NOW LICENSED TO PROVIDE THERAPY SERVICES IN TEXAS, ARIZONA, & FLORIDA!

Aviation Therapy — Confidential, FAA-Compatible Care | The Aviation Therapist

Aviation professional — confidential therapy for pilots in Texas

Clinical Therapy · Virtual Only

Aviation Therapy

Confidential · FAA-Compatible · Licensed in Texas, Arizona, & Florida

“Therapy doesn’t have to be a career risk. But the wrong therapist can be.”

Real, clinical mental health care from a licensed psychologist who specializes exclusively in aviation professionals. Every session, every progress note, every treatment plan written with FAA medical realities in mind.

FAA-Informed Documentation Texas Licensed Psychologist Private Pay · HSA/FSA Accepted Now Serving Texas, Arizona, & Florida

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$195

Per Session
Private Pay

<10

Psychologists in Texas
with aviation training

100%

FAA-compatible
documentation

53 min

Session length
virtual · schedule around trips

The Service

Not Generic Therapy.
Aviation Therapy.

Aviation Therapy is real, clinical mental health care — provided by a Texas-licensed psychologist who specializes exclusively in aviation professionals, nervous system regulation, and lifestyle/nutrition interventions, all calibrated to the operational realities of flying.

This is not a generalist practice that occasionally sees pilots. It is a clinical practice purpose-built around the demands, culture, schedules, and FAA medical realities of a pilot’s career. That difference shows up in every session and in every line of clinical documentation.

“Most pilots avoid therapy because they’re afraid of what it might cost them. Pick the wrong therapist, and that fear is legitimate. This practice is built so you don’t have to choose between your wellbeing and your certificate.”

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Dr. Abigail Powell, Aviation Psychologist in Texas

CBT · ACT

Evidence-based clinical approaches

The Right Fit

Who This Is
Built For

You don’t have to be in crisis to benefit from support. Most pilots who reach out are high-functioning — carrying a weight they can feel but haven’t addressed.

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Anxiety & Performance Pressure Generalized worry, performance anxiety, in-cockpit physiological responses, sleep disruption, and the mental load that doesn’t turn off after a trip.
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Burnout & Chronic Depletion Operating on empty. High-functioning on the outside, depleted on the inside. The cumulative toll of irregular schedules, time-zone shifts, and constant vigilance.
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Relationship Strain The toll of aviation life on partners and families — absence, fatigue, role drift, and the difficulty of being fully present at home after high-stakes work.
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Cumulative Toll You’re not in crisis. You’re just running on a deficit you can feel. This is exactly the time to get support — before it becomes a bigger problem.

Clinical Philosophy

The Approach

Three principles run through every session and every treatment plan — built around the real demands of an aviation career, not adapted from a generic clinical model.

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Nervous System Regulation

Aviation trains hypervigilance. That’s a feature in the cockpit and a problem at home. We work on practical strategies to down-regulate after a trip so the operational mode stops following you everywhere.

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FAA-Compatible Documentation

Every note and treatment plan is written knowing the FAA may one day request those records. We document your resilience, your proactive steps, and your fitness to fly — not your vulnerability.

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Practical Recovery

This isn’t endless processing. We move — skills, strategies, lifestyle adjustments, and clear milestones. You should feel measurable progress within the first few sessions, not in a year.

The Process

What a Session Actually Looks Like

No mystery, no ambiguity. Here is exactly how the process works from first contact through discharge.

Free 15-Minute Consultation

We discuss your situation, confirm fit, and outline next steps. No commitment, fully confidential. If your needs fall outside clinical therapy, we’ll identify the right service first — coaching, medical consultation, or referral.

Clinical Intake (50 min)

A full clinical intake to understand your history, current situation, FAA medical status, and goals — followed by a clear written treatment plan. This session is aviation-specific from the first question.

Weekly or Biweekly Sessions (50 min)

Virtual, secured, conducted from wherever you are in Texas. Schedule built around your trip cycle. Regulation skills, lifestyle and nutrition recommendations — focused on what actually changes things.

Milestone Reviews

Every few weeks we assess progress, adjust the plan, and confirm we’re moving toward discharge — not building a permanent dependency. Most pilots see meaningful results within 8–16 sessions.

FAA Documentation When Needed

If your records are ever requested by an AME or the FAA, you have a clinician-authored summary written specifically for aeromedical review — documenting your fitness to fly, not your vulnerability.

