Therapy Services
Key Points Counseling serves a diverse range of individuals, couples, and families in Houston and across Texas. Whoever you are, there is a place for you here.
ESA Letters, Immigration Evaluations & Psychological Documentation
An (ESA) letter is a formal document written by a licensed mental health professional that certifies your need for an emotional support animal as part of your mental health treatment plan. ESA letters are commonly required by landlords and housing providers under the Fair Housing Act.
At Key Points Counseling, our ESA letters are thorough, professionally formatted, and accepted by housing providers across Texas and Illinois.
Immigration processes can be among the most stressful experiences a person and family can face. At Key Points Counseling, we provide compassionate, thorough psychological evaluations to support your immigration case. Dr. Pickens brings both her doctoral training in International Psychology and her genuine commitment to cross-cultural understanding to every evaluation she conducts.
Disability Documentation Letters: Supporting Social Security, workplace accommodations, or insurance claims
Return to Work / Fitness for Duty Letters: Clinical documentation supporting workplace transitions
FMLA Support Documentation: Clinical letters supporting Family and Medical Leave Act requests
Academic Accommodation Letters: Supporting requests for disability accommodations at universities or schools
WHAT TO EXPECT
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Initial consultation to review your case and documents
One or more clinical interview sessions (in-person or telehealth)
Review of supporting documentation provided by your attorney
Comprehensive written evaluation delivered to you and/or your attorney
Availability for follow-up questions or supplemental letters
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Q: How long does it take to get an ESA letter?
A: Once your consultation is complete, you'll receive your letter within 3–5 business days.
Q: Do I need to be an existing client to get a letter?
A: No. We offer standalone evaluation appointments for individuals who need letters or evaluations without ongoing therapy.
Q: Do you work with immigration attorneys?
A: Yes. We are experienced in collaborating with legal teams and can provide documentation that meets USCIS and court standards.
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We strongly recommend that evaluations be requested well in advance of any deadlines. We work closely with immigration attorneys and are experienced in writing evaluations that meet court and USCIS standards.
Evaluations are conducted in English and Spanish. Servicios disponibles en español.
Get In Touch
If you're interested in working with us, complete the form with a few details about your project. We'll review your message and get back to you within 48 hours.