
Far West Texas
Online Therapy in El Paso, Texas
El Paso sits at the far western tip of Texas, in El Paso County, and keeps Mountain time while most of the state runs on Central. Adults in El Paso, Socorro, Horizon City and elsewhere in the county can work with Vanessa Gross, LMFT, over a secure video connection, with every appointment time confirmed in their own time zone.
Appointments on Mountain Time
Most Texas cities, including Austin, Dallas and Houston, are on Central time, one hour ahead of El Paso. So that the difference never costs you a session, appointment times are confirmed in your own time zone: the time you agree on is the time on your clock in El Paso. If you will be in a Central-time city for a session, mention it ahead of time so you both have the same hour in mind.
Anxiety, Trauma and Grief
These three often overlap after a frightening event or a sudden loss. You might be sleeping badly, startling at noises, avoiding places that bring the event back, or feeling worry spread into parts of life that used to feel safe.
Anyone in immediate danger should call 911; for a crisis or suicidal thoughts, call or text 988.

How Vanessa Paces Trauma and Grief Work
Sessions go at a speed you can handle. Vanessa uses DBT skills and mindfulness for overwhelming moments, CBT for anxious thought patterns, and psychodynamic and attachment-based work to make sense of how a trauma or loss has changed you. See trauma and PTSD therapy, anxiety therapy and grief therapy.
What You Need on Your End
A private room, a laptop, tablet or phone that has a camera, and Wi-Fi or data you can count on for the whole hour cover the basics. When you put the session in your calendar, check that the entry is in Mountain time, especially if you happen to be in a Central-time city when you add it.
Questions
Frequently Asked Questions
Your own. El Paso is on Mountain time, an hour behind the Central time used across most of Texas, and appointment times are confirmed in your time zone, so there is no conversion to do on your end. If you will be on Central time for a particular session, say so when you schedule, and you can agree on the hour together.
Yes, as long as each session happens while you are in Texas. Vanessa is licensed in Texas, so schedule sessions for days or hours when you will be on the Texas side, whether that is Canutillo, Vinton or the east side of the city. If plans change, move the session a full 24 hours ahead to avoid the late-cancellation fee.
Start by requesting the free 15-minute phone consultation using the Work With Me form. The call gives you room to describe what you are dealing with, ask how Vanessa works, and decide whether to book; she is accepting new clients. If you decide to begin, expect the first session to take a full 60 minutes, as all of them do.
Related Pages

When Grief Returns
Why grief returns around anniversaries, holidays, songs and places, why that is a normal part of grieving, and what can help on hard days.Read More
DBT Skills
Vanessa teaches DBT skills for strong emotions, hard moments and difficult conversations one-on-one, as part of individual therapy.Read More
Work With Me
Read More
Online in Texas
How online therapy with Vanessa Gross, LMFT, works for adults and couples anywhere in Texas, from the first phone call to regular sessions.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.
