Online Therapy in Texas When Getting to the Office Isn't Realistic
If you want real counseling but traffic, distance, work hours, or a hard day keep you from walking into an office, you're in the right place. I'm Andy Sibley, a Licensed Marriage and Family Therapist and Licensed Professional Counselor. Online therapy here is secure video across Texas, at the same rates as sitting in my Dallas office, with the option to mix both.
LMFT & LPC, licensed in Texas & Louisiana. 20+ years of experience. Accepting new clients.
What is online therapy?
Online therapy is talk therapy delivered by secure video instead of sitting in the same room. You meet with a licensed therapist from a private space on your phone, tablet, or computer. The work is the same: map what's hard, build skills you can use between sessions, and check whether life is getting more workable. For clients in Texas, it removes the commute without changing the quality of care.
Does this sound like your week?
Maybe you live outside Dallas and a round trip for a 50-minute session eats half the day. Maybe parking and Central Expressway traffic make you cancel. Some people feel more open talking from home. Others need care on a lunch break, during travel weeks, or when leaving the house is the hard part.
You want help with anxiety, depression, stress, or your relationship. You don't want logistics to be the reason you never start.
None of that means you're "not ready" for therapy. It usually means the format needs to fit real life, and video can do that.
How online therapy works with me
I keep the work practical. My job is the same online as it is in the office: help you understand what's going on and give you tools you can use the same week.
- Secure video across Texas. Sessions run on a private, HIPAA-aligned platform. I send a link before we meet. You join from a quiet room with a stable connection.
- Same rates as in person. Online is not a discount version of care and not a premium upcharge. Fees match office sessions, and insurance works the same way when your plan covers telehealth.
- Mix of office and video. My Dallas office is on Central Expressway near Uptown and Knox-Henderson. Come in when you want face-to-face. Switch to video when the week won't allow it.
- Work that fits what brought you in. Anxiety counseling, depression counseling, and couples counseling all work well online when you have privacy and a solid connection.
- Statewide reach. If you're in Texas and I'm licensed to see you there, we can meet by video even if you're hours from Dallas.
What makes my approach different
A lot of "online therapy" means an app, a rotating roster, and whoever is free that day. Here you work with me, Andy Sibley, LMFT and LPC, with more than 20 years of experience and licenses in Texas and Louisiana. You get continuity, not a stranger each week.
I look at the whole picture: how you think, how your body reacts, and how stress shows up with partners and family. Holding both licenses means I'm trained for what's going on inside you and between you and others. Video doesn't change that. It just changes where we sit.
What to expect
- Reach out. Call (214) 227-6651 or request an appointment through the client portal. Tell me a little about what's going on and whether you prefer video, the office, or a mix.
- First session. We meet by secure video (or in Dallas). We map what's hard, what you've tried, and where to start. No pop quiz, no judgment.
- We build skills. Over the next sessions you get tools for the body and the mind, plus a clearer sense of what keeps the problem going.
- We check in. We keep asking whether the work is helping and whether the format still fits. This is your life, and you set the direction.
Fees and insurance
Rates are the same online and in person. Individual sessions are $200 for 50 minutes, or $300 for an extended 80-minute session. Couples and family sessions are $250 for 50 minutes. I accept Aetna, Blue Cross Blue Shield, Cigna, Optum, UMR, and United Healthcare. Coverage varies by plan, so it's worth calling the number on your card to confirm telehealth benefits. If that feels like a hassle, reach out and I'll help you sort it out. See the full fees and insurance details.
My office is in East Dallas near Uptown and Knox-Henderson, right on Central Expressway. If you're looking for a therapist close by, read about my Uptown Dallas practice. Online therapy is available across Texas when coming in isn't realistic.
Questions people ask about online therapy
Is online therapy as effective as in-person therapy?
For most people, yes. Research and my own caseload both show that secure video sessions work as well as sitting in the same room for anxiety, depression, stress, and relationship work. What matters more is a good fit with your therapist and showing up consistently. Some people still prefer the office. Plenty do both.
Do I need a Texas license for online therapy?
Yes. For telehealth, you and your therapist generally need to be in a state where the therapist is licensed. I'm licensed in Texas and Louisiana. Online clients need to be physically located in Texas during the session. If you're traveling or living out of state, we'll sort that out before we book.
What technology do I need for online therapy?
A private space, a stable internet connection, and a phone, tablet, or computer with a camera and microphone. I'll send a secure video link before your session. Test your camera and headphones a few minutes early. You don't need special software or a high-end setup.
Is online therapy private and secure?
Yes. Sessions run on a secure, HIPAA-aligned video platform, not a consumer chat app. You should still choose a quiet room where you won't be overheard. Headphones help. I treat online sessions with the same confidentiality standards as office visits.
Does online therapy cost the same as in-person?
Yes. Rates are the same either way. Individual sessions are $200 for 50 minutes, or $300 for an extended 80-minute session. Couples and family sessions are $250 for 50 minutes. I accept Aetna, Blue Cross Blue Shield, Cigna, Optum, UMR, and United Healthcare. Coverage varies by plan.
What happens in the first online therapy session?
Mostly we talk, same as an in-person first visit. You tell me what's going on and what you want to be different. I'll ask about your week, stress, relationships, and what you've already tried. By the end we'll have a clear place to start. Log in a few minutes early so tech doesn't eat the hour.
Can I mix online and in-person sessions?
Yes. Many clients do. Come to the Dallas office when you can, and use video when traffic, travel, illness, or a packed week gets in the way. You don't have to pick one format forever.
How much does online therapy cost in Texas?
With me, the same as office sessions: $200 for a 50-minute individual appointment, $300 for 80 minutes. Couples and family sessions are $250 for 50 minutes. Insurance may lower your out-of-pocket cost if your plan covers telehealth with an in-network provider. See the full fees page for details.
Ready to talk?
You can ask questions first. There's no pressure and no commitment. If you're willing to try, that's usually enough to start.