Aetna EAP Therapists in San Antonio, TX
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 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 understand that counseling can feel overwhelming, so I prioritize creating a safe, supportive environment where clients can show up exactly as they are. I strive to create a therapy space where clients feel understood, supported, and able to speak openly without fear of judgment.
My approach is warm, collaborative, and grounded in evidence-based practices such as CBT, CPT, and exposure-based strategies for anxiety and OCD. I believe therapy should feel both supportive and productive, balancing emotional processing with practical strategies that help clients create meaningful change.
I understand that counseling can feel overwhelming, so I prioritize creating a safe, supportive environment where clients can show up exactly as they are. I strive to create a therapy space where clients feel understood, supported, and able to speak openly without fear of judgment.
My approach is warm, collaborative, and grounded in evidence-based practices such as CBT, CPT, and exposure-based strategies for anxiety and OCD. I believe therapy should feel both supportive and productive, balancing emotional processing with practical strategies that help clients create meaningful change.
Dr. Melisa Fleming has been a Licensed Professional Counselor and supervisor in the San Antonio area since 2005 and a Licensed Marriage and Family Therapist since 2017. Her focus is working with couples and LPC Associates. Dr. Fleming has completed Level 1, Level 2, and Level 3 Training in Gottman Method Couples Therapy. Working with LPC Associates, Dr. Fleming brings years of experience and professionalism through Systemic Clinical Supervision. Supervisees are empowered with opportunities to develop skills and knowledge through an ethical and professional mind frame growing in autonomy and competence.
Dr. Melisa Fleming has been a Licensed Professional Counselor and supervisor in the San Antonio area since 2005 and a Licensed Marriage and Family Therapist since 2017. Her focus is working with couples and LPC Associates. Dr. Fleming has completed Level 1, Level 2, and Level 3 Training in Gottman Method Couples Therapy. Working with LPC Associates, Dr. Fleming brings years of experience and professionalism through Systemic Clinical Supervision. Supervisees are empowered with opportunities to develop skills and knowledge through an ethical and professional mind frame growing in autonomy and competence.
My clients are often individuals, families, or adolescents, seeking support during emotional, relational, or life transitions. They often come to my practice feeling overwhelmed, stuck, or impacted by mental health concerns, recovery challenges, family dynamics, or stress. With over 20 years of experience, I hope to provide trauma‑informed, evidence‑based therapy that focuses on understanding patterns, building coping skills, and strengthening relationships. Through collaboration and compassion, I help clients gain clarity, resilience, and meaningful movement forward.
My clients are often individuals, families, or adolescents, seeking support during emotional, relational, or life transitions. They often come to my practice feeling overwhelmed, stuck, or impacted by mental health concerns, recovery challenges, family dynamics, or stress. With over 20 years of experience, I hope to provide trauma‑informed, evidence‑based therapy that focuses on understanding patterns, building coping skills, and strengthening relationships. Through collaboration and compassion, I help clients gain clarity, resilience, and meaningful movement forward.
I specialize in helping women who grew up with emotionally immature, neglectful, or abusive parents learn the emotional and relational skills they were never taught.
You may be an older teen preparing for adulthood, a college student navigating independence, a new mother afraid of repeating generational patterns, or even a grandmother realizing it’s finally your turn to heal. There is no “wrong” time to learn how to communicate clearly, set boundaries, regulate your emotions, or sit with discomfort.
I specialize in helping women who grew up with emotionally immature, neglectful, or abusive parents learn the emotional and relational skills they were never taught.
You may be an older teen preparing for adulthood, a college student navigating independence, a new mother afraid of repeating generational patterns, or even a grandmother realizing it’s finally your turn to heal. There is no “wrong” time to learn how to communicate clearly, set boundaries, regulate your emotions, or sit with discomfort.
Life can be messy, complicated, and sometimes downright overwhelming. If you’ve ever felt stuck, anxious, or weighed down by stress or past experiences, I want you to know: you don’t have to face it alone. I work with teens & adults who are navigating anxiety, depression, trauma, or the everyday challenges that can leave us feeling off-balance or even hopeless. My approach is practical, but it’s also deeply human. I believe therapy isn’t about labels or “fixing” you. It’s about understanding you, creating a space to explore what matters, and taking steps toward the life you want and need.
