Frequently Asked Questions

Every session happens over secure, HIPAA-compliant video. After you schedule, you receive a link. All you need is a private space and a reliable internet connection. There is no software to install and no waiting room to sit in.

For many people and many concerns, including anxiety, depression, and ADHD, research has found video therapy to be a strong alternative to meeting in person. The things that make therapy work, the relationship and the evidence-based methods, travel well through a screen. If online sessions are not the right fit for you, we will tell you honestly.

No. We are rooted in Killeen near Fort Cavazos, but we are 100% virtual and serve clients across Texas, from Houston and Dallas to El Paso and the Rio Grande Valley. Because our therapists are licensed in Texas, you need to be physically located in Texas at the time of each session.

No. CenTex Therapies is 100% virtual, so there is no walk-in office. Every session takes place by secure video.

Standard sessions run 45 to 60 minutes. Most people start with weekly sessions, and you and your therapist adjust the frequency as you make progress.

Adults absolutely have ADHD. According to the National Institute of Mental Health, symptoms begin in childhood and usually continue into the teen years and adulthood. Many adults were simply never assessed as kids. They learned to cope, often at a real cost, until life got busy enough that the coping strategies stopped working.

No. Everyone loses their keys sometimes. ADHD is a real, diagnosable condition in which challenges with attention, organization, time, and impulse control show up consistently, across different parts of life, and get in the way of what you are trying to do.

Would you call glasses an excuse for not seeing clearly? Naming ADHD works the same way. It does not lower the bar. It gives you the right tools to reach it.

ADHD can look different depending on the person. Girls and women more often show the inattentive side of ADHD, such as daydreaming, disorganization, and mental fatigue, rather than the outwardly hyperactive behavior that tends to draw attention in a classroom. A 2014 clinical review notes that women and girls with ADHD are also more likely to turn their struggles inward and become anxious or depressed, which can lead to the anxiety or depression being treated while the ADHD underneath goes unrecognized.

Many women do not learn they have ADHD until adulthood, sometimes after a child of theirs is diagnosed.

They can. Researchers have described a relationship between estrogen and dopamine, a brain chemical closely tied to attention. Many women notice their ADHD symptoms shift across the menstrual cycle, after childbirth, or during perimenopause. We explore this further in our article on ADHD and perimenopause.

Often, yes. In boys and men, ADHD is more likely to be recognized early because the signs are more visible, such as restlessness or acting on impulse. As men get older, those signs can look like constant busyness, job hopping, risk-taking, or frustration that is quick to boil over. Whatever your gender, what matters most is how ADHD shows up in your life, and that is what an assessment looks at.

Yes. Our ADHD Assessment is a clinical evaluation that can result in a diagnosis, done virtually anywhere in Texas. It is different from full psychological testing performed by a licensed psychologist, which some universities or employers require for accommodations. We will tell you up front if that is what you need.

No. Our therapists are Licensed Professional Counselors and do not prescribe. If medication is worth exploring, we can refer you to a prescriber and, with your permission, coordinate care with them while we focus on the counseling side through ADHD Counseling.

Use the short form on our Refer a Patient page. It asks about you, not your patient, so no protected health information goes through the website. We call you back within one business day to take the clinical details by phone and confirm current openings.

Yes. With the client’s written authorization, we keep referring providers and prescribers updated on how care is going. You stay the prescriber, and we handle the counseling.

The Rising Quiet: An EMDR Companion Journal by Sylveria Sanchez, LPC-S, CCTP, is a 56-page journal designed for people actively doing EMDR therapy with a trained clinician. It is a bridge between sessions, not a replacement for therapy. Find it in the CenTex Store.

We ship physical products within the United States. Shipping is calculated at checkout.