Family therapy for Grapevine households, from home
Grapevine has a way of feeling like a small town even as the region grows around it. Families stroll historic Main Street, kids grow up together in Grapevine-Colleyville ISD, and neighbors know each other from church, sports and school pickup. That closeness is a real gift. It can also make it awkward to be seen walking into a counselor's office.
Many Grapevine parents also live with a calendar shaped by DFW Airport, which sits right next door. One parent may be on the road several days a week, while the other holds the household together and the kids absorb the strain of constant hellos and goodbyes. Over time, small frictions turn into patterns: the same argument every Sunday night, a teenager who stops talking, a couple that feels more like co-managers than partners.
Dr. Audrey Kteily is a family therapist who works with Grapevine families entirely online. Her long-standing practice is based in nearby Coppell, and she has served the DFW metroplex for over two decades. Today, every session happens over secure video, so you can get support without anyone in town knowing where you spend Tuesday evening.
Why might a Grapevine family choose online therapy?
Families pick online sessions for practical reasons, and many end up preferring them:
- Privacy. There is no shared parking lot or waiting room where you might run into a coach or a classmate's parent.
- Fewer scheduling battles. Nobody needs to leave work early, race across State Highway 114 or pull a teen out of after-school activities to make an appointment.
- Everyone can be included. A parent in Austin for a work week, a young adult at college in Denton and a teen at home can join the same session from different devices, as long as each person is in Texas.
- Real-life setting. Seeing a family in its own home often reveals more than a formal office ever could.
Online sessions also help during the seasons when Grapevine calendars overflow. Fall brings football and band, spring brings testing and graduation, and the holidays bring visiting relatives and travel. These are often the exact weeks when family tension peaks. When therapy does not require a drive, it is far easier to protect that hour instead of cancelling it.
How is family therapy different from individual counseling?
In individual counseling, one person works on their own thoughts, feelings and choices. In family therapy, the focus widens to the relationships between people. The question shifts from "what is wrong with this person?" to "what is happening between us, and how does each of us keep it going?"
That shift matters. A teen's defiance may be partly a reaction to parents who disagree about rules. A parent's irritability may grow out of carrying too much alone. When the whole system changes, individual symptoms often ease as well. Dr. Audrey's doctoral specialty is family systems counseling, which is built on exactly this idea.
Family therapy does not mean every person attends every session. Dr. Audrey adjusts who joins based on the goals: sometimes the whole family, sometimes just the parents, sometimes a teen alone. If one family member also needs individual support, that can be built into the plan.
What working with Dr. Audrey is like
Families often wonder what actually happens once they say yes. A first month commonly looks something like this:
- A short first contact. You text, call or send the secure form. Dr. Audrey responds within one business day to talk about what is going on and whether online family therapy is a fit.
- An initial session. She meets with the adults, and often the whole family, to hear each person's view of the problem and what they hope will change.
- Mapping patterns. Over the next few sessions, she helps the family name the cycles that keep repeating and what each person is trying to protect.
- Trying new moves. The family practices specific changes at home, such as a calmer way to bring up grades or a weekly check-in between parents, and reports back on what worked.
For more on the role a family counselor plays, see what a family counselor does for Coppell-area families.
Help for teens, parents and couples in Grapevine
Teens and adolescents
Dr. Audrey works with teens ages 12 to 18 on anxiety, depression, school stress, performance pressure, self-harm, identity and LGBTQ+ questions, and friendship or dating problems. Teens get private time to talk, and parents get a clear sense of how to help. Read more on her adolescent issues page and in this piece on teen counseling for local adolescents.
Parents
Sometimes the most effective first step is for parents to get on the same page. Parent counseling focuses on consistent expectations, calm limits and repairing after conflict. This article on how parent counseling improves parenting skills explains the approach.
Couples and families under strain
Travel-heavy careers, blended families, divorce and co-parenting all put pressure on adult relationships. Dr. Audrey also offers marriage counseling and couples therapy. When emotions run hot, she may teach skills from dialectical behavior therapy, in which she holds C-DBT certification. Other concerns she treats, including ADHD, autism spectrum needs, grief and trauma, are listed on the other specialties page.
Licensing, time zone and technology
Dr. Audrey is a Texas Licensed Professional Counselor-Supervisor, so anyone physically in Texas at the time of a session can work with her. Grapevine families are scheduled on Central Time, with flexible scheduling around school and work. Sessions use a secure, HIPAA-compliant video platform; the link opens in your browser, so there is nothing to download. A laptop or tablet set up in a quiet room works well for joint sessions.
A little preparation helps joint sessions go smoothly. Set the device on a table rather than holding it, make sure everyone's face is visible, and silence other phones in the room. If siblings who are not part of the session are home, plan an activity for them in another room. Teens who need private time with Dr. Audrey can step into their own space and rejoin from a separate device.
Background and training
Dr. Audrey Kteily earned her PhD in Family Studies and her BA in Psychology at Texas Woman's University and her Master's in Counseling at Dallas Baptist University. She has been licensed in Texas as an LPC since 2001 and as an LPC-Supervisor since 2004, and she also holds a New Jersey LPC and a New York LMHC. She is a Certified Family Life Educator through the National Council on Family Relations, is C-DBT certified through Evergreen Certifications, and has published work on family dynamics. Her practice is LGBTQ+-friendly and LGBTQ+-owned.
Learn more on the About Dr. Audrey page or read about the practice. If you like to read up before starting, the American Psychological Association's topic library, the APA's Monitor on Psychology, the CDC's mental health pages and the National Center for Biotechnology Information are reliable places to start.
Taking the first step
Because Dr. Audrey works out-of-network, she hands you a superbill that you can file with your insurer for possible reimbursement. A quick call to your plan about out-of-network mental health coverage is worth making first. If you have a question first, try Ask Dr. Audrey or the request form on the home page.
Texting is usually the fastest route. Leave out health details and simply mention you are looking for a family therapist in Grapevine.
Request your family's first session, or text or call (917) 905-3183.