Alcohol Use Therapists in San Antonio, TX
Most of my clients were feeling stuck in unhelpful patterns—whether PTSD, persistent anxiety, low moods, self-doubt, unresolved past trauma, or aftermath of difficult relationships. Many face parenting stresses that reopen old wounds, career burnout, or addiction patterns they’re ready to release. They are resilient people who’ve often put others first while quietly carrying heavy emotions. They want calm and grounding in daily life, renewed self-trust, and relationships that feel nourishing. They seek deeper healing—not just coping—so they can live with ease, confidence, and authentic joy and are ready to take meaningful steps.
Most of my clients were feeling stuck in unhelpful patterns—whether PTSD, persistent anxiety, low moods, self-doubt, unresolved past trauma, or aftermath of difficult relationships. Many face parenting stresses that reopen old wounds, career burnout, or addiction patterns they’re ready to release. They are resilient people who’ve often put others first while quietly carrying heavy emotions. They want calm and grounding in daily life, renewed self-trust, and relationships that feel nourishing. They seek deeper healing—not just coping—so they can live with ease, confidence, and authentic joy and are ready to take meaningful steps.
There has to be more in life than what I have! Why do I continue to drink or use harmful chemicals despite not wanting to? Why do I feel detached from life? Why do I continue to use these things that I know are lethal to me? Will things ever get better? These are a few of the many questions I faced daily in my personal battle with active addiction and alcoholism. The good news is there is a solution! There is freedom! One can recover from alcoholism and drug addiction. Let us walk together with you on your path of recovery.
There has to be more in life than what I have! Why do I continue to drink or use harmful chemicals despite not wanting to? Why do I feel detached from life? Why do I continue to use these things that I know are lethal to me? Will things ever get better? These are a few of the many questions I faced daily in my personal battle with active addiction and alcoholism. The good news is there is a solution! There is freedom! One can recover from alcoholism and drug addiction. Let us walk together with you on your path of recovery.
Dealing with addiction can be very difficult and overwhelming to deal with alone. Addiction doesn't look the same for everyone but anyone can overcome addiction. Drug abuse and addiction problems can be devastating, not only to the individual but to the family as well. Knowing that you are not alone is the first step to ease your mind. Everyone with an addiction problem has their own story that should be individualized not judged but heard. Identifying the biological, environmental, behavioral, and social causes and consequences of drug use and addiction is just some of the steps that we will face together.
Dealing with addiction can be very difficult and overwhelming to deal with alone. Addiction doesn't look the same for everyone but anyone can overcome addiction. Drug abuse and addiction problems can be devastating, not only to the individual but to the family as well. Knowing that you are not alone is the first step to ease your mind. Everyone with an addiction problem has their own story that should be individualized not judged but heard. Identifying the biological, environmental, behavioral, and social causes and consequences of drug use and addiction is just some of the steps that we will face together.
As a therapist, I specialize in working with individuals navigating major life transitions, such as divorce, sending a child off to college, starting a new job, approaching retirement, or reconsidering their relationship with alcohol. These transitions often bring about a mix of excitement, uncertainty, and self-doubt. My ideal client is someone who wants to explore their evolving identity within these new roles and feels the need for support in making sense of their shifting life circumstances.
As a therapist, I specialize in working with individuals navigating major life transitions, such as divorce, sending a child off to college, starting a new job, approaching retirement, or reconsidering their relationship with alcohol. These transitions often bring about a mix of excitement, uncertainty, and self-doubt. My ideal client is someone who wants to explore their evolving identity within these new roles and feels the need for support in making sense of their shifting life circumstances.
My name is Johnny R. Ybarra and I'm a Licensed Chemical Dependency Counselor in San Antonio Texas, and nationally recognized by NAADAC as a Master Addiction Counselor (MAC) and a Department of Transportation - Substance Abuse Professional (DOT-SAP). I currently provide SAP evaluations and return-to-duty treatment planning for DOT professionals. Contact me to begin the SAP program! i also accept self pay clients who need 1:1 chemical dependency counseling through our secure video chat portal.
My name is Johnny R. Ybarra and I'm a Licensed Chemical Dependency Counselor in San Antonio Texas, and nationally recognized by NAADAC as a Master Addiction Counselor (MAC) and a Department of Transportation - Substance Abuse Professional (DOT-SAP). I currently provide SAP evaluations and return-to-duty treatment planning for DOT professionals. Contact me to begin the SAP program! i also accept self pay clients who need 1:1 chemical dependency counseling through our secure video chat portal.
