Therapists in 78221

Photo of Byanka Ramos, Clinical Social Work/Therapist, LCSW
Byanka Ramos
Clinical Social Work/Therapist, LCSW
San Antonio, TX 78221
I am a therapist dedicated to empowering my clients through genuine and authentic connections. My passion lies in working with children, youth, adolescents, and young adults, and I understand how societal, educational, and generational factors impact mental health. I have extensive training in trauma-informed care and experience working with at-risk youth, including those in alternative school settings, behavioral health hospitals, and those who have experienced homelessness.
I am a therapist dedicated to empowering my clients through genuine and authentic connections. My passion lies in working with children, youth, adolescents, and young adults, and I understand how societal, educational, and generational factors impact mental health. I have extensive training in trauma-informed care and experience working with at-risk youth, including those in alternative school settings, behavioral health hospitals, and those who have experienced homelessness.
(830) 376-6154 View (830) 376-6154
Photo of Angela Barrientes, Clinical Social Work/Therapist, LCSW
Angela Barrientes
Clinical Social Work/Therapist, LCSW
San Antonio, TX 78221
Are you walking around with that cloud over your head that’s raining the stress of life? Do you question daily “why me?” Do you catch yourself saying phrases “what else can go wrong?” Then you’re in the right spot. Life is hard and the struggle to pull yourself out of the weeds does not have to be done alone. If you’re struggling with anxiety, depression, every day life stress, job loss, any type of grief then you’ve landed on my profile for a reason.
Are you walking around with that cloud over your head that’s raining the stress of life? Do you question daily “why me?” Do you catch yourself saying phrases “what else can go wrong?” Then you’re in the right spot. Life is hard and the struggle to pull yourself out of the weeds does not have to be done alone. If you’re struggling with anxiety, depression, every day life stress, job loss, any type of grief then you’ve landed on my profile for a reason.
(210) 942-8649 View (210) 942-8649
Photo of Nancelina Piernik, Licensed Professional Counselor, LPC
Nancelina Piernik
Licensed Professional Counselor, LPC
Serves Area
My name is Nancelina Piernik and I am a Licensed Professional Counselor (LPC) in Texas working with clients throughout the state via Telehealth. I focus on my client's emotional, physical, social, and spiritual well-being. My focus is helping females with anxiety, depression, grief, and self-confidence issues.
My name is Nancelina Piernik and I am a Licensed Professional Counselor (LPC) in Texas working with clients throughout the state via Telehealth. I focus on my client's emotional, physical, social, and spiritual well-being. My focus is helping females with anxiety, depression, grief, and self-confidence issues.
(281) 247-6102 View (281) 247-6102
Photo of Cynthia Farr, Licensed Professional Counselor, LPC
Cynthia Farr
Licensed Professional Counselor, LPC
Serves Area
I am a Licensed Professional Counselor (LPC) in Texas with 25 years experience in elementary education including 8 years as a School Counselor. During my career I have had many hours of training in Trauma Informed Care and how the brain is affected by traumatic events. I have experience in helping clients with stress and anxiety, trauma and abuse, coping with grief and loss, motivation, self esteem, and addiction. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment.
I am a Licensed Professional Counselor (LPC) in Texas with 25 years experience in elementary education including 8 years as a School Counselor. During my career I have had many hours of training in Trauma Informed Care and how the brain is affected by traumatic events. I have experience in helping clients with stress and anxiety, trauma and abuse, coping with grief and loss, motivation, self esteem, and addiction. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment.
(210) 934-7724 View (210) 934-7724
Photo of Vanessa Valles - A New Start Counseling Services , Clinical Social Work/Therapist, LCSW-S
A New Start Counseling Services
Clinical Social Work/Therapist, LCSW-S
1 Endorsed
Serves Area
If you’re feeling weighed down by stress, anxiety, or life’s challenges, you don’t have to face it alone. We understand that reaching out for support can be the hardest step, but it’s also the most important one. At our counseling group, we offer a welcoming, compassionate space where you can begin your journey toward healing & wellness. Our team is dedicated to making the process as easy & seamless as possible. We’ll work with you to pair you with a therapist who truly understands your unique needs, so you can begin focusing on what matters most—your mental & emotional well-being.
If you’re feeling weighed down by stress, anxiety, or life’s challenges, you don’t have to face it alone. We understand that reaching out for support can be the hardest step, but it’s also the most important one. At our counseling group, we offer a welcoming, compassionate space where you can begin your journey toward healing & wellness. Our team is dedicated to making the process as easy & seamless as possible. We’ll work with you to pair you with a therapist who truly understands your unique needs, so you can begin focusing on what matters most—your mental & emotional well-being.
