Comprehensive Guide to Mental Health Resources in Austin, TX

July 24, 2025

Mental health is just as important as physical health, yet access to mental health care remains a challenge for many people. According to a landmark study published in The Lancet, mental and neurological disorders account for 13% of the global burden of disease, measured in years of healthy life lost due to disability and premature mortality. 


In the United States, and in Texas specifically, barriers such as cost, insurance gaps, limited availability of providers, and stigma often prevent people from getting the help they need. In Austin, however, a number of local organizations are working to make mental health support more affordable, accessible, and inclusive. 


This article offers a curated list of mental health resources available in Austin, TX, with a focus on services that are either free, low-cost, or available on a sliding scale. All organizations featured here are based in or serve the Austin community directly.

Affordable Therapy Clinics in Austin


Fortunately, several local organizations provide therapy and support services at reduced cost or no cost at all. These clinics aim to make mental health care more accessible through sliding scale fees, community-based funding, and free programs. The following resources offer individual and group counseling for a range of mental health needs, including anxiety, depression, recovery, and life transitions.


1. Friends of Austin State Hospital (Friends of A.S.H.)

Programs Offered Therapeutic arts, recreational events, music therapy, patient support activities
Cost Details Free for patients; community-supported via donations and partnerships
Website URL https://www.friendsofash.org/

Friends of Austin State Hospital (Friends of A.S.H.) is a nonprofit organization committed to improving the lives of patients receiving mental health care at Austin State Hospital (ASH). For over 70 years, Friends of A.S.H. has played a vital role in supporting recovery by funding creative, recreational, and therapeutic programs that promote healing, dignity, and community connection.


In a recent collaboration with Samaritan Center, Friends of A.S.H. expanded its outreach by co-hosting events focused on holistic recovery and integrated care. The partnership highlights their shared commitment to mental health access, spiritual care, and trauma-informed support across Central Texas. Together, we aim to reduce stigma and build stronger networks of community healing. 


2. Mindful Wellness Center of Austin

Programs Offered Individual therapy, couples therapy with a mindfulness-based approach
Cost Details $30–$75 sliding scale
Website URL https://www.mindfulwellnessaustin.org/affordable-counseling

Mindful Wellness Center of Austin offers individual and couples counseling focused on mindfulness-based approaches. Services are provided by graduate student interns and post-graduate associate therapists, making it possible to keep fees lower. Therapy sessions are available virtually, and costs range from $30 to $75 per session depending on the therapist’s level of training.


3. Integral Care

Programs Offered Individual therapy, psychiatric care, crisis services, case management, substance use treatment
Cost Details Sliding scale based on income; accepts Medicaid, Medicare, and most insurance
Website URL https://integralcare.org/
24/7 Helpline 512-472-HELP (4357)

Integral Care is the Local Mental Health and Intellectual and Developmental Disability Authority for Travis County. It provides a wide range of mental health services including counseling, psychiatry, crisis intervention, substance use treatment, and case management.


Integral Care offers services to adults, children, and families, with a focus on individuals experiencing serious mental illness or emotional distress.


Fees are based on income and family size using a sliding scale, and Medicaid, Medicare, and most private insurance plans are accepted. 


4. Communities for Recovery

Programs Offered Peer support groups, recovery coaching, wellness classes, community reintegration support
Cost Details Free; no insurance required
Website URL https://communitiesforrecovery.org/

Communities for Recovery provides peer-led support services focused on individuals recovering from mental health challenges and substance use disorders. Programs include one-on-one peer coaching, recovery-oriented groups, wellness classes, and workforce re-entry support.


All services are free of charge, and no insurance is required. The organization centers its approach on lived experience, aiming to reduce stigma and build personal empowerment. 


Substance Use and Recovery Services


In Austin, several organizations are dedicated to helping individuals navigate substance use challenges by offering education, treatment options, peer support, and referrals to trusted recovery programs. These services are designed to meet people where they are, whether they’re just beginning to seek help or are continuing a long-term recovery journey. 


5. Sober Austin

Programs Offered Resource directory for 12-step groups, outpatient/inpatient treatment, detox centers, sober living, harm reduction programs
Cost Details Varies by provider; Sober Austin is free to access
Website URL https://soberaustin.com/

Sober Austin is an online resource hub that connects individuals in Austin and Central Texas to a wide range of substance use and addiction recovery services. While it is not a direct treatment provider, it serves as a directory for local recovery meetings, sober living facilities, outpatient programs, detox centers, and harm reduction services.