Clayton Sponhaltz, LCDC, NCAC I, SAP
Drug & Alcohol Counselor, LCDC, NCAC I, SAP
San Antonio, TX 78258
If you or someone you love are having problems related to alcohol or drug use, there is hope and a way out. It is most useful to meet with someone who truly understands addiction and can provide a true assessment. I will work with you, your family and any other healthcare providers to develop a plan of action based on your needs. Often times the road to recovery starts with meeting someone who listens to understand, meets you with genuine care and concern and can provide useful recommendations. Chemical dependency is a primary illness not a secondary mental health issue; trust a counselor who entered this specialty field.
If you or someone you love are having problems related to alcohol or drug use, there is hope and a way out. It is most useful to meet with someone who truly understands addiction and can provide a true assessment. I will work with you, your family and any other healthcare providers to develop a plan of action based on your needs. Often times the road to recovery starts with meeting someone who listens to understand, meets you with genuine care and concern and can provide useful recommendations. Chemical dependency is a primary illness not a secondary mental health issue; trust a counselor who entered this specialty field.
Retired Air Force 1990, worked at private psychiatric hospitals, administrative work for a not-for-profit hospital, private practice since 2002.
Retired Air Force 1990, worked at private psychiatric hospitals, administrative work for a not-for-profit hospital, private practice since 2002.
At Restoration House Texas, our goal is to challenge and empower individuals in order to promote healing. Our therapists specialize in meeting people where they are and holistically allowing them to elevate to where they wish to be.
At Restoration House Texas, our goal is to challenge and empower individuals in order to promote healing. Our therapists specialize in meeting people where they are and holistically allowing them to elevate to where they wish to be.
Utilizing the latest evidence based treatment for Alcoholism and Substance Use Disorders coupled with a strong foundation in faith. Recovery that is faith based counseling. Our Treatment Focus Our focus is to help individuals heal, energize, and become aware of their inner strengths needed to overcome their alcoholism and addictions. A strong foundation in faith with an evidenced based Cognitive Behavioral Treatment. Sober Cross is committed to insuring that you are not alone during your recovery treatment Counseling!
Utilizing the latest evidence based treatment for Alcoholism and Substance Use Disorders coupled with a strong foundation in faith. Recovery that is faith based counseling. Our Treatment Focus Our focus is to help individuals heal, energize, and become aware of their inner strengths needed to overcome their alcoholism and addictions. A strong foundation in faith with an evidenced based Cognitive Behavioral Treatment. Sober Cross is committed to insuring that you are not alone during your recovery treatment Counseling!
I am a fluent bilingual Counselor (EN/SP) capable of helping those challenged by addiction issues to address or recover from them while also managing your relationships with friends, families, and loved ones.
I am a fluent bilingual Counselor (EN/SP) capable of helping those challenged by addiction issues to address or recover from them while also managing your relationships with friends, families, and loved ones.
I am currently accepting new clients for individual counseling, I am not accepting new clients for couples counseling.
Needless to say, we don't live in a perfect world and we all need a little guidance navigating the curves of life. I am HERE to HELP! I am an eclectic counselor, which simply means that I will use any & all techniques I've learned to get you back on track and where you think you belong. We will establish goals and explore ways to make those objectives happen for you. I'm ultimately here to listen to you and help you accomplish your purpose. The best way to book sessions with me by phone call or email.
I am currently accepting new clients for individual counseling, I am not accepting new clients for couples counseling.
Needless to say, we don't live in a perfect world and we all need a little guidance navigating the curves of life. I am HERE to HELP! I am an eclectic counselor, which simply means that I will use any & all techniques I've learned to get you back on track and where you think you belong. We will establish goals and explore ways to make those objectives happen for you. I'm ultimately here to listen to you and help you accomplish your purpose. The best way to book sessions with me by phone call or email.
Hi there, I’m really glad you’ve found your way here! Maybe you've been feeling down, burnt out, or like you're going through the motions but not really okay inside. I offer a space where you can show up just as you are, without judgment. I bring not only clinical experience, but a genuine sense of compassion and curiosity about your story. I know how disorienting it can feel to be caught in your thoughts or disconnected from yourself. My goal is to help you reduce the weight of anxiety or depression and feel more confident in managing whatever life throws your way.
