Nicole Spotts, M A, L PC

Nicole Spotts, M A, L PC is a therapy practice led by Nicole Lansbery, LPC-S, LMFT-S, offering Dialectical Behavior Therapy, family systems therapy, and supervision in Austin, Texas. The business provides services both in person at its Austin location and via telehealth to clients anywhere in Texas. It specializes in helping individuals with emotional dysregulation, Borderline Personality Disorder, and families navigating high-conflict divorces.

The practice offers a structured intake process where clients first speak with Kristina, the office manager, before booking a 90-minute initial session. After the first session, ongoing therapy involves homework, learning coping skills, and relentless problem solving. The engagement does not have a fixed end date, tapering off when the client feels steadier with the option to return later.

Clients can choose between standard Dialectical Behavior Therapy (DBT) or Radically Open DBT (RO-DBT) depending on their specific needs. The practice also utilizes SPACE for parents of children with severe anxiety or OCD, and New Ways for Families frameworks for co-parenting support. RO-DBT is specifically adapted for those struggling with overcontrol, treatment-resistant depression, or severe perfectionism.

The practice primarily serves young adults who have 'failed' other treatments for emotional dysregulation and impulsive behaviors, as well as the families around them. It also supports parents dealing with a child's failure to launch, severe anxiety, or emotional outbursts. High-conflict divorce cases, including court-involved families and blended-family transitions, are another key focus area.

The initial contact with Kristina is free, followed by a 90-minute session costing $300. Subsequent individual and family sessions last 50 minutes and cost $200. The practice operates on a non-judgmental, collaborative stance where the client is viewed as the expert on their own life.

The practice is located at 8400 N. Mopac Expy, Ste. 301, Austin, TX 78759, and can be reached at (512) 960-9782 or admin@austintherapycounseling.com. In-person sessions are available on Tuesdays, Wednesdays, and Fridays, while telehealth-only sessions occur on Thursdays.

The practice has been operating for over 15 years on the same Dialectical Behavior Therapy team. Nicole Lansbery holds credentials as a Licensed Professional Counselor Supervisor and Licensed Marriage and Family Therapist Supervisor in Texas. She also provides board-approved supervision for LPC-A and LMFT-A associates.

Reviewers consistently praise the therapist for being understanding, empathetic, and creating a comfortable, non-judgmental environment. Clients feel valued, heard, and supported during their sessions, often describing the experience as one of the best therapy experiences they have had.

The practice emphasizes a judgment-free, inclusive space that welcomes clients of all backgrounds, identities, and experiences. It operates under HIPAA regulations and professional ethical standards to ensure privacy and safety for all clients.

The practice offers a specialized step-down therapy program designed for the critical transition home from a hospital, Residential Treatment Center, or IOP. This service works alongside psychiatrists and treatment centers to provide a seamless continuum of care for clients and their families.

The practice provides DBT consultation and case conceptualization for complex family systems, in addition to guest lecturing for group practices and clinical training programs. This supervision and consultation service is available for LPC-A and LMFT-A associates in Texas.

The practice uses a collaborative approach where the therapist and client set the agenda together, balancing digging in with breathing when needed. It is honest about fit, meaning the therapist will refer clients elsewhere if they feel another provider would serve them better.

The practice explicitly states that it cannot monitor messages around the clock and advises clients in crisis to call or text 988. This Suicide & Crisis Lifeline is available 24/7 for immediate support if urgent help is needed.

The practice uses a structured, non-rigid approach that includes learning coping skills and relentless problem solving. It is designed to be a safe place where clients can be fully, messily human without fear of judgment.

The official website of Nicole Spotts, M A, L PC is nicolespotts.com.