Two small, iridescent bubbles trapped inside a larger bubble close to the camera, reflecting light and hints of the surroundings, with green trees and a bright blue sky in the background. Photo taken at Austin Queer Bomb 2018.

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Message for Former Clients

If you have worked with me before at another practice, I invite you to reach out through my contact page. Together, we can plan a thoughtful closing or explore next steps for continued support. Texting is now working again after being unavailable 12/8–12/22/2025.


Find your voice. Heal. Move forward.

Telehealth | In Person in Austin, Texas
Teens-Adults | LGBTQIA+ Affirming

Schedule Your Free Consultation


Are you feeling…

  • disconnected from your joy?
  • anxious in your daily life?
  • persistent low mood or the lingering impact of past trauma?
  • difficulty trusting others because of past experiences?
  • stuck in patterns you want to change?
  • a desire for more balance and grounding?
  • uncertain or challenged in your LGBTQIA+ identity?
A photo of the side of a white non-binary person, OB Horak, staring at the ocean on a cliff in Depoe Bay, Oregon with the tide waves hitting the side of the cliff.
A photo of a blade of grass among several lower bluebonnets taken by OB Horak in Austin, TX.
A picture of a white non-binary person, OB Horak, holding Cody Little, a mixed Yorkie Maltese wearing a green sweater on a snowy day in Austin TX.
A photo of a 11 circuit chartres labyrinth created by OB Horak in snow with footprints walking away from the labyrinth. Photo also taken by OB Horak from a second floor balcony in Chicago, IL in the winter.
A photo of the back of a white non-binary person, OB Horak, walking in a forest in Corvallis, Oregon surrounded by many trees that touch the sky.

I am Olivia-Beth Horak, a Licensed Clinical Social Worker-Supervisor. I support LGBTQIA+ teens and adults navigating life transitions, anxiety, depression, and trauma with compassion and clarity. I cofounded Spirit Pride Project, a spiritual camp for LGBTQIA+ teens and young adults, and have worked with AIDS Services of Austin and Waterloo Counseling Center, the oldest mental health organization in Texas serving the LGBTQIA+ community.

I bring this experience to my telehealth practice, providing affirming, accessible therapy wherever you are. My collaborative, client-centered approach helps you feel seen, understood, and supported as you work toward healing, growth, and empowerment.

Learn More About Me

Let’s work together to find your voice.

Specialties

Depression & Anxiety

Reconnect with purpose and ease. I support clients experiencing depression and anxiety, from mild to persistent, in reconnecting with hope, strengthening their voice, and developing tools to engage more fully in daily life. Together, we explore thoughts, emotions, and patterns while building resilience and supporting overall well-being.

LGBTQIA+ Identity

Navigate identity with acceptance. I provide affirming support for identity exploration, coming out, and navigating relationships, grounded in years of direct work within the LGBTQIA+ community. Together, we create space for self-understanding, connection, and growth that honors your lived experience.

PTSD & Trauma

Restore presence and stability. I support clients impacted by trauma using EMDR therapy, including EMDR intensives, and narrative therapy to help reprocess difficult memories. This work focuses on reducing trauma symptoms while strengthening emotional regulation, presence, and a sense of balance.

Treatment Orientations

Art Therapy

Art therapy supports emotional exploration and insight through creative expression, offering new ways to understand yourself and your relationships when words feel limiting. Explore

EMDR Therapy

EMDR therapy helps reprocess distressing memories and reduce trauma symptoms, supporting nervous system regulation and a greater sense of stability and presence. Explore

Narrative Therapy

Narrative therapy helps you understand and reshape the stories you carry about yourself and your experiences, strengthening perspective, meaning, and emotional resilience. Explore

Schedule Your Free Consultation

Beach labyrinth at height of the sun, created by and photo taken by OB Horak on beach in California.

“You’re without a doubt the best therapist I’ve ever had, and I’ve improved in so many ways thanks to the work we’ve done.”

— Client