GearingUP Counseling is a therapist-led practice created to make quality mental health care easier to start and easier to continue.
Our team of licensed clinicians works with children, teens, adults, and couples using proven therapy approaches, thoughtful matching, and ongoing support throughout the process. We focus on understanding each client’s needs, setting clear goals, and helping people build practical skills they can use in everyday life so real progress feels possible.
GearingUP Counseling was founded in Plano in 1986 by clinical psychologists Dr. Sylvia Gearing and Dr. Milton Gearing. After years working in hospitals, treatment programs, and community mental health settings, they saw the same problem again and again — people struggled to find therapy that was both effective and easy to access.
Today, GearingUP continues to operate as a therapist-led practice, combining experienced clinicians, coordinated care, and evidence-based therapy to help clients and families make meaningful, lasting change.
At GearingUP, therapy is meant to be helpful and practical — not just a weekly conversation. We focus on three things:
We take time to learn what is actually happening in your life, not just symptoms on a checklist.
Clients learn concrete tools to manage emotions, anxiety, behavior, and relationships outside the therapy office.
Together, we set goals and talk about what progress should look like. As things change, treatment changes too.
GearingUP is not a single-therapist office and not an online therapy app. We use a coordinated care approach designed to make starting — and continuing — therapy easier.
You are matched with a therapist by senior clinicians based on your needs, not an algorithm or random availability.
Our clinicians collaborate and consult with each other, so your therapist is never working in isolation.
When helpful, psychological testing and evaluations provide clearer answers and guide treatment planning.
We regularly check how things are improving and adjust the treatment plan if needed.
If a therapist is not the right fit, you can switch providers without starting over.
You can reach your therapist and care team through scheduling support, messaging, and telehealth sessions when appropriate.
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Licensed therapists |
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Online video or phone sessions |
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In-person office sessions |
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Hour-long individual therapy sessions |
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Therapist matching by senior clinicians, not algorithms |
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Diagnostics and testing for effective therapy |
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Digital worksheets and homework from your therapist |
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Weekly progress monitoring and reports |
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Fast and easy appointment scheduling |
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Coordinated care with your doctor or psychiatrist |
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Accept and bill insurance for you |
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Sliding scale payment options |
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Multiple convenient locations |
At GearingUP, therapy isn’t delivered in isolation. Every client is supported by a coordinated team of licensed clinicians who collaborate, consult, and follow a structured treatment model.
Our therapists are trained in evidence-based approaches including DBT, CBT, trauma therapies, couples work, and psychological assessment. Each clinician is intentionally matched to clients based on clinical need, not guesswork.
GearingUP provides in-person therapy across seven North Texas locations, including Frisco West, North Richland Hills, Prosper, Dallas (Lakewood), and McKinney.
Each office offers the same coordinated care model, evidence-based treatment programs, and structured clinical oversight — so you receive consistent, high-quality care no matter which location you choose.
Great program run by wonderful people. Very welcome changes in our family dynamics. Thank you GearingUp for being a huge part of the solution.
Professional, compassionate, and effective. The therapy and testing here has been a life changer.
Counseling at GearingUp has been life-changing for me. I have learned so many skills to manage my anxiety and depression. I am very grateful for both the individual and group therapy that I had there.
I have had an amazing experience with the professionals at GearingUp. I have been treated with care and compassion, and I would highly recommend them to anyone looking for help with any personal or relationship issues.
The therapists are highly trained and very professional. I'm a completely different person now thanks to GearingUp (thanks June!).
GearingUp is great! They helped save my marriage!
It is difficult to find words to express how much my family and I have been helped by GearingUp. I cannot imagine a better place to go. My family and I are truly blessed to have found these kind, wonderful people.
Very personal but in a good way. My therapist was a lot of fun and a great listener. She turned every experience into a lesson and helped me find myself.
