Services
I am a bilingual therapist in English and Spanish.
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Services
Depression
Feeling very sad or empty most of the time, even when there’s no clear reason. Losing interest or joy in things you used to enjoy. Changes in appetite, such as eating much less or much more than usual. Trouble sleeping. Low energy or fatigue, where even small tasks feel exhausting. Feelings of worthlessness or guilt, as if you’re not good enough or are a burden to others. Difficulty focusing or making decisions, even with simple things. Physical aches or pains that don’t have a clear medical cause. Thoughts about death or suicide, or feeling like life isn’t worth living.
If you or someone you know needs support now, call 911 or go to your closest ER. Another resource is by calling or texting the National Suicide Prevention hotline # 988, or chat 988lifeline.org
Anxiety
Constant worry or feeling like you can’t stop thinking about something. Feeling nervous or restless, as if you’re always on high alert. Tension in your body. Difficulty relaxing, even during quiet moments or when trying to rest. Trouble sleeping, such as having difficulty falling asleep, waking up frequently. Heart palpitations or feeling like your heart is racing, even without physical activity. Tightness in the chest or trouble breathing. Stomach issues, like nausea, discomfort, or diarrhea. Difficulty concentrating because your mind feels overwhelmed or distracted. Avoiding certain situations out of fear of what might happen.
Life transitions
Feeling overwhelmed or unsure about how to handle your new circumstances. Difficulty adjusting to changes in your routine, environment, or relationships. Increased stress or a sense of losing control. Feelings of sadness or loss, even if the change is positive. Uncertainty about the future, leading to worry or fear. Loss of identity, especially if the transition involves changes to your role, like becoming a parent, retiring, or ending a relationship. Changes in mood, such as irritability, frustration, or anxiety. Difficulty making decisions, even about small things, as you adapt to your new reality. Withdrawal from others. Physical symptoms, like fatigue, headaches, or difficulty sleeping, due to the stress of the change.
Grief
Intense feelings of sadness that may come in waves or persist over time. Difficulty accepting the loss, with recurring thoughts about the person, situation, or thing you lost. Changes in your daily routine, such as trouble concentrating, doing tasks, or losing interest in activities you once enjoyed. Feelings of guilt or regret, even for things that are beyond your control. Anger or irritability, which may arise from frustration or a sense of injustice about the loss. Social withdrawal, with less desire to connect with family or friends. Anxiety or fear about the future or about experiencing more losses. Physical symptoms, such as fatigue, insomnia, changes in appetite, or aches with no clear medical cause. Moments of relief or joy, which may bring confusion or guilt but are a normal part of the grieving process. Seeking meaning or trying to find ways to honor what you lost.
Trauma
Intrusive memories or flashbacks of the traumatic event that feel vivid and overwhelming. Avoidance of reminders or situations that bring up memories of the trauma. Heightened anxiety or hypervigilance, where you feel constantly on edge, easily startled, or like you’re always “on alert.” Difficulty trusting others or feeling emotionally disconnected from people around you. Feelings of numbness or detachment, where you may feel disconnected from your emotions or the world around you. Overwhelming guilt or shame related to the event, even if you weren’t at fault. Mood swings, such as sudden irritability, sadness, or anger, often without a clear trigger. Physical symptoms, like headaches, stomachaches, or trouble sleeping, which may stem from the emotional distress. Difficulty concentrating or feeling mentally “foggy” or spaced out. Self-destructive behaviors, such as substance use, overeating, or withdrawing from social activities, as a way to cope with the pain.
Relationship Problems
Ineffective communication or constant misunderstandings. Lack of trust or insecurities, causing jealousy or mutual distrust. Emotional distance, feeling like you or your partner are drifting apart. Feelings of resentment or accumulated anger due to unresolved issues. Lack of emotional support, where you feel like you can’t rely on your partner or vice versa. Changes in physical or emotional intimacy, such as a decrease in affection or a lack of physical connection.Difficulty committing or making decisions together. Feelings of sadness or loneliness within the relationship, like you’re not being heard or understood. Guilt or shame related to what has happened in the relationship. Destructive behaviors, such as manipulation, shouting, or verbal or physical abuse.
If you feel unsafe now please call 911. For the National Domestic Violence Hotline, please follow this link: https://www.thehotline.org.
You have the right to receive a “Good Faith Estimate” that explains how much your medical care will cost.
Under the law, healthcare providers are required to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services.
You have the right to receive a good faith estimate of the total expected cost of any item or service that is not an emergency. This includes related costs such as medical tests, prescription medications, equipment, and hospital fees.
Make sure that your healthcare provider gives you a written Good Faith Estimate at least 1 business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a good faith estimate before scheduling an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Be sure to keep a copy or a photo of your Good Faith Estimate. For questions or more information about your right to a good faith estimate, visit www.cms.gov/nosurprises or call 800-985-3059.
Investment
Individual therapy: $130
Couples or Family therapy: $155
Please note that we do not accept health insurance. To provide personalized care and maintain the flexibility to focus fully on your needs, our services are offered on a private-pay basis.
Book a FREE
15-min phone consultation
(Zaira will call you at the time of your appointment)
Contact Zaira
hello@zairamillercounseling.com
Phone
817-290-3225
Please know that I may not get back to you immediately. It may take me up to 48 business hours to respond.
If you’re experiencing an emergency, please call 911 or go to your closest emergency room.
Other resources:
National Suicide Prevention Hotline dial 988
National Domestic Violence Hotline 800-799-7233
Zaira provides in person services in Grapevine Tx and telehealth (videocall) to residents anywhere in Texas.
Zaira provides in person services in Grapevine Tx and virtual sessions to residents anywhere in Texas.