The platform is especially helpful for individuals and families trying to navigate available options without formal referrals. It also offers information tailored to different needs, including support for adolescents, LGBTQIA+ individuals, and those in early recovery.


6. SIMS Foundation

Programs Offered Counseling, case management, clinical assessments for music industry professionals and families
Cost Details Free or low-cost depending on need; services funded by donations and grants
Website URL https://simsfoundation.org/

The SIMS Foundation offers direct mental health and substance use recovery services for musicians, music industry professionals, and their families in the Austin area. Programs include clinical assessments, individual and group counseling, case management, and referrals to specialized treatment providers.


Services are trauma-informed and tailored to the unique needs of those working in the music industry. SIMS partners with a network of licensed clinicians and recovery specialists, and assistance is provided at low or no cost, depending on the client’s financial situation. 


Domestic Violence & Crisis Counseling


For individuals experiencing domestic violence, sexual assault, or other forms of interpersonal violence, immediate and long-term support is critical. In Austin, several organizations provide free crisis counseling, shelter, legal advocacy, and recovery services for people affected by abuse. These programs are confidential, inclusive, and available regardless of income or immigration status. Whether someone needs emergency housing, trauma counseling, or safety planning, the following resources offer accessible help within the Austin community.


1. SAFE Alliance (Austin)

Programs Offered Emergency shelter, trauma-informed counseling, legal advocacy, support for Deaf and disabled individuals, prevention education
Cost Details All services are free
Website URL https://www.safeaustin.org/
Hotline 512-267-SAFE (7233) (24/7 crisis line)

SAFE (Stop Abuse For Everyone) Alliance is a nonprofit organization that formed through the merger of Austin Children’s Shelter and SafePlace. Its mission is to stop abuse for everyone by serving survivors of child abuse, sexual assault, domestic violence, and sex trafficking. SAFE believes that safety is a basic human right and that abuse is preventable through education, community engagement, and systemic change.


In addition to shelter and counseling, the organization also offers housing assistance, parenting support, and services for survivors with disabilities or language barriers. SAFE is committed to equity, trauma-informed care, and survivor-centered practices across all programs.


2. Hope Alliance

Programs Offered Emergency shelter, 24/7 hotline, individual and group therapy, legal support, child services, safety planning
Cost Details All services are free
Website URL https://www.hopealliancetx.org/
Hotline 1-800-460-7233 (24/7 crisis line)

Hope Alliance is the recognized domestic violence and sexual assault response center for Williamson County, located just north of Austin in Round Rock. Their mission is to assist those affected by family and sexual violence by providing safety, services, and support, while working toward prevention through education and community partnerships.


Hope Alliance operates from a belief in survivor empowerment, recognizing each person’s right to make decisions about their safety and healing. In addition to core services like counseling and emergency housing, they provide court accompaniment, community education programs, and children's advocacy services. 


LGBTQIA+ Mental Health Support


LGBTQIA+ individuals often face unique mental health challenges, including discrimination, identity-based stress, family rejection, and barriers to culturally competent care. In response, several organizations in Austin are dedicated to providing affirming, identity-safe mental health services tailored to the needs of queer and trans individuals.


1. Out Youth

Programs Offered Individual counseling (ages 5–29), support groups for LGBTQ+ youth, caregiver support groups
Cost Details Free or low-cost based on availability and funding
Website URL https://www.outyouth.org/counseling/individual

Out Youth is a nonprofit based in Austin that supports LGBTQIA+ youth through affirming mental health care, peer support, and family resources. Founded in 1990, its mission is to promote the well-being of LGBTQ+ youth so they can openly and safely explore and affirm their identities.

The organization offers free and low-cost individual therapy, support groups, and services for caregivers of queer and trans youth. Out Youth’s approach is grounded in youth empowerment, mental health equity, and community connection. Their counseling staff includes licensed clinicians who are trained in trauma-informed and culturally competent care for LGBTQ+ populations.