Life can be messy, complicated, and sometimes downright overwhelming. If you’ve ever felt stuck, anxious, or weighed down by stress or past experiences, I want you to know: you don’t have to face it alone. I work with teens & adults who are navigating anxiety, depression, trauma, or the everyday challenges that can leave us feeling off-balance or even hopeless. My approach is practical, but it’s also deeply human. I believe therapy isn’t about labels or “fixing” you. It’s about understanding you, creating a space to explore what matters, and taking steps toward the life you want and need.
Does life feels heavier than it should? Are you're holding it together on the outside while quietly struggling on the inside? Are you working through issues around your mood, a loss, a relationship, a past you haven't fully dealt with, or a version of yourself you don't quite recognize anymore?
I'm Chandra, and I work with people who are ready to do the real work, not just cope, but actually get better. That looks different for everyone. For some, it's understanding why certain thoughts or patterns keep showing up. For others, it' it's rebuilding self-worth, processing grief, or finding solid ground after a major life change.
Does life feels heavier than it should? Are you're holding it together on the outside while quietly struggling on the inside? Are you working through issues around your mood, a loss, a relationship, a past you haven't fully dealt with, or a version of yourself you don't quite recognize anymore?
I'm Chandra, and I work with people who are ready to do the real work, not just cope, but actually get better. That looks different for everyone. For some, it's understanding why certain thoughts or patterns keep showing up. For others, it' it's rebuilding self-worth, processing grief, or finding solid ground after a major life change.
Thank you for visiting my profile. I have specialized experience and training in evidence-based psychotherapy for PTSD and mood disorders.
My therapeutic approach is integrative in nature. I draw primarily from the cognitive behavioral and interpersonal traditions.
In addition to providing psychotherapy, I also conduct psychological evaluations for ADHD and learning disorders for adults through telehealth.
Thank you for visiting my profile. I have specialized experience and training in evidence-based psychotherapy for PTSD and mood disorders.
My therapeutic approach is integrative in nature. I draw primarily from the cognitive behavioral and interpersonal traditions.
In addition to providing psychotherapy, I also conduct psychological evaluations for ADHD and learning disorders for adults through telehealth.
Accepting New Clients! My ideal client is someone who is ready for change—even if they are unsure where to begin. They are open to self-reflection, willing to challenge patterns that are no longer serving them, and interested in building sustainable habits that support long-term emotional and physical well-being. I value practical, realistic progress and often focus on simple, consistent changes that may seem small at first but create meaningful results over time. Whether navigating anxiety, depression, relationship stress, or life transitions, I work best with clients who are willing to engage in the process and grow with support.
Accepting New Clients! My ideal client is someone who is ready for change—even if they are unsure where to begin. They are open to self-reflection, willing to challenge patterns that are no longer serving them, and interested in building sustainable habits that support long-term emotional and physical well-being. I value practical, realistic progress and often focus on simple, consistent changes that may seem small at first but create meaningful results over time. Whether navigating anxiety, depression, relationship stress, or life transitions, I work best with clients who are willing to engage in the process and grow with support.
I see clients from a wide area here at my office by the Riverwalk. You may be carrying anxiety that does not turn off, depression that has flattened your weeks, sleep that will not hold, or a trauma history you have never said out loud. Maybe you are facing a court date, an immigration filing, or a hearing that will decide what happens next — and you need both honest clinical care and an evaluator who knows how courts read a report. You deserve a clinician who has sat with crisis, with deployment, and with hard rooms, and who will treat you as a whole person while we do the work. What would feel different if it actually changed?
I see clients from a wide area here at my office by the Riverwalk. You may be carrying anxiety that does not turn off, depression that has flattened your weeks, sleep that will not hold, or a trauma history you have never said out loud. Maybe you are facing a court date, an immigration filing, or a hearing that will decide what happens next — and you need both honest clinical care and an evaluator who knows how courts read a report. You deserve a clinician who has sat with crisis, with deployment, and with hard rooms, and who will treat you as a whole person while we do the work. What would feel different if it actually changed?
