I work with adult individuals aged 21 and up. My practice is focused on helping adults navigate challenges such as anxiety, trauma, grief, and life transitions.

I don’t offer counseling for couples, families, children, or adolescents. If that’s what you’re looking for, I’d be glad to point you toward other trusted providers who specialize in those areas. My goal is to make sure you find the right kind of support for your needs, even if that isn’t with me.

Yes, I offer in-person therapy sessions at my office in The Atrium Building, located at:

85 NE Loop 410, Suite 223

San Antonio, TX 78216

For directions and details about finding my office, please see the “Office Location” section above.

Benefits of Meeting In Person

Many clients find that sitting together in the same space creates a different kind of connection and presence. Being physically in the room can feel grounding and safe, which can be especially helpful when processing difficult emotions or trauma.

In-person sessions also remove the stress of technology. There is no need to worry about internet connections, audio issues, or finding privacy at home. My office is designed to be a calm, comfortable space where you can fully focus on your healing without outside distractions.

Flexibility for Your Needs

Some clients prefer to begin in person to establish our relationship and later switch to online sessions for convenience. Others start virtually and then choose to come into the office for deeper work. We can always talk through what feels best for you and adjust as your needs change.

Whether you choose in-person or online sessions, you will receive the same quality of care and attention. What matters most is that you feel comfortable and supported in the format that works best for your healing journey.

My office is located in The Atrium Building at:

85 NE Loop 410, Suite 223

San Antonio, TX 78216

When you arrive, you’ll find my office on the second floor, directly across from the escalator. It’s easy to spot once you get upstairs.

View Location on Google Maps

The Atrium Building offers convenient parking and is fully ADA accessible, including elevators and accessible restrooms. The building is easy to access from Loop 410.

If you have any trouble finding the office or need extra directions on the day of your appointment, please feel free to call or text me.

Online therapy with me is simple, secure, and just as effective as meeting in person. I use a HIPAA-compliant platform called Doxy.me, which protects your privacy and makes connecting easy.

How It Works

Before your session, I’ll send you my secure link: https://doxy.me/caseytullylpc. You don’t need to download anything or create an account. Just click the link at our appointment time.

When it’s time to meet:

• Choose a quiet, private space where you won’t be interrupted

• Make sure your internet connection is stable

• Use a computer, tablet, or smartphone with a camera and microphone

• Click my link a few minutes before your session

• You’ll enter a private virtual waiting room until I join you

What to Expect

Once we’re connected, we’ll see and hear each other just like we would in the office. The platform is simple to use, and if you ever run into technical issues, I’ll help you troubleshoot.

When Online Therapy Might Be Right for You

Many clients choose online therapy for the convenience and flexibility it offers. It can be a great option if:

• You have a busy schedule and need to save travel time

• You live outside of San Antonio or in another part of Texas

• You feel more comfortable opening up from your own space

• You prefer the option of attending sessions while traveling (within the state of Texas) or from home

Online therapy gives you the same level of care, connection, and attention as in-person sessions, with the added benefit of meeting wherever you feel most comfortable. If you’d like to test the technology before your first appointment, just let me know and we can do a quick run-through together.

Most therapy sessions are 55 minutes.

If you are doing Accelerated Resolution Therapy (ART), sessions are scheduled for 90 minutes so there is enough time to complete the full protocol without rushing.

Your first session will be about 55 minutes long. This first session is an opportunity for us to get to know each other and for you to share what has been weighing on you.

Before we begin

We’ll start with consent forms, privacy policies, and any questions you may have about how therapy works. This usually takes about 10 to 15 minutes and helps you feel informed and secure.

Getting to know you

Most of the session will be spent learning about you. I’ll ask what brought you to therapy, what you’re hoping to change, and what your life looks like right now. You’re welcome to share as much or as little as feels comfortable.

No pressure

There’s no expectation to go straight into your deepest struggles. Some people are ready to open up quickly, while others prefer to ease in. Both are completely normal, and we will move at your pace.

What I’m listening for

As you share, I’ll be looking for the best ways to support you and which therapeutic approaches may fit your situation. I’ll also begin to understand your goals and what healing might look like for you.

Your role in the process

Therapy is a process, not a quick fix. Real progress often comes from what happens between sessions, such as practicing new skills, reflecting on our conversations, and applying what you’re learning in daily life. Your engagement outside of sessions plays a big part in the change you will see.

Questions and next steps

Toward the end of the session, we’ll talk about how often to meet and what our work together might look like. I’ll answer any questions you have so you leave feeling clear and confident about moving forward.

A two-way process

This first session is also for you to decide if I feel like the right fit. My hope is that you leave feeling heard, understood, and hopeful about the path ahead.

There’s no set timeline because your healing journey is uniquely yours. Some people feel relief after just a few sessions, while others choose to stay longer to work through deeper challenges or to have steady support during different seasons of life. All paths are completely valid.

Therapy is a process, not a quick fix. Real change often comes from what happens between sessions such as practicing new skills, reflecting on our conversations, and applying what you’re learning in daily life. Your effort and engagement matter, and I’ll be right alongside you as you take those steps.

We’ll check in regularly about how you’re feeling and whether therapy is still serving you well. My goal is for you to feel supported, heard, and equipped with tools you can carry forward, whether we work together for a short time or for as long as you find it helpful.

No, I do not prescribe medication. As a Licensed Professional Counselor, my role is to provide talk therapy and other evidence-based counseling approaches. If medication might be helpful for you, I can coordinate with your primary care provider or a psychiatrist to support a team approach to your care. Many clients benefit from a combination of therapy and medication, while others find therapy alone is enough. We can talk through your options together and decide what feels best for you.

