Therapy in Austin, Texas

Straightforward, strategic therapy for individuals, couples and families navigating relationship conflict, difficult decisions and major life transitions.

Karey's work combines clinical training with the ability to see patterns, incentives and relationships as parts of a larger system. Before becoming a therapist, Karey spent more than two decades building and selling businesses, where conflict, competing interests and consequential decisions were part of the work. As the parent of a large blended family, she also understands that relationships and family problems rarely fit neatly into categories. About Karey 

Karey Swartwout, LPC - West Lake Hills in Austin, Texas

Professional Perspectives

"Karey helps clients make better decisions. I refer people to her during some of the most tumultuous periods of their lives."
Family Law Attorney

"I would trust Swartwout Group with my own family. Karey listens carefully and helps patients make sense of situations that can feel overwhelming." 
Physician Partner 

"She slows the moment down and helps clients reconnect with what matters. They leave with a much clearer understanding of what's really going on."
 Clinical Psychologist

How We Help

People often seek therapy when an important part of life has become difficult to understand or navigate. We work with individuals, couples and families facing relationship conflict, separation or divorce, complex family challenges, grief and loss, anxiety, trauma, and significant personal or professional transitions. Our work focuses on understanding the forces shaping the situation, developing greater perspective, and determining what may need to change.


Our Practice

Swartwout Group offers in-person sessions in the West Lake Hills of Austin and virtually throughout Texas. We offer an easy-to-schedule consultation to answer any questions you might have about our services.

Couple sitting by the lake in Austin, Texas