Photo of Madison Karasek, Licensed Professional Counselor, MA, LPC
Madison Karasek
Licensed Professional Counselor, MA, LPC
or
Photo of Madison Karasek, Licensed Professional Counselor, MA, LPC

Madison Karasek

Licensed Professional Counselor, MA, LPC

Verified by Psychology Today Verified by Psychology Today
1 Endorsed
17890 Blanco Road, Suite 307, San Antonio, TX 78232
Let's Connect (830) 293-3893
Photo of Madison Karasek, Licensed Professional Counselor, MA, LPC
My ideal clients are teens (10+) - 30s who feel overwhelmed, anxious, or stuck in their own heads. Many are thoughtful, caring people who put a lot of pressure on themselves and don’t always have a space to talk things through. They may feel burnt out, unsure of themselves, or like they’re falling behind—even when everything looks “fine” on the outside. Some of my clients spend their days taking care of others and need a space where they get to be the one supported. They want to feel calmer, more confident, and more grounded as they navigate school, relationships, and big life transitions.
I offer a safe, encouraging space where you can be yourself and say things out loud without fear of judgment. My approach is collaborative and client-led, shaped around what you need in the moment. Sessions are conversational, flexible, and focused on helping you vent, reflect, and connect the dots at your own pace!
I’m not the type of therapist who sits quietly asking, “And how does that make you feel?” I’m a real person who genuinely cares and shows up with warmth, honesty, and big-sister energy. I’ll support you through both heavy and happy moments and always be in your corner! Whether you want tools, to talk things through, or a safe place to vent, you’re not alone!
Call or Madison Karasek now for a free 15 minute consultation - (830) 293-3893

My Practice at a Glance

Available both in-person and online

17890 Blanco Road

Suite 307

San Antonio, TX 78232 map

(830) 293-3893
My website
I offer counseling online and in person in San Antonio, Tx. I'm available weekdays & evenings. Please make an appointment on my website!
$150 Per Session, I accept insurance 
Individual one-on-one therapy 
Let's Connect (830) 293-3893
Photo of Madison Karasek, Licensed Professional Counselor, MA, LPC

My Practice at a Glance

Available both in-person and online

17890 Blanco Road

Suite 307

San Antonio, TX 78232 map

(830) 293-3893
My website
I offer counseling online and in person in San Antonio, Tx. I'm available weekdays & evenings. Please make an appointment on my website!
$150 Per Session, I accept insurance 
Individual one-on-one therapy 

Finances

Fees

  • Individual Sessions $150

Payment Methods

American Express, Check, Discover, Health Savings Account, Mastercard, Venmo, Visa

Insurance

  • Aetna
  • Anthem
  • BlueCross and BlueShield
  • Carelon Behavioral Health
  • Cigna and Evernorth
  • Optum
  • Oscar Health
  • Oxford
  • Quest Behavioral Health
  • UnitedHealthcare UHC | UBH
"
I accept both private pay and insurance for your convenience! I also offer need based sliding scale rates ($120-$150) for private pay clients.
Photo of Madison Karasek, Licensed Professional Counselor, MA, LPC
Madison Karasek
Licensed Professional Counselor, MA, LPC
Call or for a free 15 minute consultation now - (830) 293-3893
"
I accept both private pay and insurance for your convenience! I also offer need based sliding scale rates ($120-$150) for private pay clients.
Photo of Madison Karasek, Licensed Professional Counselor, MA, LPC
Madison Karasek
Licensed Professional Counselor, MA, LPC
Call or for a free 15 minute consultation now - (830) 293-3893

Qualifications

  • Verified by Psychology Today Licensed by State of Texas / 87977 Madison Karasek
  • Education and Years In Practice

  • In Practice for 4 years
  • Attended St. Marys University, MA Clinical Mental Health Counseling, Graduated 2021
Photo of Madison Karasek, Licensed Professional Counselor, MA, LPC
Madison Karasek
Licensed Professional Counselor, MA, LPC
Feel free to ask about qualifications and training experience. or (830) 293-3893
Photo of Madison Karasek, Licensed Professional Counselor, MA, LPC
Madison Karasek
Licensed Professional Counselor, MA, LPC
Feel free to ask about qualifications and training experience. or (830) 293-3893

