Light Haus Psychiatry, PLLC
Holistic Faith-Based Psychiatry For Personalized Care
Cameron B Culver MD, MPH, MHS, CPH
Board Certified Psychiatrist
Fredericksburg, Texas Office
Virtual Appointments for Texas
Welcome to Light Haus Psychiatry, PLLC
Our Approach
At Light Haus Psychiatry, we believe healing begins not with fixing, but with presence.
We offer holistic psychiatric care that honors the full person—mind, body, and spirit—without rushing, reducing, or pretending.
Whether you arrive with clarity or confusion, grief or hope, full nets or empty hands—you are welcome here.
Dr. Culver became a psychiatrist to help reshape how we understand suffering, how we carry it, and how we walk with others through it. Here, there is room for every part of you. This is a no-judgment space—sacred, steady, and honest.
Together, Dr. Culver and his team will listen, reflect, and co-create a treatment plan that fits your life, not just your symptoms.
Our goal is simple: that you feel safe, seen, and at home.
Light Haus Psychiatry Holistic approach
Come As You Are
There is no right time to seek help.
No perfect words. No polished version of yourself required.
If you’re tired, uncertain, hurting—or simply ready to be seen—
you’re already in the right place.
At Light Haus Psychiatry, we believe healing doesn’t begin with answers.
It begins with presence.
It begins with permission to show up exactly as you are.
The Stranger on the Shore
Dr. Culver doesn’t believe in quick fixes. He believes in breakfast fires.
The kind lit by a stranger waiting quietly at the water’s edge,
asking with a knowing half-smile:
“Catch anything?”
The kind of healing that begins not with answers,
but with empty nets.
With casting again.
With showing up tired.
With being fed anyway.
Healing happens where truth and tenderness meet.
Dr. Culver’s work is less about solving
and more about sharing—
partaking in what you’ve carried,
what you nearly let go of,
and what still sizzles on the coals.
He may not name the source of the fire.
But the warmth is real.
And the invitation still stands:
“Bring what you’ve caught. The table is already set.”
No Judgment. No Rush. No Mask Required.
You don’t need to explain why you waited.
You don’t need to know what to say.
Just come.
Whether your story is tangled, tender, traumatic, or still unfolding—
it matters here. You matter here.
This is sacred ground for ordinary people.
A place of kindness, clarity, and care.
Not because we have all the answers—
but because we’re committed to walking with you as you seek them.
Ready When You Are
Tiffany will answer your questions with warmth, not pressure.
Dr. Culver will meet you with honesty, not haste.
Evening and weekend visits are available.
Virtual appointments too.
You don’t need to be fixed to be welcome.
You just need to be.
Come as you are.
We’ll meet you at the fire.
Services & Areas of Expertise
Dr. Culver provides outpatient psychiatric care for adolescents (12–17), adults (18–64), and older adults (65+), offering both in-person and virtual appointments. His approach blends clinical rigor with compassionate listening, always tailored to each patient’s needs.
Appointment Types
Initial Psychiatric Evaluation & Second Opinions
Your first visit includes a comprehensive review of your mental, physical, and emotional health—including medical history, psychological background, social context, and current concerns. The goal is to establish an accurate diagnosis and build a personalized treatment plan.
Follow-Up Appointments
Ongoing care may include medication management, psychotherapy, education, and supportive planning—all based on your evolving goals and what’s most helpful for you.
