
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

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 Email Scott D. Altamirano - San Antonio now for a free 15 minute consultation - (512) 890-3603
Let's Connect (512) 890-3603

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. Email or (512) 890-3603

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
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
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
Location
Additional Location
San Antonio, TX 78204
(512) 890-3603Nearby Areas
Cities
Counties
Call for a free consultation now - (512) 890-3603

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