
Get to Know Kate
Therapist in Austin, TX
Kate Leach, LCSW
Pronouns: She/Her

Specialties:
Neurodiversity・ ADHD・ Autism
Trauma and PTSD
Anxiety
EMDR
Life Transitions and Stress Management
Parenting
Self-esteem and Self-compassion
LGBTQIA + Affirming
Ages:
Pre-Teens
High School Teens
College Students
Young Adults
Insurances Accepted (Pending):
Aetna・ Ascension Seton ・ Curative・ Cigna・First Health・Harbor Health・Moda・ Meritain ・ Sana ・Optum/Oscar/ United/UMR
Online counseling for residents of Texas.
In office counseling in Austin, TX
Hi I’m Kate, I am a Licensed Clinical Social Worker in the state of Texas.
Is life getting more and more complicated?
Are there big changes going on that have you feeling worried?
Would your life be better if someone understood what you are going through?
I am a trauma-informed, neurodiversity-affirming, and gender-affirming therapist. I enjoy working with kids, teens, and young adults navigating anxiety, neurodiversity, self-esteem, difficult relationships, and life transitions, as well as supporting parents and caregivers in building more connected relationships with their kids.
I partner with kids and parents to create a space where we navigate big emotions with a calm, attuned presence. I foster a safe, supportive space for teens where they feel heard as we work through social and academic pressures, puberty, and family relationships. With young adults, my work often centers on transitions: college, moving, figuring out what comes next. With parents of neurodiverse children specifically, I focus on helping you understand your child more fully while building a connected, sustainable relationship. Through all of this, I help people heal from trauma, weaving in EMDR, and helping you better understand your emotional and somatic experiences.
I genuinely love this work and value the power of connection, validation, and compassion. I make it a priority for my client to feel safe, respected, and supported in our work together. As we partner together, my hope is that you leave with a greater self-awareness, a renewed sense of possibility, and tools to move through difficult seasons.
How I Help
I know how challenging it can be to begin therapy; I bring warmth, presence, curiosity, lightheartedness, and a laid back energy into the room each week, creating a space where you feel understood and your nervous system feels safe.
With children and adolescents, I bring flexibility, validation, and empathy. I never expect anyone to have everything figured out when they walk through the door, and I don’t believe therapy is about becoming a “better” or more acceptable version of yourself. I see you in the fullness of your humanity, and I remind you that I am human too! I will make mistakes and I am open to feedback, always. Also, I believe there should be room for humor, joy, and moments of lightness throughout the therapy process. I am here for it all!
Part of our therapy journey is growing your awareness of what your nervous system is telling you. Nervous-system regulation is contagious, so you can expect a calm space where we can explore what feels most important. I acknowledge your whole system in the therapy space, attending to what you feel, where you feel it, and what the experience is like.
I welcome any fidgets, arts and crafts, or games to help us make room for the feelings that come up during our sessions. Humor helps too! I love to laugh and share joyful moments, just as much as I do working through the difficult ones.
My approach is trauma-informed, anti-racist, LGBTQIA+ and neurodiversity-affirming. I integrate EMDR, ACT, CBT, DBT, and parts work, with special attention to your somatic experiences.
With kids, play is their language, and we likely will not be sitting still and talking the whole time. If you want homework or prompts to think about for the next session, I've got you. Meeting you where you're at is my top priority, so we will make the most of each session, no matter where we start!
Together, we combine your expertise in your experience with my clinical knowledge to better understand your thoughts, feelings, patterns, and other symptoms, leaving you feeling more powerful, self-compassionate, and present. I feel honored to get to do this work with you! It's my hope that you leave sessions knowing that someone genuinely cares and is truly invested in your journey towards the life you want to build.
Areas of Focus
Our sessions are about what's most important to you. In our first couple of sessions, we will explore what brings you to therapy, your expectations, and I will share how I may be able to help. A strong working relationship is the foundation for everything great that will come after. It is a beautiful and brave act to be vulnerable, and trust another person with the parts of your life that feel messy or shameful.
I also find it important to consider all the moving pieces in your world. As we discuss your goals for therapy, we may pause to explore topics in more depth so I can better understand what makes you, you. Having a whole picture also helps us look at problems in a more complete, systems-focused way. Our lives can be complicated!
Be prepared to share about:
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Your earlier experiences: when did I first learn this, when did I start feeling this way?
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patterns of thoughts and emotions that have been difficult
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Your identity, who and what are important to you
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Your strengths and supports
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Your past experiences in therapy (what was helpful and what you would change)
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What you hope to gain from our work together
Anything you're ready to share is welcome. All of these pieces help paint a fuller picture of who you are and the world you move through. In our work together, we will intentionally consider past experiences with present ones, all with the goal of helping you feel secure, grounded, and confident in your day-to-day life.
As we go along, we will start to map out the goals you are aiming for and how you know therapy is working for you. Once we’ve built trust and clarified your goals, we can begin working toward them in a way that honors who you are, what you value, and the life you are creating for yourself.
Living in a world that isn’t designed for the way your brain works can be exhausting. You may ask yourself, “why is this so much harder for me than it seems to be for everyone else?” You may be told to focus or pay attention a thousand times while also being called lazy. When the reality is you are just trying to find a way through a world that leaves you feeling overwhelmed and left behind. The endless struggle of juggling deadlines, schedules, and demands from school/work, having trouble making and keeping friends, “being on” in social situations while still being misunderstood, or feeling emotionally maxed out, is depressing.
For some people, an ADHD or Autism diagnosis can bring a sense of relief and understanding, but it can also bring complex feelings, grief, a lot of questions, or even a desire to process experiences that “make sense all of the sudden.” I can help you through all of this!
My approach is neurodiversity-affirming, which means I don’t view neurodivergence as something to be ‘fixed.’ Instead, we work together to understand how your brain works, identify the supports you actually need, and find day-to-day strategies that fit you. The context and your surroundings matter just as much, so we will take into account what may be helpful at school, at work, or in different social settings.
I have specialized experience helping children, teens, and young people with ADHD and ASD, particularly related to social skills. I also work with caregivers of children and teens with ADHD and Autism to help manage life better and create changes to the environment to make life feel less hectic.
We will talk through routines, social skills, stressors, executive functioning and emotional regulation skills, self-advocacy, and process the impact of masking. We will develop skills for you to advocate for yourself.
We will strike the balance between creating tools to make changes while also making space to explore the emotional aspects of your experiences as you come to understand your (or your loved one’s) neurodivergence.
I’ll meet you with curiosity, empathy, patience, and acceptance. My goal is to help you build a relationship with yourself that feels compassionate rather than critical, and create ways of navigating life that honors your needs.
Going through intense, life altering or traumatic events can shape how we view the world, leaving us afraid of a complex and unpredictable world. Sometimes, events occur that overwhelm our capacities to cope. Whether it was a single event, or a series of experiences that impacted how you feel, how you think about yourself, or how you think about others, I can tell you: it does not have to stay that way.
Sometimes, you logically know that what happened to you was in the past, but your body and mind don’t seem to be on the same page. You might feel anxious even when things are going well, have sleep disturbances, constantly second guess yourself, struggle with your self-esteem, or find yourself repeating patterns in relationships that you wish you could break. You may have become really good at holding everything together while quietly feeling overwhelmed inside.
Living a life from a place of fear can be completely disorienting, let alone disruptive. It causes us to shut down, avoid new experiences, and close ourselves off to other people, even those who care. Being able to trust is hard. Especially when we have been hurt. How do we know who is safe and who is not? You may ask yourself, can I trust myself? How do I change something so deeply ingrained?
In therapy together, we will begin making sense of the connection between what you’ve experienced, how you feel, and how you relate to yourself, your body, and the people around you. My goal is to help you understand your responses with compassion rather than shame and build a stronger sense of safety and trust in yourself.
I am EMDR trained and take a trauma-informed approach to this work.
Depending on what feels right for you, our sessions may involve processing past experiences, exploring relationship patterns, building emotional regulation skills, working with self-doubt and talking back to negative beliefs, or simply learning to recognize what your mind and body are communicating.
We’ll move at your pace, and prioritize what is most important to you. My hope is that therapy can be a space where you grow your own power, self-trust, and connectedness to yourself and others.