Areas of Clinical Focus
Anxiety Disorders
• Generalized Anxiety Disorder (GAD)
• Social Anxiety
• Performance/Sports Anxiety
• Panic Attacks
• Phobias
• Obsessive-Compulsive Disorder (OCD)
Mood Disorders
• Depression
• Bipolar Spectrum Disorders
• Behavioral & Emotional Dysregulation
Women’s Mental Health
• Postpartum Depression
• Premenstrual Dysphoric Disorder (PMDD)
• Mood & Cognitive Changes Related to Perimenopause
Neurodevelopmental Conditions
• Attention-Deficit/Hyperactivity Disorder (ADHD)
• Autism Spectrum Disorder (ASD)
Trauma & Stress-Related Disorders
• Post-Traumatic Stress Disorder (PTSD)
• Adjustment Disorders
• Professional Burnout
• Grief & Complicated Bereavement
Substance Use Disorders
• Alcohol
• Illicit Substances
• Prescription Medication
• Nicotine Dependence
Neurocognitive & Neurodegenerative Disorders
• Alzheimer’s Disease
• Lewy Body Dementia
• Frontotemporal Dementia
• Vascular Dementia
Please note:
Light Haus Psychiatry does not provide Social Security disability evaluations, forensic assessments, or court-ordered services (including fitness to stand trial or assessments requested by probation officers).
Light Haus Psychiatry does not provide psychiatric services within LTC facilities at this time.
Meet Our Team
Cameron B. Culver, MD, MPH, MHS, CPH, HMDC
Founder & Psychiatrist
Dr. Cameron Culver is a double board-certified psychiatrist with a passion for person-centered, spiritually informed mental health care. He founded Light Haus Psychiatry to create a space where clinical excellence meets compassionate presence, and where every patient is treated as more than a diagnosis.
A lifelong learner and Fredericksburg local, Dr. Culver is known for his depth of listening, his fondness for quiet questions with eternal weight, and the time he treasures outdoors with his children—often near a river, often with a fishing rod in hand.
He brings over a decade of experience across public and private psychiatric systems, including inpatient, outpatient, consult-liaison, crisis stabilization, long-term care, hospice, and telepsychiatry. He is especially committed to care that honors neurodivergence, trauma histories, and the complexities of aging.
Education & Training:
- BS in Biology, Baylor University
- MHS, Johns Hopkins University
- MPH, University of Texas
- MD, UT Health Science Center at San Antonio (2011)
- Residency & Fellowship, UT Southwestern Medical Center – Chief Resident & Chief Fellow
Certifications:
- General Psychiatry – ABPN
- Geriatric Psychiatry – ABPN
- Public Health (CPH)
- Hospice Medical Director (HMDC)
Tiffany Culver, RN, BSN
Practice Manager & Registered Nurse
Tiffany Culver brings heart, strength, and deep clinical experience to Light Haus Psychiatry. Her career spans critical care, palliative and hospice nursing, psychiatry, and school health. She’s also served as a Pre-K teacher and continues to substitute teach, embodying her belief that care begins with presence—whether in a hospital room or a classroom.
A fierce advocate for autism awareness and acceptance, Tiffany supports patients and families with authenticity and grace. Her favorite quote, “Different, not less,” says much about the Light Haus ethos.
She loves volunteering with local nonprofits and is honored to work alongside her husband, helping to offer care that is personal, principled, and grounded in hope, accessibility, and service.
Credentials:
- BS in Nursing, Texas Woman’s University (2005)
- Licensed Registered Nurse (RN)
Treatment for professionals
What Is Professional Burnout?
The light isn’t gone. It’s just buried.
From Dr. Culver
I don’t believe in compassion fatigue.
You didn’t burn out because you cared too much.
You burned out because you kept caring in systems that forgot what care was.
I’ve seen it in physicians, nurses, therapists, teachers, engineers, lawyers, grad students—people who show up every day holding more than their share of the weight, because no one else could, or would.
Sometimes it shows up as exhaustion or detachment.
Sometimes it’s irritability, fog, or that sense of performing your role without really being in it.
Sometimes it’s grief you haven’t named yet.
Sometimes it’s just silence where something used to sing.
Whatever it looks like for you, I want you to know:
You’re not the problem.
You don’t need fixing.
But you do deserve care.
How Can Dr. Culver Help?
Our work will be collaborative, respectful, and shaped around your goals. That might include medication management, therapy, reflective space—or just the chance to lay your burdens down and sort through what’s yours to keep.