2. PFLAG Austin

Programs Offered Peer-led support group meetings for LGBTQ+ people and families, community education
Cost Details Free
Website URL https://pflag.org/

PFLAG Austin is the local chapter of the national PFLAG network, which supports LGBTQIA+ people, their families, and allies. The organization focuses on creating safe, inclusive environments where individuals and families can access peer-led support.


PFLAG meetings are not therapy, but they offer opportunities for connection, education, and advocacy. Founded on the values of unconditional love and mutual respect, PFLAG’s mission is to promote acceptance and understanding through community dialogue and support.


3. The Trevor Project (Online National)

Programs Offered 24/7 crisis line, text/chat support, online peer network (TrevorSpace)
Cost Details Free
Website URL https://pflag.org/
Hotline 1-866-488-7386 (24/7 crisis line)
Text Text “START” to 678678

The Trevor Project is a national organization offering 24/7 crisis intervention and suicide prevention services to LGBTQIA+ youth under 25. Although it operates nationwide, its services are accessible in Austin through online and phone-based platforms.


Trevor’s mission is to end suicide among LGBTQ youth by providing accessible, confidential, and affirming crisis support. Services include a phone lifeline, text and chat options, and an online peer community called TrevorSpace.


Pregnancy, Postpartum & Family Mental Health


Many individuals experience emotional changes before, during, and after childbirth, while others may face stress tied to caregiving, parenting challenges, or major life adjustments. These programs address perinatal mood disorders, parenting stress, family dynamics, and trauma, offering services such as counseling, hotlines, education, and peer support. The following resources are designed to help families and caregivers navigate complex emotional experiences in a safe and supportive environment.


1. Nurtured TX (Formerly PPHATX)

Programs Offered Free support groups, therapy referrals, case management for perinatal mental health
Cost Details Services are free or offered at reduced cost through referral network
Website URL https://nurturedtx.org/

Nurtured TX, formerly known as the Pregnancy and Postpartum Health Alliance of Texas (PPHATX), is a nonprofit organization that supports the mental health of individuals during and after pregnancy. Their mission is to ensure that every parent in Central Texas has access to specialized perinatal mental health care regardless of income or background.


Nurtured TX provides free support groups, individual therapy referrals, and care coordination for those experiencing perinatal mood and anxiety disorders. They work with licensed clinicians who are trained in perinatal mental health, and they aim to reduce barriers by connecting clients to providers who offer low-cost or grant-funded care.


2. Texas Youth Helpline

Programs Offered 24/7 hotline, text, and online chat for youth and families in crisis or emotional distress
Cost Details Free
Website URL https://www.dfps.texas.gov/youth-helpline/

The Texas Youth Helpline is a confidential, 24/7 service operated by the Texas Department of Family and Protective Services. It offers crisis intervention, emotional support, and connection to local services for youth (under age 21) and their parents or guardians.


The helpline supports young people dealing with family conflict, abuse, neglect, bullying, or mental health concerns. Callers can receive free guidance by phone, text, or online chat. The service is grounded in the belief that early support and listening can prevent escalation and help youth feel safe and connected to trusted adults.


3. TexVet

Programs Offered Resource directory, mental health care access, peer support, PTSD treatment information
Cost Details Services vary; access to platform is free
Website URL https://texvet.org/

TexVet is a statewide resource hub for veterans, service members, and their families, offering mental health support, peer networks, and local service directories. Though based in Texas, it connects users, including those in Austin, to trusted providers and veteran-focused organizations.


TexVet’s mission is to provide accurate, current information and to reduce the complexity often involved in navigating veteran services. The site includes mental health resources, PTSD treatment programs, caregiver support, and links to community-based counseling. TexVet also emphasizes suicide prevention and transition support for veterans returning to civilian life.


4. Integral Care Veterans Services

Programs Offered Individual and family therapy, substance use treatment, case management for veterans
Cost Details Sliding scale; accepts Medicaid, Medicare, and most insurance
Website URL https://integralcare.org/en/home-3/
Hotline 512-472-HELP (4357) (24/7 crisis line)

Integral Care provides mental health services for veterans and their families living in Travis County. In addition to its general mental health programs, Integral Care offers case management, therapy, and substance use support tailored to the experiences of veterans.

