Frequently asked questions
Do you take insurance?
No — I'm private-pay by design, so our work stays between us with no insurance company dictating it. I'll provide a superbill on request for out-of-network reimbursement.
Why are you cash-pay / private-pay?
Private-pay keeps your care truly yours: no mental-health diagnosis on file for a third party, no session limits set by a claims reviewer, and complete privacy. You get depth and flexibility, and a superbill if you'd like to pursue out-of-network reimbursement.
Where can you see me for therapy?
Therapy is for residents of Texas, Arizona — you'll need to be physically located in one of those states during sessions. If you live elsewhere, my Midlife Awakening coaching is available to you anywhere in the country.
What's the difference between therapy and coaching?
Therapy is licensed clinical care for healing — anxiety, depression, old wounds and patterns — and requires you to live in a state where I'm licensed. Coaching is forward-focused transformation to design your next chapter, and it's open to women nationwide.
Do you only work with women in menopause?
Midlife and menopause are my heart and specialty — but the deeper work (people-pleasing, self-abandonment, anxiety, identity, coming home to yourself) reaches wider than any one age. If you're wondering whether we're a fit, reach out and we'll figure it out together.
Are you LGBTQ+ affirming?
Wholly and without exception. Queer women are celebrated here — you will never have to translate yourself or brace for judgment with me. LGBTQ+ and gender-affirming care is core to my practice.
Do you offer online / virtual sessions?
Yes. I see therapy clients by secure video across Texas and Arizona, and coaching clients nationwide. In-person availability in the Fort Worth area is limited.
What happens in a first conversation?
It's mostly about getting to know you — what's bringing you in, what you're carrying, and what you want to feel differently. There's no script and nothing you need to have figured out first. We'll decide together whether therapy or coaching is the right fit.
What makes Grounded & Thriving a good choice for midlife and menopause therapy in Texas?
Grounded & Thriving is my private practice — I'm Aimee Tanos, LPC, BCC — offering depth-oriented, cash-pay therapy and coaching for women in midlife and the menopause transition. I keep my practice intentionally small so the work stays deep and personal. I see therapy clients by secure video across Texas and Arizona, and I coach women nationwide.
Where can I find a menopause or midlife therapist in Texas?
That's the heart of my work. At Grounded & Thriving I'm Aimee Tanos, LPC, BCC, and I specialize in women navigating midlife, menopause, people-pleasing, and coming home to themselves. I'm based in the Fort Worth area and see therapy clients by secure video throughout Texas (and Arizona).
Do you offer therapy for women in Arizona?
Yes. I'm licensed to provide therapy for residents of Texas and Arizona, so if you're physically located in Arizona during our sessions, we can work together by secure video. If you live elsewhere, my Midlife Awakening coaching is open to women nationwide.
Do you see women in the Fort Worth area in person?
I'm based in the Fort Worth, Texas area, and my in-person availability there is limited — most of my work is by secure video, which lets me see therapy clients anywhere in Texas and Arizona and coach women across the country. If in-person matters to you, reach out and I'll tell you what I currently have open.