Mikayla Jacob is the Founder and Clinical Director of Sentient Path PLLC and a Licensed Clinical Social Worker Supervisor with over a decade of experience across some of the most demanding clinical settings in behavioral health. Her background spans inpatient psychiatry, school-based mental health, substance use treatment, crisis intervention, and private practice — giving her a breadth of experience that shapes how she approaches both client care and clinical leadership.
She founded Sentient Path because she saw a gap between what people needed and what most practices offered: therapy that was both clinically rigorous and genuinely human. Her goal was to build a practice where clients received evidence-based, trauma-informed care from clinicians who were supported, supervised, and invested in their work — and where quality did not have to come at the cost of accessibility.
"I wanted to build a practice where people could get the kind of care that connects each individual more with their community— not just something to check off a list. I wanted quality therapists to be accessible and valued as well "
Mikayla is DBT-certified (C-DBT) and brings a multi-modal, evidence-based approach tailored to each client's goals and lived experience. She works with adults navigating trauma, anxiety, burnout, ADHD, relationship difficulties, and addiction recovery — and with high-achieving professionals and caregivers who carry a great deal and rarely slow down long enough to address it.
In addition to direct client care, Mikayla has experience in clinical supervision, training, and professional speaking — presenting on mental wellness, resilience, and behavioral health topics for schools, organizations, and professional audiences. She has also contributed to research and corporate wellness initiatives, and sets the standard for ethical, trauma-informed practice across the Sentient Path team.
Mikayla integrates trauma-informed principles across all of her clinical work, recognizing that many presenting concerns — including anxiety, relationship difficulties, and substance use — are often rooted in unprocessed adverse experiences.
For high-achieving adults and caregivers who have been running on empty for too long, Mikayla offers a grounded, practical approach to understanding what's driving the exhaustion — and building something more sustainable.
Mikayla works with adults navigating the real-life impact of ADHD — from time blindness and task paralysis to emotional dysregulation and the cumulative weight of years of misunderstanding. Her approach is affirming and grounded in how ADHD actually works.
Drawing on motivational interviewing and harm reduction principles, Mikayla supports clients navigating substance use concerns and addiction recovery — meeting people where they are, without judgment, and helping them clarify what they want and why it matters.
Whether navigating a major life change, a shift in identity, or patterns in relationships that keep repeating — Mikayla helps clients understand what is driving those patterns and build the skills to respond differently.
Mikayla has a particular affinity for clients who carry a lot — professionally, personally, or both. People who are competent and capable and still struggling. She understands that strength and need are not opposites.
Mikayla's approach is evidence-based and adaptive. She does not apply a single framework to every client — she draws from a range of well-researched modalities and tailors her work to what each person actually needs. The relationship is always the foundation.
She is direct without being cold, structured without being rigid, and deeply committed to the idea that good therapy should feel like something — not just something you endure until you feel better.
Mikayla's clinical experience includes inpatient psychiatry, school counseling, crisis intervention, community-based mental health, and substance use treatment. She has worked across diverse populations and high-acuity settings, which informs her ability to hold complex clinical presentations with steadiness and skill.
In addition to direct client care, she has experience in clinical supervision, training, and professional speaking — presenting on mental wellness, resilience, and behavioral health topics for schools, organizations, and professional audiences. She has also contributed to research and corporate wellness initiatives.
As Clinical Director of Sentient Path, she sets the standard for ethical, trauma-informed practice and is committed to developing clinicians who bring both competence and genuine care to their work.
Sentient Path was created with a small-town practice spirit — a place where clients are not treated like numbers, and clinicians are not treated like machines. Mikayla believes strong therapy practices are built through trust, consistency, and relationships. Her leadership focuses not only on client care, but also on supporting clinicians, while expanding access to quality mental health services in Flower Mound and across Texas.
We do not want our community, clinicians, or clients to worry that quality care will be diluted by rapid growth, sudden closures, or major acquisitions that disrupt relationships and continuity of care. Our goal is to build something sustainable — a practice where clients can trust the care they receive, clinicians can feel supported in their work, and the community can know we are here for the long term
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