The third-largest metropolitan area in Texas, San Antonio is known as the home of armed force bases and training centers, as well as famous landmarks like the Alamo and the San Antonio riverwalk. In this bustling city, many individuals are undergoing major life transitions, and may feel that they could use help managing the stress that goes along with change. But with busy lives and schedules, taking that first step toward getting help can often feel overwhelming. 

If you're looking for a therapist, San Antonio, TX is home to a variety of mental health professionals in-person and online who can help. 

Online therapy offers the same exceptional care as in-person therapy, with the addition of a variety of choice and convenience. For many who seek assistance through therapy, it can be a challenge to find a therapist who fits their personal needs. With BetterHelp, you can fill out a simple online questionnaire and get matched with a therapist within days. If for any reason you don’t feel as though your therapist is a good match, you have the option to switch therapists at no extra cost until you find the one who is right for you. BetterHelp has over 30,000 professionals in the mental health field like psychologists, licensed social workers, and marriage counselors who offer services in everything from managing life stressors, to improving human relations, and treating self-esteem issues. 

Online therapy is also a convenient option for individuals with busy schedules.  Sessions can be scheduled and attended from the comfort and convenience of your own home through video chat, phone, or text app. Because of the lack of overhead costs, working with a therapist through BetterHelp can offer more affordable rates compared to many individual practices. 

Many enjoy working with a therapist to address mental health concerns, as well as for benefits such as improved mood, and a feeling of greater well-being. But many who identify a desire for help find themselves having difficulty with the follow through. Online therapy can make it both simple and easy for the residents of San Antonio to start their wellness journey today.

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Tova Pete

Offering therapy in TX
License: LPC,M.Ed,NCC
Stress, AnxietyRelationship issuesFamily conflictsParenting issuesSelf esteem
11 years of experience

I am a Marriage, Couples, and Family counselor who is currently licensed in the state of Texas. I have 11 years of experience working with individuals across the age span addressing issues related to depression, anxiety, relationship issues (parenting, couples), behavior issues, anger, and ADHD. My counseling style is open and collaborative. I believe in treating others with respect and creating a space of honesty and trust. My approach to therapy involves using evidenced- based therapeutic models while taking a person-centered approach to meet your needs. I will work to ensure that our plan to treatment will be collaborative and individualized to meet your needs. This is the first step to healing and I am here to encourage and support you through this journey. I look forward to joining you in this process. Welcome to growth!

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Chinwe Nzerue-Obi

Offering therapy in TX
License: M.Ed.,LPC
Stress, AnxietyRelationship issuesAnger managementSelf esteemDepression
8 years of experience

It is with great pride and humility that I come to you prepared to listen and talk so together we can work for you TO BE YOUR BEST SELF AND WHOM YOU ARE CREATED TO BE! My name is Chinwe Matilda Nzerue-Obi and I am Licensed as a Professional Counselor by the Texas Board of Examiners of Professional Counselors. I got my Masters Degree from University of Houston Victoria, Texas. Prior to this, I was an Attorney from Nigeria: having graduated from The Counsel of Legal Education, Victoria Island Lagos and with a Law degree from University of Jos. I am also a Certified Christian Counselor for the benefit of clients who draw strength from their faith. For Interventions, my theoretical approach is Solution Focused Brief Therapy because I believe that when people “need help, help can not wait”. I also use Cognitive Behavioral Therapy to help keep the mind and body whole. I have been privileged to help near school drop outs get back into school, stay in school, and graduate; helped couples at the brink of divorce save their marriage; worked with and helped people of all ages overcome – Anger, Anxiety, Depression, Grief, Substance use/abuse, Parenting and Relationship issues among others. I hold a Multicultural Counseling Certification and a Real Estate License too; all these have enhanced my ability to work across ages, cultures and countries. No matter what the issue is, you too can be helped. I believe that with determination and the will for a better life we will help you BE THE BEST YOU ARE CREATED TO BE and enjoy your best life!

