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Counseling Services
Compassionate, Trauma-Informed Therapy for Adults in Texas

Service                                         Duration   Price
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Psychotherapy (HSP, grief, general)     60 min           $185
Individual Pet Loss Counseling                60 min           $185
Couples Pet Loss Counseling                  60 min           $250

Pet Loss Support Group                           60 min           $25 

Brainspotting                                              60 min           $185

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Insurance

I am an out-of-network provider and do not participate with any health insurance plans.

Depending on your insurance policy, you may be eligible for out-of-network reimbursement. If you have out-of-network benefits, I am happy to provide a superbill for you to submit directly to your insurance company. I encourage you to contact your insurance provider to learn more about your specific out-of-network benefits.

If using your insurance benefits is important to you, you may wish to consider working with a therapist who participates with your health plan.

Medicare

I have opted out of Medicare. If you are eligible for Medicare, I cannot provide services that are billed to Medicare or provide a superbill or other documentation for Medicare reimbursement.

 

Trauma & PTSD

Traumatic experiences can affect how we see ourselves, our relationships, and the world around us. Therapy can help you process difficult experiences, strengthen emotional regulation, and reconnect with a greater sense of safety and resilience.

Anxiety & Depression

Anxiety and depression can make everyday life feel overwhelming and exhausting. Together, we can identify unhelpful patterns, build practical coping strategies, and support lasting emotional well-being.

Grief & Loss

Grief extends beyond the death of a loved one. It can accompany life transitions, relationship changes, chronic illness, and other significant losses. Therapy provides a compassionate space to process your experiences while honoring your unique journey.

Highly Sensitive Persons (HSP)

High sensitivity is a naturally occurring temperament trait—not a flaw. Therapy can help you better understand your nervous system, embrace the strengths of sensitivity, establish healthy boundaries, and reduce overwhelm.

Chronic Illness & Pain

Living with chronic illness or persistent pain often affects emotional health, identity, relationships, and daily life. Therapy can support you as you navigate uncertainty, grief, lifestyle changes, and the ongoing challenges of living with a chronic health condition.

Relationship Challenges & Life Transitions

Whether you are navigating relationship difficulties, caregiving, career changes, life transitions, or questions about identity and purpose, therapy offers space to gain clarity, strengthen resilience, and move forward with intention.

Pet Loss Counseling

The loss of a beloved companion animal can be one of life's most profound and misunderstood grief experiences. I provide compassionate support for anticipatory grief, euthanasia decisions, traumatic loss, and the death of a cherished companion animal.

Learn More About Pet Loss Counseling →

Brainspotting

Brainspotting is a brain-body therapy that may be integrated into psychotherapy to support the processing of trauma, grief, anxiety, chronic illness, and other emotionally significant experiences that may be difficult to access through traditional talk therapy alone.

Learn More About Brainspotting →

Specialized Services

Ready to Begin?

Beginning therapy is a meaningful investment in your well-being. If you are seeking support for trauma, grief, anxiety, chronic illness, pet loss, or another difficult season of life, I invite you to reach out.

Contact Nicole →

Nicole Vykoukal, LCSW TX # 53415
Licensed Clinical Social Worker
psychotherapy@nicolevykoukal.com

Office Hours:
Mon-Thurs
8:30 a.m.-5 p.m.

©2025 BY NICOLE VYKOUKAL PSYCHOTHERAPY

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