Men's CSBD IOP for Boerne, Texas

Secure telehealth for men in Boerne

Boerne is far enough from our Austin clinic that most men served here attend the program by secure telehealth. The clinical arc, the CSAT-led sessions, and the Partner & Family Program are the same as the in-person track — delivered on a HIPAA-secure video platform, from a private location of your choosing.

In-person visits at our Braker Ln clinic remain available on request for men in Boerne who choose to travel to Austin for specific phases of care.

The program

Iron Ridge runs a men-only intensive outpatient program for compulsive sexual behavior disorder (CSBD, ICD-11 6C72) and related patterns — pornography compulsivity, sexual compulsivity, sex and love addiction, online sex addiction, and repeated infidelity. Care is led by Ian Birdwell, LPC, CSAT, with concurrent Partner & Family Programming led by Roxcy Brown, LMFT-A, CCPS-C.

The clinical arc is 8 weeks, 9–12 clinical hours per week, 72–96 total hours: Stabilization (weeks 1–3), Trauma Processing (weeks 4–6), and Relapse Prevention (weeks 7–8). Group and individual sessions are structured around the same plan across every man in the cohort, without being generic.

Who this is for

The men we treat are usually working, often high-functioning, and rarely looking for a group therapy experience for its own sake. They are looking for a clinical structure that meets a real diagnostic threshold, discreetly, and gets to work.

You do not have to name it out loud on the first call. If you are here, that is enough to start a private conversation with our team.

How care is paid for

All care is private pay. Iron Ridge is out-of-network with commercial PPOs and provides itemized superbills for members who choose to seek out-of-network reimbursement from their own carrier. We do not report to your insurance on your behalf.

Also serving these Boerne communities

• Fair Oaks Ranch
• Cordillera Ranch
• Kendall County