Therapist & Counseling Resources in Midland, Texas
Therapist & Counseling Resources in Midland, Texas
Finding therapy and counseling support in Midland, Texas can feel overwhelming. Where do you start? Who do you call during a crisis? What therapy options exist beyond the few local practitioners? This comprehensive guide provides Midland and West Texas residents with a complete overview of available resources including crisis support, therapy options, support groups, community services, and specialized care.
On This Page
If You're in Crisis Right Now
If you or someone you know is in immediate danger or experiencing a mental health emergency:
Call 988 - National Suicide & Crisis Lifeline (available 24/7)
Call 911 - For immediate emergency response
Text "HELLO" to 741741 - Crisis Text Line (24/7 text support)
Crisis support is available right now. You don't have to face this alone.
What Crisis Resources Are Available in Midland?
Mental health crises can happen to anyone. Knowing where to turn for immediate support can save lives.
24/7 National Crisis Lines
988 Suicide & Crisis Lifeline
Call or text 988
Free, confidential 24/7 support for people in suicidal crisis or emotional distress. Trained crisis counselors provide immediate support and connect you with local resources.
Crisis Text Line
Text "HELLO" to 741741
Free 24/7 text-based crisis support. If you're more comfortable texting than talking, trained crisis counselors provide support via text message.
Veterans Crisis Line
Call 988 then press 1, or text 838255
Specialized crisis support for veterans and their families available 24/7. Staff trained in military culture and veteran-specific challenges.
Local Midland Emergency Resources
Midland Memorial Hospital Emergency Room
400 Rosalind Redfern Grover Parkway, Midland, TX 79701
(432) 221-1111
24/7 emergency psychiatric evaluation and crisis stabilization. If you're experiencing a mental health emergency, the ER can provide immediate assessment and determine appropriate next steps.
PermiaCare Mobile Crisis Response
(432) 570-3555
Mobile crisis team serving Midland and Ector counties. Responds to mental health crises in the community, providing assessment, de-escalation, and connection to services. Available for children, adolescents, and adults.
Where Can I Find Individual Therapy in Midland?
Midland has limited local therapist options compared to larger Texas cities, but several resources exist for individual counseling.
Community Mental Health Centers
PermiaCare (formerly Permian Basin Community Centers)
501 North Colorado Street, Midland, TX 79701
(432) 570-3300
Community mental health center providing counseling, psychiatric services, case management, and crisis intervention. Accepts Medicaid and offers sliding scale fees based on income. Services for children, adolescents, and adults.
Specialties: Depression, anxiety, bipolar disorder, schizophrenia, trauma, substance use
Private Practice Therapists
Midland has a limited number of private practice therapists. Many have waitlists, and few specialize in specific areas like ADHD, autism, or complex trauma. Word of mouth referrals from your primary care doctor, friends, or coworkers can help you find local Midland therapists.
Online Therapy Options for Midland Residents
Online therapy significantly expands mental health options for Midland residents. Because Midland has limited local therapists and many have waitlists, telehealth allows you to access specialists regardless of your location.
Sagebrush Counseling
Website: Online Therapy in Midland
Phone: (512) 790-0019
Licensed online therapy serving Midland, Odessa, and all of Texas via secure telehealth. Individual counseling and couples therapy with flexible scheduling for oil and gas industry workers.
Specialties: ADHD, anxiety, depression, neurodivergence, relationship issues, work stress
Format: Video sessions from your home - no commute required
Availability: Accommodates rotating shifts and unpredictable schedules common in Permian Basin work
Why consider online therapy in Midland? Access to specialists in ADHD, autism, complex trauma, or other areas not widely available locally. No driving across town after exhausting shifts. Flexible scheduling for rotating work hours. Privacy - discuss issues from home without running into coworkers in waiting rooms. Continue therapy consistently even during intense work periods.
What Couples Therapy Options Exist in Midland?
Relationship challenges are common in Midland given demanding oil and gas schedules, economic stress from boom and bust cycles, and limited quality time together when work hours don't align.
Local Couples Counseling
Very few Midland therapists specialize in couples work. Most general therapists will see couples but may not have advanced training in relationship therapy. Ask your doctor for referrals to local marriage counselors.
