Anxiety and trouble sleeping often come together, and you do not have to work out which is which before booking. A Texas-licensed clinician can look at worry and sleep together and build one plan with you.
Most patients see a Texas-licensed clinician by video. A limited number of clinicians also provide in-person visits; availability is confirmed at booking.
In network with Aetna, Blue Cross Blue Shield, Blue Cross Blue Shield (HMO plans), Blue Cross Blue Shield Medicare Advantage, Cigna / Evernorth, Medicare, UnitedHealthcare / Optum, UnitedHealthcare Medicare Advantage
Currently, 6 of our clinicians list anxiety as a focus. All are licensed in Texas and trained in CBT-I, based in Arlington, San Antonio, Wylie, Richmond and Aledo. See every profile on Our Clinicians.
Insomnia Specialist
Insomnia, Anxiety, Self Esteem, Women's issues
Cognitive Behavioral Therapy, Mindfulness, Life Transitions
Samantha Coy-Pham invites individuals who are feeling overwhelmed, stuck, or uncertain to reach out for a consultation to share their experiences, ask questions, and explore how therapy may help. With over 12 years of experience in the mental health field, including extensive work in acute psychiatric settings, she provides steady, supportive care in high-stress and complex situations. Samantha offers a respectful, goal-oriented, and collaborative approach to therapy, helping clients address concerns such as anxiety, low mood, work-related stress, relationship challenges, and life transitions by building insight, effective coping skills, and confidence. Her work is grounded in evidence-based Cognitive Behavioral Therapy (CBT), and she has also completed specialized training in Cognitive Behavioral Therapy for Insomnia (CBT-I).
Insomnia Specialist
Insomnia, Anxiety, Trauma and PTSD, Family and relationships
Cognitive Behavioral Therapy, Coping Skills
Kimberly Carter has been a counselor since 2006 and have worked with teenagers, children, adults, families and couples. Her areas of expertise are insomnia, marriage and family issues, depression, conflict resolution, trauma/ abuse and anxiety/ stress. She utilize several different theoretical approaches and has been trained specifically in Cognitive Behavioral Therapy for Insomnia (CBT-I) and Cognitive Processing Therapy for PTSD.
Anxiety is worry that is present most days, is hard to put aside and affects sleep, work or relationships. When it lasts for months and covers many topics, clinicians may call it generalized anxiety. Signs can include:
Many people notice anxiety most at bedtime. During the day, work, errands and conversations keep the mind busy. At night those distractions fall away, and worries can seem louder.
Sleep anxiety is worry about sleep itself. You may check the clock, count the hours left before your alarm or dread going to bed. That worry keeps the body alert, which makes sleep harder, and a poor night can bring more worry the next evening. Some people also wake in the early hours feeling alarmed, with a pounding heart.
Therapy can help with these patterns. When trouble sleeping has lasted for months, your clinician may also use Cognitive Behavioral Therapy for Insomnia (CBT-I), a structured, non-drug treatment for chronic insomnia. The insomnia treatment page explains how it works.
We bill anxiety therapy as outpatient behavioral health, the insurance category your plan uses for counseling. We are in network with Aetna, Blue Cross Blue Shield, Blue Cross Blue Shield (HMO plans), Blue Cross Blue Shield Medicare Advantage, Cigna / Evernorth, Medicare, UnitedHealthcare / Optum and UnitedHealthcare Medicare Advantage. Your benefits are checked before you start, and self-pay is also available.
The GAD-7 is a seven-question questionnaire clinicians use to gauge anxiety over the past two weeks, scored from 0 to 21. It is worked out in your browser, and nothing you select is sent to us or saved.
A GAD-7 score is a screening aid, not a diagnosis. Whatever your score, discuss it with a clinician, such as your own doctor or one of ours.
Over the last two weeks, how often have you been bothered by the following problems?
If sleep is the main problem, read about insomnia treatment.
Discuss your score with a Texas clinician
Your answers and score stay on this page and are cleared when you close it.
If you are in crisis or thinking about harming yourself, call or text 988, the Suicide and Crisis Lifeline, at any time. In an emergency, call 911.
Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 2006;166:1092–1097.
Most anxiety therapy here is based on cognitive behavioral therapy (CBT). CBT helps you notice anxious predictions, check them against what actually happens and slowly return to things you have been avoiding. Some clinicians also use mindfulness (noticing worries without reacting to them), solution-focused therapy (small, concrete next steps), motivational interviewing (for when part of you is unsure about changing) and coping skills for calming the body. If sleep is also a problem, CBT-I can be added to the same plan.
Plan on roughly 50 minutes. You talk about when the worry shows up, how you sleep and what you want to change, then agree on goals. See How It Works.
Our clinicians can see patients anywhere in Texas, as long as you are in the state during each session. See Houston, Dallas, Austin or care across Texas.
Loud snoring or pauses in breathing are different concerns; read when a sleep study may help. Sleep apnea and insomnia often occur together. We treat insomnia and coordinate referrals to partners who treat sleep apnea.
Yes. Our clinicians are therapists and do not prescribe. Tell your clinician about all the medicines you take. Any change to a medication should be decided with, and managed by, your prescriber.
Usually not. The same clinician can work on anxiety and insomnia in one plan, starting with whichever concern matters most to you.
Yes, if you are physically in Texas during each session. Studies of CBT for anxiety have found video sessions can work as well as meeting in person.
If you are thinking about harming yourself or feel unsafe, call or text 988, the Suicide and Crisis Lifeline, at any time. In an emergency, call 911. Booking an appointment on this site is not an emergency service.
Talk with a Texas-licensed clinician about worry, sleep or both. If your GAD-7 total was 10 or higher, mention it when you meet.
Book AppointmentCall (214) 216-2330