About
Desiree Misanko, is a Fredericksburg, Texas-based practice specializing in the mental health of military, children, and third culture kids. Dr. Misanko, a licensed clinical psychologist, has extensive training working with diverse populations and is trained in various therapeutic modalities, including psychodynamic, relational, and client-centered therapy. Her expertise encompasses symptoms and mental health concerns such as anxiety, grief, trauma, and working with the LGBTQ+ community and Third Culture Kids / Adults. Dr. Misanko adopts a collaborative approach, using evidence-based techniques to help individuals build resilience, develop healthy coping skills, and work towards their personal goals. The practice offers individual, couples, and family therapy, as well as play therapy and parent-child dyad therapy. Guiding Light Therapy is currently offering telehealth services and is licensed to work across the country, with plans to open an office in Fredericksburg, Texas in 2025.
Insurance & payment
Guiding Light Therapy is considered out of network. Fees are based on the type of therapy, the duration of the session, and the patient's individual needs.
- Out of network
Listed fee: $120 per session. Ask about sliding-scale fees if you're paying out of pocket.
Services & specialties
Individual Therapy
Individual therapy sessions aim to support clients in navigating a wide range of mental health challenges, whether it's anxiety, depression, trauma, or relationship concerns.
Couples Therapy
Couples therapy sessions help partners strengthen their connection, improve communication, and work through conflicts together.
Family Therapy
Family therapy sessions are designed to help families come together, communicate better, and work through their challenges.
Play Therapy
Play therapy uses fun techniques, such as sand tray activities, art, and games, to help children learn important coping skills, connect more deeply, and express their feelings and challenges in a safe environment.
Parent Work Therapy
Parent work therapy helps parents of children feel more confident and empowered, developing personalized treatment goals for their child, problem-solving, and creating helpful in-home behavior modification tips.
Parent / Child Dyad Therapy
Parent-child dyad therapy supports both parents and children in building healthy attachments, encouraging creative ways for them to communicate and relate to each other.