A listing of therapists, counselors, psychologists, and psychiatrists in Texas, USA interested in providing culturally sensitive cross-cultural care for today’s international expat community.


Ruben J. García (aka “RJ”) M.A. in Addiction Counseling, Licensed Chemical Dependency Counselor, Certified Mediator
Location: Austin, TX, USA – International Tele-Interventionist & Tele-Recovery
Phone: 512-614-1299 Office
Email: doable.recovery@gmail.com
Website: www.doablerecovery.com and www.rjgcounseling.com
Nationality: American of Mexican decent
Languages Spoken: English & and Spanish
Religious Affiliation: Ecumenical
Clinical Specialties: Recovery from all forms of dependency to addiction – Interventionist, Therapist, Certified Mediator, Public Speaker, Coach
Cross-Cultural Experience: American, Mexican American, Latino Culture, Immigrants from all countries

Megan Barnes Zesati, LCSW-Supervisor
Location: Costa Rica, Mexico, Austin, TX, USA & Online
Phone: 512.590.2714
Email: info@digitalnomad.support
Website: www.digitalnomad.support & www.meganbarneszesati.com
Nationality: USA
Languages Spoken: Spanish and English
Religious Affiliation: Buddhist
Clinical Specialties: Bicultural Couples Counseling and Individual Therapy for Students Studying Abroad, International Volunteers, Digital Nomads, Expats and Trailing Spouses. As a therapist with 20 years of clinical experience and a licensed clinical supervisor, I also offer online therapy for other therapists and mental health professionals. I work with English and/or Spanish-speaking individuals and couples online or in my office-based practice in Austin, Texas.
Cross-Cultural Experience: I have lived and worked in the US, Mexico, and now, Costa Rica. I am fluent in English and Spanish and have strong appreciation for Latin/Hispanic culture. I am in a bi-cultural marriage of 12 years with a wonderful partner from Mexico and we are raising TCK kids.


Kay Bruner, MA, LPC
Location: Dallas, TX, USA
Phone: 972-352-0781
Email: kaybruner@gmail.com
Website: www.kaybruner.com
Nationality: USA
Languages Spoken: English
Religious Affiliation: While I am a Protestant, all clients are welcome and respected, regardless of religious affiliation.
Clinical Specialties: I work with children, adolescents, and adults. My experience includes the treatment of Anxiety, Depression, Grief and Loss, Transitions, Internet Pornography Addiction, Co-Dependency, Domestic Violence, Child Abuse Recovery, Self-Harm, Suicide Risk, Chronic Mental Illness. I am experienced in play therapy for children ages 3-9. I often employ creative strategies such as sand tray and art therapy for adolescents, and even with adults who are willing to play a little. I frequently support young adult Third Culture Kids (TCK’s) in the transition to adult life in their passport country, and am well-acquainted with the issues of the trailing spouse.
Cross-Cultural Experience: I am an Adult TCK, married to a TCK; we have 4 TCK’s of our own.  I lived in South America and West Africa as a child, and worked for 15 years in the South Pacific as an adult. My husband and I are settled in the Dallas area, where my husband continues to work for an international non-profit. These days, when we travel internationally, it’s just for fun.


S. Renee Lederman, MPA, MA, LPC, CSAT, CMAT, CIRT, PIT
Location: Houston, TX, USA
Phone: 832 969-3885
Email: ReneeLederman@email.com
Website: www.reneelederman.com; www.empoweringexpatwomen.com
Nationality: USA
Languages Spoken: English
Religious Affiliation:
Clinical Specialties: Specialized Addictions (Sex, Money, Food Love), Infidelity, Family of Origin, Trauma, Co-Dependency, TCK
serving individuals, couples,  families, adolescents, groups and workshops workshops
Cross-Cultural Experiences: Worked with the expat community in Houston.  Volunteered in Spain (US students during a study abroad)  volunteered in Australia, working at a treatment center for families.  I have traveled to 6 continents exploring and interacting with different cultures.

Gabrielle Seekely, M.Ed., LPC-S, BCPC
Location: Houston, TX, USA
Phone: +1.281.940.7981
Email: Thursdays-Child@Hushmail.com
Website: www.ThursdaysChildConsulting.com
Nationality: USA
Languages Spoken: English, Spanish, French
Religious Affiliation: All religious affiliations are welcome
Clinical Specialties: I work with children, adolescents, adults and families. My expertise includes Third Culture Kids, Trailing Spouses, Asperger’s Syndrome, Autism, Learning Differences, Chronic Medical Conditions, Mood Disorders, Trauma, Attachment, Adoption / Foster Care, EMDR, Professional Training and Clinical Supervision
Cross-Cultural Experience: Long before my working with international families, I earned the designation of Third Culture Child (“TCK’) having grown up moving internationally and attending international schools. I have studied, lived and worked in Europe as well.


Kevin J. Fleming, Ph.D.
Location: Texas, USA (and worldwide: travels to client countries)*
* Grey Matters International is a “one stop shop” global psychological consulting firm that leverages powerful neuroscience technologies and methods for ex-pats and their families. We work in a ‘we come to you’ fashion and can help all your personal,relationship and family/children mental health needs quickly and effectively.
Phone: 1-877-606-6161  (if calling from outside USA: 1-918-949-1972)
Email: info@greymattersintl.com
Website: www.greymattersintl.com
Nationality: USA
Languages Spoken: English
Religious Affiliation: Open to All Religious/Spiritual Orientations
Clinical Specialties: Mood disorders, stress/burnout, relationship conflict, addiction, OCD, ADD/ADHD, brain injury, trauma, sleep concerns, high performance and career counseling
Cross-Cultural Experience: Worked with clients on 5 continents on their private mental health needs and have advised many multi-cultural “professionals, executives, leaders” on their culture change needs affecting many employees and their unique values