The organization collaborates with the Veterans Administration and other agencies to ensure continuity of care, especially for veterans with complex mental health needs or post-traumatic stress. Integral Care’s veteran services are grounded in trauma-informed care and are part of a broader mission to improve mental health equity for underserved populations in Austin.


Resources to Remember and Share



Taking the first step toward mental health support can feel overwhelming, but reaching out for help is a sign of strength, not weakness. Whether you're navigating personal challenges, supporting a loved one, or simply looking for resources, the services listed in this guide are here to help. Many are free or low-cost, and they are designed to meet you with compassion, confidentiality, and respect.


We encourage you to bookmark or share this article so it can serve as a helpful reference for yourself or someone you know. While we’ve worked to keep the information accurate and up to date, availability, pricing, and program offerings may change. Please visit each organization’s website or contact them directly to confirm the latest details.


If you or someone you know is experiencing a mental health crisis, here are the primary emergency and crisis hotlines available in Austin:


  • Integral Care Crisis Line (24/7): 512-472-HELP (4357)
  • SAFE Alliance (Domestic & Sexual Violence): 512-267-SAFE (7233)
  • Hope Alliance (Family & Sexual Violence): 1-800-460-7233
  • Texas Youth Helpline: 1-800-989-6884
  • Trevor Project (LGBTQIA+ youth): 1-866-488-7386 or text “START” to 678678
  • National Suicide & Crisis Lifeline: 988
  • Call 2-1-1 Texas: For referrals to local mental health and social services
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Substance use and mental health are closely connected because each condition can increase the risk of developing the other, and treating them together produces more stable outcomes than addressing them separately, yet this connection is still widely misunderstood. This guide is for patients, families, and community members who want a clear, general understanding of why these two issues so often occur together and what kind of support actually helps. It does not replace medical advice; if you or someone you know needs help, please reach out to a healthcare provider or the crisis resources listed at the end of this piece. What Is Overdose Awareness and Why Does It Matter? Overdose awareness efforts exist to reduce the stigma , silence, and misinformation that often surround substance use, particularly when a mental health condition is also involved. Awareness alone doesn't prevent every overdose, but it does make people more likely to recognize warning signs and seek help earlier. Overdose Prevention Awareness Overdose prevention awareness typically focuses on recognizing risk factors, understanding that relapse can increase overdose risk, and knowing where to turn for support before a crisis develops. Community education plays a meaningful role here, especially in reducing the shame that keeps people from asking for help. Understanding the Link Between Substance Use and Mental Health The relationship between these two areas runs in both directions. According to the National Institute of Mental Health , many people with substance use disorders also experience conditions like depression, anxiety, or bipolar disorder, and people with mental health conditions face a higher risk of developing substance use problems. Neither condition is simply a symptom of the other. Environmental stress, trauma, and genetic factors can contribute to both, and each condition can worsen the other if left unaddressed. What Are Co-Occurring Disorders? Why Accurate Diagnosis Takes Time Mental health professionals who deal with co-occurring disorders, often referred to as a "dual diagnosis", describe a situation where someone experiences both a substance use disorder and a separate mental health condition at the same time. Diagnosing this accurately can take time, since symptoms of one condition can mask or mimic the other. Effective care typically addresses both conditions together rather than treating them separately. Integrated treatment, which combines mental health and substance use support in one coordinated plan, tends to produce more stable outcomes than treating each issue in isolation. In practice, integrated treatment might include a psychiatrist and a substance use counselor working from the same treatment plan, shared notes between providers, and consistent check-ins that monitor both conditions at the same time. Without that coordination, a patient might receive medication for depression while an untreated substance use issue continues to interfere with that medication's effectiveness. How Substance Use Affects Inpatient Psychiatric Patients The Treatment Challenges Clinicians Face Substance use disorder and psychiatric care intersect often in inpatient settings, since patients admitted for a mental health crisis sometimes have an undiagnosed or untreated substance use issue underneath. Austin State Hospital screens for and addresses both conditions during a patient's stay. You can learn more about the hospital's approach to patient care on our hospital overview page . Substance use can also complicate psychiatric treatment directly, since it may interfere with medication effectiveness or mask symptoms that clinicians need to see clearly in order to diagnose and treat a patient properly. The Role of Community in Overdose Prevention and Mental Health Recovery Clinical treatment addresses the medical side of recovery, but community support fills a different, equally important role. Consistent, nonjudgmental