About Dr. Zachary Trevino
I know what it means to be the one who goes first.
I’m a licensed marriage and family therapist, a father, a professor, a third-generation Mexican American, and the first in my family to graduate from college.
A lot of the men I work with grew up the way I did — taught to work hard, protect the people you love, and keep your problems to yourself. Those lessons carried our families a long way. They can also leave you exhausted, disconnected, or stuck in patterns you never chose. My job is to help you keep what’s worth keeping and set down what isn’t.
With couples, I bring a family-systems lens: where we look at the cycle you get caught in together, where it came from, and how to step out of it.
First Generation Healer
First Generation Healer is the heart of my work: support for people who are the first in their families to seek help — and for those who are the first to offer it. Going first can feel lonely. It doesn’t have to.
Credentials & Training
Phd, Couple & Family Therapy, Texas Tech University
Licensed Marriage & Family Therapist, Texas
Educator & Director of Clinical Training, Antioch University Seattle
AAMFT Approved Supervisor & Texas Approved Supervisor
Journal Publications
Trevino, Z. R., Marroquin, C., Fife, S., Williams, T., Nordfelt, R., & Gomes, A. (2024). Childhood sexual abuse and couple relationships: A grounded theory on healing. The American Journal of Family Therapy, 52(3), 352–368. https://doi.org/10.1080/01926187.2023.2198151
Trevino, Z. R., Mullet, N., Hawkins, L. G., Guzman, A., & Garcia, M. S. (2024). Modern challenges of individuals in interracial relationships in a racialized society: A thematic analysis. The American Journal of Family Therapy, 52(4), 448–466. https://doi.org/10.1080/01926187.2023.2272915
Guzmán, A. L., Pate, K. D., Lau, H. I., Trevino, Z. R., & Fife, S. (2024). Clinician experiences of discrimination: A heuristic phenomenology pilot study. Contemporary Family Therapy, 46(2), 204–215. https://doi.org/10.1007/s10591-023-09678-5
Hung, Y.-H., Miles, A., Trevino, Z., D’Aniello, C., Wood, H., Bishop, A., & Monshad, Z. (2023). BIPOC experiences of racial trauma on TikTok: A qualitative content analysis. Contemporary Family Therapy, 45(3), 298–308. https://doi.org/10.1007/s10591-023-09669-6
Lauricella, D., Trevino, Z. R., Marroquin, C., Fife, S. T., & D’Aniello-Heyda, C. (2024). Winning together: In-session change with chronically conflictual couples. The American Journal of Family Therapy, 52(5), 552–574. https://doi.org/10.1080/01926187.2023.2301543
Janes, E. E., Trevino, Z. R., Koehl, H., & Hung, Y.-H. (2023). Internal family systems and spirituality: Implications for supervision. Contemporary Family Therapy, 45(2), 218–227. https://doi.org/10.1007/s10591-021-09625-2
Lauricella, D., Silva, M., Trevino, Z., Romero, R., & Soloski, K. L. (2021). Working with Latinx populations: Applying culture to promote change. Journal of Feminist Family Therapy, 33(2), 178–203. https://doi.org/10.1080/08952833.2021.1880184
Adu, Y., Cox, C. T., Hernandez, E. J., Zhu, C., Trevino, Z., & MacKay, B. J. (2024). Psychology of nerve injury, repair, and recovery: A systematic review. Frontiers in Rehabilitation Sciences, 5, 1421704. https://doi.org/10.3389/fresc.2024.1421704
Pierce, J., Trevino, Z., Wagner, K., & Osterbauer, M. (2024). Le sparatorie nelle scuole negli Stati Uniti. Considerazioni sistemiche. Terapia Familiare, 47(134), 57–74. https://doi.org/10.3280/TF2024-134005
Features & Awards
Meet the Team
Shelby Cargill
Shelby is a graduate clinical intern providing services under the supervision of Dr. Zach Trevino, PhD, LMFT-S
Shelby holds a Bachelor of Science in Social Work and Sociology from West Texas A&M University and is pursuing a Master of Marriage and Family Therapy at Abilene Christian University. She has extensive experience walking alongside survivors of sexual abuse. As a former foster parent, she has also supported families in the foster care system.
Shelby’s approach to therapy is client-centered. It rests on empathy, respect and the belief that each person is the expert on their own life. She draws on Cognitive Behavioral Therapy (CBT) to help clients reframe unhelpful thoughts. Clients can expect to feel heard and to be guided toward their own solutions. She offers compassionate support and holds space for healing.
Outside of work, Shelby enjoys time with her husband, children and dogs, as well as sporting events, concerts and family trips.
Education:
Bachelor’s of Science in Social Work and Sociology, West Texas A&M
In Training:
Master’s Degree in Marriage & Family Therapy, Abilene Christian University
Frequently Asked Questions
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For one, 60-minute session (individual, couple, or family) the fee is $140. I currently do not accept insurance. If you cannot afford my session rate, please know that I reserve a limited amount of appointments for clients who cannot pay my full fee. If you do not think you can afford this fee, please feel free to ask about a reduced rate.
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I accept credit or debit cards from all major credit card companies. Additionally, some clients utilize a health savings account card.
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During your initial therapy session, we'll establish a connection and discuss your needs and goals. We'll address confidentiality, boundaries, and the therapy process, ensuring your comfort and understanding. Together, we'll collaborate on strategies and approaches tailored to your goals. I believe the most successful treatment is when I partner with all clients in the therapy room by coming together and working collectively towards the change you desire.
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There are a variety of approaches to therapy, but I believe the relationship with your therapist is the most important factor in the therapy process. Thus, I do my very best to ensure that you will feel safe with me and that as your therapist, you feel like we are a good fit. One way I do this by routinely checking in on your progress and your experience in therapy and adjusting and accommodating accordingly to provide you the best personalized care.
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No, I do not provide medication. However, I have several colleagues who do and I will be happy to provide you with this information if needed.
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I am located in Lubbock, Texas. My office address is 3305 81st Suite H. I also provide therapy services online to residents residing in Texas.
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You can email me at ztrevinotherapy@gmail.com