Accepting new clients · Secure telehealth across Texas
Online therapy for trauma, grief, addiction, and anger
Compassionate, practical counseling with Alexandra “Alex” Holder, LPC, LCDC — supporting teens,
adults, seniors, couples, veterans, active-duty service members, and military families.
Focused care for real-life challenges
Areas of support
Therapy is tailored to your history, current pressures, strengths, and goals — not forced into a generic formula.
Trauma and PTSD
Support for traumatic experiences, reintegration, hypervigilance, emotional shutdown, and patterns that keep the past active in the present.
Grief and loss
Care for prolonged grief, major loss, life transitions, and the difficult work of rebuilding meaning without minimizing what happened.
Addiction and recovery
Whole-person treatment that addresses substance use alongside trauma, emotional distress, relationships, and recurring behavioral patterns.
Anger and regulation
Practical tools to understand triggers, improve emotional regulation, communicate more effectively, and interrupt destructive reactions.
Alex also has experience with a broader range of concerns, including:
Meet your counselor
Alexandra “Alex” Holder
Alex provides supportive, nonjudgmental therapy while remaining focused on meaningful change. Her work
is especially informed by experience with trauma, substance use, grief, anger, military life,
reintegration, and relationship stress. She draws on Acceptance and Commitment Therapy (ACT), Humanistic,
Interpersonal, and Motivational Interviewing approaches, and holds an MS in Addiction Counseling from
Texas Tech University Health Sciences Center.
- LPC
- LCDC
- ADS
- NCC
- CAMS-II
Transparent options
Fees and insurance
Self-pay
$110
Individual session
Couples session: contact for current pricing.
Ask about current sliding-scale availability when scheduling.
Insurance
Alex currently works with selected plans through Headway, including:
- Aetna
- BlueCross BlueShield
- Ascension SmartHealth
- Carelon Behavioral Health
- Cigna and Evernorth
Insurance participation and client responsibility depend on the specific plan. Coverage should be
verified before treatment. Uninsured or self-pay clients may request a Good Faith Estimate of expected
charges.
Common questions
Before your first appointment
Where are sessions available?
Sessions are provided through secure telehealth to clients physically located in Texas at the time of service.
Who does Alex work with?
Alex works with teens, adults, seniors, individuals, and couples, with particular experience supporting veterans, active-duty service members, military families, and people in recovery.
What concerns can we address?
Primary areas include trauma and PTSD, grief and loss, addiction and dual diagnosis, anger management, emotional regulation, relationship concerns, and major life transitions, alongside a broader range of concerns discussed during your consultation.
Is this the same as Sage and Saddle’s holistic services?
No. Clinical Therapy is licensed psychotherapy provided through Sage and Saddle Counseling, PLLC and can be billed to insurance. Acudetox, life coaching, sound baths, and animal-assisted activities are separate, non-clinical services offered through Sage and Saddle, LLC. See our Services page for details.
Is the website contact option appropriate for emergencies?
No. The website and booking system are not emergency services. Call 911 or call or text 988 during a mental health emergency.
Take the next step
Start with a conversation
Review availability, verify insurance, or call the practice. Do not include confidential clinical information in an ordinary website message.