AdultsDr. Ashley Carroll-Brown, PhD, Psychologist
Owner
Compassionate care for trauma, pregnancy, postpartum, and meaningful change.
Anxiety · Pregnancy & Postpartum · Trauma · Depression
Online Therapy Across Texas
You Don't Have to Keep Holding It All Together
Therapy for teens and adults navigating anxiety, depression, trauma, life transitions, pregnancy, postpartum, and more. Compassionate online therapy with clinicians who meet you where you are, wherever you are in Texas.
Guiding Growth. Restoring Hope.
900+ Therapy Sessions Conducted in 2025Virtual Across TexasAetnaBCBSUnitedHealthcare
Perinatal Mental Health
Care for the Change That Changes Everything
Pregnancy, birth, and postpartum life can bring profound change to your body, identity, relationships, and sense of safety. Joy can exist beside fear. Gratitude can exist beside grief.
At Guiding Hope, perinatal mental health is not a side note. Our work includes pregnancy anxiety, postpartum anxiety, postpartum depression, birth trauma, and the wider emotional experience of becoming a parent.
Who We Help
Therapy That Meets the Person, Not Just the Problem
Therapy for Adults
A thoughtful space for anxiety, depression, trauma, transitions, relationships, and the demands of adult life.
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Couples Counseling
Online support for couples who want to understand patterns, communicate more clearly, and approach strain together.
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Therapy for Teens
Developmentally aware support for teens navigating emotions, identity, relationships, school, and change.
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Pregnancy & Postpartum Therapy
Focused care for the emotional complexity of pregnancy, birth, postpartum life, and becoming a parent.
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LGBTQIA+ Affirming Therapy
Affirming online care that makes room for identity, context, relationships, anxiety, and the whole person.
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Put Words to What Has Been Hard to Carry
You do not need to arrive with the perfect label. Explore the concerns our clinicians work with, then begin with a conversation about your experience.
Anxiety & High Functioning Anxiety
Support for worry, overthinking and constant tension.
Trauma & PTSD
A careful, paced approach to trauma and PTSD.
Pregnancy Anxiety
Space for persistent worry and fear during pregnancy.
Postpartum Anxiety
Support when vigilance and dread overshadow the postpartum period.
Depression & High Functioning Depression
Care for heaviness, disconnection and low motivation.
Grief & Loss
Room to process loss without forcing a timeline.
Birth Trauma
Compassionate support when birth felt frightening or disempowering.
Postpartum Depression
Support for sadness, numbness and disconnection after birth.
Find Your Therapist
Start With What Matters to You
Filter by the concern you want to address, who a clinician works with, and the language you want to be understood in. A consultation can help clarify fit.
Showing 5 of 5 clinicians
Adults
Getting Started
Online Care, Wherever You Are in Texas
Guiding Hope is a virtual-only practice. Begin with a free consultation to ask questions and explore fit.
Serving clients across Texas
Aetna
Blue Cross Blue Shield
UnitedHealthcare
Coverage and benefits vary by plan. Self-pay is welcome. Ask about current self-pay rates during your free consultation; provisionally licensed clinicians offer a lower-cost option.
Insurance and Payment
Free Consultation
Choose a Time to Talk
Schedule a free consultation to ask questions, share what you are looking for, and explore clinician fit.
Monthly Newsletter
A Thoughtful Note, Once a Month
Join for occasional reflections and practice updates from Guiding Hope.
Scheduling
Evening and Weekend Appointments
Ashley Gutierrez, LPC-Associate, offers evening and weekend telehealth, as well as daytime appointments. Erika Wilson, LMFT-Associate, offers evening appointments. Ask about current openings during your free consultation.
Evening and Weekend Therapy