Integrative Psychiatrists in San Antonio, TX
If you’re feeling anxious, overwhelmed, emotionally exhausted, struggling to focus, or simply not functioning at your best, I can help. Many of my patients are professionals, parents, adolescents, and families frustrated by rushed appointments, fragmented care, or limited access to their psychiatrist. They are looking for thoughtful guidance, meaningful answers, and a more personalized approach. I provide private psychiatric care and psychotherapy designed to help patients achieve greater clarity, resilience, emotional wellness, and balance in their lives.
If you’re feeling anxious, overwhelmed, emotionally exhausted, struggling to focus, or simply not functioning at your best, I can help. Many of my patients are professionals, parents, adolescents, and families frustrated by rushed appointments, fragmented care, or limited access to their psychiatrist. They are looking for thoughtful guidance, meaningful answers, and a more personalized approach. I provide private psychiatric care and psychotherapy designed to help patients achieve greater clarity, resilience, emotional wellness, and balance in their lives.
Dr. Pichot is a graduate of the UT Health San Antonio Psychiatry Residency Program and is certified by the American Board of Psychiatry & Neurology. He was nominated and selected by peer physicians in San Antonio Magazine’s Top Doctors of 2023 in Psychiatry and Super Doctors Rising Stars in 2024 with a special advertising section in the July issue of Texas Monthly. He is a board-certified psychiatrist trained in both psychopharmacology and psychotherapy practicing in Alamo Heights at the Broadway Theater Building. In-person and virtual visits are options if there is availability when you call.
Dr. Pichot is a graduate of the UT Health San Antonio Psychiatry Residency Program and is certified by the American Board of Psychiatry & Neurology. He was nominated and selected by peer physicians in San Antonio Magazine’s Top Doctors of 2023 in Psychiatry and Super Doctors Rising Stars in 2024 with a special advertising section in the July issue of Texas Monthly. He is a board-certified psychiatrist trained in both psychopharmacology and psychotherapy practicing in Alamo Heights at the Broadway Theater Building. In-person and virtual visits are options if there is availability when you call.
My ideal client is someone ready to find balance, peace, and control in their life again. Whether you’re struggling with anxiety, depression, ADHD, trauma, or simply feeling overwhelmed, you deserve care that listens and truly understands you. I take a compassionate, patient-centered approach—focusing on your story, your goals, and what matters most to you. Together, we’ll build a plan that helps you heal, grow, and thrive—because your mental health journey should never feel like one you walk alone.
My ideal client is someone ready to find balance, peace, and control in their life again. Whether you’re struggling with anxiety, depression, ADHD, trauma, or simply feeling overwhelmed, you deserve care that listens and truly understands you. I take a compassionate, patient-centered approach—focusing on your story, your goals, and what matters most to you. Together, we’ll build a plan that helps you heal, grow, and thrive—because your mental health journey should never feel like one you walk alone.
School or work schedule creating difficulty making your appointments? Well, worry no more. I can visit with you as LATE as 8PM. I am a compassionate driven mental health provider. Goal oriented and personable. I enjoy working with my patients to attain a wholistic wellness state of mind. Many people experience depression and other mental health disorders that are non-responsive to conventional medications. There is hope for your symptoms. The clinic also offer the FDA approved Spravato (Esketamine) for treatment resistant depression, anxiety, and PTSD. Call for inquiries.
School or work schedule creating difficulty making your appointments? Well, worry no more. I can visit with you as LATE as 8PM. I am a compassionate driven mental health provider. Goal oriented and personable. I enjoy working with my patients to attain a wholistic wellness state of mind. Many people experience depression and other mental health disorders that are non-responsive to conventional medications. There is hope for your symptoms. The clinic also offer the FDA approved Spravato (Esketamine) for treatment resistant depression, anxiety, and PTSD. Call for inquiries.
I practice integrative psychiatry, helping kids, teens, and adults live fulfilled lives through modern medicine, lifestyle changes, natural approaches, and psychotherapy.
Your condition does not define you. If you're looking for a trusted Christian provider who listens and offers treatments that address the root problem, consider medication as an option, not the only option. For Christians, we co-create a Kingdom Bible-based plan to help you live your best life.
I practice integrative psychiatry, helping kids, teens, and adults live fulfilled lives through modern medicine, lifestyle changes, natural approaches, and psychotherapy.
Your condition does not define you. If you're looking for a trusted Christian provider who listens and offers treatments that address the root problem, consider medication as an option, not the only option. For Christians, we co-create a Kingdom Bible-based plan to help you live your best life.
