Skip to content
Lisa Sledd, LMFT, smiling warmly in her office, wearing a cream linen shirt, surrounded by books and plants, with celestial line art on the wall behind her.

Online therapy in California and Texas

Hi, I'm Lisa.

Therapy that makes sense for neurodivergent individuals and couples.

For autistic, ADHD, and AuDHD adults, and couples navigating different ways of processing, communicating, and connecting.

Understand yourself, your nervous system, and your relationships more clearly, especially when other approaches haven't quite fit.

Book a consultation

15 to 20 minutes to ask questions and talk about fit.

What happens during the call?

You share a little about what you're looking for, I explain my approach, and we talk about whether we're a good fit. If so, we find an appointment time. No pressure, no commitment.

A serene sunlit interior with dappled foliage shadows falling across a sheer curtain and a textured stone basin, warm golden light.

A place to feel understood

You may be holding a lot together.

Maybe you get through the day, but there’s very little left afterward. You may be making sense of a late diagnosis, noticing how much you mask, or wondering why pushing harder no longer works.

Or you and your partner may care deeply about each other and still leave the same conversations feeling misunderstood.

We can get curious about what’s happening: what takes energy, what overwhelm feels like, and what support actually helps.

Ways we can work together

Support for you and your relationships

Individual therapy

Space to understand overwhelm, masking, burnout, and patterns that are hard to change. We’ll pay attention to your needs and work at a pace you can use.

$200 per hour

Explore individual therapy

Couples therapy

Help with recurring misunderstandings, conflict, or shutdown. We’ll explore how each of you processes and communicates, including when your neurotypes differ.

$225 per session

Explore couples therapy

ADHD and autism assessments

For adults seeking clarity about ADHD, autism, or both. We can talk about your questions, the assessment process, and whether it fits what you’re looking for.

Private pay. Ask about fees.

Explore adult assessments

Getting to know me

Warm, direct, and curious about you.

I’m Lisa. I’m relational first, which means the relationship we build is central to how I work. I’ll ask questions, listen closely, and stay curious about what helps you. If something isn’t helping, we can talk about it and adjust.

More about how I work

You help shape our work.

We’ll decide together what to focus on. You can disagree, ask for a different approach, or let me know you need to slow down.

Your needs deserve respect.

We’ll consider sensory needs, communication, energy, and the demands around you. Appearing more neurotypical is not the goal.

We’ll consider the whole picture.

When trauma is part of your story, we’ll explore it alongside your neurodivergent experience and what is happening in your life now.

Connection with others

Groups that center neurodivergent experience

Current offering

Neurodivergent-centered RO DBT group

Radically Open Dialectical Behavior Therapy with attention to neurodivergent needs. I make sure our work does not encourage masking.

When
Thursdays, 3:30 to 5:30 pm Pacific
Fee
$60 per session
Before joining
An intake is required
Ask about the RO DBT group

In development

Neurodivergent adult process group

I’m considering a group with a weekly topic about neurodivergent experience and time to talk together about what comes up.

Length
90 minutes
Planned fee
$60 per session
Before joining
An intake will be required
When
Day and time to be decided
Let me know you’re interested

The practical details

Fees and insurance

Individual therapy
$200 per hour
Couples therapy
$225 per session
Groups
$60 per session
Adult assessments
Private pay. Ask about fees.

California

I accept IEHP, Cigna, Aetna, United, and Anthem. Private pay is also available.

Verify insurance through Headway

Texas

Private pay only.

Coverage varies by service and plan. Please contact me to confirm coverage. Both groups involve an intake.

Appointment hours

All times are Pacific. Appointments are subject to availability.

Monday
8 am to 3 pm
Tuesday
8 am to 3 pm
Wednesday
8 am to 2 pm
Thursday
8 am to 3 pm
Friday
8 am to 2 pm

The RO DBT group meets separately on Thursdays, 3:30 to 5:30 pm Pacific.

Need a different opening?

If the available appointment times do not work for you, you can ask to join the waitlist. I’ll contact you if a suitable opening becomes available.

Ask to join the waitlist

If you see a time that works, you can book a consultation.

Credentials and directories

You can check me out

I am a Licensed Marriage and Family Therapist serving adults and couples in California and Texas. You can verify my credentials and learn more about my practice through these directories.

California
LMFT 148797
Texas
LMFT 205490

A few things you might be wondering

Questions before we meet

How do I know if we might be a good fit?

I work with ADHD and autistic adults, including people who are both, and couples whose different ways of processing and communicating keep getting in the way of connection. If you are not sure, the consultation is a good place to explore it together.

Do I need a diagnosis to start therapy?

No. You do not need a diagnosis or an assessment to begin therapy. If you later want clarity about ADHD, autism, or both, I offer assessments separately.

What does neurodivergent-centered and affirming mean?

It means your ways of processing, communicating, sensing, and relating help shape our work together. We get curious about your needs, capacity, and what actually helps. I don't want therapy to become another place where you have to perform or push past your limits.

How does online therapy work?

We meet by video. You just need a private space and a reliable connection. I see adults and couples in California and Texas.

What are your hours?

Regular appointments are Monday 8 am to 3 pm, Tuesday 8 am to 3 pm, Wednesday 8 am to 2 pm, Thursday 8 am to 3 pm, and Friday 8 am to 2 pm. All times Pacific. The Thursday RO DBT group meets 3:30 to 5:30 pm Pacific.

Do you take insurance?

In California I work with IEHP, Cigna, Aetna, United, Anthem, and private pay. In Texas, private pay only. Insurance coverage varies by service, so contact me to confirm whether a specific service is covered.

How do I get started?

Book a consultation, or send me a message through the contact form and I will get back to you.

Still have questions? Send me a message.

A bright clear sky seen through a canopy of tree branches, with warm sunlight.

Getting started

You don’t need to have it all sorted out before reaching out.

If you’re interested in working together, you’re welcome to book a consultation or reach out with questions.

Book a consultation

Contact Lisa

  1. Tell me a little about you.

    Share what you’re looking for and what you hope therapy might help with.

  2. Ask me questions.

    I’ll tell you about how I work, and we can talk about what matters to you.

  3. Decide on the next step.

    If we both feel it’s a good fit, we’ll find an appointment time.

Lisa Sledd therapy practice logo: a neuron and a botanical sprig in a circle

Lisa Sledd, LMFT
Online therapy for adults and couples
in California and Texas.

Questions or concerns?

If you have questions, concerns, or would like additional information about my practice, I welcome you to reach out. If you would like information about filing a complaint with a licensing board, appropriate board information is available upon request.