As a licensed therapist in Texas, I specialize in supporting individuals navigating complex emotional landscapes. My practice centers on helping clients address challenges related to depression, relationship dynamics, trauma recovery, and LGBTQ+ experiences. I offer a compassionate, affirming approach that honors each person's unique journey and identity.
My therapeutic work focuses on addressing diverse concerns including communication difficulties, isolation, shame, panic disorders, attachment issues, and workplace stress. I am particularly committed to supporting individuals through life transitions, relationship complexities, and personal healing processes.
Drawing from evidence-based practices, I create a supportive environment where clients can explore their experiences, develop resilience, and cultivate meaningful personal growth. My approach is collaborative, respectful, and tailored to meet the individual needs of each person who seeks support.
Additional areas of focus:Stress, Anxiety, Addictions, Grief, Intimacy-related issues, Sleeping disorders, Anger management, Career difficulties, Coping with life changes, Coaching, Compassion fatigue, Abandonment, Aging and geriatric issues, Antisocial personality, Attachment issues, Blended family issues, Cancer, Caregiver issues and stress, Chronic pain, illness, and disability, Codependency, Communication problems, Control issues, Coping with natural or human-caused disaster, Dependent personality, Dissociation, Divorce and separation, Domestic violence, Drug and alcohol addiction, Family of origin issues, Family problems, Guilt and shame, Infidelity, Isolation / loneliness, Men's issues, Midlife crisis, Money and financial issues, Mood disorders, Narcissism, Panic disorder and panic attacks, Post-traumatic stress, Sexual assault and abuse, Sexuality, Traumatic brain injury, Visually impaired, Workplace issues
These quotes represent just a few of the many positive reviews that we have received for Brian Couch. We don't pay anyone to provide their review and they are all made voluntarily. Some people's experience receiving therapy with BetterHelp might be different.
Brian is very knowledgeable and calming. He gives you tools to help you get yourself through the week and grow as a person. I couldn’t recommend him enough.
Written on Feb 17, 2026 after therapy with Brian for 2 months on issues concerning stress, anxiety, relationship issues, family conflicts, trauma and abuse, grief, intimacy-related issues, and coping with life changes
Brian has been a great to work with. He's always very open to everything I want to delve into and he gives me plenty of space and time to open up which makes me feel like he really cares rather than this just being another job to clock in and out of. His support, attentiveness and patience helps me open up and I appreciate him for being there for me like he has.
Written on Nov 02, 2025 after therapy with Brian for 1 year and 6 months on issues concerning depression, stress, anxiety, relationship issues, family conflicts, trauma and abuse, grief, anger management, and adhd
I feel very free to share any thoughts on any topic with no judgment.
Written on Jul 23, 2025 after therapy with Brian for 1 year and 6 months on issues concerning depression, stress, anxiety, lgbt, relationship issues, grief, and eating disorders
Brian is great. I feel that he understands where I’m coming from and he supports me.
Written on Jun 18, 2025 after therapy with Brian for 1 year and 9 months on issues concerning depression, stress, anxiety, addictions, trauma and abuse, grief, sleeping disorders, self esteem, and career difficulties
Brian helped me through some rough times and gave me information and tools on how to cope with the issues I faced. Wonderful listener and related to me well. Was like talking to an old friend.
Written on Jun 02, 2025 after therapy with Brian for 2 months on issues concerning depression, stress, anxiety, relationship issues, grief, parenting issues, anger management, and coping with life changes
Brian is a really empathetic counselor. He does a great job of allowing me to be vulnerable and explore past traumas while providing a judgment free zone. He has given great tips and resources to help identify some of my coping mechanism and negative responses without beating me over the head with them.
Written on Jun 02, 2025 after therapy with Brian for 2 months on issues concerning depression, stress, anxiety, addictions, family conflicts, anger management, bipolar disorder, and adhd
Very empathetic and always on time. Brian is understanding.
Written on Feb 26, 2025 after therapy with Brian for 2 weeks on issues concerning grief
Brian has been amazing in my work towards dealing with of difficult life events, and life-long struggles that really fell through the cracks with family and other licensed professionals over the years. His experience with specific issues, topics, and demographics fit perfectly with my needs and has helped me navigate confusing and complicated social situations.