As a board-certified psychiatric nurse practitioner, I offer compassionate, evidence-based care for individuals navigating life’s challenges. Whether you're managing anxiety, depression, ADHD, mood concerns, or need support with emotional support animal (ESA) or accommodation letters, I strive to create a space where you feel heard and understood
My approach blends clinical expertise with compassion and practicality. I offer comprehensive evaluations, medication management, and guidance tailored to your unique needs and goals. I believe in collaborative care—where you're an active partner in shaping your treatment.
As a board-certified psychiatric nurse practitioner, I offer compassionate, evidence-based care for individuals navigating life’s challenges. Whether you're managing anxiety, depression, ADHD, mood concerns, or need support with emotional support animal (ESA) or accommodation letters, I strive to create a space where you feel heard and understood
My approach blends clinical expertise with compassion and practicality. I offer comprehensive evaluations, medication management, and guidance tailored to your unique needs and goals. I believe in collaborative care—where you're an active partner in shaping your treatment.
Melissa Deuter, MD/Sigma Mental Health Urgent Care
Psychiatrist, MD
1 Endorsed
San Antonio, TX 78258
Dr. Melissa Deuter is Psychiatric Medical Director of Sigma Mental Health Urgent Care. She supervises a team of professionals providing immediate psychiatric appointments as well as psychotherapy. Sigma Mental Health Urgent Care takes same day appointments and walk-ins at our San Antonio location, and is open 7 days a week except major holidays. Our Austin location has limited services and we request that you call to schedule in Austin. We treat people during gaps in care, while they are waiting to get an appointment in the community, and we can continue treatment long-term when our clinic is the best fit for an individual's needs.
Dr. Melissa Deuter is Psychiatric Medical Director of Sigma Mental Health Urgent Care. She supervises a team of professionals providing immediate psychiatric appointments as well as psychotherapy. Sigma Mental Health Urgent Care takes same day appointments and walk-ins at our San Antonio location, and is open 7 days a week except major holidays. Our Austin location has limited services and we request that you call to schedule in Austin. We treat people during gaps in care, while they are waiting to get an appointment in the community, and we can continue treatment long-term when our clinic is the best fit for an individual's needs.
We thrive on supporting our pediatric community and their families with an integrative care for children and their behavioral health.
Blue Skyes specializes on personalized medication management for school age children, ages from 5 to 18 years old and young adults over the age of 18 will be considered on a case by case basis. Understanding that not all children are the same we cater their treatment with dietary and supplemental options. Genetic testing and second opinions available.
We thrive on supporting our pediatric community and their families with an integrative care for children and their behavioral health.
Blue Skyes specializes on personalized medication management for school age children, ages from 5 to 18 years old and young adults over the age of 18 will be considered on a case by case basis. Understanding that not all children are the same we cater their treatment with dietary and supplemental options. Genetic testing and second opinions available.
I work with individuals who are struggling to find balance in their lives, often feeling overwhelmed by depression, anxiety, or mental health challenges. They seek a holistic approach to address not just their symptoms but the root causes. By considering mental, physical, and social factors, I help clients achieve mental wellness through therapy, lifestyle changes, and, when needed, medication. My clients want to feel empowered, regain control, and create lasting, meaningful change in their lives, and I’m here to support them every step of the way.
I work with individuals who are struggling to find balance in their lives, often feeling overwhelmed by depression, anxiety, or mental health challenges. They seek a holistic approach to address not just their symptoms but the root causes. By considering mental, physical, and social factors, I help clients achieve mental wellness through therapy, lifestyle changes, and, when needed, medication. My clients want to feel empowered, regain control, and create lasting, meaningful change in their lives, and I’m here to support them every step of the way.
My approach blends traditional and integrative options, always tailored to your goals.
I offer integrative, personalized care, combining medication management with complementary approaches like nutrition coaching and lifestyle changes. My focus is on creating a balanced treatment plan that supports both mental and physical well-being, empowering you to take control of your healing journey.
My approach blends traditional and integrative options, always tailored to your goals.
I offer integrative, personalized care, combining medication management with complementary approaches like nutrition coaching and lifestyle changes. My focus is on creating a balanced treatment plan that supports both mental and physical well-being, empowering you to take control of your healing journey.
Great to meet you!
You might be a parent worried that your child is anxious, withdrawn, struggling with ADHD, or feeling overwhelmed by school and social life. Or maybe you’re an adult who’s high‑functioning on the outside but quietly burned out, anxious, or depressed. You’re not looking for quick fixes—you want compassionate, thorough mental health care that addresses the whole person: your strengths, sensitivities, and unique challenges.
Great to meet you!
You might be a parent worried that your child is anxious, withdrawn, struggling with ADHD, or feeling overwhelmed by school and social life. Or maybe you’re an adult who’s high‑functioning on the outside but quietly burned out, anxious, or depressed. You’re not looking for quick fixes—you want compassionate, thorough mental health care that addresses the whole person: your strengths, sensitivities, and unique challenges.
