Medication Management Therapists in San Antonio, TX
At Twinkle Peds Psych, we are a multi-specialty group who specializes in compassionate, comprehensive mental health care for children and adolescents. Our dedicated team is here to support your child's growth and well-being every step of the way.
At Twinkle Peds Psych, we are a multi-specialty group who specializes in compassionate, comprehensive mental health care for children and adolescents. Our dedicated team is here to support your child's growth and well-being every step of the way.
Hi there! I am a Licensed Professional Counselor, accepting clients from Texas and Colorado. I have 7 years of clinical and telehealth experience, and I utilize trauma focused and evidence based techniques to help make connections. Life can be overwhelming and sometimes even exhausting, but I’m here to guide you through any obstacles you may face. My goal is to help you understand yourself more deeply and better cope with change.
Hi there! I am a Licensed Professional Counselor, accepting clients from Texas and Colorado. I have 7 years of clinical and telehealth experience, and I utilize trauma focused and evidence based techniques to help make connections. Life can be overwhelming and sometimes even exhausting, but I’m here to guide you through any obstacles you may face. My goal is to help you understand yourself more deeply and better cope with change.
As an experienced therapist my passion is to help individuals find healthy perceptions of themselves and teach useful and practical skills to strengthen your relationships. I'm a Licensed Professional Counselor Supervisor in Texas that believes in creating a trusting relationship with clients in order to understand their experiences and contexts. I also work hard to create a nonjudgmental and dynamic environment that amplifies strengths and examines unhelpful patterns that are no longer serving you. I will work with you to examine these patterns and shift them by creating new ways of coping.
As an experienced therapist my passion is to help individuals find healthy perceptions of themselves and teach useful and practical skills to strengthen your relationships. I'm a Licensed Professional Counselor Supervisor in Texas that believes in creating a trusting relationship with clients in order to understand their experiences and contexts. I also work hard to create a nonjudgmental and dynamic environment that amplifies strengths and examines unhelpful patterns that are no longer serving you. I will work with you to examine these patterns and shift them by creating new ways of coping.
You may feel stuck in a mental side quest you didn’t sign up for—overwhelmed emotions, confusing relationships, or old experiences that keep respawning. Maybe identity questions feel heavy, or patterns repeat no matter how hard you try to “fix” them. You want clarity, relief, and tools that actually work, with a therapist who understands nuance and won’t judge how you live, love, or exist.
You may feel stuck in a mental side quest you didn’t sign up for—overwhelmed emotions, confusing relationships, or old experiences that keep respawning. Maybe identity questions feel heavy, or patterns repeat no matter how hard you try to “fix” them. You want clarity, relief, and tools that actually work, with a therapist who understands nuance and won’t judge how you live, love, or exist.
Feeling stuck, hopeless, or confused? Need a change, but not sure what it would be? Sometimes life throws challenges that are too overwhelming to handle alone. Whether you are having trouble accepting or believing in yourself, fighting depression or anxiety, managing anger, or dealing with relationship problems; psychotherapy can be an extremely helpful process to facilitate personal growth and insight.
Feeling stuck, hopeless, or confused? Need a change, but not sure what it would be? Sometimes life throws challenges that are too overwhelming to handle alone. Whether you are having trouble accepting or believing in yourself, fighting depression or anxiety, managing anger, or dealing with relationship problems; psychotherapy can be an extremely helpful process to facilitate personal growth and insight.
Jamie Norton is a Licensed Professional Counselor Associate from Houston, Texas. She obtained her bachelor’s degree in Psychology and her Masters of Science in Clinical Mental Health Counseling from The University of Texas at San Antonio. She is deeply passionate about providing high quality services. She has experience working with children, adolescents, and young adults.
Jamie Norton is a Licensed Professional Counselor Associate from Houston, Texas. She obtained her bachelor’s degree in Psychology and her Masters of Science in Clinical Mental Health Counseling from The University of Texas at San Antonio. She is deeply passionate about providing high quality services. She has experience working with children, adolescents, and young adults.
Hope Tran is a Licensed Professional Counselor and Licensed Chemical Dependency Counselor who was born and raised in Harlingen, TX. In 2018, Hope moved to San Antonio and completed her undergraduate studies at The University of Texas at San Antonio, where she earned a Bachelor of Science in Public Health with a concentration in Behavioral Science. In 2024, she obtained a Master of Science from UTSA in Clinical Mental Health Counseling and an Integrated Behavioral Health certificate.
