
About Sienna Counseling
Counseling for Life in the Houston area and across Texas
Kate Meserve, MSW, LCSW
I am the owner/therapist at Sienna Counseling, PLLC, based in Missouri City, Texas. Providing both in person and virtual video therapy allows me to serve clients in the Houston area, as well as across the state of Texas.
Prior to private practice, I was fortunate to work in two of Houston’s best hospital systems, Methodist Hospital and MD Anderson, as well as our community’s leading LGBTQIA+ health clinic and counseling center, Legacy Community Health and the Montrose Center. I have specialized experience serving clients encountering health issues, grief and loss, LGBTQ+ related concerns, and other life transitions.
I strive to create a supportive and welcoming environment, where my clients feel comfortable expressing themselves. My approach is to validate my client’s experiences, offer tools and resources when appropriate, and instill hope that their situation will get better and they have the ability to make positive change.
I graduated with a Bachelor of Arts in Psychology from Wellesley College, received a Master of Social Work from University of Houston, and am a Licensed Clinical Social Worker (LCSW) in the state of Texas.
Therapy Approach
Client-Centered Therapy
Client-centered approach means I believe therapy should be about you and that you are the expert in your life. At Sienna Counseling, you’ll find a safe and inclusive space to express and discover yourself.
Strengths-Based Therapy
Strengths-based means I believe you already have many of the answers inside and together we’ll uncover them. At Sienna Counseling, you’ll receive counseling that taps into the very best aspects of you.
Solution-Focused Therapy
Solution-focused means I focus on relevant, actionable solutions in the present. At Sienna Counseling, you’ll be empowered to face the inevitable change and unpredictability of life, equipped with the skills to achieve your personal goals.
Counseling Sessions
Appointments
Appointments available for both in-person and virtual sessions. Schedule an appointment using the button below. If you have any questions, please call my office at 832-793-6368.
Rates
$150 per session
Payment Methods Accepted
Credit/Debit Cards, Flexible Spending Accounts (FSA), and Health Savings Accounts (HSA)
Insurance
Most insurance accepted. For insurance that is out-of-network a “superbill” can be provided for those who wish to seek reimbursement from their insurance provider.

Have questions?
Starting therapy can be intimidating. If you have any questions about how it works or the services I provide, please contact me. I’m happy to answer your questions and ensure you feel comfortable before moving forward with counseling at Sienna Counseling.
Phone: 832-793-6368
Email: info@siennacounseling.com