
Statewide by Video
Online Therapy Across Texas
Vanessa Gross, LMFT, works only over secure video, and her license covers all of Texas. A client in a Panhandle town and a client in a Houston suburb book the same way, have the same 60-minute sessions, and never drive to an appointment.
Who Can Book Online Therapy in Texas
Vanessa is a Licensed Marriage and Family Therapist in Texas, so the booking rule is about where you are rather than where you live: you have to be inside Texas for every session. If you leave the state for a trip, sessions may need to wait until you are back.
Within that rule, she works with young adults, people in midlife, adults well past 65, couples and veterans.
How Online Sessions Work
Vanessa is accepting new clients. Every step happens remotely, starting with a phone call and moving to secure video:
- Fill in the request form at Work With Me to set up a free 15-minute phone consultation.
- On that call, explain what brings you to therapy, ask questions and talk through fees.
- Start with the intake, a 60-minute first session, and continue with 60-minute sessions after that.
- Join each session from a private spot with a camera, a microphone and a steady connection.
- Give 24 hours' notice to cancel, since late cancellations and no-shows are charged a fee.

What Vanessa Works With
Her work covers stress and burnout, anxiety, depression, grief and loss, trauma and PTSD, adult ADHD, relationship issues, and the strain of life transitions. She uses ACT, CBT, psychodynamic therapy and DBT skills, and with couples she draws on the Gottman Method. The specialties page explains each area in more detail.
The techniques sit inside a client-centered relationship, alongside attachment-based and mindfulness-based work. Now 7 years into practice, Vanessa aims for real growth at a pace that fits you, while still challenging the old patterns that have started to feel comfortable.
Paying for Online Sessions
Therapy with Vanessa is private pay, and fees are discussed during the free consultation. If your health plan includes out-of-network benefits for mental health care, she can give you a superbill, which you send to the plan yourself; whether it reimburses anything, and how much, depends on the plan. As a private-pay client, you can also request a Good Faith Estimate, which sets out what sessions are expected to cost.
The City Pages Are a Sample
The city pages on this site describe what online sessions look like in a handful of Texas places. Read them as examples rather than a list of approved locations. Vanessa works with people anywhere in the state on the same terms, including small towns and rural counties from East Texas to the Big Bend that will never get a page of their own.
In This Section

Dallas
Video therapy with Vanessa Gross, LMFT, for adults in Dallas facing anxiety, relationship strain or a possible career change.Read More
Houston
Secure video therapy with Vanessa Gross, LMFT, for adults across Greater Houston dealing with grief, trauma or a major life change.Read More
Austin
Online therapy with Vanessa Gross, LMFT, for Austin-area adults working through ADHD, burnout or a decision about changing careers.Read More
San Antonio
Video therapy with Vanessa Gross, LMFT, for adults in San Antonio and Bexar County living with depression, grief or a hard life change.Read More
Fort Worth
Couples and individual therapy by video for Fort Worth, with Vanessa Gross, LMFT, drawing on the Gottman Method and tools for anxiety.Read More
Plano
Video therapy with Vanessa Gross, LMFT, for Plano adults handling stress, burnout, anxiety or the questions that come with midlife.Read More
Frisco
Online couples and individual therapy with Vanessa Gross, LMFT, for people in Frisco: Gottman Method couples work, life transitions and adult ADHD.Read More
McKinney
Video therapy with Vanessa Gross, LMFT, for adults in McKinney and across Collin County, with a focus on midlife, grief and depression.Read More
Arlington
Secure video therapy for adults in Arlington and across Tarrant County, for anxiety, trauma and PTSD, and strain in close relationships.Read More
Irving
Online therapy for adults in Irving, from Las Colinas to Valley Ranch, focused on career change, burnout and depression.Read More
The Woodlands
Video sessions for individuals and couples in The Woodlands, with a focus on life transitions, midlife and Gottman Method couples work.Read More
Sugar Land
Online therapy for adults in Sugar Land and Fort Bend County, with support for grief, anxiety and adult ADHD from Vanessa Gross, LMFT.Read More
Katy
Video therapy for individuals and couples in Katy, Fulshear and Cinco Ranch, covering burnout, depression and Gottman Method couples work.Read More
Round Rock
Online therapy for adults in Round Rock and Williamson County, covering adult ADHD, career change and relationship issues, by secure video.Read More
El Paso
Video therapy for adults across El Paso County: anxiety, trauma and PTSD, and grief, with appointment times confirmed in Mountain time.Read MoreQuestions
Frequently Asked Questions
Not necessarily. The deciding factor is your location during each session, which has to be somewhere in Texas because Vanessa's license is a Texas license. Someone who recently moved to Texas, or who spends part of each year in the state, can book sessions for the weeks they are in Texas. Any stretch spent outside the state may mean pausing until you return.
Yes. Veterans are among the adults she works with, and sessions follow the same format as anyone else's: 60 minutes by secure video from wherever you are in Texas. What you focus on is up to you, whether that is the adjustment after leaving the service, strain in a relationship, or something unrelated to the military entirely.
Video sessions are booked ahead of time, so they can't respond to an emergency, and crisis care sits outside what New Tide Therapy offers. For a mental health crisis or suicidal thoughts, phone or text 988 at any hour, and dial 911 when there is immediate danger to you or anyone else. Less urgent things are worth writing down and bringing to your next session.
Related Pages

How Online Therapy Works
The practical side of online therapy in Texas: the free phone consultation, video setup, privacy at home, location rules and dropped connections.Read More
Fees and Payment
Read More
Free Consultation
What happens on Vanessa's free 15-minute phone consultation, what to ask, what the call covers and leaves out, and what comes next.Read More
Approach
How Vanessa Gross, LMFT, combines a client-centered relationship with CBT, DBT skills, ACT, psychodynamic and attachment-based work, tailored to each person.Read More
A gentler next step
You don't have to know exactly what to say.
A free 15-minute phone consultation is a simple place to begin.
