Therapy for Parents in Texas
Where parents will rediscover themselves, strengthen relationships, and embrace the complexity of parenthood.
Parenthood Can Feel Overwhelming
Becoming a parent is one of life’s most meaningful experiences — but it also brings challenges that can feel heavy and isolating. Many parents in Texas find themselves struggling with:
Postpartum depression and anxiety that make daily life feel unmanageable—often feeling as if life is spinning in circles
Exhaustion and burnout from sleepless nights and constant demands—often not knowing if this will ever change
Strained relationships with a partner or family members under the weight of new responsibilities and expectations
Loss of identity while trying to balance parenthood, career, personal goals and trying to feel like themselves
Loneliness, guilt or shame for not feeling “happy enough” during this stage of life—it feels like a never ending cycle
If you’ve felt any of these, I hear you. Parenthood does not come with a manual, and it’s normal to need extra support. That’s where therapy for parents can help, whether it’s individual or couples therapy — I offer an understanding, welcoming and engaging space to process, emerge, and grow.
Parenting and parenthood do not come with a guidebook — but therapy gives you the space, tools, and support to navigate these life-changing seasons. With the right guidance, parents can:
Process overwhelming emotions like anxiety, sadness, shame or guilt without judgment
Rebuild confidence in their ability to care for their child and themselves
Strengthen relationships with a partner and create more harmonious teamwork in parenting
Redefine & create balance between the demands of family, work, and personal well-being—balance is definitely never perfect
Develop coping strategies for sleepless nights, constant responsibilities, and stress—because sleep deprivation does not have to define your experience
Feel less alone by having a safe space to share struggles and be understood—you already judge yourself enough, you deserve a space to be yourself and express all that you carry
Therapy for parents can help you move from surviving to thriving — not only easing the challenges you face today, but helping you build a healthier, more connected future for you and your family.
How Therapy Can Help New Parents
Hi… I am Esmeralda Cardenas, LPC
My name is Esmeralda Cardenas, LPC, PMH-C. I am a therapist licensed in Texas. In my work with parents, I create a space where you can pause, take a breath, and start to make sense of it all. Therapy with me is not about sitting in endless conversations that go nowhere; it’s about engaging in a process that helps you notice patterns, challenge unhelpful beliefs, and begin to live in a way that feels more aligned with your values and who you want to be.
Over the years, I’ve seen parents discover a new kind of freedom — freedom from guilt that kept them in cycles of self-doubt, from cultural or family expectations that no longer fit, from codependent patterns that drained them, and from emotional reactions that feel overwhelming or hard to control. I’ve helped mothers rediscover their voice and confidence, make space for self-care without guilt, and reconnect with their sense of identity outside of motherhood. I’ve supported fathers in stepping into roles of nurturer and emotional anchor, even when they didn’t grow up with those examples, finding strength in showing up fully as partners and parents.
For couples, I help untangle the miscommunication and distance that often shows up when children arrive, supporting both partners in finding their rhythm again. Sometimes that means building new ways of expressing needs, rediscovering intimacy, or simply learning how to be on the same team when life feels overwhelming.
At the heart of my work is helping parents shift from surviving to building something sustainable — a way of living, relating, and parenting that feels grounded, intentional, and true to them. Together, we create space for growth, connection, and resilience so that you can show up not only for your children, but also for yourself and your relationships.
Our Therapy Services in Texas
Pospartum Depression Therapy
Finding your footing again and move from surviving to truly thriving in parenthood.
Anxiety
Therapy
Learn to quiet the overwhelm, regulate emotions and build confidence in daily life.
Couples
Counseling
Break cycles of disconnection and create a rhythm of intimacy, trust and teamwork.
Christian
Counseling
Integrate faith within therapy to support your healing, clarity and growth; grounding strength rooted in your values.
FAQ’s
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Therapy isn’t just for crisis—it can be a check-in, a moment to recalibrate and care for yourself. And, If you’ve been feeling persistently sad, anxious, overwhelmed, or unlike yourself—at any point in the first two years postpartum—you don’t have to push through it alone. Trouble sleeping, connecting with your baby, or managing emotions like guilt or anger may be signs it’s time for extra support. Therapy can help you feel more grounded and supported as a parent.
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Yes—babies are absolutely welcome in our sessions. As a therapist who specializes in parental mental health, creating space for the real, raw parts of parenting—including your baby being right there with you—is something I truly value.
I know how challenging it can be to find child care, especially in those early weeks and months. I would always rather you show up—baby in tow—than skip the support you need. Your baby’s presence is never a bother.