My ideal clients are teens, adults, couples, and older adults navigating anxiety, depression, trauma, life transitions, relationship stress, identity concerns, and burnout. I especially value supporting culturally diverse communities, first-generation families, and individuals seeking a space where they feel heard and respected. Using evidence-based and culturally responsive approaches, I help clients build coping skills, gain insight, improve communication, strengthen relationships, and move toward meaningful, lasting change with support that feels genuine and collaborative.
My ideal clients are teens, adults, couples, and older adults navigating anxiety, depression, trauma, life transitions, relationship stress, identity concerns, and burnout. I especially value supporting culturally diverse communities, first-generation families, and individuals seeking a space where they feel heard and respected. Using evidence-based and culturally responsive approaches, I help clients build coping skills, gain insight, improve communication, strengthen relationships, and move toward meaningful, lasting change with support that feels genuine and collaborative.
Many of my clients are the people others rely on: strong, dependable, caring, and emotionally exhausted from carrying so much for everyone else. They come to therapy struggling with anxiety, burnout, relationship stress, people pleasing, trauma, grief, or feeling disconnected from themselves and from God. I provide compassionate, faith-centered counseling that helps clients slow down, process what has been weighing on them, heal unhealthy patterns, strengthen boundaries, and move forward with greater peace, confidence, emotional clarity, and spiritual renewal.
Many of my clients are the people others rely on: strong, dependable, caring, and emotionally exhausted from carrying so much for everyone else. They come to therapy struggling with anxiety, burnout, relationship stress, people pleasing, trauma, grief, or feeling disconnected from themselves and from God. I provide compassionate, faith-centered counseling that helps clients slow down, process what has been weighing on them, heal unhealthy patterns, strengthen boundaries, and move forward with greater peace, confidence, emotional clarity, and spiritual renewal.
Hola! I’m a bilingual Licensed Professional Counselor committed to creating a safe, supportive space for clients. I use an interdisciplinary, collaborative approach grounded in compassion, trust, and authentic connection. I partner with clients to explore their unique experiences, nurture self-discovery and empowerment, and support their personal growth and healing at their own pace.
Hola! I’m a bilingual Licensed Professional Counselor committed to creating a safe, supportive space for clients. I use an interdisciplinary, collaborative approach grounded in compassion, trust, and authentic connection. I partner with clients to explore their unique experiences, nurture self-discovery and empowerment, and support their personal growth and healing at their own pace.
My practice supports individuals who experience emotions intensely, struggle in relationships, or feel misunderstood in traditional therapy spaces. I specialize in working with people navigating Borderline Personality Disorder, Autism Spectrum differences, and survivors of domestic or relational trauma. Many clients come to therapy feeling overwhelmed, stuck in painful relationship patterns, or unsure how to regulate strong emotions. Together we focus on building emotional regulation, self-understanding, and practical skills that foster safety, boundaries, and more stable, fulfilling relationships.
My practice supports individuals who experience emotions intensely, struggle in relationships, or feel misunderstood in traditional therapy spaces. I specialize in working with people navigating Borderline Personality Disorder, Autism Spectrum differences, and survivors of domestic or relational trauma. Many clients come to therapy feeling overwhelmed, stuck in painful relationship patterns, or unsure how to regulate strong emotions. Together we focus on building emotional regulation, self-understanding, and practical skills that foster safety, boundaries, and more stable, fulfilling relationships.
Tiffany D. Bridgers completed her education, in Master's of Clinical and Mental Health Counseling, at Lubbock Christian University. Tiffany has worked with individuals of all ages. She started her work with foster care and CPS kids, at Texas Boys Ranch, where she also received training in Trauma-Focused Cognitive Behavioral Therapy. She has worked in substance abuse, helping individuals overcome mental health concerns and severe addiction issues. She is fully licensed as a Professional Therapist, and she has most recently been working in private practice, helping clients work through individualized needs and goals.
Tiffany D. Bridgers completed her education, in Master's of Clinical and Mental Health Counseling, at Lubbock Christian University. Tiffany has worked with individuals of all ages. She started her work with foster care and CPS kids, at Texas Boys Ranch, where she also received training in Trauma-Focused Cognitive Behavioral Therapy. She has worked in substance abuse, helping individuals overcome mental health concerns and severe addiction issues. She is fully licensed as a Professional Therapist, and she has most recently been working in private practice, helping clients work through individualized needs and goals.