Online Couples Therapy for Midland Couples
Sagebrush Counseling - Couples Therapy
Website: Couples Therapy in Midland
Phone: (512) 790-0019
Specialized online couples therapy for Midland and West Texas relationships via secure video sessions. Both partners can join from the same location or different places if one is working in the field.
Specialties: Communication issues, infidelity recovery, intimacy concerns, neurodivergent couples (ADHD/autism), oil and gas industry stress on relationships
Unique for Midland: Understands Permian Basin work demands, flexible scheduling for shift workers, couples intensives available
Are There Support Groups in Midland?
Support groups provide community, shared experiences, and coping strategies for specific mental health challenges.
Alcoholics Anonymous (AA)
Midland AA Intergroup
Phone: (432) 570-5595
Website: aamidland.org
Multiple AA meetings throughout Midland and Odessa daily. Free 12-step recovery support for alcohol use disorder. Meetings available morning, afternoon, and evening to accommodate shift work.
Narcotics Anonymous (NA)
NA Meetings in Midland
Website: na.org (search for Midland meetings)
Free 12-step recovery support for substance use issues. Multiple weekly meetings in Midland area.
Al-Anon and Nar-Anon
Al-Anon Family Groups
Phone: 1-888-425-2666
Website: al-anon.org
Support groups for family members and friends of people with alcohol use disorder. Local Midland meetings available - call for current schedule.
What Resources Are Available for Specific Mental Health Conditions?
ADHD Support
ADHD significantly affects work performance, relationships, and daily functioning, yet many Midland residents remain undiagnosed or lack appropriate support.
ADHD Diagnosis and Treatment in Midland
For evaluation: Contact your primary care doctor for referral to psychiatrist or psychologist who diagnoses ADHD. PermiaCare also provides psychiatric evaluation.
For therapy: ADHD-specialized counseling helps with executive function strategies, time management, emotional regulation, and relationship impacts. Online therapy options provide specialized ADHD support for Midland residents.
Anxiety and Depression Support
Anxiety and depression treatment is available through PermiaCare's counseling services, private practice therapists, and online therapy options. Psychiatric medication management is available through PermiaCare or by referral from your primary care doctor to local psychiatrists.
Trauma and PTSD Resources
Rape Crisis Center of West Texas
24-Hour Hotline: (432) 682-7273
Office: (432) 686-0950
Free confidential support for survivors of sexual assault and their families. Crisis intervention, counseling, advocacy, and legal accompaniment. Serves Midland and surrounding counties.
The National Domestic Violence Hotline
Call: 1-800-799-7233
Text: "START" to 88788
24/7 support for people experiencing domestic violence. Confidential crisis intervention, safety planning, and connection to local resources.
Get therapy support for ADHD, anxiety, depression, or relationship issues in Midland via secure online sessions.
Find a TherapistWhat Help Exists for Substance Use Issues in Midland?
Substance use disorders require specialized treatment. Midland offers several resources for recovery support.
Treatment Centers
Springboard Center
200 Corporate Drive, Midland, TX 79706
(432) 620-0255
Website: springboardcenter.com
Residential and outpatient addiction treatment programs. Evidence-based treatment for alcohol and drug use disorders. Accepts most insurance.
SAMHSA National Helpline
Call: 1-800-662-4357
Free, confidential 24/7 treatment referral and information service for substance use disorders. Can help you find treatment options in Midland area.
Are There Mental Health Resources for Specific Populations?
Youth and Adolescent Mental Health
PermiaCare Child and Adolescent Services
(432) 570-3300
Counseling, psychiatric care, and case management for children and teens with mental health challenges. Sliding scale fees available.
Midland ISD Student Support Services
Contact your child's school counselor for mental health support available through Midland Independent School District including counseling referrals and crisis intervention.
Senior Mental Health
Senior Link - Midland Area Agency on Aging
(432) 563-1061
Information and referral services for seniors including mental health resources, support groups, and caregiver support.
LGBTQ+ Crisis Support
The Trevor Project
Call: 1-866-488-7386
Text: "START" to 678-678
24/7 crisis support for LGBTQ+ youth under 25. Trained counselors provide crisis intervention and suicide prevention support.
How Can I Find Affordable Mental Health Care in Midland?
Cost is a significant barrier to mental health care. Several options exist for Midland residents with limited financial resources.
