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March 7, 2026
Trusted by 1,000+ patients’ or ‘Licensed in TX’
Expert treatment for depression, anxiety, and mental health conditions through personalized medication management, therapy, and innovative treatments like SPRAVATO® therapy—available in-person and via telepsychiatry throughout Texas.
Trusted by 1,000+ patients’ or ‘Licensed in NY & CT’
Compassionate Psychiatric Care for Adults Across East Texas
Expert treatment for depression, anxiety, and mental health conditions through personalized medication management, therapy, and innovative treatments like SPRAVATO® therapy—available in-person and via telepsychiatry throughout Texas.
East Texas Psychiatry and Counseling was founded by experienced mental health professionals who witnessed too many individuals traveling hours for appointments or going without care entirely. They saw people whose depression and anxiety went untreated due to stigma, distance, or lack of available providers. Driven by a simple question—what if quality psychiatric care could be accessible and compassionate?—they created a practice serving as a beacon of hope for East Texas families.
Our purpose extends beyond symptom management. We help clients reclaim joy, rebuild relationships, and rediscover their potential through comprehensive, evidence-based care. Guided by compassionate clinical excellence, we combine personalized attention with innovative treatments like SPRAVATO® therapy. Unlike large institutions, we know our clients by name. Unlike solo practitioners, we offer a full team of specialists, telepsychiatry access throughout Texas, and breakthrough treatments for treatment-resistant depression.
Breakthrough FDA-approved treatment for adults with treatment-resistant depression, offering faster relief than traditional antidepressants.
Secure online psychiatric appointments throughout Texas, bringing expert mental health care directly to you.
Full-spectrum mental health care for depression, anxiety, ADHD, and other conditions through personalized medication management and therapy.
We're regional leaders offering SPRAVATO® therapy for treatment-resistant depression. When traditional antidepressants haven't worked, we provide breakthrough treatments that can deliver relief within hours or days rather than weeks.
Unlike solo practitioners, our board-certified psychiatric providers and licensed therapists collaborate seamlessly on your treatment. You receive comprehensive care combining medication management and psychotherapy, addressing root causes for lasting recovery.
We offer same-week consultations when you need help most, telepsychiatry throughout Texas eliminating travel barriers, extended evening hours, and responsive communication through our patient portal—making expert psychiatric care fit your life.
We Accept Most Major Insurance Plans
Schedule your confidential consultation today—most appointments available within one week, and we accept most major insurance plans.
MSN, APRN, PMHNP-BC
James Baughman is a board-certified psychiatric nurse practitioner and co-founder of East Texas Psychiatry and Counseling. With over 35 years of experience in the medical field, James brings a broad clinical background and a deep dedication to patient-focused care. He began his medical career in 1987, serving in the U.S. Navy as a hospital corpsman.
MSN, APRN, PMHNP-BC
Antonio Brigham is a board-certified psychiatric nurse practitioner and co-founder of East Texas Psychiatry and Counseling. With over 15 years of experience in the mental health field, Antonio’s professional journey is rooted in compassion, resilience, and a commitment to holistic patient care.
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Most initial consultations are available within one week of your call. We prioritize accessibility and understand that when you’re struggling with mental health concerns, timely care matters for your wellbeing and recovery.
We accept most major insurance plans including employer-sponsored coverage and Medicare. Our intake coordinators verify your benefits upfront and provide transparent financial information. Self-pay options are also available for uninsured patients.
SPRAVATO® works through a different brain mechanism than traditional antidepressants, often providing relief within hours or days rather than weeks. It’s specifically FDA-approved for treatment-resistant depression when other medications haven’t worked.
Yes, telepsychiatry provides the same quality of care as in-person visits. It’s ideal for medication management follow-ups and therapy sessions, offering convenience and privacy while maintaining clinical effectiveness throughout Texas.
We treat the full spectrum of adult mental health conditions including ADHD, bipolar disorder, PTSD, OCD, substance use disorders, postpartum depression, eating disorders, and more through comprehensive psychiatric evaluation and treatment.
Yes, we believe in relationship-based care. You’ll work with the same psychiatric provider throughout your treatment journey. Unlike large institutions, we know our clients by name and provide personalized, consistent attention.
Your initial comprehensive psychiatric evaluation lasts approximately 90 minutes. This allows time to thoroughly discuss your concerns, medical history, symptoms, and collaboratively develop a personalized treatment plan addressing your unique needs.
Early in treatment, appointments occur every two to four weeks for monitoring. As symptoms stabilize, visits become less frequent. Between appointments, our patient portal provides secure messaging and prescription refill requests.
Let us help you restore balance and renew hope in your life.
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If traditional antidepressants haven't worked, SPRAVATO® (esketamine) nasal spray may be the breakthrough you've been waiting for. Experience a new path to healing in East Texas Psychiatry and Counseling.