Anxiety and depression

Anxiety and Depression Therapy in Austin, Texas

Anxiety is what people ask us about more than anything else. If your mind will not switch off, or you have gone flat and cannot work out why, this is familiar ground here.

A therapy room at Decades Counseling

Our office on Shoal Creek, across from Pease Park.

You do not have to be in crisis to ask for help

Most people who call here are functioning. They are getting to work, answering the messages, showing up for the people who need them. It is just costing far more than it should, and it has been for a while. Some of what brings people in looks like this.

A mind that will not stop running scenarios late at night.

A flatness where things you used to care about have quietly stopped landing.

Experiencing both anxiety and depression, as if they take turns.

You are still doing everything, and it is costing more than it used to.

You keep deciding to deal with it later, and later keeps arriving.

You don't recognize yourself anymore.

Why we are called Decades

You do not have to live in it forever

We chose the name Decades for both halves: the years behind you, and the years still ahead. What you have been through is real. It does not get to write the rest of the story.

What the first few weeks actually look like

Nobody is expecting you to arrive with this organized. The first sessions are mostly history and orientation: what has been happening, how long it has been going on, what you have already tried, and what you actually want to be different.

You'll build safety and trust with your therapist, which will help you find the courage to process hard things and try on some new skills. It's a learning process, and we check in with you along the way.

The consultation: Twenty minutes, free. It ends in a recommendation, not an assignment.

The first session or two: History and understanding, at whatever pace feels right.

Early on: People often describe feeling a little lighter after the first few sessions, simply because they've said things out loud that they'd been carrying alone. You may notice you catch yourself mid-spiral a beat sooner, or that you can name what you're feeling instead of just being in it. Sleep sometimes improves. So does the sense of being alone with it.

Millie Faulk

Millie Faulk

MA, LPC Associate

Supervised by

Ellie Rogers, M.A., LPC-S

Treatment for Anxiety & Depression

We draw from several research-backed approaches. The specific mix depends on your therapist and on you. Some of the work is structured and skills-based, aimed at how you respond in the moment. Others go deeper, toward the patterns and history underneath. Your therapist can explain what they're using and why, and you're always welcome to ask.

Questions people ask first

How do I know if this is anxiety or just stress?+

You don't have to. Stress usually has a cause you can point to, and it eases when the cause does. Anxiety tends to stick around after the situation has passed, or starts deciding for you what you will and won't do. If you're at that point, it's worth talking to someone. And if you're not sure, that's a fine reason to call too.

Do you work with teenagers?+

Yes. We work with adolescents and teens, and we ask parents to be part of the process. That usually means a conversation at the start, occasional check-ins along the way, and sometimes joint sessions. Your teen's therapist will explain how confidentiality works so everyone knows what to expect.

When are appointments?+

Appointments Monday to Friday, 8am to 8pm, in person in Central Austin (across from Pease Park) or virtually across Texas. Weekends are sometimes available, so please ask if that works better for you.

Do you take insurance?+

No. The practice does not bill insurance directly. We can check your out-of-network benefits for you, by hand, before you commit to anything, and plenty of plans reimburse part of the cost of an out-of-network therapist.

What if the cost is a stretch?+

Say so on the consultation. Some of the team are working under supervision toward full licensure and see clients at a reduced fee, and it is a normal thing to ask about rather than an awkward one.

What if I book and it turns out not to be the right fit?+

We do our best to match you with the therapist on our team who's the right fit for you. But if it turns out you're not connecting with them, that's okay. Our practice manager is happy to talk it through and connect you with someone else on the team.

Meet us before you decide

Twenty free minutes with someone who knows the team. You describe what's going on, and we tell you honestly whether this is the right place. Rates, insurance, and timing are all part of that conversation, not a surprise later.

Book a free consultation
1

You tell us what is going on, in whatever words you have for it.

2

We talk through what would help, and what it would take.

3

You leave with a recommendation to work with someone on our team, or a referral to another resource in the area. Either way, you won't be back at square one.