Tierra joined the practice in late 2020 and we couldn’t be luckier! We got ourselves an INTJ – Whoot! She retook the Myers Briggs test and is STILL an INTJ, even after Covid. Some of us changed, but not Tierra – she’s our steady.

Tierra’s top music choices are Beyonce, Jack Harlow, Meg the Stallion, and Demi Lovato. 

Her top movies are This Christmas, The Holiday Calendar, and Black Panther.

We chatted about what things she wanted people to know about her to ensure you vibe and this is what we learned:

My clients describe me as calm, welcoming, and nonjudgmental. I am also known to hold people accountable so they can generate the change they want to see. My approach to the therapist-client approach is egalitarian. I tailor my approach to my clients and their presenting concerns. Generally, I take skills and tools from a variety of therapeutic approaches to create my own approach that I believe can be beneficial to help you build your own therapeutic toolkit that you can use beyond our time together in session.

Together, I will help you transform your life so you can live the life you want on your terms to maximize the quality of how you live on a daily basis.

I noticed the gap in holistic mental health care, especially when working with more vulnerable populations including people of color.

I specialize in reproductive mental health and wellness with adults (18+), including but not limited to:

  • PMADs
  • Perinatal Grief and Loss
    • Terminations for Medical Reasons (TFMR)
    • Stillbirth
    • Miscarriage 
    • Neonatal Loss
  • Fertility Challenges 
  • Perimenopause and Menopause 
  • Gender Congruence

More about me and my practice:

I’ve worked in a variety of spaces with vulnerable populations who are at increased risk of having mental health and wellness concerns including people of color, rural, urban, criminal-legal system, neurocognitive patients and families, women, and children with learning disabilities. I am a strong advocate for preventative measures. I have previous experience working with NAMI TX to advocate for people living with mental illness. I was recently appointed to serve on the Disability Rights TX PAIMI Advisory Council for the next 3 years.



Enneagram: 8 – The Challenger

Certifications & Specialty Trainings:

Perinatal Mood and Anxiety Trained – Seleni, When Survivors Give Birth,

Brainspotting Phase 1 & 2, Brainspotting through the Perinatal Lens

AgriSafe Farm Response

Therapy Orientations:

DBT, CBT, ACT, Brainspotting, Humanistic, Client Centered, Feminist, Anti-racist, Intersectionality, 

Measurement Based Care

Therapy Dog:

I will be training to become a certified therapy dog this year. Hopefully, you’ll get to pet me during your in-person visits soon! I occasionally make an appearance for virtual appointments also. I love and adore people so much and hope to make you feel better! P.S. I love to hug people so come ready to snuggle!

Passion Project:

I founded Mentalli to create a hub in order to provide mental health & brain education by offering interactive workshops & e-Learning for the everyday person, that’s you. The mission/goal is to bridge the healthcare and general community through education by empowering people to make proactive choices daily to mitigate the onset of brain illness or disease. 

For awareness, information, and tips every month; follow Mentalli @mentalliorg on all social media channels.

License notes:

I’m licensed as a psychological associate with the state of Texas (#38762). We are required to provide you access to a brochure that discusses the difference between psychological associate vs. psychologist. You can read more about it here.

  • Services

    • Presurgical Evaluations – Bariatric, Surgical Clearance, Gestational (Surrogacy)
    • Brainspotting
    • Therapy
    • Measurement Based Care 
    • Therapy Dog (coming soon)
  • Tele-mental Health only at this time.

  • Office Hours

    • Monday
      • 12 – 7:30pm
    • Wednesday
      • 12 – 7:30pm
    • Saturday
      • 9am – 2pm
  • Cash Pay Fee Schedule with Tierra

    • First appointment: $125
    • Follow-up appointments: $95
  • Insurances Accepted

    Insurance visits are billed under Dr. Blythe

    • Aetna
    • Amerigroup
    • Blue Cross Blue Shield
    • Cigna
    • Community Health Choice
    • Friday Health
    • Molina
    • Superior/Ambetter
    • Texas Children’s Health Plan


My name is Layla!

Tierra is my mommy and she has enrolled me in training to become a certified therapy dog this year. Hopefully, you’ll get to pet me during your visits soon! I love and adore people and hope to make you feel better!

P.S. I love to hug people so come ready to snuggle!


I am currently under the supervision of Dr. Blythe TwoSisters, PsyD.

Dr. Blythe TwoSisters is a Licensed Psychologist with the Texas State Board of Examiners of Psychologists (TX License #36566; Expires 9/2023). For information on how to verify a license, please go to www.tsbep.texas.gov. 

For information on how to file a complaint, please go to the following page: https://www.tsbep.texas.gov/how-to-file-a-complaint-enforcement.