Hope Tran is a Licensed Professional Counselor and Licensed Chemical Dependency Counselor who was born and raised in Harlingen, TX. In 2018, Hope moved to San Antonio and completed her undergraduate studies at The University of Texas at San Antonio, where she earned a Bachelor of Science in Public Health with a concentration in Behavioral Science. In 2024, she obtained a Master of Science from UTSA in Clinical Mental Health Counseling and an Integrated Behavioral Health certificate.
We offer individual counseling, psychiatry/ medication management (virtual only), family counseling, couples therapy/marriage counseling, and child & teen therapy.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
We offer individual counseling, psychiatry/ medication management (virtual only), family counseling, couples therapy/marriage counseling, and child & teen therapy.
At Thriveworks, we're dedicated to providing top-tier mental health services that are easily accessible to everyone. With over 340 locations nationwide and flexible online therapy options, our professional therapists are equipped to assist you through any stress, life transitions, or ongoing mental health concerns. We prioritize your convenience and needs by offering flexible scheduling, including evening and weekend appointments, ensuring that you can start your therapy journey as early as this week. Plus, we accept most major insurance plans, making your path to mental health support smoother and more affordable.
I’m a licensed professional counselor who specializes in areas such as mood disorders like depression, bipolar, schizophrenia disorders and symptoms of anxiety, trauma, OCD, etc. I am fluent in Spanish.
I’m a licensed professional counselor who specializes in areas such as mood disorders like depression, bipolar, schizophrenia disorders and symptoms of anxiety, trauma, OCD, etc. I am fluent in Spanish.
Embracing Change, Cultivating Growth: Viktor E. Frankl famously remarked, "When we are no longer able to change a situation, we are challenged to change ourselves." This quote echoes the essence of my journey into mental health therapy—a path that serendipitously unfolded before me. I'm thrilled you've found your way here! My own journey to becoming a mental health therapist was far from straightforward, but it consistently drew me back to this profound calling. There's an irresistible pull for me in walking alongside individuals as they navigate life's ups and downs. I didn't stumble into this career by accident it called out to
Embracing Change, Cultivating Growth: Viktor E. Frankl famously remarked, "When we are no longer able to change a situation, we are challenged to change ourselves." This quote echoes the essence of my journey into mental health therapy—a path that serendipitously unfolded before me. I'm thrilled you've found your way here! My own journey to becoming a mental health therapist was far from straightforward, but it consistently drew me back to this profound calling. There's an irresistible pull for me in walking alongside individuals as they navigate life's ups and downs. I didn't stumble into this career by accident it called out to
At Get2ten we provide the highest quality of service to persons with physical, emotional and mental disabilities. Get2ten is committed to helping those in most need to success. Our purpose is to improve the lives of people in our community through counseling, job skills training and career placement. Get2ten is founded on the belief of the potential of every human being. We believe that through counseling, training and encouragement that each person will become self-supporting thriving members of society.
At Get2ten we provide the highest quality of service to persons with physical, emotional and mental disabilities. Get2ten is committed to helping those in most need to success. Our purpose is to improve the lives of people in our community through counseling, job skills training and career placement. Get2ten is founded on the belief of the potential of every human being. We believe that through counseling, training and encouragement that each person will become self-supporting thriving members of society.
I specialize in working with clients that have co-occurring disorders such as depression and substance abuse. I have found that many people will start self-medicating for depression and anxieties with alcohol and street drugs only to find themselves in an addiction they never wanted. I also specialize in Post-traumatic Stress Disorders. I will primarily provide services through Telemedicine portals to help protect the confidentiality of my clients who do not wish to be seen walking into or out of a mental health office.
I specialize in working with clients that have co-occurring disorders such as depression and substance abuse. I have found that many people will start self-medicating for depression and anxieties with alcohol and street drugs only to find themselves in an addiction they never wanted. I also specialize in Post-traumatic Stress Disorders. I will primarily provide services through Telemedicine portals to help protect the confidentiality of my clients who do not wish to be seen walking into or out of a mental health office.