Written on Nov 28, 2024 after therapy with Brian for 11 months on issues concerning depression, stress, anxiety, lgbt, family conflicts, eating disorders, self esteem, anger management, career difficulties, coping with life changes, coaching, and adhd
Easy to talk to and shows concerns to my issues. I am confident that I will be better person!
Written on Nov 24, 2024 after therapy with Brian for 2 weeks on issues concerning stress, anxiety, relationship issues, family conflicts, parenting issues, and anger management
I couldn't have been paired with a better therapist than Brian. I appreciate how attentive Brian is, as well as offering coping mechanisms, skills, and alternate perspectives to help me be the healthiest, most mindful version of myself as possible. I look forward to our weekly sessions and I always leave our sessions feeling lighter and armed with the skills I need to take on the world. I am extremely grateful.
Written on Oct 31, 2024 after therapy with Brian for 2 months on issues concerning depression, stress, anxiety, addictions, relationship issues, trauma and abuse, intimacy-related issues, self esteem, and coping with life changes
Brian has been an incredible support, providing detailed notes on my issues and helping me understand what to watch for. He guided me through difficult conversations with care and clarity, making the process much easier. I’m truly grateful for his thoughtful approach and support.
Written on Sep 05, 2024 after therapy with Brian for 2 weeks on issues concerning depression, stress, anxiety, lgbt, relationship issues, coping with life changes, and adhd
Brian is truly wonderful! I feel very lucky to have him as my therapist. He listens and gives excellent feedback! He also sends exercises that help you outside of your session. I would recommend him 10000x more if I could!
Written on Jul 26, 2024 after therapy with Brian for 1 year and 9 months on issues concerning depression, stress, anxiety, lgbt, relationship issues, trauma and abuse, intimacy-related issues, self esteem, career difficulties, coaching, and adhd
Brian is so easy to talk to. He makes me feel so safe and valued. He has messaged me back every time I have reached out in less than 15 minutes. He is positive and caring and completely authentic. I KNOW that he wants to help me with all I am dealing with. A truly beautiful soul wrapped up in an amazing therapist/counselor.
Written on Mar 19, 2024 after therapy with Brian for 2 weeks on issues concerning depression, stress, anxiety, addictions, trauma and abuse, grief, eating disorders, sleeping disorders, self esteem, anger management, coping with life changes, and compassion fatigue
Brian has been a great therapist, and I appreciate his efforts and constant reassurance to help me work through my internal conflicts!
Written on Mar 13, 2024 after therapy with Brian for 2 weeks on issues concerning depression, stress, anxiety, lgbt, relationship issues, trauma and abuse, intimacy-related issues, and compassion fatigue
Brian has been great! I highly recommend him. He listens and gives great advice. He is always available if you need help between sessions and he is easy to talk to and not judgemental at all. Highly recommended him!
Written on Jan 31, 2024 after therapy with Brian for 9 months on issues concerning depression, stress, anxiety, relationship issues, family conflicts, trauma and abuse, grief, intimacy-related issues, self esteem, compassion fatigue, and adhd
Brian is a responsive, thorough, attentive person. He is by far my favorite therapist I’ve had. I appreciate his availability and “I” approach to our conversations.
Written on Jan 21, 2024 after therapy with Brian for 5 months on issues concerning stress, anxiety, relationship issues, trauma and abuse, and self esteem
I didn’t have any expectations since this modality is new to me, but I can say that I am really grateful for the help Brian Couch has provided to me. Educational materials, listening to my concerns and providing feedback and guidance to what I am sharing at the moment is really awesome. Also, his commitment to provide help and be there for any of his clients is something to admire. I’d definitely recommend Brian Couch to anybody that is going through difficult situations.
Written on Jan 14, 2024 after therapy with Brian for 3 weeks on issues concerning lgbt, and relationship issues
Brian, has gone above and beyond to help me during such a difficult time. He has been compassionate, understanding, and validating. I don’t know what I would have done without Brian’s help.
Written on Dec 09, 2023 after therapy with Brian for 2 weeks on issues concerning depression, relationship issues, family conflicts, and trauma and abuse
amazing guy and great advice giver I recommend him to everyone!!
Written on Sep 09, 2023 after therapy with Brian for 2 weeks on issues concerning depression, stress, anxiety, addictions, relationship issues, family conflicts, trauma and abuse, grief, intimacy-related issues, self esteem, anger management, career difficulties, and coping with life changes
He has been a great therapist and good support in my journey to recovery. I am glad to have had him help me in this process to sobriety and understanding my place in this life and achieving a direct encounter with God's love.
