Desiree Makanani
Pre-Licensed Professional
Verified by Psychology Today Verified by Psychology Today
1 Endorsed
Let's Connect (210) 701-0018

I specialize in working with individuals navigating trauma, PTSD, anxiety, addiction, and major life transitions. I provide LGBTQIA+ affirming, culturally responsive therapy that centers safety, identity, and healing without judgment. My clients come to therapy feeling overwhelmed by anxiety, depression, PTSD, trauma, identity-related stress, emotional pain, or unhealthy coping patterns. They may feel disconnected from themselves, struggle with trust or relationships, or feel stuck in survival mode. I provide a supportive, affirming, and nonjudgmental space where clients can safely process their experiences, strengthen self-worth.
I specialize in trauma, PTSD, and substance recovery through a trauma-informed and LGBTQIA+ affirming lens. Using approaches such as CBT, CPT, ACT, and person-centered therapy, I help clients process trauma, build healthier coping skills, improve emotional regulation, navigate life transitions, and work toward lasting emotional wellness and recovery.
Reaching out for support can feel intimidating, especially when carrying the weight of trauma, addiction, or feeling misunderstood in your experiences or identity. You do not have to face it alone. My goal is to create a space where you feel seen, heard, supported, and empowered while we work together toward healing, resilience, and balance.
Call or Email Desiree Makanani Garcia now for a free 15 minute consultation - (210) 701-0018
Let's Connect (210) 701-0018

Finances
Fees
- Individual Sessions $50
- Couple Sessions $50
- Sliding scale: apply if you may be eligible
Payment Methods
American Express, Discover, Mastercard, VisaInsurance
- AARP
- Aetna
- Aetna EAP
- Ambetter
- Anthem
- Blue Cross
- Blue Shield
- BlueCross and BlueShield
- Children's Health Insurance Program (CHIP)
- Cigna and Evernorth
- Cigna EAP
- Humana
- Molina Healthcare
- MultiPlan Private Healthcare Systems (PHCS)
- Optum
- Reliant
- Scott & White Health Plan
- TRICARE
- TriWest
- United Medical Resources (UMR)
- UnitedHealthcare UHC | UBH
Desiree Makanani Garcia
Pre-Licensed Professional
Call or Email me for a free 15 minute consultation now - (210) 701-0018
Qualifications
- Verified by Psychology Today Supervised by Renee Braune (Texas / 96687) Desiree Makanani Garcia
- In Practice for 1 year
Education and Years In Practice
Desiree Makanani Garcia
Pre-Licensed Professional
Call or Email me for a free 15 minute consultation now - (210) 701-0018
Specialties and Expertise
Top Specialties
- Anxiety
- Trauma and PTSD
- LGBTQ+
Expertise
- Addiction
- ADHD
- Adoption
- Alcohol Use
- Anger Management
- Antisocial Personality
- Bipolar Disorder
- Body Image
- Career Counseling
- Codependency
- Coping Skills
- Depression
- Domestic Abuse
- Domestic Violence
- Drug Abuse
- Family Conflict
- First Responders
- Grief
- Internet Addiction
- Life Coaching
- Substance Use
- Suicidal Ideation
Desiree Makanani Garcia
Pre-Licensed Professional
Call or Email me for a free 15 minute consultation now - (210) 701-0018
Endorsement
Client Focus
Age
Preteen ,
Teen ,
Adults ,
Elders (65+)
Participants
Individuals ,
Family ,
Group
Communities
Bisexual Allied ,
Gay Allied ,
HIV / AIDS Allied ,
Intersex Allied ,
Lesbian Allied ,
Non-Binary Allied ,
Queer Allied ,
Racial Justice Allied ,
Sex Worker Allied ,
Transgender Allied
Ethnicity
Hispanic and Latino ,
Pacific Islander
Age
Preteen ,
Teen ,
Adults ,
Elders (65+)
Participants
Individuals ,
Family ,
Group
Communities
Bisexual Allied ,
Gay Allied ,
HIV / AIDS Allied ,
Intersex Allied ,
Lesbian Allied ,
Non-Binary Allied ,
Queer Allied ,
Racial Justice Allied ,
Sex Worker Allied ,
Transgender Allied
Ethnicity
Hispanic and Latino ,
Pacific Islander
Treatment Approach
Types of Therapy
- Cognitive Behavioral (CBT)
- Cognitive Processing (CPT)
- Emotionally Focused
- Existential
- Experiential Therapy
- Family / Marital
- Feminist
- Mindfulness-Based (MBCT)
- Motivational Interviewing
- Multicultural
- Person-Centered
- Solution Focused Brief (SFBT)
- Strength-Based
- Structural Family Therapy
- Trauma Focused
Desiree Makanani Garcia
Pre-Licensed Professional
Call or Email me for a free 15 minute consultation now - (210) 701-0018