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Michelle Farias

Offering therapy in TX
License: LPC-S
Stress, AnxietyLGBTParenting issues
20 years of experience

Thank you for sharing information about yourself. I'm so happy that you reached out to BetterHelp. I am Michelle Farias, a licensed therapist. I have been a licensed therapist for almost 20 years, and I am honored to work with clients who trust me in this journey. You may read more about my background, education, experience, and counseling approach by clicking on my name on this page. I work with clients who have anxiety and parents of anxious children and LGBTQ+ persons. I will work with your comfort level, but I believe a video meeting is the best start. Yet, you are free to choose the best way you would like to communicate--video, phone or chat When you are ready, you may schedule a meeting on your scheduling page. I check my messages twice a day Monday through Friday. I am available for live phone calls and video chats at various times. Sessions need to be conducted in a private room. I will not conduct sessions when client is driving or riding in a car for safety reasons. I will respond to your messages in a timely manner, but I do not check messages on the weekends or holidays. Note: Should you feel in need of urgent help or that you are in a crisis at any time during our work together, please call 1-800-273-TALK 24 hours a day or call 911. This forum does not provide any type of emergency services, so I want to be sure you know who to contact if you need immediate help. Here is another website of mine with a list of resources if needed. https://www.michellefarias.com/ I am looking forward to working with you! Michelle Farias, LPC-S

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Dr. Connie Fickenscher

Offering therapy in TX
License: Ph.D.
Stress, AnxietyGriefCareer difficultiesDepression
30 years of experience

Dr. Connie Fickenscher   Dr. Fickenscher is a Licensed Professional Counselor (LPC) in Texas.  She is also an LPC Supervisor for future LPC candidates in Texas who wish pass the LPC exam, providing the needed hours to help them complete their licensure.   She is the mother of three married daughters and the grandmother of eight granddaughters, which includes her own set of twins and two sets of twin granddaughters.   Professional employment:   She spent ten years as a Recreation and Retreat Coordinator for a campus of 186 individuals with physical, mental, and behavioral impairments. In the early years, the client population was mainly individuals with mild, moderate, and borderline mental retardation.  In the latter years, the population moved to individuals with more profound and severe mental retardation.   The remainder of Dr. Fickenscher’s 35 working years involved working in higher educational settings.   The first ten years were spent at a university counseling center.  Dr. Fickenscher was both a personal counselor and academic advisor, which included a brief time as the director of the counseling center. During her tenure there, she worked with all students attending the university.  Counseling topics included homesickness, indecision about the future, relationship issues, Gay Lesbian Bisexual, and Transgender (GLBT) issues, Depression, Grief, Divorce, etc. She additionally worked with crisis situations involving university students.   During the next fifteen years, she worked at a university in North Texas. Her work experience there involved Academic Counseling for the undecided students campus-wide for ten years and then as an Academic Counselor in the Honor College for five years. It was during this time (December 2005) that Dr. Fickenscher received her PH.D. from a Texas University.   The most recent ten years of her professional life involved teaching as full-time faculty at an online university, offering Counseling and Human Behavior classes.  The courses were mainly grief and bereavement and diversity courses.  Additionally, Dr. Fickenscher mentored numerous doctoral dissertations.  Counseling specialties include homesickness, indecision about the future, relationship issues, Gay Lesbian Bisexual, and Transgender (GLBT) issues, Depression, Grief, Divorce, etc. She additionally worked with crisis situations involving the university students Just a couple of FYIs:  I am a part-time counselor and only work on Tuesdays.  Please select a time on Tuesday for us to get started.     Additionally, I check my dashboard for messages once a day Monday – Friday. 

