Step 01
Say hello.
Send a note through the contact form, text or call the office. Tell us as much or as little as you'd like — there's nothing you need to have figured out first.
Nicole Lansbery, LPC-S, LMFT-S · Austin, Texas
Brave. Bold. Balanced.
Dialectical Behavior Therapy for BPD, emotional dysregulation, and self-harm — and family therapy for the people around them, including families navigating a high-conflict divorce. In person in Austin, and by telehealth anywhere in Texas.
Austin Therapy and Counseling
Brave. Bold. Balanced.
Credentials
Licensed Professional Counselor Supervisor (LPC-S) — Texas
Licensed Marriage and Family Therapist Supervisor (LMFT-S) — Texas
Over 15 years on the same Dialectical Behavior Therapy team
Honest fit
Who I work with most.
Therapy works best when the fit is right. These are the people I most love working with.
You might be a great fit if you're…
- You are wondering if you have or have just figured out you have BPD — often after other treatments have “failed”
- Struggling with behavioral dyscontrol, intense emotions, or relationship chaos
- Ready to see observable changes, and haven't been able to figure out how
- Willing to commit to DBT: a skills class, weekly or biweekly individual therapy with a diary card and skills practice, phone coaching when you need it, and considering medication management
The first few steps
Sometimes, starting is the hardest part. Here's what to expect...
Reaching out can be small and low-stakes — you can reach out via the contact form on this website, text or call my office line, or send an email.
Step 02
A first session to figure out if we work
We spend the first session getting to know each other and mapping out where you want to be and how we will get you there. If we're not the right fit, I'll gladly point you toward someone who is.
Step 03
Steady support.
From there we find a rhythm that works for you — some seasons are about quickly problem solving something specific, others are about untangling something that's bugging you, some are about having a steady place to think out loud.
About
Hi, I'm Nicole.
Most of my work is DBT with people who have often “failed” other treatments, and family systems work with the people who love them. I'm also a board-approved clinical supervisor, and I love teaching and training other clinicians.
Logistics & intake
Fees & the practical bits.
Simple, straightforward. These are my current fees. Fees increase by $10 every January 1.
Fees
$200 per 50 minute session; $300 per 90 minute session (including initial appointment)
Insurance
I am not in-network with any insurance companies. My office can provide a monthly superbill and facilitate filing out of network for reimbursement with Mentaya.
Office hours
Tue, Wed & Fri — In person or telehealth
Thursday — Telehealth only
Location
8400 N. Mopac Expy, Ste. 301, Austin, TX 78759
Secure telehealth across Texas
I reserve 25% of my caseload for sliding scale; however, this is full and there is a waitlist. Please contact my office if you'd like to get on the waitlist.
Common questions
Questions people often ask.
Do you provide therapy for clients transitioning from inpatient care or an RTC?
Yes. Transitioning home after inpatient hospitalization or a Residential Treatment Center (RTC) is a critical time. I provide specialized step-down therapy to help clients and their families navigate this shift safely. I frequently collaborate with psychiatrists and treatment centers to ensure a seamless continuum of care, focusing on stabilizing impulsive behaviors, managing suicidal thoughts, and building a life worth living.
What is the difference between standard DBT and Radically Open DBT (RO-DBT)?
Standard Dialectical Behavior Therapy (DBT) is highly effective for clients who struggle with emotional dysregulation, impulsive behaviors, chaotic relationships, or Borderline Personality Disorder (BPD). It focuses on gaining control over intense emotions and unwanted behaviors. Radically Open DBT (RO-DBT), on the other hand, is designed for clients who struggle with "overcontrol," which can show up as treatment-resistant depression, severe perfectionism, or rigidity. During our intake, we will determine which approach fits your specific needs.
Can you help parents navigating a high-conflict divorce?
Absolutely. High-conflict divorce can be destabilizing for both the parents and the children. I offer specialized family therapy and co-parenting support, utilizing frameworks like "New Ways for Families." Whether you need a court-involved therapist, help navigating a blended family transition, or support for kids going through a divorce, my goal is to help you reduce conflict and establish healthy, protective boundaries.
What is SPACE therapy?
SPACE stands for Supportive Parenting for Anxious Childhood Emotions. It is a unique, evidence-based parent-child therapy where the work is done primarily with the parents, rather than the child. It is highly effective for parents trying to support a child or teen with severe anxiety, OCD, or emotional outbursts, by helping parents shift their responses to promote their child's independence and emotional regulation. This approach has also been shown to work well with young adults who are experiencing a "failure to launch."
Do you have experience treating self-harm and suicidal ideation?
Yes. Many clients and families feel overwhelmed when facing self-injuring behavior and/or chronic suicidal thoughts. As a clinician with extensive experience in high-acuity care, I provide a structured, non-judgmental environment. Using evidence-based practices like DBT and EMDR, we work together to understand the causes of the pain, reduce harmful behaviors, and develop effective coping skills.
Do you offer clinical supervision or consultation for other therapists?
Yes. I am a board-approved clinical supervisor offering Texas LPC Supervision and LMFT Supervision. In addition to working with associates, I provide DBT consultation, case conceptualization for complex family systems, and guest lecturing for group practices and clinical training programs.