About Jacob
Jacob Pizana is a licensed professional counselor (LPC) with nine years of experience. He is a U.S. Navy veteran who draws on that background when supporting people facing trauma, PTSD, depression, and anxiety.
He offers straightforward, practical care. Sessions focus on listening, making a plan, and taking small steps toward clearer thinking and steadier mood. He keeps conversations direct and respectful while inviting honest feedback about what is working.
Jacob centers each plan on the person in front of him.
Background and approach
He helps people name patterns, learn coping tools, and practice different ways of responding to stress and relationship strain. He can also help with grief, communication problems, separation or divorce, impulsivity, and social anxiety. Therapy is collaborative.
Jacob frames goals together with the person seeking help and adjusts the approach as progress unfolds. He balances support with challenges so people can try new behaviors between sessions. Sessions are offered in English and Spanish and can be held by video call, phone, live chat, or text messaging.
His practice is located in Texas and reflects his interest in multicultural concerns and issues affecting veterans and armed forces members.
Evidence-based approaches adapted for online work
Jacob uses evidence-based therapeutic techniques to address trauma, mood, and anxiety. One common approach focuses on skills for managing anxiety and panic - it teaches breathing and grounding techniques, and ways to change unhelpful thoughts and reactions. This helps people reduce the intensity of panic and feel more in control over daily worries.Another approach centers on trauma and post-traumatic stress by helping people process difficult memories and build routines that reduce distress. Sessions may include guided discussion, paced exposure to memories, and new coping strategies to handle triggers. This approach aims to lessen the hold of traumatic events on current life and improve day-to-day functioning.
Choosing the right approach is part of the work together. The therapist will talk through goals, preferences, and what has or hasn’t helped before, then try methods that fit the person’s needs. Adjustments are expected as progress is tracked and responses to treatment become clearer.
Online therapy options include video calls, phone sessions, live chat, and text-based messaging. Video is useful when visual connection helps build rapport. Phone sessions can be easier when bandwidth is limited or when a shorter check-in is needed. Chat and messaging allow for ongoing support between sessions and quick check-ins that fit a busy day.
Questions people ask
What concerns does Jacob help with?
What is his therapy style like?
How much clinical experience does he have?
What credential and region should I know about?
Which languages are available for sessions?
What session formats are offered?
How are costs handled?
How do I begin working with him?
What this counselor works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- Experience
- 9 years
- Licensed
- Texas
- Languages
- English, Spanish