Boutique mental wellness

Concierge Mental Health Counseling in Rockwall, TX

Highly Consultative, Lifestyle-Oriented, Personalized & Evidence-Based Individual, Couples, Family Tand Evaluation services.

Schedule an Appointment

Let's start with a conversation.

Tell us a little about what you’re looking for.

Boutique mental wellness

Concierge Mental Health Counseling in Rockwall, TX

Highly Consultative, Lifestyle-Oriented, Personalized & Evidence-Based Individual, Couples, Family Therapy, Consultation and Evaluation services.

Schedule an Appointment

Evidence-BasedResearch-informed care

Whole-PersonCare around your life

PersonalizedTherapy designed for you

Concierge CareHighly consultative support

The right level of care,
when you need it.

Traditional
Counseling

Individual support for everyday
challenges and personal growth.

Dr. Vaccaro
Counseling Group

A personalized step up in care.
More support, structure, and
specialized tools to help you
move forward with confidence.

Intensive Outpatient Program (IOP)
Partial Hospitalization Program (PHP)

Focused treatment with more frequent
support while maintaining your daily routine.

Psychiatric
Hospitalization

24/7 care in a safe environment
for urgent or acute needs.

Personalized, Evidence-Based Counseling for Individuals, Couples & Families

At Dr. Vaccaro Counseling Group, we provide concierge-style mental healthcare designed around your unique needs. Whether you’re navigating anxiety, depression, trauma, relationship challenges, parenting concerns, eating disorders, or major life transitions, our experienced team offers compassionate, evidence-based counseling to help you move forward with confidence. We provide services in our office, within the community as needed, and through secure virtual appointments, making it easier for individuals, couples, and families to access personalized care in the setting that best supports their needs.

Our highly personalized approach combines clinical expertise with genuine collaboration, ensuring every client receives thoughtful care tailored to their goals. We proudly serve individuals and families throughout Rockwall, Heath, Royse City, Fate, Rowlett, Forney, and nearby communities.

♡Personalized Care

✧Evidence-Based Support

♧Individuals & Families

＋Flexible Care Options

Meet Dr. Casey Vaccaro

Compassionate, Personalized Mental Healthcare Led by Dr. Casey Vaccaro

Welcome! I’m Dr. Casey Vaccaro, the Clinical Director and Owner of Dr. Vaccaro Counseling Group. As a fully licensed Clinical and School Psychologist, I am passionate about helping individuals and families overcome life’s challenges through personalized, evidence-based mental healthcare in the office and around the community.

After beginning my career as a school psychologist and family forensic psychologist in New York and working closely to support complex family dynamics, neurodivergent populations and significant mental health challenges, I transitioned my work to the Dallas area, establishing my practice in Rockwall to provide a more personalized and collaborative counseling experience for our local community.

Throughout my doctoral training and professional career, I had the opportunity to work alongside respected experts, contribute to clinical research presented both nationally and internationally, and gain experience across a wide range of therapeutic settings. Today, I bring that knowledge into every client relationship while mentoring and collaborating closely with our exceptional clinical team.

In addition to counseling and consulting I offer speaking engagements and CEU opportunities, and have completed over 220 Autism Evaluations (+ additional ADHD and learning disorder/giftedness) in my career.

♡Licensed Clinical Psychologist

✧Personalized Mental Healthcare

♧Clinical Research & Collaboration

＋220+ Autism Evaluations

Meet Dr Vaccaro

Our Approach

Therapy Designed Around You

Every individual, couple, and family has a unique story. We believe effective therapy begins by understanding your experiences, identifying your goals, and developing a personalized treatment plan that fits your lifestyle and circumstances.

Our counseling services
focus on helping clients:

Develop healthy coping strategies

Strengthen relationships

Improve emotional well-being

Navigate anxiety and depression

Build confidence and resilience

Support children, adolescents, and families through life's transitions

“

We work collaboratively with you throughout your journey, empowering you to make meaningful, lasting changes that support long-term wellness.

A Personalized, Collaborative Approach to Mental Healthcare

At Dr. Vaccaro Counseling Group, we believe exceptional mental healthcare extends beyond the therapy room. Every client receives personalized care designed around their unique goals, challenges, and stage of life.

