Milstead & Associates Counseling Group is a collaborative collection of therapists who are invested in the overall wellbeing of our clients.
We serve a variety of populations in an open and accepting environment. We are available for individual, group, and couples counseling as well as crisis counseling and educational speaking engagements.
Contact us at 936.615.7927 for additional information or read about our therapists to decide who might be the best fit for your situation.
Brittany Brown Milstead, M.A., LPC-Supervisor (She/Her)
Offering sessions in person and online.
brittany@milsteadcounseling.com
Brittany is a Texas native who completed her undergraduate degree in psychology and communications at Hardin-Simmons University in Abilene and her masters degree in Professional Counseling at Texas Wesleyan University in Fort Worth.
She has over 10 years of professional experience working with individuals, couples, and families. Brittany works with many issues and disorders including Post-traumatic Stress Disorder, eating disorders, borderline personality disorder, depression, and anxiety.
In addition Brittany is an open and accepting therapist experienced in working with the LGBTQ population.
Tristan Hathorn-Wilkins, M.A., LPC (He/Him)
Offering sessions in person and online.
tristan@milsteadcounseling.com
Tristan Hathorn-Wilkins is a Licensed Professional Counselor from Shelby County and Austin. He earned his MA in Professional Counseling from Texas State University in 2011, and has worked in a variety of treatment settings to find his passion- helping people who don’t match the mainstream find and learn to love who they really are. He specializes in individual and group treatment of adults & teens for gender and sexuality issues, anxiety, depression, grief, self-destructive behavior, chemical and behavioral addictions, and general mental health.
Tristan’s approach to therapy focuses on trying to help his clients understand what beliefs/ideas are bothering them and whether those beliefs/ideas are necessarily true and useful. Using authenticity, warmth, humor, and a variety of therapeutic techniques, he can create a comfortable environment to help clients guide him through their stories.
Tristan is also a non-binary transmasculine native of Center, TX. This combination has allowed him insight into the complexities of not fitting into established boxes, as well as insight into the problems faced by women, men, and the rest of us in today’s society. His goal in this gender liaison role is to facilitate his clients’ and others’ understanding and appreciation of themselves and those around them. (Please email for information about consultation with schools, workplaces, and churches.)
Grant Howarth, MA, LPC-Associate, MT-BC (He/Him)
Offering sessions in person and online.
Grant is a Nacogdoches native, born and raised. He completed his undergraduate degree in Music Therapy through Sam Houston State University and his master’s degree in Clinical Mental Health Counseling through Stephen F. Austin State University.
Grant’s passions lie in community activism and supportive services. He has experience working with Co-dependency, Trauma/PTSD, gerontology, and with neurodivergent individuals (including ADHD). He specializes in death/dying, grief, and loss as well as the LGBTQIA2+ community.
Grant’s therapeutic goal is to create a brave space for people to process, empower self-awareness, and cultivate a life story that best supports and serves their needs. By combining music therapy, gestalt therapy (cultivating awareness of self and environment), and narrative therapy (redefining the story you’ve told yourself), Grant hopes to support people as they learn and explore more about themselves.
As an LPC-Associate, Grant practices under the direct supervision of Brittany Brown Milstead, MA, LPC-S.
Casie Weihe, M.A. LPC-Associate, NCC (She/Her)
offering sessions online or in person
Casie is a Texas native who earned her BA in Liberal Studies and MA in Clinical Mental Health Counseling from Stephen F. Austin State University. Prior to becoming a Licensed Professional Counselor Associate, she worked with children and families across a variety of community and educational settings.
Casie utilizes a strengths-based, collaborative approach to identify and achieve therapeutic goals. She guides people through the process of choosing where and how they want to journey in life and encourages taking steps which move them in their chosen direction. She is dedicated to helping her clients find a renewed sense of hope, meaning, and self-compassion along the way.
Casie has specialized training in Perinatal Mood and Anxiety Disorders and provides therapy to parents and families experiencing perinatal mental health concerns at any stage of pregnancy or postpartum. In addition, Casie is trained to provide trauma-focused cognitive behavioral therapy (TF-CBT) and cognitive behavioral therapy for insomnia (CBT-I).
As an LPC-Associate, Casie practices under the direct supervision of Brittany Brown Milstead, MA, LPC-S.
Emily Adams, M.A., LPC-Associate (She/Her)
Offering sessions in person and online
Emily is a Texas native who completed her undergraduate degree in Psychology at the University of North Texas and her master’s degree in Clinical Mental Health Counseling at Stephen F. Austin State University.
She has extensive experience working with children, teens, and adults with autism, intellectual disabilities, and a variety of anxiety spectrum disorders. She specializes in helping survivors of domestic violence, PTSD, trauma, and abuse. She is passionate about advocating for mental health, especially in marginalized communities, and the destigmatization of mental illness as well as providing hope and help for recovery.
As an LPC-Associate, Emily practices under the direct supervision of Brittany Brown Milstead, MA, LPC-S.
Shelby Brown, M.A., LPC-Associate (She/Her)
Offering sessions in person and online
Shelby grew up in New Albany, MS, and has lived in Nacogdoches for the past six years. She received her undergraduate degree from the University of Mississippi, and then went on to obtain her master’s degree in Clinical Mental Health Counseling through Stephen F. Austin State University.
Shelby specializes in PTSD, sexual assault, domestic violence, anxiety and depression, and identity related issues. Specifically, she applies a person centered approach with cognitive behavioral therapy techniques to help clients navigate the emotional complexities of trauma.
As a member/advocate of the LGBTQIA2+ community, she understands the importance of a judgement free environment. She strives to foster a safe space for her clients to begin healing, and achieving their goals. Her fervor for counseling resides in helping others recognize their value, despite any obstacles they might be facing.
As an LPC-Associate, Shelby practices under the direct supervision of Brittany Brown Milstead, M.A., LPC-S.
Carrel J. King, M.A., LPC-Associate (She/They)
Carrel was born and raised in New Jersey. She completed a B.A. in Integrative Philosophy with Anthropology at Wheaton College in Illinois. Before pursuing a counseling career, Carrel spent time in college working with organizations in Chicago, IL and Pittsburgh, PA whose missions were to serve the underserved. Social justice is still a high priority for Carrel.
Carrel has lived in Texas for the last twenty years where she completed her M.A. in Clinical Mental Health Counseling at Stephen F. Austin State University.
Carrel’s approach to counseling is highly influenced by philosophical thinking and the early cognitive therapists. She works from the perspective that mental health is about changing our interpretations of the world in order to better cope with difficult feelings and situations. Carrel works with her clients to help them address problems by using skills they learn in counseling to help them thoughtfully respond rather than impulsively react when upsetting circumstances arise. She is committed to the idea we are all doing the best we can with what we know now and that we can each learn how to do better.
Carrel is specifically interested in helping people recover who have been troubled by or hurt by faith based institutions. She is respectful of everyone’s faith and believes it can be a positive part of a person’s outlook, but is also aware that many people still struggle with the messages from and experiences they have had in faith based institutions.