You’ll never be rushed.
You won’t be reduced to symptoms or labels.
We’ll move at the pace that feels real.
And Yes—We’ve Designed This to Fit Real Life
- Evening and weekend visits available
- Virtual appointments for privacy and flexibility
- No insurance middlemen unless you want a superbill
- Just you and someone who’s been there—meeting at eye level
You don’t need a diagnosis to be seen.
You don’t need to collapse to deserve rest.
You just need to come.
And if you’re ready—
I’ll be here.
With the fire already going.
Highlight On Autism spectrum disorder
What Autism Is
Autism is not a flaw.
It’s a different way of sensing, processing, and interacting with the world. It’s something you’re born with—and it shapes perception, movement, learning, expression, and connection in ways both beautiful and complex.
Autism is a spectrum—not a straight line from “mild to severe,” but a kaleidoscope of strengths, sensitivities, and support needs.
Every autistic person is different.
All are valid.
All deserve support, not scrutiny.
Love, not labels.
What Autism Is Not
Autism is not a disease.
It’s not an epidemic.
It’s not caused by vaccines.
It’s not a tragedy to be prevented.
It’s not a problem to be solved.
Autism is not a failure of development.
It is a different developmental path.
And that difference is not less.
If someone made you feel otherwise—
they were wrong.
Autism is not what’s broken in the world.
It’s what’s honest in it.
Not a puzzle piece.
Not a missing piece.
Just a whole person—without permission slips.
A word from Dr. Culver
As a late-diagnosed Autist (AuDHD), I know what it’s like to move through a world that wasn’t built for your brain. I know what it’s like to mask. To misfire socially. To be told you’re too much and not enough in the same breath. To carry a sense of “offness” without the language to name it. I also know the quiet joy that comes from recognition, and the relief that follows being known—finally, fully, and without fixing.
I don’t treat autism. I support autistic people. That includes affirming identity, managing co-occurring conditions like anxiety or ADHD, and helping you access accommodations without shame or struggle. You don’t have to prove you’re “autistic enough.” You don’t need a certificate to deserve rest.
If you're here, you're welcome.
How We Support Autistic Patients
Dr. Culver provides neurodiversity-affirming psychiatric care across the lifespan—adolescents, adults, and older adults.
Services include:
- Medical diagnosis and treatment of co-occurring symptoms (anxiety, mood disorders, ADHD, sleep)
- Accommodations letters for school or work
- Care coordination with your existing providers—therapists, OTs, PTs, nutritionists, educators, ABA teams (only if desired)
- Optional referrals for formal psychological assessments—if you want them, not because you must earn your identity
We do not believe in gatekeeping.
We trust your insight.
We offer support, not suspicion.
You Don’t Need to Translate Yourself Here
You can stim.
You can info-dump.
You can take your time.
You don’t have to explain why the lights are too bright or why eye contact feels like a threat.
We get it.
We’re building this space to fit you—not the other way around.
Come as you are.
Be as you are.
You belong as you are.
Highlight on Attention Deficit Hyperactivity Disorder (ADHD)
ADHD Definition & Treatment Options
ADHD isn’t just distraction or restlessness. It’s a different way of being in the world—where attention flows in powerful, sometimes unpredictable currents. For some, it shows up as impulsivity or hyperactivity; for others, it looks like brain fog, task paralysis, or chronic overwhelm.
ADHD affects people of all ages—not just kids in classrooms.
It’s a neurodevelopmental difference, not a moral failure.
It’s real, it’s lived, and it’s often misunderstood.
You’re not lazy.
You’re not flaky.
You’re navigating a brain wired for nonlinear brilliance—and that deserves support, not shame.
Dr. Culver's Approach
Dr. Culver offers affirming diagnosis and treatment for ADHD in adolescents, adults, and older adults. His approach is collaborative, individualized, and rooted in respect—not rigidity.
