Clinical Background

I am a Licensed Clinical Psychologist in Texas (Macy Wilson-Johnson #38478). I am authorized to provide interjurisdictional telepsychology in several other states (see FAQ). My clinical work spans a range of settings and levels of care, including residential treatment programs for adults and adolescents, substance use treatment facilities, juvenile correctional settings, and forensic work within the Department of Justice, including work with incarcerated individuals. I have trained in couples therapy using The Gottman Method and Acceptance and Commitment Therapy (ACT). Additionally, I have presented at national conferences and published works on mental health within the Black community, culturally competent care, and published on best practices in mental health care for incarcerated LGBTQ youth. I was a Minority Scholar for the American Psychological Association’s Division 39 Multicultural Concerns Committee.

How I Approach Therapy

My experiences in various settings inform a grounded, thoughtful approach to therapy – one that attends to development, power, identity, and the broader systems that shape mental health. I work collaboratively and intentionally, offering care that is responsive to both individual history and present-day context.

Therapy can feel intimidating. It requires honesty, emotional risk, and a willingness to explore parts of yourself shaped by both early experiences and current realities. In our work together, you can expect to be supported as you work toward your goals and challenged in an intentional way to truly foster growth and insight.

Areas of Focus

I primarily work with BIPOC couples and professionals. In addition to therapy, I provide clinical consultation and speaking engagements for organizations, clinicians, and community groups. My approach is holistic and integrative, drawing from Psychodynamic Therapy, Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Solution-Focused interventions – always tailored to your lived experience and needs.

The Practice & The Symbol

A lotus represents growth through adversity in the sense that these flowers literally grow in mud; mud, which is messy and seemingly unformed. Despite its presentation, the mud is necessary for the lotus to grow. Lotus flowers have many petals and I feel like this is also relevant to the metaphor of human growth: we navigate different seasons of life, relationships, careers, identities, etc., and I aim to provide a holistic approach to therapy that looks at these factors and how they impact you (emotionally, physically, socially, vocationally, spiritually). “Purpose” was added because often people enter therapy when they are struggling with identifiying their purpose in different areas of life. I aim to help you as you figure out what that looks like with respect to each of your identities. Holistic Purpose is currently a solo practice, though I work with a psychiatrist and provide psychiatric referrals as needed. I hold a long-term vision of expanding into a multidisciplinary team rooted in multicultural and trauma-informed care.

Support Starts Here

Seeking support is a meaningful step. I invite you to schedule a free 15-minute consultation to ask questions, clarify goals, and determine whether working together feels like a good fit.