High quality mental health care relies on clinical expertise, compassionate communication, and state licensure that protects patients. At Cura Mind and Wellness, services in Texas are led by Vivian Emuobe, MSN, BSN, APRN, PMHNP-BC, a board certified psychiatric mental health nurse practitioner licensed in Texas. While many people search for a psychologist, Cura provides psychiatric evaluation, therapy, and medication management under advanced nursing licensure, with in person visits in Richmond and secure telehealth across Texas.
Our approach is evidence based, practical, and respectful. You receive a clear plan, therapy skills you can use this week, and careful medication decisions when appropriate, with options that include TMS in Texas and IV ketamine for select cases after thorough evaluation.
In person care in Richmond, telehealth statewide
In person, Richmond office
- Comprehensive psychiatric evaluations, history review, symptom mapping, diagnosis clarification,
- Psychopharmacology, conservative prescribing, side effect monitoring, education,
- Psychotherapy, CBT, DBT skills, supportive counseling, trauma informed approaches,
- ADHD testing and diagnosis, structured rating scales, collateral input when available, objective attention tasks in office,
- Gene testing, pharmacogenomic screening to guide safer medication choices,
- Advanced options in Texas, TMS when criteria are met, IV ketamine for treatment resistant depression after evaluation and safety screening,
- Medical weight loss, when clinically appropriate, with clear criteria and monitoring.
Telehealth across Texas
- Psychiatric consultations, follow ups, and medication management,
- Individual therapy, skills based sessions that fit work and family schedules,
- ADHD follow ups and coaching for executive function and routine building,
- Progress tracking through secure tools, relapse prevention planning.
For virtual visits, you must be physically located in Texas during the session. This is a licensure requirement.
What Texas licensure means for you
Working with a Texas licensed clinician ensures you receive care that is:
- Legal and ethical, aligned with rules from Texas licensing authorities,
- Accessible, seen in person in Richmond, or by telehealth when you are physically in Texas,
- Coordinated, therapy, psychopharmacology, and testing available in one practice,
- Transparent, benefits, risks, and alternatives explained in plain language, with written plans.
Conditions we treat in Texas
- Anxiety disorders, generalized, social, panic, phobias,
- Depression, low mood, loss of interest, sleep and appetite changes,
- Panic attack disorder, sudden fear spikes with physical symptoms,
- PTSD, trauma related distress, nightmares, hyperarousal, avoidance,
- OCD, intrusive thoughts, time consuming rituals, compulsions,
- ADHD, inattention, procrastination, restlessness, executive function challenges,
- Bipolar disorder, depressive and hypomanic or manic episodes,
- Borderline personality disorder, emotion regulation, relationship stability,
- Sleep disorders, insomnia, circadian rhythm disruption,
- Adjustment disorders, stress tied to relocation, caregiving, job change, grief,
- Dual diagnosis, psychiatric conditions with substance use, with warm referrals when higher level support is needed.
A Texas patient journey, from first visit to maintenance
- Step 1, Intake and priorities: Complete secure digital forms and share goals. Bring any prior records or medication lists.
- Step 2, Evaluation: A focused, comprehensive visit that reviews history, current symptoms, sleep patterns, medical contributors, and daily routines. Screening clarifies whether symptoms reflect anxiety, depression, ADHD, trauma, bipolar spectrum, or a blend.
- Step 3, Written plan: You receive a clear plan that may include therapy focus, lifestyle skills, and medication options. If you have had side effects or limited benefit before, we may discuss gene testing at the Richmond office.
- Step 4, Early follow up: Visits monitor response, refine skills, and adjust medications when appropriate. For ADHD, we review objective and functional progress, email and calendar control, task initiation, driving focus, and study routines.
- Step 5, Advanced options when indicated: If depression remains severe after adequate trials, TMS in Texas or IV ketamine may be considered. Safety, expectations, and monitoring are reviewed in detail.
- Step 6, Maintenance and prevention: As stability improves, visit frequency decreases. You leave with a relapse prevention plan, early warning signs to watch, and action steps if stressors return.
What progress looks like
- A diagnosis that explains your experience,
- Reduced symptom intensity and frequency,
- Better sleep, steadier energy, improved focus,
- Medication benefits with fewer side effects,
- Stronger coping skills that show up at work, school, and home,
- Fewer urgent visits, more predictable days,
- Confidence in a plan that fits Texas life, traffic, heat, long shifts, family responsibilities.
Collaboration, documentation, and coordination
With your written consent, we coordinate with therapists, primary care, or specialists to support continuity. Updates are concise, medication list, diagnoses, current plan. When documentation for school or work accommodations is appropriate, we provide clear, professional language that reflects clinical findings and state requirements. If a service is not indicated, or a higher level of care is needed, we explain that transparently and help you transition safely.
Practical notes for Texas telehealth and in person care
- Be physically in Texas during telehealth sessions, location is verified,
- Choose a private space, headphones improve confidentiality and sound,
- Use a secure network and close extra apps for better video quality,
- In person services, including TMS, IV ketamine, gene testing, ADHD testing, and medical weight loss, are offered from our Texas location, criteria and safety screening apply,
- Portal messaging is available for non urgent questions and forms.
FAQs, Psychologist Licensed in Texas
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Care in Texas is provided by a board certified psychiatric mental health nurse practitioner, many people search for a psychologist when they need therapy or medication support, and our scope includes evaluation, therapy, and prescribing within Texas rules.
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Yes. In person care is available in Richmond, with therapy, medication management, advanced options, and testing.
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Yes. TMS is offered at our Texas location for eligible patients after evaluation, with ongoing monitoring and outcome tracking.
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Yes. For treatment resistant depression and select conditions, after careful screening, informed consent, and safety planning.
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Yes. As long as you are physically located in Texas at the time of the session.
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Yes. Structured ADHD evaluations and objective attention tasks are available in person, with telehealth used for portions of the intake and follow up.
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Yes. With written consent, we share concise updates to support safety and continuity.
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Yes. Your therapy focus, medication choices, safety steps, and follow up timeline are documented so you always know what comes next.
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Yes. Care uses encrypted, HIPAA compliant platforms and a secure health record. We do not record sessions.
Why patients in Texas choose Cura
- Board certified leadership, advanced psychiatric training with inpatient and outpatient experience,
- Integrated model, therapy, medication, gene testing, and advanced treatments in one practice,
- Houston area access, in person visits in Richmond for those who prefer face to face care,
- Telehealth flexibility, statewide access for busy professionals, students, and caregivers,
- Clear measurement, outcome tracking, side effect review, milestones that guide next steps,
- Respect and privacy, HIPAA compliant technology, secure portal communication, culturally sensitive care.
Begin care with a licensed Texas provider
Licensed, ethical, and patient centered care should feel clear and achievable. With in person visits in Richmond and telehealth across Texas, Cura Mind and Wellness delivers evaluations, therapy, medication management, and advanced options like TMS and IV ketamine when indicated. Your plan is personalized, measurable, and designed for real life.