Robert L. Ludke is a Licensed Professional Counselor Associate and was born in Wisconsin and lived in several parts of the country, including many years in Chicago, shaping his appreciation for diverse communities. He earned his Master’s degree in Clinical Mental Health Counseling from Liberty University. He has clinical experience supporting teens, adults, and seniors in behavioral health settings. Robert has worked with military members, veterans, law enforcement professionals, and older adults navigating transitions related to aging, caregiving, and long-term care.
Robert L. Ludke is a Licensed Professional Counselor Associate and was born in Wisconsin and lived in several parts of the country, including many years in Chicago, shaping his appreciation for diverse communities. He earned his Master’s degree in Clinical Mental Health Counseling from Liberty University. He has clinical experience supporting teens, adults, and seniors in behavioral health settings. Robert has worked with military members, veterans, law enforcement professionals, and older adults navigating transitions related to aging, caregiving, and long-term care.
Jacqueline Del Fierro Avila is a post-doctoral intern and Licensed Professional Counselor Supervisor. She earned her bachelor’s degree in Psychology from the University of Texas at San Antonio, her Master of Arts in General Counseling at Webster University, and a second Master’s in Clinical Psychology at Walden University. She recently completed her doctorate in Clinical Psychology at Walden University. Dr. Avila has over 10 years’ experience working with a diverse population, helping individuals face a wide range of concerns, to include depression, anxiety, trauma, abuse, loss, and life transition challenges.
Jacqueline Del Fierro Avila is a post-doctoral intern and Licensed Professional Counselor Supervisor. She earned her bachelor’s degree in Psychology from the University of Texas at San Antonio, her Master of Arts in General Counseling at Webster University, and a second Master’s in Clinical Psychology at Walden University. She recently completed her doctorate in Clinical Psychology at Walden University. Dr. Avila has over 10 years’ experience working with a diverse population, helping individuals face a wide range of concerns, to include depression, anxiety, trauma, abuse, loss, and life transition challenges.
I'm about love, self-compassion, radical acceptance, embracing failure, trusting your innate wisdom and starting over. I fundamentally believe in every person's ability to recover from trauma, addiction and life, in general. Experience has taught me that no one is really avoiding anything. When people accuse you of not dealing with something, what they are really saying is you aren't dealing with it the way they want you to. From my perspective, if you wake up every morning and breathe in and out all day long, you're dealing with your stuff. A tiny bit of intention is all it takes to begin healing.
I'm about love, self-compassion, radical acceptance, embracing failure, trusting your innate wisdom and starting over. I fundamentally believe in every person's ability to recover from trauma, addiction and life, in general. Experience has taught me that no one is really avoiding anything. When people accuse you of not dealing with something, what they are really saying is you aren't dealing with it the way they want you to. From my perspective, if you wake up every morning and breathe in and out all day long, you're dealing with your stuff. A tiny bit of intention is all it takes to begin healing.
I am a licensed professional counselor in the heart of South Houston. I am committed to creating a safe and supportive space where clients feel heard, valued, and empowered. I believe the therapeutic relationship is the foundation for meaningful change. I prioritize building trust and collaborative connections.
I am dedicated to providing compassionate support to adolescents and adults navigating challenges such as anxiety, grief, trauma, PTSD, life transitions, and academic performance issues.
I am a licensed professional counselor in the heart of South Houston. I am committed to creating a safe and supportive space where clients feel heard, valued, and empowered. I believe the therapeutic relationship is the foundation for meaningful change. I prioritize building trust and collaborative connections.
I am dedicated to providing compassionate support to adolescents and adults navigating challenges such as anxiety, grief, trauma, PTSD, life transitions, and academic performance issues.
I completed the following degrees, licenses, & certifications to provide comprehensive care for clients: Registered Nurse, Functional Medicine Practitioner, Board-Certified Faith-Based Therapist, Psychology Graduate, Licensed Minister, & Certified Life/Wellness Coach. I am fundamentally motivated to lead others to overcome challenges & odds as I serve them by offering advice, education, treatment & emotional support helping to make an impact that produces positive substantial changes in their lives. In addition, I utilize labs and licensed pharmaceutical-grade nutraceuticals to help my clients achieve better health.
