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Photo of Scott D. Altamirano - San Antonio, Marriage & Family Therapist, LMFT
Scott D. Altamirano - San Antonio
Marriage & Family Therapist, LMFT

Scott D. Altamirano - San Antonio

Marriage & Family Therapist, LMFT

Verified by Psychology Today Verified by Psychology Today
San Antonio, TX 78201
Let's Connect (512) 890-3603
Photo of Scott D. Altamirano - San Antonio, Marriage & Family Therapist, LMFT
You’re stuck in the same destructive cycles-whether it’s toxic relationships, addiction, or emotional numbness-and no matter what you do, nothing seems to change. Maybe you keep attracting narcissistic or borderline partners, or you’re battling sex or porn addiction in secret. You might be carrying the weight of sexual trauma, struggling with self-worth, or using alcohol to cope. You’ve tried to “just move on,” but the past keeps pulling you back. You need real solutions, not just another therapist nodding along. I specialize in helping people break free from self-sabotaging patterns tied to addiction, relationships, and trauma
As an attachment-focused therapist, I work with those struggling with compulsive sexual behaviors, the fallout of abusive or manipulative relationships, and deep-rooted emotional pain that’s been ignored for too long. My approach is direct, unfiltered, and often infused with dark humor, because therapy should be real-not just polite conversation.
We meet via audio and start by mapping out your full life narrative, meeting weekly to get to the root of what’s keeping you stuck. I work with LGBTQ, those in polyamorous relationships, and anyone navigating identity, intimacy, and shame. If you’re ready to confront the patterns that keep you trapped, let’s talk.
Call or Scott D. Altamirano - San Antonio now for a free 15 minute consultation - (512) 890-3603

My Practice at a Glance

Available online only

San Antonio, TX 78201

(512) 890-3603

San Antonio, TX 78204

I specialize in Sex Therapy, Substance Use and Domestic Abuse  
$180 Per Session  
I see individuals, couples and families  
Please watch my video to learn more about me and my practice.
Scott D. Altamirano - San Antonio
Let's Connect (512) 890-3603
Photo of Scott D. Altamirano - San Antonio, Marriage & Family Therapist, LMFT

My Practice at a Glance

Available online only

San Antonio, TX 78201

(512) 890-3603

San Antonio, TX 78204

I specialize in Sex Therapy, Substance Use and Domestic Abuse  
$180 Per Session  
I see individuals, couples and families  
Please watch my video to learn more about me and my practice.
Scott D. Altamirano - San Antonio

Finances

Fees

  • Individual Sessions $180
  • Couple Sessions $250
  • Sliding scale: apply if you may be eligible
  • Pay by American Express, Discover, Mastercard, Visa
Check fees and, if listed, ask to verify your insurance coverage. or (512) 890-3603
Photo of Scott D. Altamirano - San Antonio, Marriage & Family Therapist, LMFT
Scott D. Altamirano - San Antonio
Marriage & Family Therapist, LMFT
Check fees and, if listed, ask to verify your insurance coverage. or (512) 890-3603
Photo of Scott D. Altamirano - San Antonio, Marriage & Family Therapist, LMFT
Scott D. Altamirano - San Antonio
Marriage & Family Therapist, LMFT

Qualifications

  • Verified by Psychology Today Licensed by State of Texas / 204481 Scott Altamirano
  • In Practice for 10 Years
  • License: CA, Marriage and Family Therapy 104368
  • Attended Antioch University, Los Angeles, Graduated 2015
Feel free to ask about qualifications and training experience. or (512) 890-3603
Photo of Scott D. Altamirano - San Antonio, Marriage & Family Therapist, LMFT
Scott D. Altamirano - San Antonio
Marriage & Family Therapist, LMFT
Feel free to ask about qualifications and training experience. or (512) 890-3603
Photo of Scott D. Altamirano - San Antonio, Marriage & Family Therapist, LMFT
Scott D. Altamirano - San Antonio
Marriage & Family Therapist, LMFT

Specialties and Expertise

Top Specialties

  • Sex Therapy
  • Substance Use
  • Domestic Abuse

Expertise

  • Addiction
  • Borderline Personality (BPD)
  • Domestic Violence
  • Drug Abuse
  • Infidelity
  • LGBTQ+
  • Narcissistic Personality (NPD)
  • Open Relationships Non-Monogamy
  • Relationship Issues
  • Sex-Positive, Kink Allied
  • Sexual Addiction
  • Trauma and PTSD
  • Veterans
Do these issues align with your needs? or (512) 890-3603
Photo of Scott D. Altamirano - San Antonio, Marriage & Family Therapist, LMFT
Scott D. Altamirano - San Antonio
Marriage & Family Therapist, LMFT
Do these issues align with your needs? or (512) 890-3603
Photo of Scott D. Altamirano - San Antonio, Marriage & Family Therapist, LMFT
Scott D. Altamirano - San Antonio
Marriage & Family Therapist, LMFT

Client Focus

Age

Adults

Participants

Individuals
Couples
Family

Communities

Bisexual Allied
Gay Allied
Queer Allied

Ethnicity

Hispanic and Latino

Age

Adults

Participants

Individuals
Couples
Family

Communities

Bisexual Allied
Gay Allied
Queer Allied

Ethnicity

Hispanic and Latino

Treatment Approach

Types of Therapy

  • Attachment-based
  • Forensic Psychology
Ask about what different forms of therapy will be like. or (512) 890-3603
Photo of Scott D. Altamirano - San Antonio, Marriage & Family Therapist, LMFT
Scott D. Altamirano - San Antonio
Marriage & Family Therapist, LMFT
Ask about what different forms of therapy will be like. or (512) 890-3603
Photo of Scott D. Altamirano - San Antonio, Marriage & Family Therapist, LMFT
Scott D. Altamirano - San Antonio
Marriage & Family Therapist, LMFT

Location

Primary Location

San Antonio, TX 78201

(512) 890-3603

Additional Location

San Antonio, TX 78204

(512) 890-3603
Call for a free consultation now - (512) 890-3603
Photo of Scott D. Altamirano - San Antonio, Marriage & Family Therapist, LMFT
Scott D. Altamirano - San Antonio
Marriage & Family Therapist, LMFT
Call for a free consultation now - (512) 890-3603
Photo of Scott D. Altamirano - San Antonio, Marriage & Family Therapist, LMFT
Scott D. Altamirano - San Antonio
Marriage & Family Therapist, LMFT