Written on Jun 24, 2023 after therapy with Brian for 4 months on issues concerning stress, anxiety, addictions, relationship issues, trauma and abuse, sleeping disorders, career difficulties, coping with life changes, and compassion fatigue
Brian is the first therapist in which I know, each meeting, my I will have new tools, new insight or even conquer that objective. I am grateful to have a therapist that I do not ‘talk to’ but ‘talk with’ I trust his expertise and he communicates in a way that is conversational, relatable and caring. There is always room to grow, and feeling the movement/progress along the way is quite powerful. Thank you, Brian!
Written on Apr 03, 2023 after therapy with Brian for 2 months on issues concerning depression, stress, anxiety, addictions, relationship issues, family conflicts, trauma and abuse, and coping with life changes
It's like he knew was in my head, knew my feelings, and experiences, before I could even describe them. Very reassuring and glad to know I wasn't alone in my journey. Highly recommend.
Written on Mar 16, 2023 after therapy with Brian for 1 month on issues concerning relationship issues, family conflicts, trauma and abuse, intimacy-related issues, and anger management
This is my first go about receiving therapy sessions online, and in general. I have made phenomenal progress in a short amount of time. There is much to still overcome and grow upon, but I am very thankful and pleased with the integrity and support through 'Better Help.com' and Brian (Therapist). I am a work in progress, but willing to take on such positive work. It's very much worth it. Thank you!
Written on Mar 14, 2023 after therapy with Brian for 1 month on issues concerning depression, stress, anxiety, addictions, relationship issues, trauma and abuse, intimacy-related issues, sleeping disorders, anger management, career difficulties, coping with life changes, and adhd
Brian is a great therapist. He will listen and offer advise then he will provide you with worksheets which he is very glad to discuss in detail.
Being paired up with Brian was a Godsend.
Written on Mar 02, 2023 after therapy with Brian for 2 weeks on issues concerning relationship issues, grief, sleeping disorders, and anger management
Brian is kind and patient. He is extremely supportive and takes more of a humanistic approach than solution oriented so if you’re looking for a kind ear to help you guide your own conclusions, he is your guy. Also, incredibly validating when it comes to narc abuse and all of the cycles that occur.
Written on Jan 09, 2023 after therapy with Brian for 4 months on issues concerning stress, anxiety, relationship issues, trauma and abuse, grief, intimacy-related issues, parenting issues, and adhd
Responds fast and is very experienced in the family issues I have experienced.
Written on Oct 14, 2022 after therapy with Brian for 2 weeks on issues concerning depression, stress, anxiety, grief, intimacy-related issues, parenting issues, anger management, compassion fatigue, and adhd
Brian has been so helpful with my post breakup. I am thankful for his help.
Written on Oct 05, 2022 after therapy with Brian for 1 month on issues concerning depression, stress, anxiety, lgbt, relationship issues, family conflicts, self esteem, and coping with life changes
Brian tries to help without forcing too much
Written on Sep 20, 2022 after therapy with Brian for 3 weeks on issues concerning lgbt, intimacy-related issues, and coping with life changes
He is very understanding and helpful
Written on Sep 17, 2022 after therapy with Brian for 2 weeks on issues concerning depression, stress, anxiety, lgbt, relationship issues, trauma and abuse, intimacy-related issues, sleeping disorders, self esteem, bipolar disorder, coping with life changes, and adhd
They are patient and understanding they challenge me to be better without breaching sensitive boundaries
Written on Sep 16, 2022 after therapy with Brian for 2 weeks on issues concerning depression, stress, anxiety, addictions, relationship issues, trauma and abuse, intimacy-related issues, and self esteem
Brian is a very respectful and understanding therapist. He always contacts me back in a timely manner and he continues to check in on me throughout the week.
Written on Sep 09, 2022 after therapy with Brian for 2 weeks on issues concerning depression, stress, anxiety, relationship issues, and self esteem
Very professional, down to earth, and always available!
Written on Sep 07, 2022 after therapy with Brian for 2 weeks on issues concerning depression, stress, anxiety, addictions, lgbt, relationship issues, trauma and abuse, and self esteem
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