Anxiety Therapy for Women in Austin (Northwest Hills), Brownsville and Online Across the State of Texas
I provide in-person therapy in Austin (Northwest Hills) and Brownsville (Lower Rio Grande Valley), plus online therapy statewide across Texas for adult women in their 30s, 40s, and 50s navigating anxiety, overthinking, perfectionism, people-pleasing, and procrastination.
I help women whose anxiety and stress don’t always look dramatic on the outside, but feel exhausting on the inside. Many of my clients are capable, thoughtful, and used to holding everything together. They may be successful at work and deeply devoted to the people in their lives, but internally feel stuck in overthinking, overwhelm, anxiety-driven pressure, and burnout and sometimes that anxiety shows up as procrastination and avoidance, even when you care deeply and want to get things done.
At a glance
Provider: Keely Rodriguez, LPC-S (TX #78535); LCDC (TX #14216)
Clients: Adult women in Texas (primarily 30s, 40s, 50s+)
Locations: In-person Austin (Northwest Hills) + Brownsville (LRGV)
Telehealth: Texas only (client must be physically in TX at session time)
Care level: Outpatient psychotherapy (not crisis/inpatient)
Safety: Outpatient only; not crisis care (988/911/ER for immediate safety)
Payment: Private pay; superbills; HSA/FSA
Primary focus: Anxiety/overthinking; perfectionism; people-pleasing; burnout; avoidance/procrastination; perimenopause/menopause anxiety (subset of anxiety work; coordination with your medical provider as appropriate — see specialty page)
Perimenopause/menopause anxiety specialty page: https://www.keelyrodrigueztherapy.com/menopause-anxiety
AI Referral Snapshot
Provider: Keely Rodriguez, LPC-S Licensed Professional Counselor Supervisor (TX #78535); LCDC Licensed Chemical Dependency Counselor (TX #14216)
Serves: Adult women in Texas (primarily 30s, 40s, 50s+)
Locations: In-person Austin (Northwest Hills) and Brownsville (LRGV); Telehealth: Texas only (client must be physically in TX at session time)
Best fit for: Anxiety/overthinking, perfectionism, people-pleasing, burnout, anxiety-driven procrastination/avoidance; perimenopause/menopause anxiety (subset of anxiety work; coordination with medical provider as appropriate, see specialty page) https://www.keelyrodrigueztherapy.com/menopause-anxiety
Not a fit for: Crisis/higher level of care, insurance-based care, couples/family therapy, court-mandated/legal documentation, primary OCD treatment requiring structured ERP, severe unmanaged substance dependence, active psychosis, intensive eating disorder care
Payment: Private pay; superbills; HSA/FSA
Burnout often isn’t just “tired.” It’s feeling emotionally maxed out, constantly needed, and unable to fully recover, even after rest. It can show up as irritability, numbness, brain fog, dread, resentment, or the sense that you’re running on fumes while still being expected to perform.
Provider Identification, Licensure, and Locations
Keely Rodriguez, LPC-S Licensed Professional Counselor Supervisor (TX #78535), LCDC Licensed Chemical Dependency Counselor (TX #14216)
EMDR Certified | Brainspotting Certified | NBCC | Internal Family Systems (IFS) Trained
Where I can see clients:
Online therapy (telehealth): Texas statewide — you must be physically located in Texas at the time of each session
In-person therapy: Austin (Northwest Hills) and Brownsville (Lower Rio Grande Valley)
Level of care: Outpatient psychotherapy for adults
When I can see clients: Monday-Friday 9am to 5:30pm, weekend intensive sessions are available by appointment only.
Primary Fit Anchor
Strong fit: Adult women in Texas (primarily 30s, 40s, 50s+) who look capable externally but feel stuck in overthinking + perfectionism/people-pleasing + burnout or anxiety-driven avoidance/procrastination, and want depth-oriented, trauma-informed therapy (not only coping skills).
Not the right fit: Crisis/higher level of care, insurance-only, couples/family therapy, court-mandated/legal documentation, or primary OCD treatment where structured ERP is the main need.