Specialties and Expertise

Expertise

  • ADHD
  • Anxiety
  • Autism
  • Borderline Personality (BPD)
  • Career Counseling
  • Coping Skills
  • Depression
  • Eating Disorders
  • Family Conflict
  • Grief
  • Life Transitions
  • Open Relationships Non-Monogamy
  • Parenting
  • Peer Relationships
  • Relationship Issues
  • School Issues
  • Self Esteem
  • Self-Harming
  • Spirituality
  • Stress
  • Transgender
  • Trauma and PTSD
  • Women's Issues
"
As someone who experiences anxiety and panic disorder, I understand what it feels like to be crippled by symptoms. That's why I feel so passionately about helping others with high anxiety and panic attacks who feel like their mental health has gotten out of hand. Together we'll talk it out, build goals, and utilize coping skills to help you manage day to day life and feel in control again.
Photo of Madison Karasek, Licensed Professional Counselor, MA, LPC
Madison Karasek
Licensed Professional Counselor, MA, LPC
Call or for a free 15 minute consultation now - (830) 293-3893
"
As someone who experiences anxiety and panic disorder, I understand what it feels like to be crippled by symptoms. That's why I feel so passionately about helping others with high anxiety and panic attacks who feel like their mental health has gotten out of hand. Together we'll talk it out, build goals, and utilize coping skills to help you manage day to day life and feel in control again.
Photo of Madison Karasek, Licensed Professional Counselor, MA, LPC
Madison Karasek
Licensed Professional Counselor, MA, LPC
Call or for a free 15 minute consultation now - (830) 293-3893

Endorsement

Lydia Anthony
Lydia Anthony
Licensed Professional CounselorLPCMA
Madison is one of the most genuine therapists you can meet! She cares about each client and brings out the best in them. She is the type of person you just want to tell your experiences to. She is particularly wonderful at connecting with teens! -Colleague

Client Focus

Age

Preteen
Teen
Adults

Participants

Individuals

Communities

Gay Allied
Immuno-disorders
Lesbian Allied
Non-Binary Allied
Queer Allied
Sex Worker Allied
Single Parent
Transgender Allied

Age

Preteen
Teen
Adults

Participants

Individuals

Communities

Gay Allied
Immuno-disorders
Lesbian Allied
Non-Binary Allied
Queer Allied
Sex Worker Allied
Single Parent
Transgender Allied

Treatment Approach

Types of Therapy

  • Acceptance and Commitment (ACT)
  • Cognitive Behavioral (CBT)
  • Dialectical Behavior (DBT)
  • Eclectic
  • Expressive Arts
  • Family Systems
  • Mindfulness-Based (MBCT)
  • Motivational Interviewing
  • Narrative
  • Person-Centered
  • Play Therapy
  • Reality Therapy
  • Strength-Based
  • Trauma Focused
"
I utilize a client specific approach drawing from elements of mindfulness, CBT, DBT, ACT, and more to tailor a unique experience for everyone depending on their specific needs. Everyone is unique, therapy should reflect that. My approach is very casual, open, and warm and builds on principals of communication, boundaries, coping skills, and active reflection.
Photo of Madison Karasek, Licensed Professional Counselor, MA, LPC
Madison Karasek
Licensed Professional Counselor, MA, LPC
Call or for a free 15 minute consultation now - (830) 293-3893
"
I utilize a client specific approach drawing from elements of mindfulness, CBT, DBT, ACT, and more to tailor a unique experience for everyone depending on their specific needs. Everyone is unique, therapy should reflect that. My approach is very casual, open, and warm and builds on principals of communication, boundaries, coping skills, and active reflection.
Photo of Madison Karasek, Licensed Professional Counselor, MA, LPC
Madison Karasek
Licensed Professional Counselor, MA, LPC
Call or for a free 15 minute consultation now - (830) 293-3893

Location

Primary Location

17890 Blanco Road

Suite 307

San Antonio, TX 78232

(830) 293-3893

Nearby Areas

Counties

Zips

Neighborhoods

"
I offer counseling online and in person in San Antonio, Tx. I'm available weekdays & evenings. Please make an appointment on my website!
Photo of Madison Karasek, Licensed Professional Counselor, MA, LPC
Madison Karasek
Licensed Professional Counselor, MA, LPC
Call for a free consultation now - (830) 293-3893
"
I offer counseling online and in person in San Antonio, Tx. I'm available weekdays & evenings. Please make an appointment on my website!
Photo of Madison Karasek, Licensed Professional Counselor, MA, LPC
Madison Karasek
Licensed Professional Counselor, MA, LPC
Call for a free consultation now - (830) 293-3893