I practice integrative, whole person, wellness, using a bio psychosocial approach to work with you on identifying barriers and developing solutions.
I see children, teens, and adults. Ages 7 throughout the life span.
I practice integrative, whole person, wellness, using a bio psychosocial approach to work with you on identifying barriers and developing solutions.
I see children, teens, and adults. Ages 7 throughout the life span.
Life's challenges can sometimes feel overwhelming, leaving us longing for peace and clarity. Whether it's depression, anxiety, PTSD, ADHD, bipolar disorder, or navigating the complexities of autism, I understand how these struggles can take a toll on your well-being. Finding someone who genuinely understands your pain and offers a path to healing is crucial in these moments. When we're feeling overwhelmed, our deepest desire is to regain control mentally, emotionally, and even spiritually. We need someone who listens with care, sees our strengths, and works with us to rediscover the resilience we already possess.
Life's challenges can sometimes feel overwhelming, leaving us longing for peace and clarity. Whether it's depression, anxiety, PTSD, ADHD, bipolar disorder, or navigating the complexities of autism, I understand how these struggles can take a toll on your well-being. Finding someone who genuinely understands your pain and offers a path to healing is crucial in these moments. When we're feeling overwhelmed, our deepest desire is to regain control mentally, emotionally, and even spiritually. We need someone who listens with care, sees our strengths, and works with us to rediscover the resilience we already possess.
My approach is integrative, combining medication management, psychotherapy, and holistic interventions.
I strive to meet you where you are on your journey—no two people are the same. I specialize in treating individuals who have hard-to-treat mood disorders and haven’t found relief from traditional treatments. If you’ve been frustrated by rushed evaluations or medications that don’t work, I offer a personalized, in-depth approach. We’ll develop a comprehensive treatment plan that includes your preferences, lived experience, and current symptoms. Whether through medication, psychotherapy, interventional treatments, or holistic approaches, I’m committed to helping you find real relief and renewed hope for your well-being.
My approach is integrative, combining medication management, psychotherapy, and holistic interventions.
I strive to meet you where you are on your journey—no two people are the same. I specialize in treating individuals who have hard-to-treat mood disorders and haven’t found relief from traditional treatments. If you’ve been frustrated by rushed evaluations or medications that don’t work, I offer a personalized, in-depth approach. We’ll develop a comprehensive treatment plan that includes your preferences, lived experience, and current symptoms. Whether through medication, psychotherapy, interventional treatments, or holistic approaches, I’m committed to helping you find real relief and renewed hope for your well-being.
Our ideal clients are individuals and families seeking accessible, compassionate primary care and mental health support. They often come to us for help with depression, anxiety, ADHD, mood disorders, medication management, chronic conditions, or advanced options like Spravato and long-acting injectables. Our multidisciplinary team helps patients move forward through personalized care plans, coordinated treatment, convenient appointments, insurance-friendly access, and ongoing support focused on stability, wellness, and a better quality of life.
Our ideal clients are individuals and families seeking accessible, compassionate primary care and mental health support. They often come to us for help with depression, anxiety, ADHD, mood disorders, medication management, chronic conditions, or advanced options like Spravato and long-acting injectables. Our multidisciplinary team helps patients move forward through personalized care plans, coordinated treatment, convenient appointments, insurance-friendly access, and ongoing support focused on stability, wellness, and a better quality of life.
I believe in an integrative holistic approach to effectively treat and help my patients feel better.
Are you tired, overwhelmed, hopeless, and burdened by the weight of your mental health? You deserve to be happy and live your best life. Mental illness knows no socio-economic boundaries and affects people in all socioeconomic statuses. I take immense pride in helping and working with clients to find solutions to their Mental Health puzzles. I provide treatment for ADHD, Anxiety, Depression, PTSD, Mood Disorders, OCD, Sleep problems, Stress, Eating disorder, and Medication-assisted treatment for addiction, amongst other mental health conditions. Be assured of a personalized patient-centered care you rightfully deserve.
I believe in an integrative holistic approach to effectively treat and help my patients feel better.
Are you tired, overwhelmed, hopeless, and burdened by the weight of your mental health? You deserve to be happy and live your best life. Mental illness knows no socio-economic boundaries and affects people in all socioeconomic statuses. I take immense pride in helping and working with clients to find solutions to their Mental Health puzzles. I provide treatment for ADHD, Anxiety, Depression, PTSD, Mood Disorders, OCD, Sleep problems, Stress, Eating disorder, and Medication-assisted treatment for addiction, amongst other mental health conditions. Be assured of a personalized patient-centered care you rightfully deserve.
My ideal client is someone ready to find balance, peace, and control in their life again. Whether you’re struggling with anxiety, depression, ADHD, trauma, or simply feeling overwhelmed, you deserve care that listens and truly understands you. I take a compassionate, patient-centered approach—focusing on your story, your goals, and what matters most to you. Together, we’ll build a plan that helps you heal, grow, and thrive—because your mental health journey should never feel like one you walk alone.