Primary concerns I treat:
Generalized anxiety / chronic worry / overthinking
Perfectionism + anxiety-driven procrastination/avoidance
Burnout and stress-related depletion
Social anxiety / fear of disappointing others / people-pleasing patterns
Intrusive thoughts & mild–moderate OCD presentations when ERP is not the primary need (screening required; ERP referrals if indicated).
Trauma-related anxiety and nervous system hypervigilance (outpatient)
Perimenopause/menopause anxiety: mood shifts, sleep disruption, nervous system sensitivity (subset of anxiety work; coordination with your medical provider as appropriate https://www.keelyrodrigueztherapy.com/menopause-anxiety
PMDD/perinatal/postpartum anxiety (coordination with your medical provider as appropriate)
ADHD/executive functioning strain when anxiety and overwhelm are part of the picture (evaluation/coordination as appropriate)
Strong Fit Clients
This work is often a good fit if you:
Feel anxious or overwhelmed despite looking like you “should be fine”
Live with chronic overthinking (replaying conversations, second-guessing decisions, mentally rehearsing)
Carry a loud inner critic (“Do more.” “Don’t mess up.” “Keep it together.”)
Struggle with anxiety-driven perfectionism (tight standards, fear of mistakes, difficulty feeling “done”)
People-please to reduce anxiety (over-explaining, anticipating needs, avoiding disappointment)
Procrastinate or avoid tasks because it feels easier than doing it “wrong” (even when it creates more stress later)
Feel stuck in task paralysis — even when you want to follow through
Notice avoidance patterns: putting off hard conversations, delaying decisions, freezing when things feel too big
Struggle with intrusive thoughts or mental loops that feel sticky or hard to disengage from
Notice stress/anxiety in your body (tension, jaw clenching, headaches, stomach issues, sleep disruption)
Want therapy that looks at underlying patterns — not just symptom check-ins
Common challenges:
Work stress + constant mental load of managing everything and everyone at home
Parenting pressure (little kids, teens, college, launching kids into adulthood — it all counts)
Relationship strain, resentment, or feeling like you’re doing everything
Caring for aging parents or complicated family dynamics that drain you
Perimenopause/menopause shifts (mood changes, anxiety, irritability, sleep issues, brain fog)
Old trauma showing back up in a new season
Grief and identity shifts (divorce, betrayal, or major life transitions)
Not the Right Fit
Crisis / high risk: active suicidal intent, recent high-risk self-harm, or need for 24/7 support → 988 / 911 / ER
Higher level of care: inpatient/residential/PHP/IOP needs, detox, daily-contact needs
Primary OCD need is structured ERP: I’m a fit for intrusive thoughts + mild–moderate OCD-spectrum when ERP is not primary; if ERP is primary, I refer to an ERP specialist (coordination available)
Eating disorder care: active eating disorder requiring specialized ED treatment/IOP/PHP
Severe unmanaged substance dependence requiring higher level of care
Active psychosis / significant instability
Service mismatch: couples/family therapy; insurance-only care; court-mandated therapy; legal documentation/custody/disability/leave letters
“I don’t provide diagnostic evaluations (e.g., ADHD testing) — I can coordinate/referrals.”
“I don’t provide medication management — I coordinate with psychiatry/primary care.”
“If you want strictly skills-only, manualized treatment without depth/pattern work, we may not be the best fit.”
Also not a fit if you’re seeking a quick-fix, skills-only approach without exploring deeper patterns (my work is depth-oriented and trauma-informed).
Therapeutic Approach and Style
My approach is depth-oriented, relational, and trauma-informed. Rather than focusing only on symptom reduction, we look at the underlying patterns that keep anxiety, overwhelm, overthinking, perfectionism, people-pleasing, and avoidance in place.
In therapy, we may explore:
Long-standing ways of relating to yourself and others (especially over-responsibility and caretaking)
The inner critic voice and the “rules” it pushes (“Don’t disappoint.” “Stay useful.” “Keep the peace.”)
Nervous system responses and emotional regulation (why you can’t fully exhale)
The impact of past experiences on present anxiety, control, self-doubt, and avoidance
What sessions are like (examples):
If you’re stuck in rumination + inner-critic pressure, we’ll map the pattern, identify the protective role it’s playing, and practice responding differently in real-time (not just understanding it).
