Texas Psychiatry
Thoughtful Psychiatry in Fort Worth and Online Throughout Texas
See a Texas-licensed psychiatrist in person or online. Get clear answers, careful medication decisions, and support that’s easy to understand and tailored to you.
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The Truth About Finding a Good Psychiatrist in Texas
Across Texas, access to psychiatry is severely limited. A 2024 Texas Tribune analysis of federal data found 246 of 254 counties are classified as mental health professional shortage areas, and 170 have no licensed psychiatrists at all.
When psychiatric access is this uneven across Texas, difficulty in finding care can be rare. That’s why we make our psychiatry services more accessible:
- Six physicians who specialize in mental health across the lifespan
- Average appointment time is just 1-2 weeks out, which is months faster than others
- You get a clear, comprehensive evaluation before we create a treatment plan
- If we recommend medication, it’s at the lowest effective dose for the shortest time
Mindful exists to make quality psychiatric care easier to access across Texas. Patients are seen by Texas-licensed physicians with care guided by clinical need rather than insurance approvals.
3 Simple Steps to Get Started
Request an appointment
Request an appointment. In-person in Fort Worth or via secure video across Texas. New patients are typically scheduled within 1–2 weeks.
Talk to a real, live human
One of our experts personally reviews your circumstances. You will know the cost upfront, what the first adult psychiatric evaluation looks like, and how your out-of-network benefits can offset the fee.
Meet directly with your psychiatrist
Comprehensive evaluation, clear recommendations, minimal medication when it makes clinical sense.
Why Coming to Mindful is More Effective
- ➤ You understand your diagnosis instead of feeling uncertain about it.
- ➤ Medication decisions are explained clearly, including why something is or isn’t being used.
- ➤ Your child is not overmedicated. Care is structured, measured, and clinically guided.
- ➤ You are never left guessing. Instead, you are working within a tailored treatment plan.
- ➤ Over time, as symptoms improve, appointments naturally become less frequent.
The aim is stability with the lowest effective medication approach, used for the shortest appropriate duration, with long-term independence in focus.
Who We See, and What We Focus On
Kids and Teens (3-17)
- ➤ Big emotions, outbursts, or shutdowns
- ➤ ADHD, anxiety, autism, or mood concerns
- ➤ Parent-guided support and careful medication decisions
Adults (18-65+)
- ➤ Anxiety, depression, ADHD, PTSD, and mood concerns
- ➤ Medication questions or second opinions
- ➤ Clear treatment planning after unclear care elsewhere
All Texans
- ➤ Customized psychotherapy
- ➤ Gut-informed treatment planning
- ➤ Second opinions and evaluations
Responsible care means knowing your scope. We work with Texans who are ready for change.
How Psychiatry in Texas Should Actually Work
You are seen directly by a physician trained in psychiatric medicine, without nurse practitioners or physician assistants. This matters most when symptoms are complex and cannot be understood in a short, surface-level visit.
More time is spent early to establish a full clinical picture. Evaluation, explanation, and prescribing are done with context. Therapy approaches such as CBT and ACT are standard, with additional modalities used when clinically indicated.
Medication response can be influenced by physical health factors, including gut function and nutrition. These are assessed as part of the clinical picture rather than treated as separate concerns.
When indicated, medication is used at the lowest effective dose for the shortest needed time. The goal is improvement in symptoms while keeping you stable and still feeling like yourself.
Meet your physician
Justin Dyniewski, MD
Dr. Dyniewski has been part of the Mindful team since 2017. He has vast experience working with adults and young people who experience anxiety and have a family history of mental illness across Texas. His approach to anxiety treatment is thoughtful. He understands the full picture and is transparent with patients about his recommendations. His patients consistently value how clearly he explains the reasoning behind their care.
Training & Education
- Child, Adolescent & Adult Psychiatrist (MD)
- General Adult Psychiatry & Child Psychiatry: University of Arkansas
- Faculty: Texas Christian University (Clinical Assistant Professor)
Clinical Focus
- Adults: anxiety, ADHD, mood concerns
- Children/teens: attention and anxiety-related concerns
- Medication management with a “lowest effective dose” mindset
Amelia Villagomez, MD
Dr. Villagomez is an expert in integrative psychiatry. Her treatment plans go beyond medication. Her deep training at Yale and Harvard and a two-year fellowship in integrative medicine shape her unique approach to anxiety disorders. She covers biological, behavioral, nutritional, and lifestyle changes, along with targeted mindfulness interventions when clinically appropriate.