Our clinicians work closely together to share expertise, coordinate treatment plans, and provide consistent support throughout your journey. When appropriate—and always with your consent—we also collaborate with other trusted professionals involved in your care, including:

01 Primary Care Physicians (PCPs)

02 Pediatricians

03 Psychiatrists

04 Schools and Educators

05 ABA Therapy Providers

06 Nutritionists

07 Other Healthcare Specialists

Meet Our
Clinical Team

LPC-A

Christian Graves, LPC-A

Christian Graves, LPC-A, provides compassionate, evidence-based counseling for children, adolescents, adults, and families navigating a wide range of emotional, behavioral, and life challenges. She specializes in family therapy, dynamic parenting support, grief counseling, complex trauma, addiction recovery, ADHD therapy and ADHD testing, social skills development for neurodivergent populations, life transitions, anxiety, depression, and obsessive-compulsive disorder (OCD).

Christian believes in building strong therapeutic relationships and works collaboratively with clients and families to develop personalized treatment plans that foster resilience, healthy coping strategies, and lasting growth. She works in close collaboration with Dr. Casey Vaccaro to ensure coordinated, high-quality care and continued growth.

Christian is supervised by Cindy Payne, LPC, and is committed to providing compassionate, client-centered support tailored to each individual's unique needs.

Request Appointment ↗

LPC · PMH-C

Rebecca Kinshella, LPC, PMH-C

Rebecca Kinshella, LPC, PMH-C, is a compassionate therapist specializing in maternal mental health and is certified in supporting individuals experiencing postpartum depression. She provides personalized, evidence-based counseling for adolescents and adults facing eating disorders, disordered eating, body image and self-esteem concerns, depression, anxiety, and challenges related to parenting and social skills development.

Rebecca is passionate about creating a supportive, nonjudgmental environment where clients feel empowered to navigate life's challenges, strengthen healthy coping strategies, and build confidence. Whether supporting new mothers, individuals struggling with eating disorders, or parents seeking guidance, she works collaboratively with each client to develop personalized treatment plans that promote lasting emotional well-being.

Request Appointment ↗

Client Care Coordinator

Mikayla Walker – Client Care Coordinator

As the Client Care Coordinator at Dr. Vaccaro Counseling Group, Mikayla Walker is often the first friendly voice or face you'll encounter. She is dedicated to creating a welcoming, personalized experience by helping individuals and families navigate every step of the onboarding process with care and professionalism.

From scheduling appointments and answering questions to providing guidance throughout the intake process, Mikayla is committed to making each client's experience as seamless and comfortable as possible. Her compassionate approach, attention to detail, and dedication to exceptional client care help ensure every individual and family feels supported from their very first interaction with our practice.

Contact Mikayla ↗

Proudly Serving Surrounding Communities

01 Community Partners

02 Local Support Services

Personalized Care That Puts You First

At Dr. Vaccaro Counseling Group, we believe exceptional mental healthcare begins with understanding your unique story. Our concierge approach combines evidence-based counseling, personalized treatment plans, and collaborative care to support individuals, couples, and families through every stage of life. To make care as accessible and convenient as possible, we provide counseling services in our office, out in the community as needed, and through secure virtual appointments, ensuring support is available in the setting that best meets your needs.

From your first conversation with our team to each step of your therapeutic journey, we’re committed to helping you feel heard, supported, and empowered to achieve lasting well-being. When you’re ready to take the next step, our compassionate team is here to guide you every step of the way.

Our Practice Was Designed For
Individuals Who...

NEED MORE SUPPORT
THAN WEEKLY THERAPY

but don’t require IOP, PHP,
or residential treatment.

WOULD BENEFIT FROM
SESSIONS IN THE COMMUNITY

through real-world exposures,
school support, restaurants,
stores, social outings,
or home visits.

REQUIRE SUPPORT FOR
MULTIPLE FAMILY MEMBERS

with coordinated individual,
parent, family, and
couples therapy.

REQUIRE MULTIPLE
TYPES OF SUPPORT

including individual, family,
group therapy, skill building,
and professional collaboration.

ARE IN NEED OF BOTH
THERAPY & EVALUATION
SERVICES

including ADHD, Autism,
learning disorders, giftedness,
personality assessments,
and diagnostic clarification.

WOULD BENEFIT FROM A
COLLABORATIVE TEAM

with communication between
psychiatrists, pediatricians,
schools, OTs, SLPs, ABA
providers, dietitians, and
other professionals.

NEED MORE FREQUENT
CONTACT & ACCOUNTABILITY

than traditional weekly
counseling can provide.

ARE TRANSITIONING HOME
AFTER HIGHER LEVEL CARE

such as residential treatment,
wilderness, PHP, or IOP and
need intensive step-down support.

WANT CONCIERGE-LEVEL CARE

with individualized treatment
planning and consistent
provider collaboration.

HAVE TRIED TRADITIONAL
THERAPY BUT FEEL STUCK

and are looking for a more
individualized, hands-on,
results-driven approach.