Spanish & English Therapist l Anxiety &
Licensed Professional Counselor, MEd, LPC, NCC
San Antonio, TX 78248
My name is Shanna Dominguez and I am a Licensed Professional Counselor. You may be experiencing worry, fear, anxiety, depression, or other overwhelming emotions. The good news is these can be managed. I believe there are two experts in the room: you are the expert of your life, and I am the clinical expert. I have experience working with adults, couples, and adolescents and offer virtual therapy across Texas with flexible scheduling. I provide services in both English and Spanish. I specialize in CBT and DBT methods that help you understand yourself while giving you tools to make lasting changes.
My name is Shanna Dominguez and I am a Licensed Professional Counselor. You may be experiencing worry, fear, anxiety, depression, or other overwhelming emotions. The good news is these can be managed. I believe there are two experts in the room: you are the expert of your life, and I am the clinical expert. I have experience working with adults, couples, and adolescents and offer virtual therapy across Texas with flexible scheduling. I provide services in both English and Spanish. I specialize in CBT and DBT methods that help you understand yourself while giving you tools to make lasting changes.
Many of my clients come to therapy feeling emotionally overwhelmed, misunderstood, or stuck in painful relationship patterns they can’t seem to break. I work with adolescents and adults navigating anxiety, depression, trauma, ADHD, borderline personality disorder (BPD), bipolar disorder, life transitions, and relationship challenges. I also work with couples who want to improve communication, rebuild trust, and better understand one another. My goal is to help clients feel genuinely heard while building meaningful, lasting change.
Many of my clients come to therapy feeling emotionally overwhelmed, misunderstood, or stuck in painful relationship patterns they can’t seem to break. I work with adolescents and adults navigating anxiety, depression, trauma, ADHD, borderline personality disorder (BPD), bipolar disorder, life transitions, and relationship challenges. I also work with couples who want to improve communication, rebuild trust, and better understand one another. My goal is to help clients feel genuinely heard while building meaningful, lasting change.
Some days it feels like life is just too much—old patterns keep repeating, stress piles up, and past trauma lingers, shaping how you think, feel, and relate to others. I’ve spent years supporting individuals, families, and neurodiverse clients across clinical and behavioral intervention settings, helping others navigate trauma, crisis, and complex emotional challenges. As an EMDR-trained and trauma-informed therapist, I guide clients in processing difficult experiences, breaking unhelpful patterns, improving emotional regulation, strengthening relationships, and creating lasting, meaningful change.
Some days it feels like life is just too much—old patterns keep repeating, stress piles up, and past trauma lingers, shaping how you think, feel, and relate to others. I’ve spent years supporting individuals, families, and neurodiverse clients across clinical and behavioral intervention settings, helping others navigate trauma, crisis, and complex emotional challenges. As an EMDR-trained and trauma-informed therapist, I guide clients in processing difficult experiences, breaking unhelpful patterns, improving emotional regulation, strengthening relationships, and creating lasting, meaningful change.
Many of my clients are feeling overwhelmed, disconnected, anxious, emotionally exhausted, or stuck in painful relationship patterns. They may be navigating trauma, life transitions, parenting stress, relationship difficulties, or struggling to feel like themselves again. I work with individuals, couples, and families who are ready for deeper understanding, healing, and meaningful change. Together, we create a safe and supportive space to explore what is holding you back, strengthen relationships, and help you move toward a more grounded and fulfilling life.
Many of my clients are feeling overwhelmed, disconnected, anxious, emotionally exhausted, or stuck in painful relationship patterns. They may be navigating trauma, life transitions, parenting stress, relationship difficulties, or struggling to feel like themselves again. I work with individuals, couples, and families who are ready for deeper understanding, healing, and meaningful change. Together, we create a safe and supportive space to explore what is holding you back, strengthen relationships, and help you move toward a more grounded and fulfilling life.
Hello, I am Toi Brown, LPC, the owner of Peace Be Still Counseling Services PLLC. I specialize in working with children, adolescents and young adults. I am dedicated to creating a supportive and empathetic environment for my clients. My approach is rooted in the belief that every individual has the capacity for growth and healing. I strive to provide a safe space where clients can explore their thoughts, emotions, and experiences without judgment. By using evidence-based techniques tailored to each person’s unique needs, I aim to empower my clients to overcome challenges, improve their mental well-being, and lead fulfilling lives.
