Hillary Lanier, LCSW

Have patience towards all that is unresolved in your heart, and try to love the questions themselves.”  

-Rainer Maria Rilke-



*Not accepting new clients*

Free 15-min Intake Call

Online or In-Person Sessions

​Individuals: $120 per 50-min Session

Optum/United Healthcare accepted

Couples Counseling: Private pay only.

$150 for first assessment session (90 minutes) and $130 for subsequent sessions (50 minutes).

​​Payment is due at the beginning of each session. Cash, check, and credit cards are accepted.


Adults 20+

Anxiety and Depression

End of Life
Illness Related Issues

Blog Posts


You have taken the first step towards making a change, which is often the hardest. If you’re new to therapy, it is normal to feel unsure, cautious, or even scared. I believe my work is a calling, and I am privileged to start this journey with you! My approach is driven by the therapeutic alliance you and I will use to identify what is most important to you. What do you value? We will identify and explore this together to help you live a more wholehearted life. I can promise you a nonjudgmental presence and unconditional positive regard towards you as a person, whose life experiences and emotions matter.

How I Work

While my treatment areas primarily include depression and anxiety, I have also walked alongside clients as they navigate adjustments to major life stressors and transitions, such as divorce, loss, and illness. While I draw from different evidence based practices, my orientation is based in Cognitive Behavior Therapy (CBT) and Mindfulness. We will examine how your thoughts, emotions, and behaviors interact through a non-judgmental, present focused lens. I am also experienced in Exposure and Response Prevention (ERP), a highly effective treatment for Obsessive Compulsive Disorder (OCD). While I have treated clients across the lifespan, I currently provide individual therapy to adults. However, because we exist in systems and in relation to one another, I am currently undergoing training in the Gottman Method to provide couples therapy as well.

Professional Profile

Hillary is a Licensed Clinical Social Worker who holds a Masters in Social Work from the Brown School at Washington University in St. Louis. Hillary’s previous experiences include outpatient individual and family therapy with children, adolescents, and adults at Baylor College of Medicine/Texas Children’s Hospital, as well as school and acute inpatient palliative practice. Several of Hillary’s previous cases are featured in manuscripts she co-authored that are awaiting publication; they address the efficacy of the trans-diagnostic model Unified Protocol in treatment of mood disorders. Hillary has a dedicated meditation practice that she will undoubtedly tell you about. Hillary enjoys listening to and creating music, being active, and spending time with her senior cat May and her rescue dog Elliott Smith, who tolerate her penchant for fostering animals for Austin Pets Alive.

Request Hillary

Want to get started with Hillary? You can request her using the button below.

Hillary is amazing! She is patient enough to unpack years' worth of suppressed emotions but also challenges me in ways that I can finally make noticeable changes towards better mental health. I would not have gotten through 2020 without her!