Mental Health Therapy in Austin, Texas

Counseling for Self-Esteem, Disordered Eating, Body Image, Depression, Burnout, Anxiety, Complex Trauma, and Relationship Issues

Welcome!
I’m so glad you’re here.

Are you the person others go to for support? Are you unsure of who you are outside of others? Do you feel uncomfortable asking for help or fearful that you might be a burden? Do you feel like your worth comes from your productivity or what you can do for others?

If any of this sounds familiar, you’re in the right place.

I work with clients who have had to push their needs aside — such as the loved ones of those struggling with mental health or substance use issues, individuals in the helping professions, and caretakers — leading to anxiety, depression, perfectionism, people-pleasing, burnout,
and low self-esteem.

We may be a good fit if you’ve ever been described as “the strong one,” “mature for your age,” responsible, a great listener, the family’s peacekeeper or mediator, or “the one we never had to worry about.”

I can help you move beyond coping patterns and roles that no longer serve you and keep you feeling “stuck.” Together, we can work towards deepening your sense of self by developing awareness of your emotions, values, and needs outside of others.

Hi, I’m Tiffany.

I am a Licensed Professional Counselor (LPC) based in Austin, TX dedicated to helping clients break free from unhelpful narratives that keep them feeling stuck. I specialize in supporting individuals who struggle with low self-worth, perfectionism, people-pleasing, and burnout—often rooted in complex trauma. My work is focused on helping clients reclaim their voices, advocate for their needs, and develop deeper, more fulfilling relationships with themselves and others.

As your therapist, I strive to be an affirming, compassionate, and curious guide, meeting you exactly where you are in your journey—whether this is your first or fourth experience with therapy or you’re feeling unsure about the whole process. I understand how challenging it can be to be vulnerable, and I respect following your pace.

I enter each session with an open mind and a personalized approach, tailored to your needs, working to create a space where we can explore your individual life experiences, thoughts, and feelings with curiosity and without judgment. Together, we’ll uncover the patterns that may be holding you back and recognize and acknowledge the strengths that have carried you through.

I view therapy as a collaborative process, and I aim to help you tap into your own inner wisdom, navigate challenges, and build the skills and confidence to create the life you want. I’m here to offer genuine support, insight, and practical tools to help you heal and grow.

Therapy Offerings

  • Individual Therapy

  • Couples Therapy

  • EMDR Therapy

  • In-Person + Virtual Sessions in Texas

Testimonials

  • If you’re seeking a warm, authentic, humorous, and incredibly knowledgeable therapist, Tiffany Lepa is a wise choice. Tiffany has a way of supporting, truly listening, and resourcing clients without judgement or agenda. Tiffany is truly adept at facilitating healing, identity development, and growth in clients which was an honor to witness when I worked alongside her in the past. Finding a therapist can be daunting but Tiffany will make the process safe and empowering.

    Brittany Link Alvarez-Lee, NCC, LPC, + Owner of Artisan Therapy ATX

  • I had the pleasure of working closely with Tiffany for 3 years and cannot recommend her enough. If you are looking for a therapist who creates a warm, caring, and patient space for you to bring your full self, Tiffany is a great choice. Tiffany has a knack for providing individualized care to meet each person’s unique needs without judgement and at their own pace. She is also highly skilled in supporting people experiencing eating disorders, body image challenges, complex trauma, and perfectionism. Talking with her is like sitting down with a warm cup of your comfort drink of choice.

    Jacqueline Robbins, LCSW + Owner of Jacqueline Robbins Therapy

  • If you’re looking for a therapist who takes a collaborative approach that is individualized to each client, you’ve come to the right place! Tiffany is warm, inviting, and creates a space free of judgement and full of compassion. She uses humor in all the right places and truly welcomes each and everyone’s true self. I’ve had the pleasure of working alongside Tiffany and I cannot recommend her enough!

    Morgan Schneider, LCSW + Owner of Wildflower Therapy ATX

Contact Me

Interested in working together? Have a question? Fill out a contact form, and I’ll be in touch shortly.

Please note that I currently have a waitlist.