Doing it alone is optional

Book an appointment with Thomas A Grugle MD

My doctor just keeps throwing more pills at me. Isn’t there a way to deal with depression without taking all of this medicine?

What if I want to get pregnant. Can I stay well without taking medication?

My counselor talks more about herself than she listens to me!

Not again – awake at 2 AM and my mind won’t stop churning. Too much anxiety!

Maybe I get too close to people too fast and I always wind up getting hurt.

I just can’t control my emotions – I want a normal life!

What did I do last night? I said it wouldn’t happen again, but here I am waking up… somewhere else.

Maybe just a little more coke to help me get going, then I’ll quit.

Its not that bad, I can control it.

Crap – late for work again.

If only there was someone I could talk to about all this.

Are you ready to change?

To find the joy in life, the passion in relationships, and true success?

Psychotherapy with an expert can help you find your way.

Psychotherapy is not easily described in general statements.

It varies depending on the personalities of the psychotherapist and patient, and the particular problems brought forward. There are many different methods used to deal with the problems that you hope to address. 

Psychotherapy is not like a typical medical doctor visit. Instead, it calls for a very active effort on your part. In order for the therapy to be most successful, you will have to work on things talked about both during our sessions and at home. 

Psychotherapy can have benefits and risks. Since therapy often involves discussing unpleasant aspects of your life, you may experience uncomfortable feelings like sadness, guilt, anger, frustration, loneliness, and helplessness. Sometimes a patient makes a decision that is positive for him or her, but may be viewed negatively by another family member. 

On the other hand, psychotherapy has also been shown to have substantial benefits. Therapy often leads to better relationships, solutions to specific problems, and significant reductions in feelings of distress. But it is important to understand that there are no guarantees of what you will experience. 

Therapy involves a large commitment of time, money, and energy, so you should be very careful about the therapist you select. If you have questions about our procedures, you should discuss them with me whenever they arise. If your doubts persist, I will be happy to help you set up a meeting with another mental health professional for a second opinion. 

Read More about The Talking Cure

Read more about making progress in psychotherapy.


The view from The Couch.

How do I get started?

Navigate to the Contact and Scheduling page and follow the simple steps to get registered. I’ll want to have a brief telephone chat with you to be sure your treatment goals align with my practice.

Read more about scheduling

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Read more about New Patient FAQ

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If you are in crisis,

The Texas Health Behavioral Health help line is open 24 hours a day, seven days a week: (682) 236-6023

The information contained on this web site is for education and entertainment purposes only. Nothing contained herein should be construed to be medical advice.

Anyone with an emotional or medical problem should consult a qualified physician as soon as possible. While the articles and communications by members of the CyberCouch staff are thought to be accurate at the time of writing, no guarantee is made that the articles or information may be suitable for any purpose, and certainly should not be used to diagnose or treat any illness, emotional or physical.

Visitors to The Cybercouch web site must understand that the world wide web is a vast collection of pages, most of which are outside of the control of The Cybercouch staff. Therefore, users should  be aware that, although text or graphics may appear within the windows of the web site (including advertisements), the information may not have originated by anyone associated with The Cybercouch, and in fact may originate from anywhere in the world. As such, the Cybercouch staff are not responsible for and do not endorse any information accessible through the web site, with the exception of articles written specifically by the staff.

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Original material on The Cybercouch is copyright by Thomas A Grugle.