(210) 934-4158 View (210) 934-4158
Photo of Karen Diliberti, Marriage & Family Therapist, MA, LMFT-S
Karen Diliberti
Marriage & Family Therapist, MA, LMFT-S
Online Only
I am a licensed Marriage and Family Therapist with over 20 years of experience supporting individuals through some of life’s most challenging moments. My work is grounded in trauma‑informed care, which means I prioritize safety, trust, and empowerment in every session. I understand how past experiences can shape present struggles, and I help clients move toward healing at a pace that feels respectful and sustainable.
I am a licensed Marriage and Family Therapist with over 20 years of experience supporting individuals through some of life’s most challenging moments. My work is grounded in trauma‑informed care, which means I prioritize safety, trust, and empowerment in every session. I understand how past experiences can shape present struggles, and I help clients move toward healing at a pace that feels respectful and sustainable.
(210) 964-5126 View (210) 964-5126
Photo of Anthony Palomo, Licensed Professional Counselor, LPC
Anthony Palomo
Licensed Professional Counselor, LPC
Online Only
Welcome. I’m a Licensed Professional Counselor with 13 years of experience working alongside individuals as they build resilience, deepen self‑understanding, and move toward meaningful change. My practice is fully telehealth‑based, serving clients in both Texas and Oregon. I come from humble beginnings, and much of my early life was shaped by being the person others naturally turned to when they were struggling. Over time, I realized that my ability to listen deeply, offer steady support, and hold space for people in their hardest moments wasn’t just part of my personality — it was pointing me toward my calling.
Welcome. I’m a Licensed Professional Counselor with 13 years of experience working alongside individuals as they build resilience, deepen self‑understanding, and move toward meaningful change. My practice is fully telehealth‑based, serving clients in both Texas and Oregon. I come from humble beginnings, and much of my early life was shaped by being the person others naturally turned to when they were struggling. Over time, I realized that my ability to listen deeply, offer steady support, and hold space for people in their hardest moments wasn’t just part of my personality — it was pointing me toward my calling.
(210) 756-9398 View (210) 756-9398
Photo of Ruben Vasquez, Licensed Professional Counselor, MEd, LPC
Ruben Vasquez
Licensed Professional Counselor, MEd, LPC
1 Endorsed
Online Only
I am the founder and owner of Blue Tree Counseling, PLLC, and have over 12 years of experience working in the counseling field. I’m passionate about supporting individuals who are struggling with their mental health and dedicated to empowering them to reach their fullest potential. My approach is collaborative, compassionate, and nonjudgmental, providing a safe space for clients to explore challenges and create meaningful change. I specialize in working with trauma and various forms of abuse (including physical, psychological, emotional, verbal, digital, and narcissistic,), as well as mood and anxiety disorders, BPD, and others.
I am the founder and owner of Blue Tree Counseling, PLLC, and have over 12 years of experience working in the counseling field. I’m passionate about supporting individuals who are struggling with their mental health and dedicated to empowering them to reach their fullest potential. My approach is collaborative, compassionate, and nonjudgmental, providing a safe space for clients to explore challenges and create meaningful change. I specialize in working with trauma and various forms of abuse (including physical, psychological, emotional, verbal, digital, and narcissistic,), as well as mood and anxiety disorders, BPD, and others.
(956) 306-1395 View (956) 306-1395
Photo of Dusti Moultrie, Clinical Social Work/Therapist, LCSW
Dusti Moultrie
Clinical Social Work/Therapist, LCSW
Online Only
Are you struggling with your teen? Have you suffered trauma from domestic violence? Do you feel like your relationship is suffering? My background in working with youth, the criminal justice system, and family relationships along with my experience in a diverse set of evidence-based models allows me to help you figure out the best way to help you take back the lead in your life or your child's life. Our relationships have check engine lights just like our cars. When it is flashing you don't want to wait until the engine stops. We are all the best at knowing our own life, sometimes we just need a few tools to help.
Are you struggling with your teen? Have you suffered trauma from domestic violence? Do you feel like your relationship is suffering? My background in working with youth, the criminal justice system, and family relationships along with my experience in a diverse set of evidence-based models allows me to help you figure out the best way to help you take back the lead in your life or your child's life. Our relationships have check engine lights just like our cars. When it is flashing you don't want to wait until the engine stops. We are all the best at knowing our own life, sometimes we just need a few tools to help.