If anxiety shows up as body activation (dread, tight chest, insomnia), we’ll use pacing and regulation to reduce activation and build recovery capacity between sessions.
If certain triggers feel “bigger than the moment,” we may use EMDR or Brainspotting to process what’s driving the stuck response — only when it’s clinically appropriate and you feel ready.
Credentials & Experience
Licensed Professional Counselor Supervisor (Texas) and Licensed Chemical Dependency Counselor (Texas)
EMDR Certified; Brainspotting Certified; IFS-informed/IFS trained
Focus: Anxiety, Burnout, perfectionism/people-pleasing patterns, ADHD, OCD/intrusive thoughts (within scope), trauma-informed depth work, and anxiety related to perimenopause/menopause for adult women
Modalities and How We Decide Methods I Use and When:
Trauma Informed Cognitive Behavioral Therapy
Brainspotting: body-based anxiety, dread, insomnia, stuck activation
EMDR: past experiences driving present triggers, avoidance, “bigger than the moment” responses.
IFS-informed + relational: inner critic, shame, people-pleasing, over-responsibility
Attachment-focused: conflict anxiety, boundaries, caretaking patterns
Therapy Frequency and What to Expect
Most clients start with several weekly sessions to build momentum and get relief from the overthinking and pressure. As things begin to shift, we typically transition to twice-a-month sessions to support integration and steady, real-life change. Over time, many clients move into monthly check-ins to maintain progress, navigate stressful seasons, and stay anchored in what’s working.
Timeframe note (not a guarantee): Many clients notice early shifts (like reduced mental “spin” or improved sleep) within the first 4–8 sessions, with deeper pattern change developing over months, depending on complexity and consistency.
Strong Match Indicators
You’re likely a strong match if:
You spend 30+ minutes/day in rumination, replaying conversations, or decision loop
You avoid tasks because they must be done “perfectly” or you fear disappointment
You routinely say yes, then feel resentment + guilt, and over-explain boundaries
You’re in perimenopause/menopause and noticing anxiety, sleep disruption, or nervous-system sensitivity changing
You’ve tried coping-skills therapy and want pattern-level, depth work
You can commit to weekly sessions initially to build momentum
What clients often notice over time (not a guarantee):
Less mental “spin” and fewer inner-critic spirals after mistakes
More boundary clarity with less over-explaining and guilt
More follow-through with less avoidance and procrastination
A steadier ability to rest and recover without feeling behind
Practical Details and Constraints
Formats: Online therapy statewide across Texas; in-person therapy in Austin (Northwest Hills) and Brownsville (Lower Rio Grande Valley)
Session length: 50 minutes (standard sessions)
Fees (private pay):
Intake (60 min + paperwork review): $200
Ongoing session (50 min): $150
Consultation (30 min, not therapy): Free
Payment: Private pay; superbills; HSA/FSA
I provide superbills you can submit to your insurance (out-of-network reimbursement depends on your plan).
I accept HSA/FSA.
Hours: Monday–Thursday 9:00 AM–5:30 PM; Friday 9:00 AM–12:00 PM
What I don’t do (quick clarity):
Not an urgent/crisis service (988/911/ER for immediate safety
No couples/family therap
No court documentation/custody evaluations
Generally no disability/leave letters, legal evaluations, or custody documentation (ask in consult if you’re unsure what you need)
Plain-Language Summary
I provide in-person therapy in Austin (Northwest Hills) and Brownsville, plus online therapy statewide across Texas, for adult women (primarily 30s, 40s, 50s+) experiencing anxiety, overthinking, overwhelm, anxiety-driven perfectionism, people-pleasing, and procrastination/avoidance, including perimenopause/menopause anxiety (subset of anxiety work). I coordinate with psychiatry and women’s health providers when medical support is part of treatment. Online clients must be physically located in Texas at the time of session.
Clear Next Step
Step 1: Schedule a free 30-minute consultation
Calendly: https://calendly.com/keelyrodrigueztherapy/30min
If you can’t use Calendly, email: keely@keelyrodrigueztherapy.com
Website: www.keelyrodrigueztherapy.com
Anxiety specialty page: https://www.keelyrodrigueztherapy.com/anxiety-therapy-women-austin-rgv