Hi there, I’m really glad you’ve found your way here! Maybe you've been feeling down, burnt out, or like you're going through the motions but not really okay inside. I offer a space where you can show up just as you are, without judgment. I bring not only clinical experience, but a genuine sense of compassion and curiosity about your story. I know how disorienting it can feel to be caught in your thoughts or disconnected from yourself. My goal is to help you reduce the weight of anxiety or depression and feel more confident in managing whatever life throws your way.
We are not your average counseling practice. At Counseling4Life we understand our clients' need to find quality care at an affordable price. Our therapists are dedicated to assisting individuals, families, children, and teens in overcoming life's challenges and struggles, rebuilding and strengthening relationships, and experiencing deeper satisfaction in one's life. We meet our clients in a safe and encouraging therapy atmosphere that promotes laughter and healing for all!
We are not your average counseling practice. At Counseling4Life we understand our clients' need to find quality care at an affordable price. Our therapists are dedicated to assisting individuals, families, children, and teens in overcoming life's challenges and struggles, rebuilding and strengthening relationships, and experiencing deeper satisfaction in one's life. We meet our clients in a safe and encouraging therapy atmosphere that promotes laughter and healing for all!
Are you navigating significant life changes? Maybe you're facing changes in your health or abilities, grappling with grief and loss, or ready to address long-standing patterns that no longer serve you. Perhaps you're adjusting to retirement, or caregiving for a spouse, partner, or adult parent. Maybe age-related shifts have kicked up painful parts of the past, you're settling into a new environment or you've started contemplating profound questions about your legacy, identity, and meaning.
If any of this resonates, know that you don't have to approach your aging or the aging of your loved ones alone. Therapy can be a useful tool.
Are you navigating significant life changes? Maybe you're facing changes in your health or abilities, grappling with grief and loss, or ready to address long-standing patterns that no longer serve you. Perhaps you're adjusting to retirement, or caregiving for a spouse, partner, or adult parent. Maybe age-related shifts have kicked up painful parts of the past, you're settling into a new environment or you've started contemplating profound questions about your legacy, identity, and meaning.
If any of this resonates, know that you don't have to approach your aging or the aging of your loved ones alone. Therapy can be a useful tool.
Is your child struggling with intense emotions, attention issues, or persistent worry? Do you feel like you're constantly walking a tightrope—balancing impulsive outbursts and withdrawn behavior, all while trying to do what’s best for your child? At Evolve Psychiatry, our team partners with both children and parents to understand what’s driving your child’s distress and to create a plan that nurtures emotional growth, resilience, and success — both at home and in school.
Is your child struggling with intense emotions, attention issues, or persistent worry? Do you feel like you're constantly walking a tightrope—balancing impulsive outbursts and withdrawn behavior, all while trying to do what’s best for your child? At Evolve Psychiatry, our team partners with both children and parents to understand what’s driving your child’s distress and to create a plan that nurtures emotional growth, resilience, and success — both at home and in school.
She has a particular interest in helping clients who are facing midlife transitions, as well as those dealing with grief or childhood behavior issues. Heather believes in fostering resilience and self-awareness through Cognitive Behavioral Therapy (CBT), Couples/Marital Counseling, and Family Therapy. She supports her clients in understanding the root causes of their struggles and empowers them to make positive changes in their lives. Heather serves a diverse population, including first responders, military veterans, and women, as well as adolescents and adults.
She has a particular interest in helping clients who are facing midlife transitions, as well as those dealing with grief or childhood behavior issues. Heather believes in fostering resilience and self-awareness through Cognitive Behavioral Therapy (CBT), Couples/Marital Counseling, and Family Therapy. She supports her clients in understanding the root causes of their struggles and empowers them to make positive changes in their lives. Heather serves a diverse population, including first responders, military veterans, and women, as well as adolescents and adults.
Living and serving in the greater Austin-San Antonio Metroplex; I work with adults from all walks of life, with a special focus on members of the LGBTQ+ community, individuals recovering from trauma, and those facing addiction or recovery concerns. No matter where you are in your journey, you don’t have to face it alone—I’d be honored to walk alongside you.
Living and serving in the greater Austin-San Antonio Metroplex; I work with adults from all walks of life, with a special focus on members of the LGBTQ+ community, individuals recovering from trauma, and those facing addiction or recovery concerns. No matter where you are in your journey, you don’t have to face it alone—I’d be honored to walk alongside you.
