We're a Tyler, TX mental health practice founded to close the gap between exceptional psychiatric providers and the people who need them most—combining board-certified clinical expertise with breakthrough treatments and care that fits real life.
East Texas Psychiatry and Counseling is a Tyler, Texas psychiatric practice offering evidence-based care for depression, anxiety, ADHD, and mood disorders. Our board-certified psychiatric providers deliver medication management, psychotherapy, and breakthrough SPRAVATO® therapy for treatment-resistant depression—in person and through statewide telepsychiatry.
East Texas Psychiatry and Counseling was founded on a clear-eyed recognition: mental health care in rural and underserved Texas communities, particularly in and around Tyler, too often falls short of what people deserve. Our founders watched individuals travel hours for a single appointment—or go without care entirely—and asked a simple but powerful question: what if quality psychiatric care could be accessible, compassionate, and tailored to the unique needs of East Texas families?
We saw too many people whose depression, anxiety, and other mental health conditions went untreated because of stigma, distance, or a shortage of available providers. According to the National Institute of Mental Health, major depression affects roughly one in five U.S. adults over their lifetime—yet many never connect with the right care. Our founders brought together their collective expertise to create a practice that serves as a beacon of hope and healing in the community.
Today, we exist to bridge the gap between exceptional healthcare providers and the patients who need them most. We help clients reclaim joy, rebuild relationships, and rediscover their potential through comprehensive, evidence-based depression and anxiety treatment. Mental health conditions are medical conditions that deserve treatment—and we treat them with the same rigor, respect, and hope you'd expect from any other field of medicine.
Unlike large institutional providers, we know our clients by name and treat them as partners in their care journey. Unlike solo practitioners, we offer a full team of specialists, flexible appointment options including telepsychiatry throughout Texas, and innovative treatment modalities that many regional competitors simply don't provide. That combination—warmth plus depth—is the heart of what sets us apart. National data from SAMHSA consistently shows that timely access and continuity of care are among the strongest predictors of recovery.
Our deepest area of clinical expertise is depression, including treatment-resistant depression. Beyond standard antidepressant management, we offer FDA-approved SPRAVATO® (esketamine), a breakthrough treatment that works differently than traditional antidepressants and can often provide relief within hours or days rather than weeks.
East Texas Psychiatry and Counseling provides accessible, evidence-based mental health care—combining compassionate clinical expertise with innovative treatments to help individuals live fuller, more meaningful lives.
A healthcare landscape where mental health care is as accessible and stigma-free as any other medical service, and where every person can receive timely, expert psychiatric treatment.
We connect people in their moment of vulnerability with providers who have the expertise to help them reclaim joy, rebuild relationships, and rediscover their potential.
Every strategy begins with the patient perspective. We help patients find the care they need, when they need it.
We combine clinical excellence grounded in the latest research with genuine compassion in every interaction.
We view client relationships as long-term partnerships built on trust and mutual success—not one-off visits.
We never compromise on compliance, privacy, or ethical standards. Your trust is the foundation of your care.
We stay current with psychiatric research and bring proven innovations—like SPRAVATO® therapy—to our clients.
Long waits, hours of driving, dismissive appointments, and the frustration of trial-and-error treatment leave too many East Texans without real relief from depression, anxiety, or ADHD.
A full team of board-certified providers under one roof, same-week consultations, statewide telepsychiatry, and breakthrough treatments—coordinated around your goals and your schedule.
Comprehensive, evidence-based care that addresses root causes through combined medication management and psychotherapy—helping you reclaim joy, rebuild relationships, and find lasting recovery.
We provide full-spectrum adult psychiatric care, with our deepest expertise in depressive disorders. From thorough diagnostic evaluations and personalized treatment plans to ongoing medication management, our care is built around measurable, meaningful improvement.
Explore our conditions we treat, our complete range of services, and the evidence-based therapies and treatments our team provides across Tyler and throughout Texas.
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James Baughman is a board-certified psychiatric nurse practitioner and co-founder of East Texas Psychiatry and Counseling. With over 35 years 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.
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.
Our team is happy to walk you through how we work, what to expect, and whether we're the right fit.
Contact Us Call (430) 288-5800We provide comprehensive adult psychiatric care for depression, anxiety, ADHD, mood disorders, and more—with particular expertise in treatment-resistant depression. See our full list of conditions we treat.
Yes. Our co-founders are board-certified psychiatric mental health nurse practitioners (PMHNP-BC), and our integrated team collaborates on each patient's care plan.
We do. Our secure telepsychiatry platform extends expert care across the entire state of Texas, which is ideal for medication management follow-ups and routine consultations.
SPRAVATO® (esketamine) is an FDA-approved nasal spray for adults with treatment-resistant depression. It works differently than traditional antidepressants and can provide relief faster. Learn more on our SPRAVATO® therapy page.
We offer same-week consultations when availability allows, plus extended hours and patient portal access. Reach out and we'll find a time that works.
Connect with a board-certified psychiatric provider in Tyler, TX or anywhere in Texas via telepsychiatry. We're here to help you find relief.
If traditional antidepressants haven't worked, SPRAVATO® (esketamine) nasal spray may be the breakthrough you've been waiting for—administered in our monitored, comfortable Tyler, TX clinic.
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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.