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Licensed Clinical Social Worker

Tracy
Maddoux

Licensed Clinical Social Worker · Individual & Couples · Telehealth — Texas

Finding the right counselor is half the work. The other half is being honest — not the version of yourself you think a therapist wants to see. People say they can tell me anything and not feel judged for it. That's not an accident. I want this to be the place where you can put everything on the table — that's where the real work starts. I work with adults navigating mental health, addiction, and death and dying — including some of the least-talked-about experiences in all of those spaces, like limerence and OCD. Telehealth only, available across Texas.

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Tracy Maddoux, LCSW

Credentials

Licensed Clinical Social Worker — Texas M.S.W., University of Texas at Arlington Limerence · OCD · Grief & Loss · Addiction

How I Work

The approach.
What to expect.

Therapy with me is collaborative, direct, and rooted in genuine curiosity about who you are and what shaped you. I don't offer quick fixes or scripts. I offer a steady, honest presence while we figure out what's actually going on.

01

The Foundation

Relational &
Attachment-Based

The patterns that hurt you most likely have roots that go further back than the last few years. We look at where you learned to relate to yourself and others, and what it would take to update those patterns.

02

The Work

Trauma-Informed
Practice

Whether or not you'd use the word "trauma," your nervous system has learned things — ways to protect itself that once made sense. We work at the pace that's actually safe, not the pace that looks like progress.

03

The Process

Insight-Oriented
Therapy

Understanding why you do what you do changes things. Not because insight alone fixes anything, but because it gives you somewhere solid to stand while you decide what to do differently.

04

The Integration

Somatic &
Mindfulness

Our bodies hold what our minds haven't fully processed yet. Alongside the talking work, we pay attention to what's happening physically — what tightens, what opens, what finally lets go.

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Who I Work With

People who are
done pretending.

I work with adults who are tired of coping and ready to actually understand themselves. People who are smart enough to have explained away their pain for a long time, and are finally realizing that insight alone doesn't make it stop.

You may have tried therapy before. Maybe it helped some, maybe it felt like going in circles. This work is direct, honest, and moves at the pace that your nervous system can actually integrate.

"You don't have to come in with the right words. You just have to show up."

Adults Couples Telehealth — Texas Only Individual

Areas of Focus

Couples

Relationship patterns, communication breakdown, limerence within partnerships, navigating loss together

Specialty · Often Misunderstood

Limerence — the obsessive, intrusive attachment that won't respond to logic, willpower, or knowing better

Specialty · Mental Health

OCD — including Pure O, scrupulosity, relationship OCD, and harm OCD

Mental Health

Anxiety, depression, trauma, attachment wounds, and the complicated aftermath of hard relationships

Addiction

Substance use, process addictions, and the emotional territory underneath — shame, avoidance, the function the behavior was serving

Death & Dying

Terminal diagnosis, anticipatory grief, end-of-life support, loss after death, suicide loss, and the grief that doesn't follow a script

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Tracy Maddoux, LCSW

"The work is real. And so is the hope."

— Tracy Maddoux, LCSW

About Tracy

The therapist behind
the work

Tracy Maddoux is a Licensed Clinical Social Worker offering individual therapy via telehealth across Texas. She works in three interconnected areas: mental health, addiction, and death and dying — spaces that share more common ground than most people expect.

She has a particular interest in experiences that don't get enough clinical attention: limerence, the consuming, involuntary attachment that resists all logic, and OCD in its many forms, including the purely obsessional presentations that are frequently missed or misdiagnosed.

Outside the therapy room, Tracy writes under The Maddoux Collective — poetry, guided journals, and children's books rooted in the same conviction: honest words find the people who need them. She also served on the board of Touched by Suicide of Denton County, bringing the same directness to suicide loss support that she brings to the therapy room.

LCSW — Texas M.S.W. — UT Arlington Telehealth Only OCD Specialist Limerence End-of-Life
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Fees & Logistics

Practical things
worth knowing

Therapy is an investment, and you deserve to know exactly what you're stepping into before you decide. Here's what I want you to know before we talk.

Individual Session

$150

50-minute session

Free Consultation

0

15-minute intro call

Extended Session

$230

80-minute session

Telehealth

Same

Available statewide in TX

Schedule a Free Consult

A few things to know

  • I accept insurance through Alma — see the insurance section below for accepted plans. Alma handles eligibility verification so you know your coverage before your first session.
  • I offer a limited number of sliding scale spots for clients with financial need. Please ask.
  • All sessions are telehealth only, conducted via secure video. I am licensed in Texas and can see clients located anywhere in the state.
  • I typically see clients weekly or bi-weekly, especially early in treatment when consistency matters most.
  • The free 15-minute consult is genuinely free — no pressure, no script. Just a chance to see if this feels like the right fit before you commit to anything.

Insurance & Coverage

In-network with
major plans

I accept insurance through Alma. Not sure if your plan is covered? Alma checks your eligibility — reach out and we'll find out together.

Aetna & Affiliates

  • Aetna
  • Allied Benefit Systems – Aetna
  • Christian Brothers Services – Aetna
  • EVHC – Aetna
  • Health Scope – Aetna
  • Luminare Health – Aetna
  • Trustmark Small Business Benefits – Aetna

UnitedHealthcare & Affiliates

  • UnitedHealthcare
  • UnitedHealthcare Global
  • United Healthcare Shared Services
  • UHC Student Resources
  • UMR
  • AllSavers UHC
  • Optum

Blue Cross & Cigna

  • Blue Cross and Blue Shield of Texas
  • Cigna
  • Allied Benefit Systems – Cigna
  • EVHC – Cigna
  • Luminare Health – Cigna
  • Trustmark Health Benefits – Cigna

Additional Plans

  • Carelon Behavioral Health
  • Humana
  • Magellan
  • Medicare
  • Meritain
  • Multiplan
  • Oscar
  • Surest (Formerly Bind)

Don't see your plan? Contact me — Alma verifies eligibility and coverage options may still be available for your specific plan.

Get Started

A free call,
no pressure

The hardest part is often just reaching out. I offer a free 15-minute consultation call so we can both get a sense of whether working together is the right fit. No commitment, no scripts.

I typically respond within one business day. If you are in crisis, please contact 988 or your local emergency services rather than waiting for a response from me.

or reach out directly
tracy@tracymaddoux.com