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Miguel De la fuente

Offering therapy in TX
License: MS, LPC
Stress, AnxietyRelationship issuesTrauma and abuseBipolar disorderDepression
5 years of experience

I am a mental health counselor licensed in the state of Texas. Professionally, I have a little over 3 years of experience. I have been a fitness/life coach for over 20 years and I am a veteran with 10 years of service. Therefore, in both positions I have had the honor to provide counseling and guidance to hundreds of individuals in all areas and walks of life. Currently, I work as a mental health counselor at a Behavioral Hospital. Our main focus is to attend to the crisis at hand, utilizing brief and swift psychotherapy. Once patients are stable, I provide psychotherapy or psychoeducation in accord to their main problems or obstacles. I have worked with patients and clients with a wide range of concerns, including depression, anxiety, relationship issues, parenting problems, substance/alcohol, and sexual abuse. Been a Hispanic male veteran with personal experience in dealing with mental health, I understand the stigmatization and the cultural sensitivity that is needed to provide support for any and all individuals. Therefore, I get to work more often with patients and their families, who struggle with PTSD and other military related trauma. I am a Christian and follow Christian principles, therefore, I believe in treating all individuals with outmost respect, sensitivity, and compassion. My counseling style is assertive and direct, but empathic and compassionate, all at once. My approach is eclectic, hence, it is a combination of cognitive-behavioral, spiritual, psychodynamic and positive psychology. I am able and willing to adapt to any form of counseling and treatment as required by the patient or client, in order to meet your specific needs and unique obstacle. Lastly, I am currently finishing my doctoral degree in Clinical Psychology. Hence, I am constantly learning new ways of improving my skills, knowledge, and attaining more tools to better serve my patients and clients. I personally understand the courage and confidence that it is needed to accept that one needs help and seek that help in order to better one’s life and improve quality of life, for you and those around you. I am excited and look forward to providing guidance and effective therapy.

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Pedro Inoa

Offering therapy in TX
License: MSW ,LCSW
Stress, AnxietyLGBTRelationship issuesSelf esteemDepression
15 years of experience

Hi, and thank you for your interest in me as a therapist. I am a Licensed Clinical Social Worker (LCSW) in the state of Florida and Texas. I have over 15 years of experience working in the field of mental health. I graduated with a Master's in Social Work, from Barry University in Miami Shores, Florida. I have worked in various settings including homeless shelters, crisis units, and outpatient treatment centers. My counseling approach is person-centered, and the therapeutic modalities that I use are Cognitive Behavior Therapy (CBT), Psychodynamic Therapy, and Motivational Interviewing (MI). I specialize in treating men’s issues such as difficulty expressing intimacy and affection. Those struggling with anger, irritability, and performance anxiety. Offering a space where one can openly express and connect to what matters to them. Those who struggle in their lives to find happiness, contentment, and a balance in their personal and professional relationships. Through therapy, it will allow you to safely and privately open up and discuss issues and concerns, as well as possible symptoms, which may have been previously ignored. Together, we can develop better-coping mechanisms to deal with the issues that you are struggling to overcome. Looking forward to connecting with you and beginning our work together!

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Brandon Johnson

Offering therapy in TX
LGBTRelationship issuesFamily conflictsTrauma and abuseGrief
7 years of experience

I am a Licensed Marriage and Family Therapist licensed in Texas with 7 years of professional work experience. I am an attachment therapist, and I specialize in relationship issues, family conflicts, and trauma. I am client centric and I will tailor our time together to meet your unique and specific needs.

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Cecilia Santini

Offering therapy in TX
Relationship issuesFamily conflictsAnger managementSelf esteemCoping with life changes
10 years of experience

I am licensed in Texas with 10 years of professional work experience. I have experience in helping clients with family conflicts & motivation, self esteem, and confidence. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

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Heather Dillard

Offering therapy in TX
Stress, AnxietySelf esteemCoping with life changesCoaching
10 years of experience

I am licensed in Texas with 10 years of professional work experience. I have experience in helping clients with stress and anxiety, managing chronic illness, motivation, self esteem, & coping with life changes. I also have experience personally and professionally working with entrepreneurs who run their own businesses. I take a holistic approach in my work with people, because I believe our physical, mental, and emotional health are all connected. This means my approach is more body-centered and trauma-informed, not solely thought-focused (although thought patterns are still important). I will spend time helping you start to feel how stress shows up in your physical body as well as emotionally. Your body and your mind are wired to work together, not separately. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. Taking the first step to seeking a more fulfilling and happier life takes courage. I am here to support you in that process.

