When Weekly Therapy Isn’t Enough
We provide the extra support families need, without the disruption of residential care.
Our Program
Sometimes weekly therapy isn’t enough. Our Wraparound Collaboration program provides intensive, team-based therapy and crisis support in Austin for individuals and families facing severe challenges such as psychosis, suicidal ideation, self-harm, or high-risk behaviors.
Our therapists coordinate closely with families, schools, psychiatrists, and community supports to provide comprehensive care. This approach creates a safety net that goes beyond the therapy room, helping stabilize clients in real-life settings.
If you or a loved one need therapy that adapts to urgent or complex situations, our Wraparound Collaboration provides the structure and teamwork needed to keep you safe and supported.
Our Approach
We know that mental health struggles don’t happen in isolation, they’re shaped by your relationships, environment, and experiences. Our team takes a systems-based approach, working with your family, school, and community to create real, meaningful change.
Our team has spent years working with individuals facing complex trauma, high-risk behaviors, and mental health crises. This means we’re comfortable handling intense situations, including suicidal ideation (SI), homicidal ideation (HI), and active psychosis - with calm, skill, and care.
Meet the Team
Our team includes highly trained therapists and mental health professionals with extensive experience in high-crisis settings. We bring the skills and confidence that come from working in residential treatment programs, where we’ve helped clients facing significant mental health challenges.
Because of this background, we have a high threshold for complex cases. We’re equipped to handle acute mental health crises and high-risk behaviors while providing the steady, grounded support that fosters long-term change.
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Carla Pelcastre, LCSW
Admission Coordinator
Lead Case Manager, Therapist
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Diem Pham, MD
Child, Adolescent & Adult Psychiatry
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Kimberly Holmes, LCSW
Therapist
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Dana Gonzalez, LCSW
Therapist, Community Appointments
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Sterling Bittenbender, RDN, LD
Nutrition Therapy
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Matthew Regan, Life Coach
In-person Coaching
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What Makes Us Different
Bridge the gap between weekly therapy and residential treatment.
Develop personalized, holistic care plans.
Meet clients in their homes or communities, walking side by side with them in their recovery journey.
Create meaningful change in less than six months.
Close collaboration with existing providers to avoid conflicting guidance
Program Goals
Reduce or stabilize symptoms to decrease recurring crises and the need for higher levels of care
Improve daily functioning in social, academic, and professional settings
Strengthen family relationships by helping loved ones shift from crisis management to connection
Build confidence and independence by developing effective coping and problem-solving skills
Program Services
Individual therapy
Family and couples therapy
In-the-moment support during crisis situations
Coordination with existing providers to ensure aligned care
Skill-building in real-world settings (home, school, and community)
Support for substance use recovery and harm reduction
Who Can Benefit
Ongoing or recurring mental health crises
High-risk behaviors, including SI, HI, and psychosis
Difficulty managing symptoms despite regular therapy
Conflict within the family or home environment
Barriers to engaging in work, school, or social settings
Situations where traditional mental health services haven’t been effective
Getting Started
If you feel like traditional therapy isn’t enough—or if you’re exhausted from managing crisis after crisis—we’re here to help.
Contact us today to learn more about how the Second Wave Wraparound Program can support you or your family.