As little ones grow into more active toddlers, sessions can sometimes feel a bit harder to focus. While they’re still welcome, I encourage you to plan for a quieter space when you can, so that you have the room to fully process your thoughts, emotions, and needs without being pulled in multiple directions. Yet, if it happens, it happens and we will adjust.
This work is about making therapy fit into your real life, not the other way around. Whether you’re bouncing a baby, feeding, or stealing a rare quiet moment, this space is yours. I’m here to support you in whatever way works best for this season.
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Intrusive thoughts are so common in the postpartum period—up to 70–90% of new moms experience them. They can feel disturbing or shameful, but having these thoughts doesn’t mean you want to act on them or that something is wrong with you. They're often a sign of anxiety, not intention.
As a certified perinatal therapist—and a mom who’s had these thoughts too—I want you to know this is a safe, judgment-free space. My job isn’t to report you, it’s to support you. I always assess risk with care, and my focus is your wellbeing.
Together, we’ll work to reduce the intensity of those thoughts and help you feel more in control. You don’t have to carry this alone—healing starts with speaking it out loud, safely.
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Yes—all sessions are held virtually through secure, HIPAA-compliant platforms like Simple Practice and Spruce Health. For many parents, especially in the perinatal and postpartum seasons, virtual therapy can be more accessible, flexible, and sustainable than in-person care.
And here’s the reassurance: research consistently shows that virtual therapy is just as effective as in-person therapyfor treating anxiety, depression, postpartum mood disorders, and relationship issues. Outcomes and satisfaction levels are comparable, especially when you’re working with a trained, licensed therapist.
I also want you to know—I don’t just “sit back” during sessions. I’m a very engaged, present, and active therapist, and I aim to make our virtual sessions feel just as connected and natural as if we were sitting across from each other in the same room. We’ll keep the conversation flowing and grounded in what matters most to you.
And the best part? You can attend from the comfort of home—whether your baby is napping nearby, you’re on your lunch break, or you finally have five quiet minutes to yourself. No need to commute or arrange childcare. Just real support that fits into your real life.
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It really depends on a couple of factors. Some clients start to feel better after just a few sessions, while others benefit from longer-term support. There’s no right or wrong timeline—as long as our time together is focused on what matters most to you and the goals you want to achieve.
How long you stay in therapy also depends on a few important things: the connection you feel with your therapist, the goals you're working toward, and how much effort you’re able and willing to put into the process. Therapy only works as hard as you do—and that part is in your hands.
That said, I’m not someone who just lets the process drift. I regularly check in with you about how things are going—what’s working, what’s not, how you’re feeling in our work together, and whether we’re aligned. Therapy can be challenging at times, but it should also feel supportive and meaningful.
My role is to help guide, support, and adjust as needed so your time here feels like an investment in yourself—not just another task on your list.
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I completely understand that parenting can be unpredictable—sick kids, skipped naps, or last-minute changes happen. As a parent myself, I hold a deep respect for the needs of your family because I also prioritize mine. That value is at the heart of how I run my practice.
At the same time, I also have to honor the time I’ve reserved for you and the behind-the-scenes expenses it takes to sustain my small business. That’s why I kindly ask for at least 24 hours’ notice if you need to cancel or reschedule an appointment.
That said, I always invite honest communication. If something unexpected comes up, please reach out. I offer a 24-hour grace period to respond before applying any late cancellation or no-show fee. My goal is never to penalize—it’s to collaborate and find a rhythm that respects both your needs and the space created for your care.
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Individual sessions are $175. Couples sessions are $190. I currently accept BCBS, Cigna, Aetna, Lyra (employer benefit), Carelon Behavioral Health, Quest Behavioral Health. Currently pending United Healthcare.
It’s also important to know that you have the right to request an exception and opt out of using your insurance benefits. Some clients choose this route to maintain greater privacy and control over their care. If you'd like to learn more about how this works, I’m happy to walk you through it.
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It depends on your specific plan. Most insurance companies only cover couples therapy if it’s considered medically necessary and if one partner has a mental health diagnosis. That said, many plans don’t cover couples sessions at all—or they may require the focus to be on treating one person’s symptoms, rather than the relationship as a whole.
Because of this, many couples choose to pay out of pocket so we can focus on both of you and the relationship without limitations. I’m happy to provide a superbill if you'd like to try getting reimbursed through out-of-network benefits. Detailed receipts can also be provided for HSA accounts.
If you're unsure what your plan covers, it’s a good idea to call your insurance company and ask about coverage for CPT code 90847 (family/couples therapy with patient present) or 90846 (without patient).