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Stephanie Cruz

Offering therapy in TX
Stress, AnxietyRelationship issuesSelf esteemDepressionCoping with life changes
3 years of experience

I am licensed in Texas with 3 years of professional work experience. I believe in treating everyone with respect, sensitivity, and compassion. I will tailor our dialog and treatment plan to meet your unique and specific needs. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

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How to find counseling in San Antonio

Finding the best therapist close by in San Antonio can feel challenging, but know that once you narrow your search for a counselor serving your area, you can find a therapist in your city that is accepting new clients and fits your goals. Whether you're struggling with depression, anxiety, marriage, family issues, or other emotional challenges, feel proud that you have begun your search to find the mental health care services that work best for you in order to begin your personal journey towards emotional healing.

Understanding the type of therapy you'd like to search for is crucial before finding a therapist or psychologist in San Antonio. Perhaps you're interested in narrowing your search for a psychotherapist that can offer psychodynamic, cognitive-behavioral therapy (CBT), talk therapy, provide group therapy, marriage and family therapy for individuals or couples, or couples therapy. Each type of therapy can offer various benefits and address or treat different disorders. If you're still unsure or are new to counseling in San Antonio, feel free to contact the provider via email to find out which methods they practice.

It is also important to understand that mental health professionals in the United States are accredited to provide care, helping individuals and couples, with a variety of licenses. These include licensed marriage and family therapist (LMFT), licensed clinical social worker (LCSW), and clinical psychologist or doctor of psychology (PsyD). Regardless of their licensure, they are trained to treat individuals and couples counseling, and sometimes children, in any type of therapy. Find a therapist under any of these distinctions and know that the sessions they offer can provide a safe place to heal.

Mental health professionals working through their own in- person therapy practice in San Antonio or online may assist clients in improving healthy relationships, communication skills, working through life transitions, managing a mood disorder, improving coping skills, or change in negative thinking patterns. They may also provide a safe place and validation for clients experiencing emotional pain. Verified providers can provide licensed marriage and couples therapy, tailor to individual needs, and create a therapeutic relationship as a National Certified Counselor.

There are all kinds of therapists working with clients today across the United States and in the greater San Antonio area in different types of therapy, including:

  • CBT
  • DBT
  • Substance use therapy
  • Couples therapy

When you're ready to start your search and find therapists, have in mind what type of therapy you'd like your provider to be most experienced with and choose an experienced provider with a practice located near you in the city of San Antonio, elsewhere in Bexar, or in the greater state of Texas.

Frequently asked questions (FAQs)

Some other commonly asked questions on therapy with a licensed counselor and BetterHelp serving the San Antonio area can be found below:

How does the cost of in-person counseling compare to the cost of BetterHelp with a licensed San Antonio therapist?

The average price of an in-person therapy session in the US is $100 to $200 per hour. These prices may be higher in San Antonio due to a higher cost of living. The price also depends on the type of provider you are looking for. See the following average prices for various mental health providers without insurance:

  • Counseling with a psychiatrist: $150-$500
  • Counseling with therapists: $100-300
  • Therapy with a psychologist: $100

While many psychologists in San Antonio may not take health insurance, some in the state of Texas may work on a sliding scale, meaning they'll factor in your income and charge what you can afford per session. With BetterHelp or clinicians throughout the state of Texas you can expect significantly more affordable options, with sessions ranging from $65 to $100 per week (billed every four weeks).

How is a licensed therapist on this online therapy platform verified?

