Telehealth Therapy Across Texas

Counseling for adults and couples who are tired of repeating the same patterns.

Anvil Counseling provides telehealth therapy for adults and couples across Texas. Sessions are direct, practical, and focused on helping you understand what keeps you stuck, build better tools, and make changes that hold up outside of therapy.

Common areas of focus include anxiety, ADHD, depression, grief, stress, relationship conflict, communication issues, and life transitions.

About Blaine Stephens

Blaine Stephens is a Licensed Professional Counselor, Licensed Marriage and Family Therapist, and National Certified Counselor with over 10 years of experience in the mental health field.

Clinical focus

Blaine works with adults and couples navigating anxiety, ADHD, depression, grief, stress, relationship strain, communication issues, and major life transitions.

His style is direct, practical, and nonjudgmental. Therapy is not just about talking through problems; it is about understanding patterns, building insight, and developing tools that actually hold up outside of session.

Background

Blaine’s background includes work with individuals, couples, families, veterans, private practice, and higher-acuity mental health settings.

That experience shapes a straightforward belief: therapy should be compassionate and honest. The goal is not to avoid hard conversations, but to have them in a way that helps create real movement.

My Approach

Therapy should be honest, useful, and grounded in real life. My approach is collaborative and direct: we look at what is happening, what keeps the pattern going, and what can realistically change.

How sessions work

I often work from a CBT and REBT framework, helping clients identify the connection between thoughts, emotions, behaviors, and outcomes.

Insight matters, but insight without action usually does not change much. The work is to understand the pattern, practice different responses, and build a life that feels more intentional.

Couples work

With couples, I use Gottman-informed strategies to improve communication, reduce defensiveness, manage conflict, and rebuild trust.

I also consider family patterns, attachment history, and the larger context shaping how someone responds under stress.

Who I Work With

I work well with clients who are willing to look honestly at patterns in their life, even when those patterns are uncomfortable.

Individual Therapy

Support for adults feeling anxious, stuck, burned out, emotionally disconnected, or frustrated that the same problems keep showing up in work, relationships, or daily routines.

ADHD, Anxiety, and Stress

Practical help with overthinking, focus, follow-through, shutdown, sleep issues, emotional regulation, stress, shame, and building structure that works in real life.

Couples Counseling

Structured support for couples who want to improve communication, reduce conflict, rebuild trust, and better understand the cycle they keep getting pulled into.

Areas of Focus

  • Anxiety, ADHD, depression, grief, stress, and burnout
  • Relationship issues, communication problems, and couples counseling
  • Life transitions, military and veteran concerns, and substance use concerns
  • Sleep issues, emotional regulation, self-worth, and identity concerns

Therapeutic Approaches

  • Cognitive Behavioral Therapy and Rational Emotive Behavior Therapy
  • Solution-Focused Therapy and Person-Centered Therapy
  • Gottman-informed Couples Therapy and Family Systems
  • Attachment-Based Therapy and Internal Family Systems-informed work

Kind, not just nice

Nice avoids discomfort. Kindness is more honest than that. My goal is to create a space where clients feel respected and not judged, while also being willing to name patterns, challenge avoidance, and have the conversations that actually move treatment forward.

Current Availability

Weekend telehealth sessions for adults and couples in Texas. Saturday evenings and Sunday mornings.

Rates & Insurance

Many services may be covered by insurance. Actual out-of-pocket cost depends on your specific benefits, deductible, copay, or coinsurance. Use the Headway link to check benefits, request an appointment, or take the next step.

Insurance

In-network coverage is available through the plans listed below. Coverage and cost vary by plan.

  • Aetna
  • Ascension (SmartHealth)
  • BlueCross and BlueShield
  • Carelon Behavioral Health
  • Cigna and Evernorth
  • Optum
  • Oscar Health
  • Oxford
  • UnitedHealthcare UHC | UBH

Self-Pay Rates

  • Individual therapy: $175 per 60-minute session
  • Couples counseling: $200 per 60-minute session

FAQ

What should I expect in the first session?

The first session is focused on understanding what brings you to therapy, what has been going on, and what you want to be different. We will talk through current concerns, relevant history, symptoms, relationships, coping patterns, and goals for therapy.

You do not need to have everything figured out before starting. Part of the first session is creating enough direction to know where we are beginning and what kind of work may be most helpful.

How does couples counseling start?

For couples, the first session focuses on understanding the relationship history, current concerns, conflict patterns, strengths, and what each person wants to improve.

The goal is to identify the cycle the relationship keeps getting pulled into and begin building practical tools for communication, conflict, and repair.

Do you offer in-person therapy?

No. Sessions are currently telehealth only for clients located in Texas.

Is this a good fit?

Therapy works best when there is willingness to be honest, reflect, and practice something different between sessions. Support matters, but so does doing the work outside of the therapy hour.

Credentials & Background

Professional credentials and certifications reflect a commitment to ethical care, continuing education, and quality clinical service.

Credentials

  • Licensed Professional Counselor
  • Licensed Marriage and Family Therapist
  • National Certified Counselor
  • Master’s in Clinical Mental Health Counseling, Texas A&M University-Commerce
  • Over 10 years of experience in the mental health field

Clinical Background

Experience includes work with individuals, couples, families, veterans, private practice, and higher-acuity mental health settings.

Care is direct, clinically conservative, and focused on practical treatment goals without promising outcomes or pretending therapy is magic.

Ready to start?

Therapy does not require having everything figured out before reaching out. If you are looking for direct, practical counseling for anxiety, ADHD, depression, stress, or relationship concerns, use the Headway link below to get started.

Use the Headway link to check insurance, request an appointment, or send a message about fit, availability, and scheduling.

You can also reach Anvil Counseling directly at blaine@anvilcounseling.com or (903) 224-5894.