Threshold Counseling PLLC

You don't lack motivation. You're high-functioning and the rock everyone leans on. What’s harder is pinpointing what you truly want, trusting your judgment, and tolerating the uncertainty of tough choices. Together, we uncover your blind spots, cut through second-guessing with direct feedback, and build the clarity to decide with confidence.
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Offers Telehealth
Appointments
Accepts
Online Payments
Accepting New
Clients

About

I’m Leilani Ramos, a licensed mental health counselor (LPC-A), consultant and coach. I work with high-achieving professionals who look like they “have it all together” but are privately struggling with work stress and burnout. You might be juggling a lot of responsibility or feel pressure to keep up appearances. You’re functioning, maybe even excelling, and still feel exhausted, overwhelmed, and unfulfilled. Therapy Approach Therapy works best as a genuine partnership, and while having a safe space to vent offers short-term relief, real healing happens when you feel truly seen, challenged, and supported in making lasting change. My style is warm, direct, and collaborative, a grounded blend of coaching and depth therapy for people who want more than passive listening or endless monologues. Together, we’ll look compassionately at what’s hitting a nerve and why, using Schema Therapy to understand the deep-rooted patterns shaping your thoughts and relationships. Rather than keeping you stuck in old narratives, I offer active feedback, focused presence, and practical tools to help you build self-trust, respond to life with clarity and confidence, and move toward genuine peace of mind. As a Certified Kink-Conscious and sex-positive therapist, I provide a nonjudgmental space to explore patterns, desire, power, pleasure, and relationship dynamics. Healing begins when we meet every part of ourselves, even the parts we’ve been taught to hide, with compassion and acceptance. Solution-focused coaching & Single-Session intensives I offer solution-focused coaching sessions for adults seeking reflection, insight and problem-solving tools. If you feel stuck personally and/or professionally, coaching can be a valuable tool for growth and development. Some people seek me out for coaching as they don’t want ongoing therapy but rather a focused and supportive conversation with someone who can cut through the BS. Sessions have a conversational style and are goal-oriented, making them ideal for people wanting guidance and actionable steps. I am happy to provide single-session intensives for those who prefer this format. The goals, length and price of this session would be discussed in advance. After the intensive, I’m available for a brief follow-up call or email check-in to review your progress and address any additional questions. Coaching sessions are informed by Cognitive Behavioral Therapy, Motivational Interviewing, and psychodynamic principles. While coaching isn’t a substitute for therapy (especially for those working through complex trauma), it can be a meaningful next step towards clarity, support and direction. I get to the point and help you get clear. Our work together will be collaborative, interactive and strategic (no venting or “monologuing” here). If you’re someone who prefers to cut straight to the heart of the matter, we could be a great match - reach out! **First Responder, Agency & Critical Incident Consultation** Are you an active or retired first responder carrying the weight of the job, critical incident stress, or a grueling career pivot? Or are you a public safety agency seeking specialized, culture-competent guidance to better support your personnel? Consultation offers a grounded, informed space to navigate these distinct realities with someone who speaks the language. As a retired police officer, I bring firsthand insight into the unique culture, operational stressors, and institutional hurdles of the uniform. For 1:1, I assist responders navigating post-incident trauma, the exhausting bureaucratic maze of workers’ compensation, and the heavy identity shifts associated with medical retirement or major life transitions. My goal is to equip you with practical, trauma-informed strategies to regain clarity, protect personal boundaries, and move forward with resilience. For Agencies: Leadership, peer support teams, and departments can reach out directly for consultation regarding critical incident debriefing protocols, post-event wellness strategies, trauma-informed organizational support, and practical frameworks to assist injured or medically retiring personnel. Our work is collaborative, confidential, and action-oriented. Sessions can be scheduled as targeted single consultations or ongoing advisory meetings to build actionable tools and institutional resilience. While we address the profound personal and operational toll of high-stress service, this consultation is practical, non-clinical support and is distinct from my therapy practice. No matter your story or where you’re starting from, I’m here to walk alongside you as you move toward clarity, connection, and lasting 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
  • Single Session Solution Focused Coaching: $160
  • Somatic & Integrative Kink Conscious Coaching: $250
  • Public Service Coaching 75 minutes: $250

Location

A street map for office location at El Paso, TX 79924-7423

Threshold Counseling PLLC

El Paso, TX 79924-7423

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