Online group therapy in Texas & Florida
A weekly, therapist-led virtual group for adults working through depression, anxiety, impulsivity, trauma, or borderline personality disorder. Meets Wednesdays 5:00–6:00 PM Central (6:00–7:00 PM Eastern), starting August 5, 2026 — facilitated by Anna Mitchell, MA, LPC-S, CCTP.
What this service covers
Group therapy is a place to be honest about what you're carrying — and to build practical skills alongside people who understand. Anna Mitchell designs the treatment plan around the needs of the group as a whole, drawing on CBT, DBT, ACT, and REBT, and every session runs on our secure, HIPAA-compliant video platform.
One hour, every Wednesday
The group meets virtually every Wednesday from 5:00–6:00 PM Central (6:00–7:00 PM Eastern) — a steady weekly anchor that fits around work and family.
A dedicated licensed facilitator
Anna Mitchell, MA, LPC-S, CCTP is licensed in both Texas and Florida and facilitates every session personally, shaping each week around what the group needs most.
Four evidence-based approaches
Sessions blend CBT, DBT, ACT, and REBT — practical skills for lifting mood, regulating intense emotion, acting on your values, and challenging unhelpful beliefs.
Your path with this service
Brief intake conversation
Tell us what you're working through and confirm you're located in Texas or Florida. We'll verify your insurance benefits and answer your questions before you commit to anything.
Reserve your seat
The group is capped at 6–10 members so everyone gets real airtime. We'll confirm your spot and send everything you need before the first session on Wednesday, August 5, 2026.
Show up weekly and build
Check in, learn a skill, practice it, and process together. Trust compounds week to week — most members find group gets significantly more valuable after the first few sessions.
Is this service right for you?
Meet Anna Mitchell, MA, LPC-S, CCTP
Anna is a Licensed Professional Counselor Supervisor and Certified Clinical Trauma Professional, licensed in both Texas and Florida — which is what allows one integrated group across the two states. She facilitates every session personally: the same clinician, every week.
“My approach is highly individualized, as I tailor treatment plans to meet your unique needs. Together, we will work on processing unresolved issues, addressing current symptoms of distress, and setting goals for a brighter future.”
Rather than running a single-diagnosis “focused” group, Anna builds the treatment plan around the needs of the group as a whole — adapting each week's teaching and skills work to what members are actually facing.
Four evidence-based therapies, blended
Anna draws on four complementary modalities. Each contributes a different set of tools, and the mix is tailored to the group — not delivered as a rigid program.
Catch the thinking traps — all-or-nothing thinking, catastrophizing, mind-reading — that drive low mood and anxiety, and practice reframing them in real time.
Concrete skills for intense emotion: STOP and TIPP for overwhelming moments, DEAR MAN for saying hard things, and boundaries that actually hold.
Practice unhooking from difficult thoughts and feelings instead of fighting them — and take committed action toward what matters to you.
Surface the rigid “musts” and “shoulds” underneath frustration and impulsive reactions, and replace them with beliefs that serve you.
How each session flows
Every session follows the same rhythm, so you always know what you're walking into — structured enough to stay focused, with room for what the group needs that day.
Rate your mood on a 0–10 scale and share one win and one challenge from your week.
A short, practical teaching segment — understanding mood, triggers, thinking patterns, or relationships.
Learn and rehearse a concrete skill together — grounding, thought records, DBT skills, sleep planning, and more.
Open, honest conversation about what came up — the “social laboratory” where the real change happens.
A small between-session assignment (sent by secure email) and a grounding exercise to close the hour.
A sample 12-week curriculum
Here's the kind of ground the group covers across twelve weeks. Treat it as a sample, not a script — Anna adapts the plan to the needs of the group as a whole.
Group norms, the stress–mood cycle, and starting a daily mood log.
The CBT triangle, plus grounding skills like 5-4-3-2-1 and the body scan.
Map your personal warning signs before a low mood — or an impulsive spiral — takes hold.
Action precedes motivation: activity scheduling and “opposite action” for low mood.
Spot your thinking traps and work them through with structured thought records.
STOP and TIPP — practical skills for riding out overwhelming emotion without acting on it.
DEAR MAN assertiveness and boundary-setting — how mood shapes relationships, and vice versa.
Sleep as a mood stabilizer: build a personalized, realistic sleep plan.
Build your personal “mood toolbox”: soothing, distraction, connection, and meaning.
Shame vs. guilt, compassionate self-talk, and writing to yourself with kindness.
A personal safety plan: warning signs, support contacts, coping tools, and when to seek help.
“Where I started vs. where I am now” — consolidating gains and looking forward.
It's normal to feel nervous about this
“Will I be liked, or ignored? Are my problems as bad as everyone else's — do I even belong here?” Almost everyone has these thoughts before their first group. Here's the reframe: group therapy is a social laboratory — one of the only places where honest, respectful dialogue about your thoughts, feelings, and fears isn't just permitted, it's encouraged.
Across 32 experiments comparing the two, group therapy was more effective than individual therapy in 25% of studies — and equally effective in the remaining 75%.
Watching someone work through a problem like yours is itself therapeutic — clinicians call it vicarious learning. Listen for patterns and core issues, then ask how they apply to you.
There's no evidence that hearing others' difficulties causes lasting harm. And consider: how do you build real friendships if you can't bear to hear another person's struggles?
They do — and that's the point. Group is the rare place where you can safely see the impact your words, habits, and demeanor have on others, and practice changing it.
How to get the most out of group
- Be honest and direct about what you're feeling in the moment — including toward other members and the facilitator, respectfully.
- Move at your own pace with self-disclosure. Trust builds at different rates for different people.
- Use the group as a place to take risks and try new ways of relating — then carry what works into your life outside.
- When others share, listen for the bigger picture and patterns rather than small details, and ask how they might apply to you.
- Give it time before judging whether it's working. The first few sessions are about learning how group works.
- Cameras on and arrive on time — presence is participation.
- If you'll miss a week, let the group or Anna know in advance.
- Confidentiality is absolute: no recording, a private space on your end, and anything discussed outside stays anonymous.
- Make a good-faith commitment of at least five sessions before deciding whether group is for you.
- Give feedback that's specific, timely, and kind — and receive it with curiosity rather than defensiveness.
- Group is the bridge to closer relationships, not a social club — if members connect outside the group, bring what's relevant back in.
- If you're frustrated, say so — raising it in the group is the work.
Members who get the most from group arrive with a goal that has three parts — a genuine wish to change, an interpersonal dimension, and a way it shows up here and now. For example: “I want to be less bottled up and more direct about what I need,” or “I want honest feedback about how I come across.”
Is this covered?
Group therapy is in-network with major commercial plans — including Aetna, Cigna, Humana, UnitedHealthcare/Optum Behavioral Health, and Blue Cross Blue Shield — plus Medicare in Florida where licensed. Your copay is typically the same as a regular therapy session unless your plan sets a specific group-session rate, and we verify your benefits before your first session so you know your cost up front. Prefer to pay out of pocket? We offer competitive cash-pay rates.
Check my coverage
Common questions about Online group therapy
Who can join this group?
When does the group meet?
Is this a focused group for a single condition?
Is group therapy actually effective?
How can Texas and Florida patients be in the same group?
Do I have to share right away?
How long should I commit?
Is it covered by insurance, and what will it cost?
Start Online group therapy today
Request an appointment and we'll confirm your insurance up front. Most patients are seen within the week.
Request an appointment