Training & Education
- Child, Adolescent & Adult Psychiatrist (MD)
- General Adult Psychiatry: Yale School of Medicine; Child Psychiatry: Harvard University
- 2-year Fellowship: Andrew Weil Center for Integrative Medicine (University of Arizona)
- Faculty: Texas Christian University (Clinical Assistant Professor)
Clinical Focus
- Integrative psychiatry
- Child/adolescent and adult psychiatry
- Mind-body skills and lifestyle-informed treatment planning
- Medication at the lowest effective dose when needed
David Marvin, MD
Dr. Marvin works with adults with anxiety-related concerns. His focus is on helping patients make sense of what is actually happening, simplifying the treatment plan as much as possible, and building toward long-term stability. He incorporates ACT (Acceptance and Commitment Therapy) when it fits the situation and approaches anxiety care as a collaborative process, straightforward and thoroughly guided by a psychiatrist.
Training & Education
- Board Certified Adult Psychiatrist
- General Adult Psychiatry: University of Arkansas
- Internship in Family Medicine: University of Tennessee
- Former Psychiatrist: U.S. Department of Veterans Affairs (Fort Worth)
Clinical Focus
- Bipolar disorder
- PTSD
- ADHD
- Adult medication management and psychiatric care
Christopher Bone, DO
Dr. Bone provides high-quality telehealth psychiatry across Texas for adults who want an expert physician in their corner. His approach is direct in the best way: skip the noise, talk one-on-one, and build a treatment plan that goes beyond just managing symptoms of anxiety disorders. His clinical background spans inpatient, outpatient, and forensic settings, allowing him to treat a wide range of anxiety conditions while looking deeper than surface-level symptoms.
Training & Education
- Board-Eligible Adult Psychiatrist
- General Adult Psychiatry: JPS Health Network – Fort Worth
Clinical Focus
- Integrative telepsychiatry
- Comprehensive psychiatric evaluation
- Thoughtful medication management + whole-person planning
- Texas-wide virtual care
Jake Ryan Fields, MD
Dr. Fields helps people treat anxiety disorders with psychiatric precision. He listens carefully, reviews thoroughly, and builds a plan that is safe and clinically sustainable before making any recommendations. His additional training in sports psychiatry gives him a particular understanding of how performance pressure, chronic stress, and anxiety intersect in high-functioning adults.
Training & Education
- Board-Eligible Adult Psychiatrist
- General Adult Psychiatry: JPS Health Network – Fort Worth
- Additional training in Sports Psychiatry (International Society of Sports Psychiatry)
Clinical Focus
- Comprehensive psychiatric evaluation
- Evidence-based medication management
- Performance, stress, and mood-related concerns
- Performance, stress, and mood-related concerns
Brian J. Dixon, MD
Dr. Dixon built Mindful around a straightforward standard: psychiatric care should be physician-led, transparent, and accountable to the patient. He is direct about what is happening clinically, what it costs, what the options are, and what the plan is, so patients are never left guessing between appointments. He provides professional help for behavioral modification for children, teens, and adults, with a particular focus on how anxiety shows up across different age groups.
Training & Education
- Child, Adolescent & Adult Psychiatrist (MD)
- Triple Board Residency (Pediatrics/Psychiatry/Child Psychiatry): University of Kentucky
- Faculty: Texas A&M University (Affiliate Clinical Assistant Professor)
Clinical Focus
- Behavior modification (ASD, RAD, ODD, ADHD)
- Comprehensive care for Intellectual and Developmental Disabilities (IDD)
- PTSD and cultural psychiatry
- Business coaching and entrepreneurship
Justin Dyniewski, MD
Read Above
Amelia Villagomez, MD
Read Above
David Marvin, MD
Dr. Marvin works with adults with anxiety-related concerns. His focus is on helping patients…
Read Above
Christopher Bone, DO
Read Above
Jake Ryan Fields, MD
Read Above
Brian J. Dixon, MD
Dr. Dixon built Mindful around a straightforward standard: psychiatric care should be…
Read Above
What Makes Mindful the Standard for Texas
(What Makes Mindful Different)
Mindful is powered by over 72,000 hours of psychiatric training across 6 states with 47+ years of combined private practice.
Founded by Brian J. Dixon, MD, the team includes psychiatrists with varied backgrounds and skills to better meet the needs of the population we support.
We’ve been consistently recognized for excellence by our physician peers as TopDocs in Fort Worth Magazine and 360West.
The best psychiatric care is local. It’s delivered by doctors who live in and invest in the same community you do.
- ➤ Local physicians who live and work in Texas
- ➤ Accessible scheduling (typically within one to two weeks)
- ➤ Over 47 years combined experience in private practice
- ➤ Transparent pricing from the beginning
- ➤ Direct support for out-of-network reimbursement
We have never centered insurance companies. Since 2014, we have centered our patients.
For those who want rushed or insurance-directed care, we are not the right fit.
