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

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 Email Madison Karasek now for a free 15 minute consultation - (830) 293-3893
Let's Connect (830) 293-3893

Finances
Fees
- Individual Sessions $150
Payment Methods
American Express, Check, Discover, Health Savings Account, Mastercard, Venmo, VisaInsurance
- Aetna
- Anthem
- BlueCross and BlueShield
- Carelon Behavioral Health
- Cigna and Evernorth
- Optum
- Oscar Health
- Oxford
- Quest Behavioral Health
- UnitedHealthcare UHC | UBH
Madison Karasek
Licensed Professional Counselor, MA, LPC
Call or Email me for a free 15 minute consultation now - (830) 293-3893
Qualifications
- Verified by Psychology Today Licensed by State of Texas / 87977 Madison Karasek
- In Practice for 4 years
- Attended St. Marys University, MA Clinical Mental Health Counseling, Graduated 2021
Education and Years In Practice
Madison Karasek
Licensed Professional Counselor, MA, LPC
Feel free to ask about qualifications and training experience. Email 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
Madison Karasek
Licensed Professional Counselor, MA, LPC
Call or Email me for a free 15 minute consultation now - (830) 293-3893
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
Madison Karasek
Licensed Professional Counselor, MA, LPC
Call or Email me for a free 15 minute consultation now - (830) 293-3893
Location
Nearby Areas
Madison Karasek
Licensed Professional Counselor, MA, LPC
Call for a free consultation now - (830) 293-3893