Starting your life after high school ends feels like you have to put together a puzzle without seeing the picture on the box. Being on your own away from your family for the first time, working through changes in relationships, or just trying to understand who you are outside of the expectations you grew up with. The struggles might show up in a bunch of different forms. You might be sacrificing your own wants, needs, boundaries, or values, leaving you feeling disconnected from yourself and others. Noticing the people-pleasing tendencies, trouble making decisions without overthinking, or not feeling confident in yourself. All this while getting the message that you should have somehow figured it out already.
Even though I can’t hand you the final picture, therapy can help make the process of putting the puzzle together easier. Life after high school is a time to explore and define your values and goals, grow into who you are, find your people, and build a foundation for a future you feel proud of. It’s a lot to take on, but luckily you don’t have to do it alone!
Together, we can slow things down. I’ll help you explore where these patterns come from, understand the expectations you’ve internalized, and develop a stronger sense of confidence in yourself. We can work on healing old hurts, creating new habits like growing self-compassion, finding your way through unexpected changes, working through big feelings, and learning to make decisions rooted in your own values.
Sessions with me are collaborative, conversational, and judgment-free. We can tackle the hard stuff AND celebrate the wins. I’ll offer curiosity, empathy, validation, reflection, practical tools, and gentle challenges while making space for whatever you’re bringing into the room. As for strategies, I draw on ideas from several different therapeutic modalities, including EMDR, IFS (Internal Family Systems), ACT, CBT, and mindfulness to attend to your emotions, your thoughts, your strengths, your past experiences, and your goals. What it all means is that we have a lot of different tools to pick from that can help overcome any challenge that presents itself along the way!

A Bit About Me
I’m from North Carolina and love spending time with my friends, family, and my cat, Twitch. I love staying active and getting outside (whenever the Texas heat allows!). On the weekends, you’ll likely find me baking or cooking, listening to music, reading on the couch, or finding a new restaurant or thrift store in town. I’m happiest when I’m surrounded by good people, peaceful energy, yummy food, and have a little time to slow down and enjoy it all.
I believe in the power of connection and showing up for people around me. I have volunteered with children and teenagers in various capacities throughout my life and plan to continue. I am involved with the LGBTQIA community in my network, operating under the belief that every person deserves to live authentically.


My Qualifications
Masters of Social Work
2024
University of North Carolina at Chapel Hill
Bachelor of Arts in Human Development
and Family Studies
Bachelor of Arts in Psychology
2022
University of Texas, Austin
License Information
Licensed Clinical Social Worker
Texas, 119784
Texas Public Complaint
Notification Statement
The Texas Behavioral Health Executive Council investigates and prosecutes professional misconduct committed by marriage and family therapists, professional counselors, psychologists, psychological associates, social workers, and licensed specialists in school psychology. Although not every complaint against or dispute with a licensee involves professional misconduct, the Executive Council will provide you with information about how to file a complaint. Please call 1-800-821-3205 for more information
For assistance please contact:
Texas Behavioral Health Executive Council
1801 Congress Ave., Ste. 7.300, Austin, Texas 78701
(512) 305- 7700, or 1-800-821-3205.