WANT HELP NAVIGATING
DAILY LIFE

school, work, relationships,
and daily functioning in
real-life environments.

YOU DON’T FIT NEATLY INTO ONE DIAGNOSIS. ♥

Many clients have overlapping concerns (ADHD + anxiety, autism + OCD, trauma + executive functioning difficulties, etc.).

We help create a streamlined, clear plan tailored to you.

Hear From
Our Clients

    
 
 
       Posted on Google  
   
   Esther Craven 
 
 
 
 Trustindex verifies that the original source of the review is Google. As a clinician, I've had the incredible experience of collaborating with Dr Vaccaro on the care of a mutual client over the last year. Dr Vaccaro and her team provide tip-top quality care and will go above and beyond to make sure that you get the support you need! I have been consistently impressed with Dr Vaccaro's responsiveness and clinical insights. She is warm, approachable, and nonjudgmental, but will also challenge you so that you make progress toward your therapy goals. This counseling group is likely for you if you have been in therapy and haven't seen results, and want to step-it-up to receiving therapy from providers that can provide a higher level of support. They are even available to meet you at home or out in the community! I highly recommend Dr Vaccaro and her team to my friends and clients.
  
 
      Posted on Google  
   
   Emma Hawkins 
 
 
 
 Trustindex verifies that the original source of the review is Google. Genuinely, one of the best, most organized, professional, and welcoming counseling practice in the Rockwall area. Casey and her team are one of a kind. Casey is patient and genuine. She meets you right where you are and allows you feel loved and seen as she walks the journey alongside you. The team had immense clinical experience with tools and resources for everyone.
  
 
      Posted on Google  
   
   Nicole King 
 
 
 
 Trustindex verifies that the original source of the review is Google. Dr. Vaccaro is amazing! After working with her for many years, I can say she is a knowledgeable, warm, experienced therapist who knows her stuff.  Highly recommend working with her practice.
  
 
      Posted on Google  
   
   Kristina Aganova 
 
 
 
 Trustindex verifies that the original source of the review is Google. Dr.V is truly amazing. I can’t say enough positive things about my experience with her practice. From the very beginning, she created a space where I felt completely comfortable, and supported. Her warmth and genuine care have made such a meaningful difference in my life. I’m am so grateful and would highly recommend her to anyone looking for a compassionate and skilled therapist.
  
 
      Posted on Google  
   
   Abigail Del Sol 
 
 
 
 Trustindex verifies that the original source of the review is Google. Dr. Vaccaro Counseling Group is amazing. Dr. Vaccaro is so warm, welcoming, and easy to talk to..she made a real difference in my life. I’m truly grateful for her help. She’s the best in the area, and I can’t recommend her enough!!
  
 
      Posted on Google  
   
   Brittany Bonasera 
 
 
 
 Trustindex verifies that the original source of the review is Google. Dr. Vaccaro is outstanding. Not only is she warm, personable, and compassionate; but she also uses evidence-based modalities that ensure her clients are receiving the best care possible. Her ability to use research-backed techniques while also tailoring each intervention to the client in front of her is one of her best skills. Dr Vaccaro is well equipped to help with a wide range of concerns including anxiety, depression, stress, life transitions, and other mental health challenges. I would highly recommend her to anyone looking for a compassionate clinician who also relies on proven, evidence-based practices. Who wants to feel both supported AND see results!
  
 
      Posted on Google  
   
   Alyssa Rasile 
 
 
 
 Trustindex verifies that the original source of the review is Google. Great doctor and great experience. I highly recommend for anyone seeking  a new doctor!!
  
 
      Posted on Google  
   
   jaclyn gordon 
 
 
 
 Trustindex verifies that the original source of the review is Google. Dr. Vaccaro is one of the best clinicians I know. The attention and care she gives her clients is unmatched. In my experience she is a great fit for families needing multiple areas of support for their children and family. She collaborates well with providers, and gives tangible tools to help better the lives of families she works with. I feel so lucky to have a compassionate, skilled and knowledgeable clinician like Dr. Vaccaro in my referral network.
  
 
      Posted on Google  
   
   Arthur Zhejing Zhu 
 
 
 
 Trustindex verifies that the original source of the review is Google. I’ve known and worked with Dr. Vaccaro for 2 years and can confidently speak to the quality of her work. She is highly professional, knowledgeable, and deeply committed to providing thoughtful and ethical care to her clients. Her approach is both compassionate and grounded in strong evidence based clinical expertise. I would not hesitate to recommend her practice to anyone looking for a trustworthy and capable psychologist.