Therapists in San Antonio, Texas working on BetterHelp are licensed, trained, experienced, and accredited as a doctor of psychology (PhD / PsyD), licensed marriage and family therapists (LMFT), licensed clinical social worker (LCSW / LICSW), or licensed professional counselors (LPC). All of these psychology clinicians have a Masters Degree or a Doctorate Degree in their field of psychology sciences, and follow the APA Code of Ethics. They have been qualified and certified by their state's professional board after successfully completing the necessary education, exams, training and practice with a patient, and extensive experience in a healthcare clinic or treatment centers, in order to become a mental health provider. While their lived experience, expertise, careers, and background vary, they all possess at least 3 years and 1,000 hours of hands-on experience with adult and sometimes teen patients, and have the necessary therapist credentials to provide a safe space for long lasting emotional healing in therapy. 

Please note BetterHelp does not offer or provide care from psychiatrists to prescribe a drug as treatment, or perform psychological assessments.

How does working with a counselor in BetterHelp online therapy sessions work?

BetterHelp clinicians treat clients online across the United States (individuals and couples) through life transitions, inner child exploration, long term depression or anxiety, and more. An online mental health professional, including the therapists in San Antonio above, can work with young adults, children, adolescents, and adults virtually as an accredited licensed clinical social worker (LCSW) or licensed marriage and family therapist (LMFT). You do not have to commute to a an office as a psychotherapy client.

Through BetterHelp therapy, you can partake in video, phone, or live chat therapy sessions with your licensed therapist. You can work through various symptoms, use the in app journaling feature, and receive worksheets. You'll also find support groups or group therapy lead by a therapist in San Antonio helping individuals on topics including managing life transitions, symptoms affecting sexual health, behavioral health, coping skills for anxiety or depression, trauma, stress, marriage counseling, and more. 

What mental health issues can psychotherapy address?

BetterHelp's verified San Antonio therapists specialize and have clinical experience in a wide range of mental health issues and modalities, helping clients to feel better and improve their lives every day. See below for examples.

Specialties on BetterHelp include:

You may also be struggling with relationship problems that could be addressed in couples therapy or with a sex therapist. In that case, you may choose to work with one of BetterHelp's experienced cognitive-behavioral therapists or licensed marriage family therapists (LMFT) who work with clients in relationships. You can also try a San Antonio therapy provider through BetterHelp's sister platform, ReGain, which is dedicated to couples and spouses worldwide. 

How do I know if online counseling is right for my family?

One of the potentially rewarding aspects of working with a therapist is the validation and active listening they can provide. Your friends and loved ones may also be available to listen, but you may feel that they may lack the skills to provide objective guidance. Counselors are trained to respond to various concerns, symptoms, and mental health conditions.

A psychologist in your city can support you toward a healthier emotional state, regardless of your mental health, life concerns, or healing needs. While supporting individuals in developing healthier habits, another good benefit of therapy is having an understanding, safe space with a non-judgmental party who can support you through challenging experiences.

Many people have sensitive topics that they may feel ashamed to discuss with their friends or partner. A San Antonio therapist can help you confront these concerns and open up through unique methods of support. There are also many types of therapy, such as art therapy, where you may find you can express yourself through creativity instead of words.

With a lot of people in TX, providers may be booked out with clients. Through the list of profiles above and others within BetterHelp's team, you may be able to find a psychologist within 24 to 48 hours. If you're searching to find a a nearby psychotherapist close to 78235 or the surrounding zip codes, consider others available through the BetterHelp site. No matter if you are seeking help in your area or beyond, online therapy can be a great option.

How should I prepare for my first therapy session with a San Antonio counselor?

Before seeing your therapist, prep for your session by reading to understand the therapy process. You might write a list of questions you want to ask your psychotherapist, any emotional pain you may feel, and the ways in which you hope to improve. When you attend your session, let them know if you have any concerns about therapy or feel unsure about what to talk about. They may help guide you with open-ended therapeutic questions. The first session will often serve as an intake to get to know you as a person and learn why you're attending therapy.

Should I find a therapist or psychologist if I feel fine? 

