Behavioral Health • Primary Care

    Comprehensive Mental Health Care in Texas

    Mental and physical health are inseparable. Our integrated care model screens, diagnoses, and treats common mental health conditions — right alongside your primary care, without the stigma.

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    (903) 838-9188
    1 in 5
    Americans affected
    Integrated
    Care model
    0%
    Of Americans have a mental health condition
    0%
    Never receive any treatment
    0%
    Better outcomes with integrated care
    0%
    Of disability prevented by early treatment
    Integrated Care

    Our Mental Health Services

    At Starling Clinic, we believe that treating the whole person means caring for both body and mind. We have integrated behavioral health screening and management directly into our primary care model — which means you can address anxiety, depression, ADHD, and other mental health concerns at the same visit as your physical health needs, without being bounced between providers.

    Routine screening at every annual wellness visit using validated tools

    Diagnosis and medication management for common conditions

    Warm coordination with therapists and psychiatrists in your area

    Non-judgmental, confidential care for all patients

    Conditions We Address

    From common to complex, we provide evidence-based care for a broad range of behavioral health conditions.

    Depression

    Major depressive disorder, persistent depressive disorder (dysthymia), and postpartum depression. We screen with PHQ-9 and provide first-line treatment.

    Anxiety

    Generalized anxiety disorder, panic disorder, and social anxiety. Screened with GAD-7. We offer medication management and care coordination.

    ADHD

    Attention-deficit/hyperactivity disorder in adults and children. Comprehensive evaluation, stimulant and non-stimulant medication management.

    PTSD

    Post-traumatic stress disorder from any source. Trauma-informed care, medication management, and coordination with specialized therapists.

    Bipolar Disorder

    Mood stabilization with lithium, valproate, or second-generation antipsychotics. Coordination with psychiatry for complex cases.

    Substance Use

    Alcohol and opioid use disorder. MAT with naltrexone and buprenorphine, alongside behavioral health referrals and community resources.

    Three Pillars of Care

    Our Approach

    A structured, compassionate framework that meets you where you are and guides you toward lasting mental wellness.

    Screening & Assessment

    Validated clinical tools
    • PHQ-9 for depression severity (scores 0–27)
    • GAD-7 for generalized anxiety (scores 0–21)
    • AUDIT-C for alcohol use screening
    • PC-PTSD-5 for trauma history
    • Routine screening at every annual wellness visit
    • Follow-up scoring to track treatment response

    Medication Management

    Evidence-based pharmacotherapy
    • SSRIs: sertraline, escitalopram, fluoxetine
    • SNRIs: venlafaxine, duloxetine for comorbid pain
    • Mood stabilizers: lithium, lamotrigine
    • Stimulants & non-stimulants for ADHD
    • Buprenorphine/naltrexone for SUD
    • Regular med reviews and dose optimization

    Care Coordination

    Your mental health team
    • Warm referrals to licensed therapists (CBT, DBT)
    • Psychiatry consultation for complex cases
    • Collaboration with your existing mental health team
    • Crisis resources and safety planning when needed
    • Community behavioral health program connections
    • Regular communication between all providers
    Validated Tools

    Mental Health Screening

    We use standardized, evidence-based screening tools approved by major medical organizations. These brief questionnaires help us understand your symptoms and guide our clinical decisions — not replace them.

    9

    PHQ-9

    Patient Health Questionnaire-9

    A 9-item self-report questionnaire measuring the severity of depression. Each item scores 0–3 based on how often symptoms occur over the past two weeks.

    1–4
    Minimal depression
    Watchful waiting, lifestyle counseling
    5–9
    Mild depression
    Follow-up in 2–4 weeks, consider counseling
    10–14
    Moderate depression
    Consider treatment — medication and/or therapy
    15–19
    Moderately severe
    Antidepressant therapy strongly recommended
    20–27
    Severe depression
    Immediate treatment; consider psychiatry referral
    7

    GAD-7

    Generalized Anxiety Disorder-7

    A 7-item tool measuring the severity of generalized anxiety symptoms. Also validated for panic disorder, social phobia, and PTSD screening.

    0–4
    Minimal anxiety
    Reassurance; re-screen in 6–12 months
    5–9
    Mild anxiety
    Watchful waiting; lifestyle interventions
    10–14
    Moderate anxiety
    Consider treatment; further assessment
    15–21
    Severe anxiety
    Active treatment warranted; consider referral
    Why screening matters: Many patients are unaware they meet diagnostic criteria. Routine screening catches conditions early when they respond best to treatment, and scores guide medication dosing and response monitoring.
    You Are Not Alone

    Breaking the Stigma

    Seeking help is strength

    Asking for help with a mental health condition takes the same courage as seeking care for any other illness. There is no weakness in recognizing that something is wrong and taking steps to address it.

    100% confidential

    Your mental health discussions are fully protected under HIPAA. We create a safe, non-judgmental space where you can be completely honest about what you are experiencing.

    Recovery is possible

    The vast majority of people with mental health conditions experience significant improvement with appropriate treatment. You do not have to feel this way forever.

    "Mental illness is not a personal failure. In fact, if there is failure, it is to be found in the way we have responded to people with mental and brain disorders." — Gro Harlem Brundtland, former WHO Director-General

    Compassionate Care

    Your Mental Health Matters — Book a Confidential Visit

    You deserve to feel well — mentally and physically. Our integrated primary care approach means your mental health is taken as seriously as any other aspect of your health. Take the first step today.

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    All appointments are 100% confidential and protected by HIPAA

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