Treatment may include:
- Medication, when helpful—always guided by the philosophy of “less is best”
- Non-medication supports, including executive function strategies, structure scaffolding, sleep and nutrition planning
- Accommodation letters for work or school (without hassle or hoop-jumping)
- Care coordination with therapists, occupational therapists, nutritionists, educators, or coaches as needed
Dr. Culver doesn’t push quick fixes or one-size-fits-all protocols.
He works with you to find what helps—not just what medicates.
What We Understand
We know what it’s like to forget the thing you just remembered.
To want to start and not be able to.
To do everything except the one thing you needed to do.
To have a thousand ideas and no traction.
And we also know that under that chaos is creativity, curiosity, and an incredible capacity to care.
If you’re ready to understand your brain instead of fighting it,
we’re here to help you do just that.
Come as you are.
Let’s work with how you’re wired.
Faith based approach at light haus psychiatry
Geriatric Psychiatry
Honoring the Whole Person in the Later Seasons of Life
Geriatric Psychiatry is a medical specialty devoted to the emotional, cognitive, and spiritual wellbeing of older adults. As we age, the mind and body change—and so should the care we receive.
Dr. Culver approaches geriatric care with deep respect for each person’s story, identity, and beliefs. He considers not just the symptoms, but the physical, social, emotional, and spiritual factors that shape mental health in later life.
This is care that listens.
That slows down.
That remembers the person behind the chart.
Areas of Focus
- Diagnosis and treatment of emotional and mental health conditions common in older adults, including depression, anxiety, bipolar illness, psychosis, and trauma
- Cognitive evaluation for concerns like memory loss, attention changes, confusion, and decision-making difficulties
- Dementia care, including Alzheimer’s, Lewy Body, Frontotemporal, and Vascular Dementia
- Behavioral support for issues like agitation, irritability, paranoia, or sleep disruption
- Medication management with geriatric expertise—always mindful of how aging bodies process medications differently
Less Is Best
Dr. Culver believes in prescribing thoughtfully, not reflexively.
In older adults, “less is best” isn’t just a philosophy—it’s a clinical imperative. Every treatment plan is built with caution, compassion, and communication at its core.
He also partners with caregivers, families, and interdisciplinary teams to ensure each patient’s needs are seen in full context—not just through symptoms, but through relationship, rhythm, and dignity.
Aging is not a disorder.
Memory is not all that defines the mind.
And no one is ever too old to be understood.
You are not forgotten.
You are not alone.
You are still becoming.
Please Note:
Light Haus Psychiatry does not provide psychiatric services within LTC facilities at this time. This includes nursing homes, assisted livings.
Light Haus PsychiatrY, PLLC
Why Choose Light Haus Psychiatry?
We’re not a big-box clinic. We’re a small, family-run practice built on something deeper than efficiency: relationship, reverence, and time.
At Light Haus Psychiatry, we believe healing takes root where people feel safe, seen, and unhurried.
Dr. Culver doesn’t just treat symptoms—he gets to know the person carrying them. Tiffany meets each inquiry with warmth and understanding, not a script.
We offer longer, non-rushed appointments, including evening and weekend availability, so your care doesn’t have to compete with your life.
We are neighbors serving neighbors. And we hold this space as sacred—a place where mental health care is grounded in dignity, mercy, and hope.
Here, you don’t have to explain why you’re tired.
You don’t have to earn being heard.
You are already welcome.
Osmind Patient Portal
Osmind Mobile App helps keep patients engaged through their care journey & creates trusting community right from their phone. Established patients are able to complete assigned surveys, submit journal entries, make a follow up appointment, & send secure messages to Dr. Culver & Tiffany.
Please contact our office to schedule your initial appointment. Tiffany will be happy to answer your questions & get you scheduled.
Emergency/After Hours Services
Light Haus Psychiatry, PLLC does not provide emergency services
Please communicate with your care team through the patient portal for non emergent needs. This includes medication questions & medication refill request.