My ideal client is someone ready to find balance, peace, and control in their life again. Whether you’re struggling with anxiety, depression, ADHD, trauma, or simply feeling overwhelmed, you deserve care that listens and truly understands you. I take a compassionate, patient-centered approach—focusing on your story, your goals, and what matters most to you. Together, we’ll build a plan that helps you heal, grow, and thrive—because your mental health journey should never feel like one you walk alone.
Abigail Talley, MD, is board-certified in both Adult Psychiatry and Child and Adolescent Psychiatry. Born and raised in San Antonio, Dr. Talley attended Trinity University, where she graduated with a B.S. in Biology. She completed medical school, General Psychiatry residency, and Child and Adolescent Psychiatry fellowship at UT Health San Antonio. Dr. Talley joined the faculty at UT Health before starting her own private practice. In addition to patient care, she is passionate about mental health education for both patients and medical professionals. She regularly presents on women's mental health and pediatric mental health topics.
Abigail Talley, MD, is board-certified in both Adult Psychiatry and Child and Adolescent Psychiatry. Born and raised in San Antonio, Dr. Talley attended Trinity University, where she graduated with a B.S. in Biology. She completed medical school, General Psychiatry residency, and Child and Adolescent Psychiatry fellowship at UT Health San Antonio. Dr. Talley joined the faculty at UT Health before starting her own private practice. In addition to patient care, she is passionate about mental health education for both patients and medical professionals. She regularly presents on women's mental health and pediatric mental health topics.
Are you struggling with anxiety, depression, ADHD, or other mental health challenges? I help kids, teens, and adults find clarity, confidence, and relief through holistic, personalized treatment. Whether it’s difficulty focusing, persistent worry, overwhelming stress, or burnout, these struggles can make daily life exhausting. You don’t have to face them alone. Together, we’ll build the tools you need to manage emotions, strengthen resilience, and regain a sense of control—so you can move forward with confidence and ease.
Are you struggling with anxiety, depression, ADHD, or other mental health challenges? I help kids, teens, and adults find clarity, confidence, and relief through holistic, personalized treatment. Whether it’s difficulty focusing, persistent worry, overwhelming stress, or burnout, these struggles can make daily life exhausting. You don’t have to face them alone. Together, we’ll build the tools you need to manage emotions, strengthen resilience, and regain a sense of control—so you can move forward with confidence and ease.
I am dedicated to the restoration of balance and vitality in my patients. Practicing Psychiatry for forty-five years. Board Certified in Psychiatry and Neurology. I specialize in the treatment of anxiety and depression in adult women. I am a good listener and use my skills to help solve problems and get you unstuck.
I am dedicated to the restoration of balance and vitality in my patients. Practicing Psychiatry for forty-five years. Board Certified in Psychiatry and Neurology. I specialize in the treatment of anxiety and depression in adult women. I am a good listener and use my skills to help solve problems and get you unstuck.
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See More Integrative Psychiatrists FAQ - Integrative Psychiatrists
What is integrative psychiatry?
Integrative psychiatry is an approach in which a psychiatrist draws from multiple treatment modalities, including different types of psychotherapy and medication management, to create a treatment plan tailored to an individual's specific needs. Rather than relying on a single therapeutic technique or defaulting straight to medication, an integrative psychiatrist considers a client's health holistically and collaborates with them to identify the most effective combination of treatments.
What can an integrative psychiatrist help with?
An integrative psychiatrist can address a wide range of mental health concerns by combining therapeutic approaches with medical expertise. Because psychiatrists can both prescribe medication and provide psychotherapy, they are uniquely positioned to adjust treatment plans based on how a client responds to different interventions. Integrative psychiatry can be part of a treatment plan for anxiety, depression, bipolar disorder, PTSD, trauma, OCD, ADHD, personality disorders, substance use disorders, and a variety of other conditions. An integrated approach may be particularly useful when a mental health condition has not historically responded to one form of treatment alone.
How do I know if integrative psychiatry is right for me?
Integrative psychiatry may be a good fit if you have previously tried a single treatment approach, such as medication or therapy alone, and have not seen the results you were hoping for. It may also be worth exploring if your symptoms feel complex or interconnected, if you prefer a more collaborative approach to your care, or if you want a provider who will consider multiple factors contributing to your mental health rather than focusing solely on medication management. On the other hand, if your condition is well-managed with a straightforward treatment plan of therapy or medication alone, a regular psychiatrist may be sufficient. The best way to determine whether integrative psychiatry is the right approach is to schedule a consultation with a prospective psychiatrist to discuss your treatment history, current symptoms, and goals of care.