(210) 871-0556 View (210) 871-0556
Photo of Mirza Juliana Vasquez, Licensed Professional Counselor, LPC, NCC
Mirza Juliana Vasquez
Licensed Professional Counselor, LPC, NCC
Online Only
I am eager to work with clients that are looking for support during their journey in improving their mental health as they are facing symptoms of anxiety or depression.
I am eager to work with clients that are looking for support during their journey in improving their mental health as they are facing symptoms of anxiety or depression.
(210) 796-1466 View (210) 796-1466
Photo of Stephanie Gomez, Clinical Social Work/Therapist, LCSW
Stephanie Gomez
Clinical Social Work/Therapist, LCSW
Online Only
I am a Licensed Clinical Social Worker with extensive experience supporting adults, Veterans, and families navigating anxiety, depression, trauma, life transitions, relationship stress, chronic health concerns, and systems-related challenges. I’ve worked across medical, community, psychiatric, and government settings, which means I understand how personal struggles are often connected to larger life circumstances—not just what’s happening internally, but what’s happening around you.
I am a Licensed Clinical Social Worker with extensive experience supporting adults, Veterans, and families navigating anxiety, depression, trauma, life transitions, relationship stress, chronic health concerns, and systems-related challenges. I’ve worked across medical, community, psychiatric, and government settings, which means I understand how personal struggles are often connected to larger life circumstances—not just what’s happening internally, but what’s happening around you.
(830) 289-4989 View (830) 289-4989
Photo of Rebecca Hagerling, Licensed Professional Counselor, LPC
Rebecca Hagerling
Licensed Professional Counselor, LPC
Online Only
I’m Becks, a Licensed Professional Counselor & NASM Certified Personal Trainer who specializes in behavior change & nutrition coaching. You might also call me a guiding light toward overall wellness or a catalyst for growth & healing. My great passion as a Health & Wellness Professional is to help you build a healthier relationship with food & your body, cultivate emotional agility to freely express yourself, & be able to communicate your needs/wants to others more effectively.
I’m Becks, a Licensed Professional Counselor & NASM Certified Personal Trainer who specializes in behavior change & nutrition coaching. You might also call me a guiding light toward overall wellness or a catalyst for growth & healing. My great passion as a Health & Wellness Professional is to help you build a healthier relationship with food & your body, cultivate emotional agility to freely express yourself, & be able to communicate your needs/wants to others more effectively.
(830) 402-4937 View (830) 402-4937
Photo of Shayla Escobar, Licensed Professional Counselor, LPC
Shayla Escobar
Licensed Professional Counselor, LPC
Online Only
Do you ever feel anxious or on edge? How about shortness of breath or a racing heartbeat? Or have you experienced a loss of interest in activities you used to love doing, helplessness, or feelings of emptiness?
Do you ever feel anxious or on edge? How about shortness of breath or a racing heartbeat? Or have you experienced a loss of interest in activities you used to love doing, helplessness, or feelings of emptiness?
(830) 341-1043 View (830) 341-1043
Photo of Yvonne Garcia, Licensed Professional Counselor, LPC
Yvonne Garcia
Licensed Professional Counselor, LPC
Online Only
Hi, I’m a Licensed Professional Counselor in San Antonio, TX. I am also a retired first responder. I help clients figure out what is keeping them stuck, frustrated or unhappy in their lives. I focus on stress, grief, self-care and trauma. I enjoy teaching individuals and groups about behavioral health, and have worked with clients that have substance use issues, PTSD, anxiety and depression. I always try to meet the client where they are and help them get where they want to be.
Hi, I’m a Licensed Professional Counselor in San Antonio, TX. I am also a retired first responder. I help clients figure out what is keeping them stuck, frustrated or unhappy in their lives. I focus on stress, grief, self-care and trauma. I enjoy teaching individuals and groups about behavioral health, and have worked with clients that have substance use issues, PTSD, anxiety and depression. I always try to meet the client where they are and help them get where they want to be.
(210) 405-8217 View (210) 405-8217
Photo of Anita Green, Licensed Professional Counselor, LPC
Anita Green
Licensed Professional Counselor, LPC
Online Only
Hi, my name is Anita...I am a Licensed Professional Counselor, and I am excited to get to share my time with you. Thank you for selecting me to assist you with the challenges that you are facing. In time working together we will come to a resolution that will provide you with the tools to be able to move forward.
Hi, my name is Anita...I am a Licensed Professional Counselor, and I am excited to get to share my time with you. Thank you for selecting me to assist you with the challenges that you are facing. In time working together we will come to a resolution that will provide you with the tools to be able to move forward.
(346) 752-6772 View (346) 752-6772