Sliding Scale and Low-Cost Options
- PermiaCare - Accepts Medicaid and offers sliding scale fees based on income for those without insurance
- Contact individual private practice therapists - Some Midland therapists offer sliding scale fees for clients with financial need
Using Insurance
If you have health insurance through your employer (common in oil and gas companies), check your mental health benefits:
- Call the number on your insurance card and ask about mental health coverage
- Ask for list of in-network therapists in Midland or telehealth providers
- Understand your copay, deductible, and session limits
- Ask if they cover online therapy (most major insurers now do)
Employee Assistance Programs (EAP)
Many Midland employers, especially larger oil and gas companies, offer EAPs providing free short-term counseling (typically 3-8 sessions). Check with your HR department about EAP benefits.
What Should I Know About Choosing a Therapist in Midland?
Finding the right therapist significantly impacts your mental health journey. Here's what to consider:
Specialization Matters
General therapists provide valuable support, but specialists offer deeper expertise for specific concerns. If you're struggling with ADHD, trauma, eating disorders, or other specific issues, seek therapists trained in those areas even if it means choosing online therapy over limited local options.
When to Consider Online Therapy
Online therapy makes sense for Midland residents when:
- Local therapists have long waitlists (common in Midland)
- You need specialized support not available locally (ADHD, autism, infidelity recovery)
- Your work schedule makes in-person appointments difficult (rotating shifts, field work)
- You value privacy and want to avoid waiting rooms in a small community
- You want consistent care even during intense work periods or travel
- You're more comfortable discussing difficult topics from home
Frequently Asked Questions About Mental Health Resources in Midland
Common Questions from Midland Residents
Yes. Online therapy is an excellent option for Midland residents, especially given limited local therapist availability. You can access specialized support for ADHD, trauma, couples issues, and other concerns via secure video sessions. Online therapy also works well for oil and gas workers with rotating shifts or unpredictable schedules.
Online counseling connects you with a licensed therapist via secure video sessions from your home, office, or anywhere you have privacy and internet access. You schedule an appointment, receive a secure video link, and meet with your therapist at the scheduled time just like an in-person session but without the commute. Sessions are typically 50 minutes and are just as effective as in-person therapy. You need a device with a camera and microphone (phone, tablet, or computer) and a private space to talk.
Alcoholics Anonymous has multiple daily meetings in Midland - call (432) 570-5595 or visit aamidland.org for schedules. Narcotics Anonymous also has weekly meetings. Al-Anon provides support for families of people with alcohol use disorder - call 1-888-425-2666 for local meeting information.
Yes. Online therapy works particularly well for Midland's oil and gas workers with rotating shifts, unpredictable hours, or extended field assignments. You can schedule sessions during your time off without commuting, and therapists can accommodate variable schedules that make regular in-person appointments difficult.
Yes. PermiaCare provides child and adolescent mental health services including counseling and psychiatric care - call (432) 570-3300. Midland ISD also has student support services - contact your child's school counselor for available resources and referrals.
Start by contacting PermiaCare at (432) 570-3300 - they offer sliding scale fees based on income. Check if you have an Employee Assistance Program (EAP) through your employer which often provides free short-term counseling. If you have health insurance, call the number on your card to ask about mental health benefits and in-network providers.
If you're asking this question, therapy might help. Consider counseling if you're experiencing persistent sadness or anxiety, relationship difficulties, work stress affecting your life, changes in sleep or appetite, difficulty managing daily responsibilities, past trauma affecting you now, or if you simply want support navigating life challenges. You don't need to be in crisis to benefit from therapy.
Additional Midland Mental Health Resources
211 Texas
Dial 211 for free information and referral to health and human services in Midland and across Texas. Available 24/7 in multiple languages.
Midland Health Department
(432) 687-7460 - Information about health services in Midland including mental health program referrals.
Looking for Therapy in Midland?
Sagebrush Counseling provides online therapy for Midland and West Texas residents. Individual counseling, couples therapy, and specialized support for ADHD, anxiety, depression, and relationship issues.
Learn More About Online TherapyThis guide provides general information about mental health resources in Midland, TX. It's not a substitute for professional medical advice. If you're experiencing a mental health emergency, call 988 or 911 immediately. Resource information accurate as of March 2026 but may change - contact organizations directly to verify current services and availability.
