Services of Swartwout Group - Therapy & Clinical Consultation for Adults in Texas

We can help.

Real change takes work, but it’s possible and we see it every day.

Services Offered

Our therapy is designed to fit your life and is available online or in person for the following:

Core Treatment Areas:

Stress & Anxiety– Helping individuals manage chronic stress, racing thoughts, emotional burnout, and cycles of addictive or compulsive coping, while developing calm, clarity, and resilience in everyday life.
Life Transitions & Identity Shifts – Supporting clients through major life changes, including career shifts, parenthood, midlife challenges, divorce, or rediscovering self-identity.
Depression, Loneliness & Self-Esteem – Guiding individuals struggling with feelings of sadness, isolation, or self-doubt, helping them regain confidence, purpose, and connection.
Professional & Personal Growth – Helping entrepreneurs, professionals, and high-functioning individuals align ambition with well-being, avoid burnout, and create success without sacrificing mental health.
ADHD, Attention Issues & Executive Functioning – Supporting adults and teens with focus, productivity, and managing ADHD-related challenges in work, academic performance, and relationships.
Relationships & Dating– Providing support for communication struggles, modern dating, premarital questions, and navigating separation or divorce with clarity and self-respect.
Grief, Loss & Transitions – Helping clients process grief, loss, or major life shifts, including postpartum depression, identity shifts in parenting, and navigating reinvention and the aging process.
Trauma, PTSD & Breaking Generational Patterns – Working through past trauma, family dynamics, and emotional wounds that shape behavior, relationships, and self-perception.

Therapeutic Approach

Therapy with Karey is a collaborative space for people ready to start making meaningful shifts. Her warm approach combines clinical rigor with wisdom, drawing from evidence-based practices, including CBT, psychodynamic therapy, somatic tools, and trauma-informed care.

The work is always tailored to your specific goals and story and is about helping you reconnect with what matters most: yourself, your values, and the kind of life you want to live.

Evidence-Based & Insight-Driven Methods

Psychodynamic Therapy – Exploring unconscious patterns, early life experiences, and emotional blind spots that shape present-day behavior, relationships, and decision-making. Ideal for clients dealing with self-sabotage, generational patterns, and emotional struggles they can’t quite explain.
Cognitive Behavioral Therapy (CBT) – Helping clients reframe negative thought patterns, reduce anxiety, and manage depression by challenging automatic thoughts and replacing them with healthier perspectives.
Dialectical Behavior Therapy (DBT) – Helping clients build emotional resilience, reduce reactivity, and improve relationships by developing skills in mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.
Somatic / Sensorimotor Therapy – Integrates body awareness into the healing process to help clients release stored tension, regulate the nervous system, process chronic pain, and build a sense of safety. Supports trauma recovery, stress resilience, and mind-body connection.
Emotion-Focused Therapy (EFT) – Strengthens clients’ ability to identify, understand, and process emotions in a supportive environment. Builds emotional resilience, increases self-compassion, and improves relational connection.
Trauma-Informed Therapy – Addressing past trauma, PTSD, and unresolved emotional wounds while rebuilding a sense of safety, control, and self-trust.
Humanistic / Person Centered Therapy – Promotes self-trust, clarity, and growth by creating a nonjudgmental space rooted in empathy, authenticity, and unconditional positive regard. Encourages clients to reconnect with their values and inner strengths.
Executive Function Coaching (for ADHD & Focus Issues) – Teaching practical strategies for time management, decision-making, emotional regulation, and focus, especially for overwhelmed professionals and busy parents.
Narrative Therapy & Self-Identity Work – Helping clients reframe personal stories and rewrite limiting beliefs, particularly in life transitions, grief, divorce, career shifts, and rediscovering self-worth. Especially helpful for those navigating relational disconnection, identity concerns, or cultural stressors.

Fees

Individual therapy (50 minutes): $90

Couples therapy: $150

I am an out-of-network provider. Payment is due at the time of service and superbills are available for those seeking potential insurance reimbursement.