More Therapists Nearby

Photo of Dr. Steven Bond, Licensed Professional Counselor, PhD, LPC-S
Dr. Steven Bond
Licensed Professional Counselor, PhD, LPC-S
San Antonio, TX 78253
Ideal clients are ones that truly want to get better, even if they don't really know what that means. Clients that enjoy a strong conversation about reality, where things stand, and how to improve or work through their concerns in an effective and efficient way are my favorite people with which to work. My style is very blunt/honest and to the point, I call balls and strikes and even the occasional home-run. Whether your needs are anxiety and depressed based or you have thoughts that seem uncharacteristic, I'm here for every type of situation.
Ideal clients are ones that truly want to get better, even if they don't really know what that means. Clients that enjoy a strong conversation about reality, where things stand, and how to improve or work through their concerns in an effective and efficient way are my favorite people with which to work. My style is very blunt/honest and to the point, I call balls and strikes and even the occasional home-run. Whether your needs are anxiety and depressed based or you have thoughts that seem uncharacteristic, I'm here for every type of situation.
(830) 224-4252 View (830) 224-4252
Photo of Erin Jones - Erin Jones, M.A, M.Ed, LPC, Healthy Horizons, LLC , Licensed Professional Counselor, MA, MEd, LPC, NCC, BC-TMH
Erin Jones, M.A, M.Ed, LPC, Healthy Horizons, LLC
Licensed Professional Counselor, MA, MEd, LPC, NCC, BC-TMH
2 Endorsed
Serves Area
Everyone feels lost sometimes. Maybe it's trauma, disability, chronic pain & illness, terminal illness, anxiety, hormone & nutrition concerns, grief, or a loved one's suicide. We're not meant to walk through these difficulties alone. Parenting kids with disability or ADHD? Feeling exhausted, overwhelmed, unbalanced, invisible? I see you, I hear you! We all have a story that needs to be heard & validated. Sometimes, we need help navigating what blindsides us. Are past betrayals bubbling up into current relationships? Feeling stuck but don't know how to change it? You're not alone. Licensed in TX-CO-FL. Let's figure it out together!
Everyone feels lost sometimes. Maybe it's trauma, disability, chronic pain & illness, terminal illness, anxiety, hormone & nutrition concerns, grief, or a loved one's suicide. We're not meant to walk through these difficulties alone. Parenting kids with disability or ADHD? Feeling exhausted, overwhelmed, unbalanced, invisible? I see you, I hear you! We all have a story that needs to be heard & validated. Sometimes, we need help navigating what blindsides us. Are past betrayals bubbling up into current relationships? Feeling stuck but don't know how to change it? You're not alone. Licensed in TX-CO-FL. Let's figure it out together!
(970) 323-2494 View (970) 323-2494
Photo of Kristen Lockhart, Clinical Social Work/Therapist, LCSW-S
Kristen Lockhart
Clinical Social Work/Therapist, LCSW-S
5 Endorsed
San Antonio, TX 78232
Hello and welcome! I realize that choosing a therapist can be intimidating but you’ve made it this far, which means you’re ready to take action and I am here to help! My goal is to create a safe, judgment free, and empowering therapeutic alliance that allows each client to reach his or her full potential. My approach is relational, collaborative, and integrative to your needs. Each person is unique and therefore deserves an individual approach to therapy. I have experience working with individuals struggling with symptoms related to traumatic events as well as individuals battling addiction, mood and anxiety disorders, and grief.
