Threshold Counseling PLLC

Reaching this point is a powerful first step. I support individuals navigating C-PTSD, moral injury, identity, and desire with kink-conscious, trauma-informed, and culturally competent care, offering a holistic path to healing. In addition to my work, I specialize working with first responders and frontline professionals.
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Offers Telehealth
Appointments
Accepts
Online Payments
Accepting New
Clients

About

I help clients reconnect with themselves through curiosity, compassion, and the belief that self-study can be deeply transformational. With 15 years in law enforcement—I bring a grounded understanding of the unique challenges faced by first responders and high-risk professionals. As a therapist in Texas, I specialize in trauma, PTSD, critical incidents, moral injury, and life transitions. My approach is rooted in Self-Reconciliation Therapy (SRT), a modality focused on integrating fragmented parts of the self to support holistic, lasting healing. I also provide advocacy and peer-informed consulting for those navigating the confusing and isolating aftermath of on-the-job injuries. As a Certified Kink Conscious and sex-positive therapist, I offer a nonjudgmental space to explore identity, relationships, power, and pleasure. I believe that healing happens when we approach even our most difficult emotions with curiosity—not shame. Whether you're navigating trauma, identity, or complex relational dynamics, I support clients in moving toward integration, embodiment, and greater self-trust.
Leilani Ramos (M.S.) LPC Associate
Supervised by: Theresa Jamerson LPC-S

Services

  • Anxiety
  • Depression
  • Trauma
  • Divorce
  • Self Esteem
  • Sex Therapy
  • Emotional Disturbance
  • Infidelity
  • Compulsive Behavior
  • Open Relationships/Polyamory
  • PTSD
  • Sexual Addiction
  • Work Stress
  • Kink/Diverse Sexualities

Approaches

  • Internal Family Systems (IFS)
  • Dialectical (DBT)
  • Mindfulness-Based Cognitive Therapy (MBCT)
  • Person-Centered
  • Solution Focused Brief (SFBT)
  • Reality Therapy
  • Jungian Therapy

Fees

  • Psychotherapy 60 minutes: $120
  • Consultation 30 minutes: $60
  • Somatic & Integrative Kink Conscious Coaching: $250
  • Public Service Coaching 75 minutes: $250
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