Some simply don't feel the need to see a psychologist. However, some people may avoid attending therapy due to stigma or preconceived notions of what therapy entails. Although psychologists often support people with mental health conditions, you do not need a diagnosis or condition to attend therapy. You can discuss grief, relationship concerns, stress, or life changes and ask for general feedback and advice. A San Antonio licensed clinical social worker may help you gain power over your life and emotions while you navigate day-to-day experiences.

Gaining a new perspective on yourself through various therapies might allow you to improve your self-esteem, work through relationships, and gain a better sense of your mental health goals. The success you may find through therapy can be dependent on your process.

People may also attend therapy for specific motives, such as bullying, an autism diagnosis, a desire to learn mindfulness meditation, personality concerns, trouble with office workers, specific phobias, and many other principles.

Is mental health care and therapy worth it? 

Therapy is effective and has the power to change individuals' lives. Each client is at a different stage of their emotional healing journey in life, as each human can be unique in their personality, expression, skills, and goals. A psychologist can target various symptoms, experiences, and personalities to help you feel your best and put you on the path to healing. Unlike advice from a friend, family, or non-professional, a mental health professional has an understanding of various disorders like ADHD and depression with many hours of experience in treating adults in their practice. For this reason, seeing an evidence based psychologist in San Antonio, Texas can be worth it. Over 41 million adults in the US attend therapy services each year, showing it's a popular option and is proven to be effective.

San Antonio has many clinicians who practice person or client-centered individual therapy in-person and through online therapy to assist clients in their healing journey. If you opt into online therapy, you might also be able to meet with providers all over the United States and change therapists easily at any time. Many people struggling with anxiety and depression, substance abuse, body image issues, and more find therapists that are a good fit for them, feel supported, and gain further insight into their lives through internet-based therapy.

Do therapists judge you in therapy sessions?

The boundaries between you and a therapist are in place to help you and them regarding ethical concerns. Mental health professionals are held by ethical standards through the American Psychological Association (APA) and are not allowed to judge or harm their clients. If you are concerned about sharing details about yourself, feel free to withhold personal information. Their job in the therapeutic relationship is to create a safe place, help you gain a deeper understanding of your mental health, and support you. You might consider changing counselors if you don't feel safe or respected.

Stay up to date with the leading online counseling platform

To stay up to date with BetterHelp's initiatives through their social channels, you can follow them on Pinterest, LinkedIn, Instagram, Twitter, and Facebook. For mental health tips, check out the BetterHelp YouTube channel.

Take some time today to learn more about the team of therapists at BetterHelp to understand the services available to you clearly. If you are new to therapy or have any questions about the services and terms, please reach out through the contact page or send an email to contact@betterhelp.com.

If you’re ready to sign up for online therapy, consider signing up with a platform like BetterHelp and get matched within 24 to 48 hours.

If you are experiencing a crisis or emergency, don't use this site's online services. If you are in life-threatening danger, call 911. If you require support for a crisis, reach out to the hotlines below:

A woman meets with a therapist online in her home city of San Antonio.

Below are some of the zip codes served by BetterHelp therapists in San Antonio:

78023, 78054, 78109, 78112, 78201, 78202, 78203, 78204, 78205, 78206, 78207, 78208, 78209, 78210, 78211, 78212, 78213, 78214, 78215, 78216, 78217, 78218, 78219, 78220, 78221, 78222, 78223, 78224, 78225, 78226, 78227, 78228, 78229, 78230, 78231, 78232, 78233, 78234, 78235, 78237, 78238, 78239, 78240, 78241, 78242, 78244, 78245, 78246, 78247, 78248, 78249, 78250, 78251, 78252, 78254, 78255, 78256, 78257, 78258, 78259, 78260, 78265, 78266, 78268, 78269, 78270, 78278, 78279, 78280, 78283, 78284, 78285, 78288, 78289, 78291, 78292, 78293, 78294, 78295, 78296, 78297, 78298, 78299

Popular cities near San Antonio, TX

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