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West Texas · County guide

Mental health in Andrews County, Texas

County seat: Andrews

18.2%

Adults reporting frequent mental distress

CDC PLACES

25.9%

Adults without health insurance

CDC PLACES

Mental Health Desert Score

Andrews County · High access gap

60

out of 100

  • 18.2% of adults report frequent mental distress
  • 25.9% of adults are uninsured
  • No Local Mental Health Authority on file
  • No Federally Qualified Health Center on file

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Mental health in Andrews County

In Andrews County, 18.2% of adults report frequent mental distress, higher than the national average. Access to mental health services in this West Texas county presents unique challenges due to its rural nature and a limited number of local providers. The county's population relies on a combination of local, regional, and telehealth resources to meet their mental health needs.

Local context

Andrews County is home to a relatively small number of mental health professionals. According to NPPES data, local providers near the county seat of Andrews include 1 psychiatrist, 2 social workers, and 6 counselors. There are currently no psychologists or marriage and family therapists listed within the immediate vicinity. This scarcity of local providers can make accessing timely in-person care difficult for residents. Furthermore, 25.9% of adults in Andrews County are uninsured, which can significantly impact their ability to afford mental health services. Understanding these local dynamics is crucial for navigating the available support systems effectively.

How to get care

Despite the limited local resources, several avenues exist for Andrews County residents seeking mental health care.

  • Telehealth services have expanded significantly across Texas, offering a convenient way to connect with licensed mental health professionals from anywhere with an internet connection. Many therapists, psychiatrists, and counselors offer virtual appointments, removing geographical barriers to care.
  • Your primary care physician can be a vital first step. They can assess your symptoms, provide initial support, and offer referrals to mental health specialists or appropriate community resources.
  • Texas operates a system of Local Mental Health Authorities (LMHAs), which serve as the primary point of access for publicly funded mental health services in their respective regions. These authorities offer a range of services, including crisis intervention, medication management, and therapy, often on a sliding scale based on income. While a specific LMHA physically located within Andrews County may not exist, the regional LMHA serves residents in the area, providing a crucial safety net for those who need it most.
  • Federally Qualified Health Centers (FQHCs) are community-based healthcare providers that offer primary care, dental care, and often integrated behavioral health services to underserved populations, regardless of their ability to pay. While not every FQHC offers comprehensive mental health services, many provide initial screenings, brief interventions, and referrals. Checking for FQHCs in neighboring areas can also be beneficial.

When you need help now

If you or someone you know is experiencing a mental health crisis, immediate help is available.

  • The 988 Suicide & Crisis Lifeline is a national service available 24/7. You can call or text 988 to connect with trained crisis counselors who can provide support and resources.
  • For text-based support, the Crisis Text Line allows you to text HOME to 741741 to connect with a crisis counselor at any time.
  • Any local emergency room is legally required to evaluate behavioral health emergencies. If you are in immediate danger or fear for your safety or the safety of others, proceed to the nearest emergency room for evaluation and stabilization.

If you need help right now

  • 988 — Suicide & Crisis Lifeline (call or text)
  • Text HOME to 741741 — Crisis Text Line
  • Any Texas emergency room is required to evaluate behavioral-health emergencies.

Licensed providers near Andrews

From the NPPES NPI Registry (CMS).

6

counselors

1

psychiatrists

0

psychologists

2

social workers

0

marriage family

Frequently asked — therapy in Andrews County

How do I find a therapist in Andrews County, Texas?

Our directory lists 9 Texas-licensed therapists who can see Andrews County residents — most by secure video, so you're not limited to clinicians physically in town. Filter by specialty, language, or insurance, then book directly with the therapist.

Do therapists in Andrews County accept insurance like BCBS, Aetna, Cigna, UnitedHealthcare, or Medicare?

Yes. Many Andrews County-serving clinicians take major Texas plans including Blue Cross Blue Shield of Texas, Aetna, Cigna, UnitedHealthcare, Superior HealthPlan (Medicaid), and Medicare. Use the insurance filter on the directory or check each therapist's profile for the current list.

Can I see a therapist by video from Andrews County?

Yes. Any Texas-licensed therapist can legally provide telehealth to anyone physically located in Texas, including Andrews County. Telehealth is HIPAA-compliant secure video and is covered by most insurance plans the same as in-person sessions.

What if I'm in a mental health crisis in Andrews County?

If you're in immediate danger, call or text 988 — the national Suicide & Crisis Lifeline (available 24/7 in English and Spanish).

How much does therapy cost in Andrews County without insurance?

Self-pay rates from clinicians serving Andrews County typically range from $90 to $200 per 50-minute session. Many therapists offer sliding-scale fees based on income — ask during your first call. Some also accept HSA/FSA cards.

Can I use Texas Medicaid (STAR) to see a therapist in Andrews County?

Yes. Superior HealthPlan, Molina, Aetna Better Health, and other Texas Medicaid managed-care plans cover outpatient mental health therapy statewide. Filter the directory by "Medicaid" or your specific plan to see clinicians who currently accept it.

Are sessions with a Andrews County therapist confidential?

Yes. Therapy sessions are protected by HIPAA and Texas state law. Records are only released with your written consent, with narrow legal exceptions (immediate danger to self or others, suspected abuse of a child or vulnerable adult, or a court order).

What types of therapists serve Andrews County — LPC, LCSW, LMFT, psychologist, psychiatrist?

Our directory includes Licensed Professional Counselors (LPCs), Licensed Clinical Social Workers (LCSWs), Licensed Marriage and Family Therapists (LMFTs), psychologists (PhD/PsyD), and psychiatric providers (MD, DO, PMHNP) — all verified through the NPPES NPI registry. Use the credential filter to narrow your search.

How long does it take to feel better after starting therapy?

Most people notice some relief within 4-6 sessions and meaningful progress between 8 and 20 sessions. Faster results are common with focused, time-limited approaches (CBT, EMDR, brief solution-focused therapy). Complex trauma or long-standing patterns usually take longer.

Can I switch therapists if the first one isn't a good fit?

Absolutely — and you should. Research consistently shows the therapist-client fit is the single biggest predictor of progress. Most clinicians expect a "first-fit" consultation. If something feels off after 1-2 sessions, browse other Andrews County therapists and try again.

See a Texas-licensed therapist by telehealth

Every clinician in our directory is licensed in Texas and able to see clients in Andrews County by secure video.

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