Important: Read This First

FAA Realities

What therapy does — and doesn’t — trigger. Understanding the regulatory landscape before you start is part of the clinical process here, not an afterthought.

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Therapy Is Not Automatically Disqualifying

Engaging in therapy is not a reportable event on its own. A formal diagnosis with specific characteristics may trigger reporting on Form 8500-8 — but Dr. Powell is clinically rigorous: if you don’t meet criteria for a diagnosis, you won’t receive one.

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Private Pay Adds a Layer of Privacy

This practice is private-pay and out-of-network. Your records aren’t flowing through insurance databases or employer EAP systems. That structure is intentional — and it matters for aviation professionals.

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Documentation Designed for Aeromedical Review

Every clinical note is written with the understanding that the FAA may one day review it — documenting your resilience and proactive steps rather than language that creates unnecessary risk for your certificate.

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Active FAA Issue? Start With a Consultation

If you have an active or unresolved FAA medical issue, book a Medical Consultation first. We’ll map the regulatory landscape before starting therapy so you walk in with a clear strategy, not an open question.

Superbills available. Sessions are $195. Superbills are provided for independent self-submission to your insurance. HSA and FSA cards are accepted. The private-pay structure keeps your records out of insurance databases — a meaningful privacy layer for aviation professionals.

Texas, Arizona, & Florida Only · Private Pay

Therapy Pricing

Private pay, out-of-network. Superbills provided for self-submission to insurance. HSA and FSA accepted.

First Step

Free

No Commitment

15-Min Consultation

Confirm fit, discuss your situation, and outline next steps before any commitment.

Fully confidential
No intake forms required
Clear next steps provided
Identify the right service fit

Clinical Intake

$195

One-Time Session

Initial Intake Session

Full clinical intake: history, FAA medical status, goals, and a clear treatment plan.

50-minute virtual session
Aviation-specific intake protocol
Written treatment plan provided
Superbill provided

Ongoing

$195

Per 50-Min Session

Therapy Session

Weekly or biweekly virtual sessions scheduled around your trip cycle.

50-minute virtual session
Regulation skills
FAA-compatible clinical notes
Milestone reviews included

Texas residency required at time of session. Virtual sessions only. Not sure which service fits? The free consult is the fastest way to find out.

Book a Free Consult

Common Questions

Frequently Asked Questions

Straight answers to the questions pilots ask before picking up the phone.

Will starting therapy affect my medical certificate? ▼

Engaging in therapy is not itself disqualifying or reportable. What may be reportable is a formal diagnosis with specific criteria. Dr. Powell is clinically rigorous: if you don’t meet criteria for a diagnosis, you won’t receive one. We also document care in a way that, if records are ever requested by the FAA, supports your fitness to fly.

Do you accept insurance? ▼

This is a private-pay, out-of-network practice. Sessions are $195. Superbills are provided so you can submit for partial reimbursement independently through your insurance. HSA and FSA cards are accepted. The private-pay structure also keeps your records out of insurance databases — a meaningful privacy benefit for aviation professionals.

How long will I need therapy? ▼

The goal is measurable progress, not permanent engagement. Most pilots see meaningful results within 8–16 weekly or biweekly sessions, depending on what brought them in. We review progress regularly and discharge when you’re ready — not when the calendar says so.

Can my employer or airline find out I’m in therapy? ▼

No, not through this practice. Sessions are confidential under standard psychologist-client privilege in Texas. Because this is private pay with no insurance or EAP involvement, there is no claim data flowing to an employer. The standard limits of confidentiality apply (e.g. imminent danger to self or others, which is rare and clinically specific).

I’m not in Texas. Can we still work together? ▼

For clinical therapy, you must be physically located in Texas, Arizona, or Florida at the time of your appointment — this is a licensure boundary, not a policy. If you’re outside Texas, Arizona, or Florida Performance Coaching and Medical Consultations are available nationwide. We can also refer you to vetted aviation-informed clinicians in other states.

What if I just want to talk to someone who gets aviation, without starting clinical therapy? ▼

For non-clinical needs — performance pressure, career transition, FAA medical strategy — Performance Coaching or a Medical Consultation may be a better fit. Both are available nationwide and do not establish a clinical record.

Ready When You Are