03/21/2026
I recently attended a continuing education training with Dr. Bianca R. Augustine, CCTP, LPC, and it reinforced something I think about often in both clinical work and care coordination:
Some of the most important conversations people need to have don’t always clearly “belong” in just one place.
I remember having conversations with my OB/GYN about some of these topics at a time when I was trying to understand where they even fit. He mentioned those kinds of questions don’t come up very often in that setting, and that really stayed with me.
Not because the questions were uncommon.
But because they didn’t have a clear place to go.
That’s part of what made this training so meaningful. Dr. Augustine created space for conversations about sexuality, identity, stigma, culture, and silence to be explored with real clinical depth and humanity.
And it reminded me how often these conversations sit at the intersection of:
• therapy
• OB/GYN
• primary care
• psychiatry
• other medical settings
When they are not fully held in one space, strong referral relationships matter even more.
Because if something is not the right fit in one setting, there should always be a next step. Another provider. Another door.
That is a big part of why I started building the WBH Texas Referral Ecosystem — to help make those connections more seamless for both clinicians and clients.
Grateful for clinicians like Dr. Bianca R. Augustine, CCTP, LPC who are helping move these conversations forward.
If you work in a medical or mental health setting and see this kind of overlap in your work too, I’d love to stay connected.