Hello and welcome! I realize that choosing a therapist can be intimidating but you’ve made it this far, which means you’re ready to take action and I am here to help! My goal is to create a safe, judgment free, and empowering therapeutic alliance that allows each client to reach his or her full potential. My approach is relational, collaborative, and integrative to your needs. Each person is unique and therefore deserves an individual approach to therapy. I have experience working with individuals struggling with symptoms related to traumatic events as well as individuals battling addiction, mood and anxiety disorders, and grief.
(210) 756-4781 View (210) 756-4781
Photo of Helon Belton, Counselor, LPC, LCDC, NCC
Helon Belton
Counselor, LPC, LCDC, NCC
1 Endorsed
San Antonio, TX 78266
My name is Helon Belton, a Licensed Professional Counselor (LPC) and Licensed Chemical Dependency Counselor (LCDC), and an EMDR Certified Therapist. I work with veterans and adults navigating PTSD, trauma, anxiety, depression, grief, substance use, and self-esteem concerns. Many clients come feeling overwhelmed, stuck, or impacted by unresolved experiences that affect daily life, including attachment and inner-child wounds.
My name is Helon Belton, a Licensed Professional Counselor (LPC) and Licensed Chemical Dependency Counselor (LCDC), and an EMDR Certified Therapist. I work with veterans and adults navigating PTSD, trauma, anxiety, depression, grief, substance use, and self-esteem concerns. Many clients come feeling overwhelmed, stuck, or impacted by unresolved experiences that affect daily life, including attachment and inner-child wounds.
(210) 742-5002 View (210) 742-5002
Photo of Breeann Carleton, Licensed Professional Counselor, MS, LPC
Breeann Carleton
Licensed Professional Counselor, MS, LPC
2 Endorsed
Cibolo, TX 78108
I am a trauma therapist who utilizes effective trauma treatment therapies. I practice using EMDR, Somatic Experiencing Therapy. All approaches work with the mind, body, and emotions to help support the movement through trauma. Our bodies are holding containers that will hold onto trauma until there is a pathway for release. If you are finding yourself stuck without movement, traditional therapies not working, maybe this is a new path to check into. I am ready to work alongside you to help you get to where you would like to be.
I am a trauma therapist who utilizes effective trauma treatment therapies. I practice using EMDR, Somatic Experiencing Therapy. All approaches work with the mind, body, and emotions to help support the movement through trauma. Our bodies are holding containers that will hold onto trauma until there is a pathway for release. If you are finding yourself stuck without movement, traditional therapies not working, maybe this is a new path to check into. I am ready to work alongside you to help you get to where you would like to be.
(210) 405-5582 View (210) 405-5582

See more therapy options for 78221

How does your Therapist compare?

Number of Therapists in 78221

10+

Average cost per session

$100

Therapists in 78221 who prioritize treating:

80% Anxiety
73% Depression
73% Self Esteem
67% Grief
60% Trauma and PTSD
60% Anger Management
47% Stress

Average years in practice

9 Years

Top 3 insurances accepted

93% Aetna
87% Cigna and Evernorth
73% BlueCross and BlueShield

How Therapists in 78221 see their clients

67% Online Only
33% In Person and Online

Gender breakdown

91% Female
9% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 78221?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.