contact from family, friends, or others reduces isolation, which is one of the strongest predictors of relapse for someone managing a co-occurring condition. Community involvement doesn't require special training. Simply showing up, listening without judgment, and encouraging someone to stay connected to treatment can meaningfully improve their odds of long-term recovery. For someone managing a dual diagnosis, that might look like a family member driving them to a weekly outpatient appointment, a friend checking in by text every few days, or a staff person at a hospital enrichment program providing a consistent, low-pressure connection during treatment. If you're looking for practical ways to help, our How You Can Help page outlines specific options. Mental Health and Substance Use Resources in Austin, Texas Finding Dual Diagnosis Treatment in Texas Dual diagnosis treatment that Texas patients need is available through several local providers, though access and wait times can vary depending on insurance and location. Integral Care , the local mental health authority for Travis County, offers crisis services, outpatient care, and coordinated treatment for co-occurring conditions. Recovery Resources for Austin Residents Austin TX residents working on mental health recovery often pursue benefits from combining clinical treatment with community resources, including support groups and nonprofit programs that fill gaps standard treatment doesn't always cover. Texas Health and Human Services also maintains a statewide directory of mental health and substance use services that can help patients and families identify programs available in their county, including options for those navigating dual diagnosis treatment for the first time. If you have questions about finding the right starting point, our contact page can help point you in the right direction. How Friends of ASH Supports Substance Use and Mental Health Recovery in Austin For over 70 years, Friends of ASH has partnered with Austin State Hospital to fund the programs that support patients through every stage of their treatment. Friends of ASH supports patients at Austin State Hospital, including those managing a co-occurring substance use and mental health condition, by funding enrichment programs such as art therapy, Pet Partners therapy dog visits, recreational activities, and holiday events that extend beyond standard clinical care. This support doesn't replace treatment, but it does help patients stay engaged and connected throughout their recovery. None of this work happens without community involvement and donations. You can see exactly how contributions are used on our donation page . Support Patients at Austin State Hospital If you want to help patients at Austin State Hospital access the programs and community connections that support their recovery, there are direct ways to get involved. Visit our How You Can Help page to explore volunteer and community support options, or go to our donation page to fund the enrichment programs that make a real difference. Frequently Asked Questions 1. What is the connection between substance use and mental health? Substance use and mental health conditions frequently occur together, and each can increase the risk of developing the other. Shared factors like trauma, stress, and genetics often contribute to both. 2. What is a co-occurring disorder? A co-occurring disorder, sometimes called a dual diagnosis, describes having both a substance use disorder and a separate mental health condition at the same time. Treating both together tends to lead to more stable outcomes than treating them separately. 3. How does substance use affect people with serious mental illness? Substance use can worsen psychiatric symptoms, interfere with medication effectiveness, and make accurate diagnosis more difficult. It can also increase the risk of hospitalization or relapse if left unaddressed. 4. What overdose prevention resources are available in Austin, Texas? Integral Care serves as the local mental health authority for Travis County and offers crisis services and treatment referrals. Dual diagnosis treatment that Texas patients can access locally includes coordinated care for both substance use and mental health conditions. SAMHSA's National Helpline (Substance Abuse and Mental Health Services Administration) 1-800-662-4357) is also available nationally, 24/7, for anyone seeking treatment information or support. 5. How can community support help someone with a dual diagnosis? Consistent, nonjudgmental contact from family, friends, or others can reduce isolation and help someone stay connected to treatment. Community involvement doesn't replace clinical care, but it plays a real role in long-term stability. That involvement includes supporting financially so that programs that address dual diagnosis needs get funded. Key Takeaways Substance use and mental health conditions often occur together, and treating them as connected issues generally leads to better outcomes than treating them separately. A co-occurring disorder, or dual diagnosis, requires careful screening since symptoms of one condition can mask the other. Substance use can complicate psychiatric treatment by interfering with medication effectiveness or masking symptoms clinicians need to see clearly. Community support, including simple consistent contact, meaningfully reduces the isolation that contributes to relapse. Local resources like Integral Care and national resources like the 988 Suicide & Crisis Lifeline and SAMHSA's National Helpline (1-800-662-4357) are available for anyone seeking treatment information or immediate support.
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