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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Jorge Dominguez

Offering therapy in TX
License: LPC,LCDC
Stress, AnxietyFamily conflictsParenting issuesBipolar disorderDepression
7 years of experience

I like to think that I did not choose to be a counselor but rather that counseling chose me. Aside from being a parent, counseling is the most rewarding part of my life. I strive to engage clients in a non-judgmental, non-directive and highly supportive manner. I utilize an integrative counseling approach when working with individuals allowing me the opportunity to draw from various counseling theories and techniques to better suit your needs. I graduated from Texas A&M University in Corpus Christi with a Master’s of Science in Counseling in 2011 and have been licensed as a Professional Counselor and Chemical Dependency Counselor for over 5 years. In those 5+ years I have worked with adults, couples, families, teenagers, and children on a variety of issues from parenting skills to personality disorders. Whether you are struggling with anxiety, depression, or bipolar disorder or are facing one of life’s many unexpected challenges and are not sure what to do next, please let me know how I can better assist you. Thank you for taking the time to review my profile and I look forward to hearing from you soon.

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Elizabeth Janca

Offering therapy in TX
License: MS, NCC, LPC
Stress, AnxietyParenting issuesSelf esteemDepressionCoping with life changes
9 years of experience

Hello, my name is Elizabeth Janca. I knew from an early age that I wanted to be a counselor after my own experiences in play therapy and counseling. Having that safe space meant so much to me that I wanted to provide that opportunities for others. Born and raised south of Houston, TX, I pursued a Bachelor’s in Psychology from Texas A&M University followed by a Master’s in Counseling and Development at Texas Woman's University north of Dallas, TX. Over the last ten years I have had experience in direct therapy as an ABA therapist for children aged 2-12, play therapy with children aged 4-10, activity therapy with adolescents, talk therapy with adolescents and adults, and group therapy with adolescents and adults. Aside from my experience as a counselor, I also have three years’ experience in middle school education as an Academic Counselor and Administrator. I joined BetterHelp and Global Teletherapy with the hope of being able to continue to offer guidance and a safe space for children (5-12), teens (13-18), and young adults (19-35) as they navigate the challenges they encounter in life and school through client centered counseling. I primarily work out of Person/Client Centered Counseling, also known as Rogerian, which focuses on where the client drives the session in a nonjudgement space that facilities reflection. I also utilize Cognitive Behavioral Therapy which focuses on challenging and changing unhelpful cognitive thoughts and behaviors, improving emotional regulation, and develop coping strategies. I look forward to working with you!

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Shari Stark

Offering therapy in TX
License: M.S.,LPC-S,LCDC
Stress, AnxietyRelationship issuesSelf esteemDepressionCoping with life changes
24 years of experience

Hello and welcome! My name is Shari Stark, and I’m a Licensed Professional Counselor, with a Supervisor Endorsement, and a Licensed Chemical Dependency Counselor in the state of Texas. I am also a Licensed Mental Health Counselor in Florida and a National Certified counselor. I have over 20 years of experience in working in mental health. My experience includes private practice, Equine-Assisted Psychotherapy, nonprofit, and substance abuse. I also spent 18 years in public education as a teacher, school counselor, and therapeutic counselor. I worked in the field of domestic violence for 5 years. During my time in private practice, I mostly worked with couples, blended families, and individuals struggling with depression, anxiety, self-esteem, grief, anger, boundaries, and family of origin. I also worked with First Responders. As your therapist, it is an honor to work with you on your journey towards personal growth, empowerment, and to assist you in discovering mindsets and stumbling blocks that are preventing you from reaching your full potential. My counseling style is warm, compassionate, respectful, and encouraging while maintaining the strictest confidentiality while building mutual trust. My primary approach is cognitive behavioral therapy, solution focused, and client-centered; however, I utilize other counseling modalities in an effort to meet clients where they are. I also provide Christian counseling for those clients seeking a Biblical perspective. To best serve you, please know that I do not provide legal/court documentation, diagnosis, assessment, or treatment reports as I feel this is best achieved by seeing a counselor for in person sessions. Also, I know that some prefer texting as a form of counseling; however, I prefer to do sessions via video or phone call. In my free time, I enjoy spending time in nature, gardening, hiking, listening to music, reading, and volunteering. I have been a volunteer for over 20 years, which consisted of facilitating a grief support group, time spent in Stennis, MS after Hurricane Katrina, being a mentor for teens, but mostly volunteering with animal rescue groups and animal shelters. I wish you the very best in finding a counselor, who best suits your needs and who will provide you with the tools to help you gain a better perspective and live life to the fullest. You deserve this!