My business hours are Monday through Thursday from 9:00 AM to 5:00 PM. I also offer Friday appointments between 9:00 AM and 12:00 PM.

To schedule an appointment, simply send me a message through the contact form on this website. Once I hear from you, I’ll reach out to set up a free 15-minute consultation call. This gives us a chance to talk about what you’re looking for, answer any questions, and see if we feel like a good fit before scheduling your first session.

If you’re hoping for a late afternoon appointment, especially around 5:00 PM, please keep in mind that those spots are in high demand and often book up quickly.

I respond to all messages within 1–2 business days.

I want you to know that I care deeply about your safety. However, I am not a crisis provider and cannot guarantee immediate availability outside of scheduled sessions.

If you are ever in crisis or feel unsafe, please do not wait for your next appointment. Instead:

• Call 911 or go to your nearest emergency room if you are in immediate danger

• Call or text 988 to connect with the Suicide and Crisis Lifeline, available 24/7

• If you live in Texas, you can also dial 211 to be connected with local mental health resources

Between sessions, if you are struggling but not in immediate crisis, please reach out to these resources for support until we are able to meet again. When we do meet, we can process what happened together and find ways to support your ongoing safety and stability.

Your investment:

Intake Session (New Client): $150

Individual Therapy Sessions (Established Client): $130

A valid credit card must be kept on file at all times. This allows session fees, copays, and any applicable charges to be processed securely through my HIPAA-compliant system.

Payment Options

Private Pay

Private pay may be the best option if you do not have insurance or if you would like more control over how often and how long you attend sessions.

Sliding Scale

A limited number of sliding scale spots are available for those experiencing financial hardship. If you are interested, please bring this up during our free consultation call.

Insurance

I currently accept the following insurance plans:

• Aetna

• Ambetter

• Blue Cross Blue Shield

• Cigna

• Optum

• UMR

• United Healthcare

Out-of-Network Insurance

If your insurance is not listed, I can provide you with a “superbill” to submit to your insurance company for possible reimbursement. Many clients who file their own claims are reimbursed for individual therapy at rates between 50 and 80 percent.

Additional Options

I also accept payment through HSA and FSA accounts.

Cancellation and No-Show Policy

I value your time and set aside your appointment specifically for you. If you need to cancel or reschedule, please give at least 24 hours’ notice.

Appointments canceled with less than 24 hours’ notice, as well as missed appointments (no-shows), will be charged a $75 fee. This fee cannot be billed to insurance and will be charged directly to the card on file.

Questions?

If you are unsure about your insurance coverage or which payment option may work best, I am happy to help verify your benefits and talk through your options during our free 15-minute consultation call.

You have the right to receive a Good Faith Estimate explaining how much your care will cost.

Under the law, health care providers must give patients who do not have insurance, or who are not using insurance, an estimate of the expected bill for medical items and services. For therapy, this means you are entitled to a clear outline of what sessions are likely to cost before you begin services.

Your Rights

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs such as medical tests, prescription drugs, equipment, and hospital fees (if applicable).

• You should receive a Good Faith Estimate in writing at least one business day before your scheduled service. You can also request a Good Faith Estimate at any time.

• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the charge.

• Be sure to keep a copy or picture of your Good Faith Estimate for your records.

How It Works in Therapy

For clients paying out of pocket, I will provide you with a written estimate before services begin. This estimate will include the session fee and the total expected cost of treatment based on the frequency and length of sessions we discuss together. The estimate is not a contract, and your actual costs may be more or less depending on your needs and how many sessions you choose to attend

Example:

If your session fee is $130 and you choose to attend therapy once a week for three months (about 12 sessions), the total cost would be approximately $1,560. If you attend fewer or more sessions, the total cost will change accordingly.

More Information

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-985-3059.

This section covers important legal and ethical information about counseling services with me. Please take a moment to read through so you know your rights, protections, and what to expect.

Complaints

As a Licensed Professional Counselor in Texas, I am regulated by the Texas Behavioral Health Executive Council (BHEC) and the Texas State Board of Examiners of Professional Counselors. If you ever have concerns about professional misconduct, you have the right to file a complaint.

Phone: 1-800-821-3205

Address: Texas Behavioral Health Executive Council, 1801 Congress Ave., Ste. 7.300 | Austin, TX 78701

Austin Office Phone: (512) 305-7700

For full details about your privacy rights and state requirements, please see the Texas Health & Human Services privacy summary here: https://www.dshs.texas.gov/notice-privacy-practices

Scope of Practice

I am licensed in the state of Texas, which means I can only provide counseling to people who are physically located in Texas, either in person at my office or through secure telehealth.

If your needs fall outside of my training or scope of practice, I will be upfront with you and offer appropriate referrals.

If you are working with another therapist for long-term care but would like to see me for short-term or specialized work, my ethics code requires me to coordinate with your ongoing provider with your written consent.

Confidentiality

Everything we talk about in session is private, with a few exceptions required by law. These include situations where there is risk of serious harm to yourself or others, suspected abuse or neglect of a child, elder, or person with a disability, or if I am ordered by a court to release records.

You have the right to access your clinical records. In some cases, I may provide a treatment summary rather than raw session notes to protect your privacy and clinical context.

Your Rights

You can end therapy at any time. If you choose to do so, I will provide referrals to help you transition smoothly.

If you have concerns about our work together, please bring them up so we can address them directly.

Emergencies and Crisis Services

I am not a crisis provider and cannot guarantee immediate availability outside of scheduled sessions.

If you are in crisis or need urgent help, call 911 or go to your nearest emergency room. You can also call or text 988 to connect with the Suicide and Crisis Lifeline.

If you are in Texas, you may also call 211 for local mental health resources.

Between sessions, I encourage you to use these crisis services if you need immediate support.