Virtual CSBD IOP across Texas

Statewide access, one clinical plan

Iron Ridge provides the full 8-week clinical arc by secure telehealth to men anywhere in Texas — the same clinical hours, the same CSAT-led group and individual sessions, and the same Partner & Family programming as the in-person program at our Austin clinic.

Virtual delivery is a clinical fit for men outside the Austin area and for men who need the discretion of attending from a private, secure location. All video visits run over a HIPAA-secure platform.

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.