Counseling in English & Spanish · Houston, Texas area

A place to be heard, understood, and supported.

Thoughtful, individualized counseling for the experiences, relationships, and changes that shape your life.

Coach & Wellness lotus logo

We can begin right where you are.

You don’t need to have everything figured out before reaching out.

I’m Judith Ramiro, M.S., LPC, LPC-S, a Licensed Professional Counselor and LPC Supervisor serving the Houston, Texas area. My approach is compassionate, respectful, and collaborative. I meet each person where they are, recognizing that no two people experience life in the same way.

I support teens, adults, and older adults with life transitions, anxiety and stress, mood concerns, relationships, workplace challenges, trauma and generational patterns. I also offer services in English and Spanish.

Counseling can provide a space to slow down, speak openly, understand patterns, and consider the steps you want to take next.

Support shaped around you.

Your experiences, culture, values, and goals help guide the work. We can use approaches such as CBT, mindfulness, person-centered, solution-focused, trauma-informed, strengths-based counseling, and motivational interviewing when appropriate.

01

Individual counseling

One-on-one support for emotions, stress, relationships, life changes, and personal goals.

02

Couples & family counseling

A structured space to explore communication, conflict, boundaries, and different perspectives.

03

Teens & older adults

Care attentive to developmental stage, family circumstances, and the transitions of later life.

04

Workplace wellness

Support around workplace stress, relationships, leadership, burnout, and career changes.

05

Immigration-related assessments

Psychological assessments tailored to the purpose of the evaluation and professional scope. These services are not legal advice or representation.

06

Life transitions & trauma

Explore past experiences and generational patterns at a pace that feels appropriate, and identify meaningful next steps.

There is room for your whole story.

Healing the past. Embracing the present. Building a better future.

  1. We start with you.Talk about what brings you to counseling and what you hope to work toward.
  2. We learn your story.Your relationships, culture, values, and circumstances provide context.
  3. We choose an approach together.Sessions are shaped around your needs and goals, at a meaningful pace.

Grow with support and accountability.

Supervision for developing counselors and Texas LPC Associates.

Ask about supervision

Supervision is a collaborative place to strengthen clinical judgment, professional confidence, and ethical practice. It can be tailored to your stage of development and goals.

  • Clinical skills, case conceptualization, and treatment planning
  • Ethics, boundaries, documentation, and professional responsibilities
  • Multicultural and trauma-informed counseling
  • Challenging situations and professional identity
  • Preparation for independent clinical practice

Supervision is provided within applicable Texas requirements. Confirm current licensure requirements with the Texas Behavioral Health Executive Council.

Know your options before you begin.

Fees and payment expectations are discussed before services begin.

Insurance

Coach & Wellness currently accepts Aetna, Optum, and Blue Cross Blue Shield, depending on your plan and eligibility. Please confirm behavioral health benefits, deductible, copay, coinsurance, and network participation with your insurer.

Self-pay & sliding scale

Self-pay is available. Limited sliding-scale appointments may be offered based on circumstances and availability; please ask if cost is a concern.

Out-of-network benefits

A superbill may be provided when appropriate for you to submit to your insurer. Your insurer determines eligibility and reimbursement; reimbursement is not guaranteed.

Questions before your first visit?

Reach out to discuss fit, availability, and practical details. An initial conversation does not obligate you to begin counseling.

Do you offer telehealth and in-person counseling?

Telehealth may be available when clinically appropriate and subject to availability and applicable requirements. In-person services may be available in the Houston area. Please ask about current options.

Do you provide counseling in Spanish?

Yes. Services are available in English and Spanish.

What happens at the first appointment?

We begin to get to know each other, discuss what brought you to counseling, and explore your goals and whether the services offered fit your needs.

How long and how often are sessions?

Session length and frequency depend on the service, your needs, and circumstances. We will discuss the expected schedule as services begin.

Will my information be confidential?

Information is handled under applicable professional, state, and federal requirements. Legal and professional exceptions to confidentiality are explained during informed consent.

Can I use out-of-network benefits?

Possibly. Ask your insurer whether your plan includes out-of-network behavioral health benefits. A superbill may be available, but reimbursement is not guaranteed.

Ready to take the first step?

You are welcome to start a conversation about counseling, supervision, or the services that may fit your needs.

Email Judith

judith.ramiro@outlook.com
Houston, Texas area · English & Spanish

Emergency & important notice

Coach & Wellness is not an emergency or crisis-response service. If you are experiencing a life-threatening emergency, are at immediate risk of harming yourself or someone else, or require immediate medical or psychiatric attention, call 911, call or text 988, or go to the nearest emergency department.

Messages, emails, and appointment requests are not monitored as an emergency response service. Website information is general and does not create a counseling relationship or guarantee a particular outcome. Services are provided within Judith Ramiro’s professional licensure and applicable Texas requirements.