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Dr. Daniel Krall

Offering therapy in TX
License: PhD,LSOTP
Stress, AnxietyFamily conflictsTrauma and abuseSelf esteemDepression
20 years of experience

I am a licensed psychologist and sex offender treatment provider licensed in Texas. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, trauma, and sexual problems. My therapy style is warm and interactive. I believe in treating everyone with respect, sensitivity, and compassion, and I don't believe in stigmatizing labels. I also believe in supporting and validating the client while also challenging their maladaptive beliefs and behaviors that keep the client from maximizing his or her potential. It takes courage to seek a more fulfilling and happier life and to take the first steps towards change. If you are ready to take that step, I am here to support and empower you. I look forward to working with you!

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Vielka Johnson

Offering therapy in TX
License: MA,LPC
Stress, AnxietyRelationship issuesFamily conflictsTrauma and abuseDepression
20 years of experience

My name is Vielka E. Johnson. I received my BA in Psychology in 1996 from the University of Colorado. In 1998 I moved to San Antonio, TX and continued in receiving my master’s degree in counseling and in 2006 was licensed by the Texas State Board of Examiners and a Licensed Professional Counselor. I have been fortunate to have worked with such a diverse population within our community. My background primarily is with children and adolescents ages 3 to 18; however, I have worked with young adults and adults up to the ages of 65+. I have worked in variety of settings to include community agencies, school settings and residential facilities. I have experience in working with therapeutic foster care children, family domestic violence, mental and physical abuse, the mobile crisis unit, and crisis intervention. I am trained in Trauma Focus CBT. I also incorporate different modalities approaches to address the needs of the client. I am deeply committed in assisting clients with identifying their strengths and weaknesses; learning new skills to achieve their goals and improve their lives.

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Amoi Martin

Offering therapy in TX
Stress, AnxietyRelationship issuesIntimacy-related issuesSelf esteemDepression
3 years of experience

I am licensed in Texas with 3 years of professional work experience. I have experience in helping clients with stress and anxiety, motivation, self esteem, and confidence, career difficulties, & depression. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. 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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Melissa Gramigna

Offering therapy in TX
Stress, AnxietyAddictionsRelationship issuesAnger managementDepression
20 years of experience

My name is Melissa Gramigna and I am a Licensed Professional Counselor. I received my licensure in 2001 and I have worked with many mental health issues. I believe that there are times when we all may need someone to talk to and that is not a bad thing. It warms my heart to encounter those who are motivated for change as that is the very catalyst to change. I will put my best foot forward to ensure a positive experience to aid in that change. I am a counselor with a servant's heart and driven by my passion to serve others, I use a personable approach to provide sound, solution-focused counseling with a combination of approaches that will be catered to your individual needs; cognitive-behavioral strategies, acceptance and commitment principles, mindfulness exercises, existential theory, a psychodynamic understanding of the development of problems, and other approaches that may be most useful. You have already taken the first step by reaching out for help and I am here to support and empower you as you move forward. I look forward to getting to know you on your journey! I cannot wait to meet you and look forward to assisting you in any way that I can.

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Janessa Rodriguez

Offering therapy in TX
Stress, AnxietyAnger managementSelf esteemDepressionADHD
6 years of experience

I am licensed in Texas with 3 years of professional work experience. I have experience in helping clients with stress and anxiety, anger management, motivation, self esteem, and confidence, & depression. 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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Malgorzata (Gosia) Betkowski

Offering therapy in TX
Stress, AnxietyRelationship issuesTrauma and abuseSelf esteemDepression
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, coping with grief and loss, & depression. 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. I applaud you in making the first step to healing, empowerment, and overall better well-being. Gosia :-)

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Stephanie Fox

Offering therapy in TX
Stress, AnxietyTrauma and abuseSelf esteemCoping with life changesCompassion fatigue
4 years of experience

I am licensed in Texas with 4 years of professional work experience. I have experience in helping clients with stress and anxiety, trauma and abuse, motivation, self esteem, and confidence, & coping with life changes. 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 sign up for therapy can take courage and I am proud of you for getting started!

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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 78205 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

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