Hello, I am Toi Brown, LPC, the owner of Peace Be Still Counseling Services PLLC. I specialize in working with children, adolescents and young adults. I am dedicated to creating a supportive and empathetic environment for my clients. My approach is rooted in the belief that every individual has the capacity for growth and healing. I strive to provide a safe space where clients can explore their thoughts, emotions, and experiences without judgment. By using evidence-based techniques tailored to each person’s unique needs, I aim to empower my clients to overcome challenges, improve their mental well-being, and lead fulfilling lives.
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Aetna EAP Therapists
Does insurance cover therapy, prescriptions and other behavioral health services?
In general, yes. Laws in the U.S. require insurers to cover essential behavioral health care at the same level as other health care services. Most health plans require a medical diagnosis and treatments that are evidence based and medically essential. This means that life coaching and alternative therapies are not covered, nor is therapy without a diagnosis. Call the number on the back or your insurance card or visit your insurance company's website to review your Summary of Benefits. If you have insurance through your employer, your Human Resources department may also be able to answer questions.
How much does therapy cost with insurance?
The cost of therapy depends on your region, how much training and experience your therapist has, and the type of treatment. The rate for talk therapy generally falls between $100 and $250. For a client seeing an in-network provider, the cost of therapy is often similar to the cost of other health care services. Clients pay co-pays and may need to satisfy a plan’s deductible before benefits kick in.
What is the difference between In-Network and Out-of-Network insurance coverage?
An in-network provider has contracted with an insurer to get paid directly for services, and to accept the insurer’s rate of compensation. Clients are responsible for deductibles and copays. If a therapist is out of network, that means that the client pays the therapist directly for services at the therapist’s regular fee. Out-of-Network providers often give clients a receipt so that they can file for partial reimbursement with their insurance company.
Is it difficult to find an In-Network therapist?
It is not unusual for therapists to limit the number of insurance patients in their practice, so it’s important to check in-network availability when you schedule your first appointment. In regions and times where therapy is in high demand it may take longer to get scheduled with an in-network therapist.
What is the difference between HMO and PPO insurance plans?
HMO health plans only cover in-network services, there is no reimbursement for out-of-network providers. PPO plans often cover both in- and out-of-network services, though the client may pay more for out-of-network services.
What is a Superbill?
A superbill is a receipt for therapy services. It provides all the information required by insurance companies to reimburse you for out-of-network services, including the diagnostic codes for your care, the amount paid, and the dates and duration of care.
Does insurance cover Online therapy?
Many therapists who shifted their practice to online therapy during the pandemic have kept that arrangement. And most insurers continue to cover telehealth services, with a few exceptions. Preventive care (such as an annual depression screening) is often required to be in-person to be covered, and some states require prescribers of controlled substances to see those patients in person.
Does insurance cover Group therapy?
Many insurance plans provide coverage for group therapy provided there is a medical diagnosis for group members, but there are some noteworthy exceptions. For example, Medicare does not always cover group therapy. Group therapy tends to cost less than individual therapy.
Does insurance cover Couples therapy?
Most insurance companies do not cover the cost of couples therapy because there is no medical diagnosis or medically necessary treatment. However, a few plans will offer a limited benefit, so it is still worth checking with your insurance company. Sometimes therapy is covered for a couple when one person has a diagnosis and another family member joins them for joint therapy, but it is considered therapy for the medical condition that includes a family member as a listener or helper, not couples counseling. Without insurance, most clients pay between $100-300 per 60-90 min session for couples therapy. Often clients can find classes or workshops that make it more affordable to work on their relationship. And some employers offer Employee Assistance Plans that help defray the cost of couples therapy.
What is an Employee Assistance Plan (EAP)?
Employee Assistance Plans are purchased by employers for the benefit of their employees. EAPs typically assist employees with referrals and may also provide the first few sessions of therapy free of charge, with the patient's regular health insurance kicking in after those initial sessions. EAP benefits often apply to all types of therapy without the need for a medical diagnosis, making it easier to access couples therapy, therapy for life transitions, and other non-medical counseling. Just as with standard health insurance, clients should always check that a provider accepts their EAP benefits before scheduling. Learn more about Insurance Coverage and Finding Affordable Therapy