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Your Trusted Partner for Mental Health Therapy Solutions
At Catalyst Psychotherapy, we prioritize your personal journey toward mental wellness. Founded by Brian Killworth, a licensed professional counselor in Texas and nationally board-certified therapist, our practice combines extensive experience in social work and counseling to address diverse client needs. With a career spanning over a decade in social work, focusing on immediate client needs like housing and food, Brian transitioned to specialize in addiction recovery and fostering self-connection. Our approach is compassionate and strengths-based, utilizing evidence-based methods such as Narrative Therapy, Internal Family Systems, and EMDR to guide clients toward personalized healing.

We serve the LGBTQIA+ community in Austin, addressing relationship challenges, shame, and self-concept development. Our commitment to professionalism and ethics ensures a non-judgmental, trauma-informed environment where clients gain clarity and tools for lasting change. Marilyn Ramirez, a bilingual therapist specializing in trauma-focused psychotherapy, joins our team to expand accessible care. Together, we create a supportive space where your story is heard and valued.
Services
Individual Counseling Trauma Therapy LGBTQIA+ Support EMDR Therapy Transition Letters
Highlights and features
  • We offer trauma-informed care using EMDR and evidence-based therapies.
  • Our team includes bilingual therapists specializing in LGBTQIA+ mental health.
  • We combine 10+ years of social work experience with advanced counseling techniques.
  • We provide WPATH-standard legal name change letters for transgender clients.
  • Our strengths-based approach prioritizes client autonomy and personalized healing.
Services
Individual Counseling
Personalized 50-minute sessions address stress, decision-making challenges, and daily life pressures. Using collaborative techniques, we help clients reconnect with their intuition and develop healthier coping strategies tailored to their unique circumstances and goals.
Trauma Therapy
Specialized trauma-informed care employs EMDR and complementary methods to address invisible emotional wounds. We help clients build safety, establish healthy boundaries, and reclaim vulnerability as strength through structured, compassionate therapeutic processes.
LGBTQIA+ Support
Affirming mental health services for LGBTQIA+ individuals focus on relationship challenges, identity exploration, and overcoming systemic shame. We provide WPATH-standard transition letters and create safe spaces for clients to develop positive self-concepts.
Addiction Recovery
Holistic approach addressing root causes of addictive behaviors through connection-building and internal resource development. We help clients understand inherited coping patterns while creating personalized recovery toolkits for sustainable change.
Transition Letters
Professional WPATH-standard letters for legal name/gender marker changes include comprehensive assessment and notarization. This service supports transgender clients' identity affirmation through formal documentation aligned with medical and psychological standards.
People
Brian Killworth
Founder & Licensed Therapist
Licensed in Texas with national board certification, Brian combines 10+ years of social work experience with advanced counseling training. Specializing in EMDR and LGBTQIA+ mental health, he creates strengths-based therapeutic environments for personalized healing journeys.
Marilyn Ramirez
Bilingual Therapist
LMSW-licensed bilingual therapist specializing in trauma-focused psychotherapy. Marilyn provides culturally competent care for Spanish-speaking clients and LGBTQIA+ community members, integrating language accessibility with trauma recovery expertise.
Questions
What mental health services do you offer?
We provide individual counseling, trauma therapy, LGBTQIA+ support, EMDR, and WPATH-standard transition letters. Our approach combines evidence-based methods with personalized care plans.
Do you accept insurance?
Yes, we accept BCBS PPO, United Healthcare, Optum, Cigna, and Oscar. Contact us to verify your benefits and determine out-of-pocket costs.
Are evening appointments available?
Yes, our Austin office offers sessions Monday-Friday from 8:00 AM to 8:00 PM to accommodate working schedules.
Do you offer telehealth options?
Currently, we provide in-person therapy at our Austin location. Contact us to discuss potential telehealth availability based on licensing regulations.
What makes your practice LGBTQIA+ friendly?
We offer WPATH-standard transition letters, specialize in gender-affirming care, and maintain a judgment-free environment with therapists experienced in LGBTQIA+ mental health needs.