Susan Riley is a Licensed Clinical Social Worker. She is passionate about helping clients improve their mental health. She finds it heartbreaking to see anyone suffer needlessly knowing that there are absolutely ways to feel better. Susan received her Master of Social Work from University of Texas at Arlington. She has worked in outpatient and inpatient mental health in behavioral health hospitals. She has experience in group and individual therapy along with mental health crisis assessment. She also has experience with domestic violence counseling and shelters and has been a facilitator for grief support groups
Susan Riley is a Licensed Clinical Social Worker. She is passionate about helping clients improve their mental health. She finds it heartbreaking to see anyone suffer needlessly knowing that there are absolutely ways to feel better. Susan received her Master of Social Work from University of Texas at Arlington. She has worked in outpatient and inpatient mental health in behavioral health hospitals. She has experience in group and individual therapy along with mental health crisis assessment. She also has experience with domestic violence counseling and shelters and has been a facilitator for grief support groups
My ideal clients are adults who want to better understand themselves, their emotions, and their relationships. They may feel stuck, anxious, or overwhelmed by life transitions, difficult emotions, or past experiences that continue to impact their present. Some struggle with low motivation, self-criticism, or feeling disconnected from their values and goals. These clients are seeking insight, clarity, and support, and want to feel more grounded, confident, and capable of navigating challenges while building healthier connections with themselves and others.
My ideal clients are adults who want to better understand themselves, their emotions, and their relationships. They may feel stuck, anxious, or overwhelmed by life transitions, difficult emotions, or past experiences that continue to impact their present. Some struggle with low motivation, self-criticism, or feeling disconnected from their values and goals. These clients are seeking insight, clarity, and support, and want to feel more grounded, confident, and capable of navigating challenges while building healthier connections with themselves and others.
Seeking support takes courage, and I’m here to provide a compassionate, nonjudgmental space where you feel seen, heard, and empowered. I’m a Licensed Master Social Worker (LMSW) based in San Antonio, TX, with a strong foundation in mental health and substance use. I work with individuals navigating anxiety, depression, trauma, life transitions, identity exploration, and relationship concerns. Sometimes life can feel very overwhelming and that no one understands. Maybe you even feel like you have no support. However, that’s where I come in. I am here to help you navigate these thoughts and emotions on a path to finding joy again.
Seeking support takes courage, and I’m here to provide a compassionate, nonjudgmental space where you feel seen, heard, and empowered. I’m a Licensed Master Social Worker (LMSW) based in San Antonio, TX, with a strong foundation in mental health and substance use. I work with individuals navigating anxiety, depression, trauma, life transitions, identity exploration, and relationship concerns. Sometimes life can feel very overwhelming and that no one understands. Maybe you even feel like you have no support. However, that’s where I come in. I am here to help you navigate these thoughts and emotions on a path to finding joy again.
See more therapy options for San Antonio
Nearby Alcohol Use Therapists Searches for San Antonio
- Alamo Heights
- Boerne
- Bulverde
- Cibolo
- Converse
- Fair Oaks
- Garden Ridge
- Helotes
- Live Oak
- Schertz
- Shavano Park
- Universal City
Alcohol Use Therapists
Are there specific medications for alcohol use?
There are oral medications approved to treat alcohol use disorder—such as disulfiram, acamprosate, and naltrexone, which also comes in an injectable form. These medications do help people reduce their drinking as well as avoid the problem of relapse. Naltrexone helps reduce cravings, disulfiram can make a person feel sick when they drink, and acamprosate may help ease symptoms like poor sleep and anxious feelings.
How do alcohol recovery or rehabilitation programs work?
In inpatient programs, individuals live in a facility with other patients in recovery; in outpatient programs,individuals live at home. These facilities are staffed with healthcare professionals including physicians, nurses, psychologists, counselors, and psychotherapists. Staff can also include people who have recovered themselves, serving as mentors and guides. These programs may use abstinence, harm reduction, detoxification, psychotherapy, and other tools for recovery.
How do 12-step programs combined with psychotherapy work?
Members of 12-step programs help each other reach abstinence and work to maintain it. These programs promote complete change in the individual’s emotional, mental, physical, and even spiritual perspectives. Some programs require that new members attend 90 meetings in 90 days. Many people do attend these programs in conjunction with their work in psychotherapy; the combination of therapy along with 12-step can be extremely effective.
How does harm reduction combined with psychotherapy work?
According to the Substance Abuse and Mental Health Services Administration, harm reduction prevents death, injury, disease, overdose, and substance misuse. People who choose harm reduction for alcohol use reduce the amount of alcohol they intake. It is not abstinence-based like a 12-step program, but combining harm reduction with psychotherapy proves to be effective for many people.