and meaningful moments. For the last 14 years, I have also practiced as a Licensed Professional Counselor (LPC), helping clients build emotional resilience, confidence, and practical tools for everyday life.

My experience includes working extensively with anxiety, executive functioning challenges, academic stress, goal setting, grief, and trauma. I understand how overwhelming life can feel when emotions, responsibilities, or past experiences begin to weigh heavily. I also know that healing and growth are possible with support, patience, and the right therapeutic relationship.

I have a diverse background which helps me to relate well to many different people. I earned a B.A. in Communications with minors in Music and German, an M.S. in Professional Counseling, and a Ph.D. in General Psychology. I served as a USMC officer and attack helicopter pilot and saw combat in Afghanistan and Iraq. I also have a background in teaching, pastoral work, and music. My life experiences have prepared me in a unique way to serve you as an effective counselor and agent of change.

Lacy Dyke has dedicated her career to helping individuals and families navigate life's challenges with greater confidence, resilience, and hope. She believes that meaningful change begins within a safe and supportive therapeutic relationship where clients feel heard, respected, and empowered. Through a compassionate and collaborative approach, Lacy works alongside her clients to help them gain insight, develop practical coping skills, and create lasting positive change.

Lacy is a Licensed Professional Counselor Supervisor (LPC-S) with more than 20 years of experience supporting children, adolescents, adults, couples, and families. She earned her Master of Marriage and Family Therapy degree from Abilene Christian University and has extensive experience in both educational and clinical settings. In addition to her private practice work, Lacy serves as a school counselor and provides clinical supervision to LPC Associates throughout Texas.

Drawing from evidence-based approaches including Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy, and family systems perspectives, Lacy tailors treatment to meet the unique needs and goals of each client. She strives to create a comfortable, nonjudgmental environment where clients can explore challenges, build on their strengths, and work toward meaningful growth.

Lacy has extensive experience helping clients navigate anxiety, depression, stress, relationship concerns, life transitions, grief and loss, family conflict, parenting challenges, self-esteem issues, and adjustment difficulties. She is particularly passionate about supporting adolescents, young adults, parents, and families as they navigate the complexities of life, relationships, and personal development.

Healing can begin even in the middle of pain, uncertainty, or major life change. Antoinette grew up in the Caribbean on the island of Grenada before moving to Texas for college, and she brings a deeply compassionate, culturally grounded perspective to her work. She believes every person is worthy of growth, healing, and hope, and that each individual has the capacity to move toward a more meaningful life.

Antoinette holds a doctoral degree in Mental Health and Human Services from Houston Baptist University and a Master’s degree in Counseling from Prairie View A&M University. She has worked in the field of education for over 20 years, with the last 12 years focused on mental health counseling for school-aged children, teens, and adults. She also works in an IOP setting, supporting individuals transitioning from inpatient care to outpatient treatment. Antoinette works with clients experiencing anxiety, depression, grief, self-harm, emotional distress, mood changes, life transitions, and difficulty coping with overwhelming experiences.

My approach to mental health care centers entirely around you. True healing happens when trust, safety, and collaboration come together. Whether you are navigating severe depression, managing long-term anxiety, or recovering from trauma, my goal is to provide a premium, supportive environment where you feel heard and empowered to reclaim a stable, fulfilling life.

As a board-certified adult psychiatrist, I bring unique depth to my clinical practice. I earned both my MD and PhD from the Albert Einstein College of Medicine, grounding my approach to medication management in advanced scientific research and evidence-based medicine.

My leadership and clinical training within the University of Texas Health System—including roles as Chief Resident, Assistant Medical Director, and Assistant Professor—deeply shaped my view of mental health. Having cared for individuals across institutions like MD Anderson, Memorial Hermann, the Dunn Behavioral Sciences Center, and Maui Memorial Medical Center, I possess the outpatient and inpatient expertise required to manage complex clinical cases with complete confidence.

I provide convenient, high-quality telepsychiatry and virtual care for adults (ages 18 and older) actively located in Texas, California, Hawaii, and Alaska.

Primary Clinical Focus Areas:

• Mood Disorders: Advanced care for major depression, treatment-resistant depression, and bipolar disorder.
• Anxiety & Stress: Targeted strategies for generalized anxiety, panic disorder, and high-stress professional burnout.
• Trauma: Compassionate, evidence-based recovery and support for PTSD.

Above all, I believe in partnering with you as a collaborative ally. My practice is a safe, sophisticated space where clinical excellence is a given, and we work together to help you rediscover hope and transformation.

Feeling stuck, anxious, or overwhelmed? You don’t have to face it alone. I’m a Licensed Professional Counselor Supervisor, Licensed Chemical Dependency Counselor, and Registered Play Therapist, helping children, teens, and adults navigate life’s challenges with care and understanding.

Through play therapy, children find a safe way to express, process, and heal. Teens and adults receive guidance for trauma, anxiety, and major life transitions. My approach is compassionate, individualized, and focused on helping you move forward with confidence.

I bring experience from juvenile and community settings—including Webb County Youth Village Detention Center, Webb County Treatment Program, United Independent School District, and PILLAR—where I’ve supported clients and mentored clinicians.

Together, we can create a space where you or your child feel truly seen, heard, and empowered to grow.

Different phases in life can feel stressful, anxiety-provoking, or nearly defeating. Finding a counselor can feel like a difficult step, but a step in the positive direction for growth and more self-compassion and understanding. Finding a counselor who can create a supportive and safe environment for growth is essential. Whether it is due to life adjustments such as, changes in relationships or your environment that are causing feelings of anxiety, stress or depression, it is essential for a counselor to establish a role that is conducive for growth, safety, and trust. Becoming a client's advocate and support is a crucial.

I am a Licensed Professional Counselor and I am also a Licensed Chemical Dependency Counselor. I am certified in Trauma Focused Cognitive Behavioral Therapy. I have experience in populations who are impacted by grief and loss, trauma, sexual abuse.

I believe healing happens when you feel truly seen, safe, and supported. My approach is warm, compassionate, and collaborative. I want therapy to be a space where you can be yourself, make sense of your experiences, and explore what you’re going through at your own pace without judgment.

I specialize in working with adults who are navigating the lasting effects of past trauma, including early attachment wounds, parentification, and growing up with a parent who experienced mental health challenges. I also support individuals experiencing anxiety, depression, and personality-related concerns. Together, we’ll work toward understanding your emotions, recognizing patterns that may be holding you back, and developing practical tools to help you feel more grounded and in control.

My goal is to help you reconnect with yourself, build healthier and more fulfilling relationships, and create a life that feels meaningful and authentic to you. Therapy doesn’t have to be about “fixing” who you are- it can be about understanding yourself more deeply and learning how to move forward with greater clarity, confidence, and peace.

My therapeutic style remains flexible and collaborative, focusing on your individual strengths, needs, and motivation. I consider it a privilege to partner with my clients in this work and to be trusted by them as they share their stories. I strive to create a collaborative space for you to share and examine your own behaviors, feelings, and thoughts; for as Cheryl Richardson has noted, “People start to heal the moment the feel heard.”

Cambiare Counseling and Assessment PLLC, led by Deana, a Licensed Professional Counselor, offers personalized counseling for clients aged 16-60. We create a safe, supportive space to help you explore, cope, and achieve a healthier, more fulfilling life.