If you’re looking for thoughtful, physician-led psychiatric care, we’re here to help.
Founded by Brian J Dixon, MD, our growing team of life-long learners include psychiatrists on faculty with Texas A&M College of Medicine, TCU Burnett School of Medicine, and University of Arizona.
Request A Psychiatry Appointment Today
Contact us using the form below.
We respond promptly during business hours
(Mon–Fri, 8am–5pm)
What Our Patients Are Saying
Questions You May Ask Before Booking
How quickly can I get an appointment in Fort Worth or anywhere in Texas?
Most new patients are seen within one to two weeks. That’s intentional. Across Texas, psychiatry waitlists often stretch for months, and that delay rarely helps when symptoms are already affecting daily life. Once you reach out, our team moves quickly to get you scheduled and sets clear expectations before your first visit.
Do you offer telehealth psychiatry across Texas, and does it actually work?
Yes, we see patients through secure video across Texas, including Fort Worth, Dallas, Houston, Austin, and any areas in between. For most psychiatric conditions, telehealth is just as effective as in-person care when the evaluation is thorough and the psychiatrist remains consistent. Both are standard here.
Where are you located, and do I have to come in person?
Our office is at 312 W Leuda Street, Fort Worth, TX 76104. You can be seen in person if you’re local, or through secure video if that’s more practical for your situation. Many patients move between both over time, depending on what their lives require.
What mental health conditions do you treat?
We treat anxiety, depression, bipolar disorder, autism, PTSD, ADHD, OCD, and a wide range of mood-related conditions. We also see patients who have already been through multiple providers without clear improvement and need a more complete clinical review. Every treatment plan begins with a full psychiatric evaluation.
Will I always see the same psychiatrist, or will I be passed around?
You will stay with your experienced psychiatrist. That continuity matters. Understanding symptoms, history, and patterns takes time, and that context gets lost when care rotates between providers. We keep that relationship stable so your care stays clear and connected.
Will I be put on medication right away?
No. The evaluation always comes first. Medication is only considered when it clearly fits the clinical picture. When it is part of care, it is used carefully at the lowest effective dose, for the shortest necessary duration, and with clear reasoning behind every decision. This approach is part of our individualized patient care, designed around your unique needs and long-term mental wellness.
What if I’ve already tried psychiatry and it didn’t help?
That’s something we see often. In those cases, we slow things down and look back through your full history, diagnoses, medications, and treatment attempts to understand what may not have been fully addressed. The goal is not to repeat what’s already been done, but to build a clearer clinical picture that better supports your mental wellness through thoughtful patient care aligned with your unique needs.
How do I know which psychiatric services fit my mental health concerns?
The first step is a full evaluation with a psychiatrist who takes time to understand your symptoms, medical history, individual needs, and previous treatment options. At Mindful, our Psychiatric Services are designed for a variety of mental health concerns, including anxiety disorders, mood disorders, obsessive-compulsive disorder, post-traumatic stress disorder, treatment-resistant depression, and other mental health disorders. From there, your psychiatrist creates a personalized treatment plan that may include medication, Cognitive Behavioral Therapy, lifestyle-informed support, or other forms of psychiatric treatment when clinically appropriate.
Can Mindful help if I’m worried about a loved one’s symptoms?
Yes. Many people contact our mental health clinic because they are concerned about a loved one, especially when symptoms begin affecting school, work, relationships, sleep, mood, or daily life. Mindful provides compassionate care for each individual patient, whether care happens through in-person visits in Fort Worth or secure video across Texas. Our Services can support patients with many mental disorders, including personality disorders, psychotic disorders, anxiety, depression, and complex mood concerns. We also explain treatment options, possible side effects, and next steps clearly, so families feel more informed and supported.
Is my information secure during telehealth visits?
Yes. All sessions are conducted through secure systems designed specifically for healthcare. Your information is HIPAA-protected and only shared with your consent.
What’s the fastest way to book an appointment?
You can request an appointment on this page if you scroll to the form (or click any button and it will take you there). Once submitted, our team reviews it and typically responds quickly to schedule within the next available one to two-week window. If you call, we will politely refer you back to the form, so please start there!
Do you accept insurance?
Since 2014, we’ve never taken insurance because we wanted your care to come first, not insurance company decisions. You pay us directly, but most plans will reimburse you as an out-of-network provider. We use Reimbursify so you know upfront exactly what your benefits cover.
Get Psychiatric Care That is Clear and Accessible
What most people are looking for is a sense that things are finally being held in a steady, thoughtful way. When that happens, everything feels less chaotic and more manageable.
If you’re in Texas and want that kind of steady psychiatric support, contact us via our form. We’d love to help you.