I completed the following degrees, licenses, & certifications to provide comprehensive care for clients: Registered Nurse, Functional Medicine Practitioner, Board-Certified Faith-Based Therapist, Psychology Graduate, Licensed Minister, & Certified Life/Wellness Coach. I am fundamentally motivated to lead others to overcome challenges & odds as I serve them by offering advice, education, treatment & emotional support helping to make an impact that produces positive substantial changes in their lives. In addition, I utilize labs and licensed pharmaceutical-grade nutraceuticals to help my clients achieve better health.
Susan R Smart
Licensed Professional Counselor, MAC, LPC-S
San Antonio, TX 78217
Waitlist for new clients
Therapy is not just about talking—it’s about transformation. With a practical, goal-oriented approach, I help clients move beyond feeling stuck and toward meaningful, lasting change. As a Licensed Professional Counselor Supervisor, I combine clinical expertise with a deep commitment to growth—both for my clients and for the clinicians I mentor. I believe that successful therapy begins with a shared understanding: progress requires effort. My ideal client is someone who is ready to do the work and, is willing to engage in the process, real change becomes possible.
Therapy is not just about talking—it’s about transformation. With a practical, goal-oriented approach, I help clients move beyond feeling stuck and toward meaningful, lasting change. As a Licensed Professional Counselor Supervisor, I combine clinical expertise with a deep commitment to growth—both for my clients and for the clinicians I mentor. I believe that successful therapy begins with a shared understanding: progress requires effort. My ideal client is someone who is ready to do the work and, is willing to engage in the process, real change becomes possible.
I conduct on-line-video counseling sessions through a HIPPA compliant platform, which is a secure portal that allows me to see my patients via remote video conferencing. This service is ideal for those that are seeking: Increased comfort with the ability to attend appointments from home; increased anonymity; greater flexibility in appointment times and locations; inclement weather solution; eliminate round-trip travel time. Most people agree that one of the most valuable assets they own is their time.
I conduct on-line-video counseling sessions through a HIPPA compliant platform, which is a secure portal that allows me to see my patients via remote video conferencing. This service is ideal for those that are seeking: Increased comfort with the ability to attend appointments from home; increased anonymity; greater flexibility in appointment times and locations; inclement weather solution; eliminate round-trip travel time. Most people agree that one of the most valuable assets they own is their time.
Hello fellow traveler! My practice is grounded in trauma informed care but inspired by the expansion of human awareness. I am a deeply sensitive and curious therapist. I love to use metaphors, poetic improvisation, archetypes, body movement, meditation, and lots of humor in my practice. I am deeply touched and inspired by topics related to feminism, de-colonization, psychedelic therapies, LGBTQIA+ community, the Latino movement, religious cult survivors, and the non-monogamous experience. I strongly believe in relational therapy, which means that I foster a warm and safe space where people feel free to be who they are with me!
Hello fellow traveler! My practice is grounded in trauma informed care but inspired by the expansion of human awareness. I am a deeply sensitive and curious therapist. I love to use metaphors, poetic improvisation, archetypes, body movement, meditation, and lots of humor in my practice. I am deeply touched and inspired by topics related to feminism, de-colonization, psychedelic therapies, LGBTQIA+ community, the Latino movement, religious cult survivors, and the non-monogamous experience. I strongly believe in relational therapy, which means that I foster a warm and safe space where people feel free to be who they are with me!
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What are the most effective ways to manage medications?
One of the most effective ways a patient can manage their medications is to keep a list of each drug and dosage they take. Such a list can be helpful in keeping to their schedule and can also be something they bring to their psychiatrist or other physician so that the healthcare provider has a clear picture of what they’re taking and in what quantity. Using a pill organizer can be useful for memory and organization. Patients should discuss their medications and their effects at every appointment.
What are the risks if medications are not managed properly?
A suboptimal approach to medication management can lead to potentially harmful health outcomes. Most psychiatric drugs have side effects, and if a patient is not aware of them, they may seek additional medical help or over the counter or prescription drugs to treat the side effects, which may have its own side effects, a process called “prescription cascade.” Another risk to disorganization is that a psychiatrist without full knowledge of a patient’s regimen could prescribe a medication that should not be mixed with a patient’s existing drugs.
What’s the best way to encourage someone to get help managing their medications?
It’s helpful to express concern and love for the person while framing medication management as a tool for improving their life and avoiding dangerous side effects. Offering specific examples of an individual’s failure to properly manage their medication regimen should be done with compassion and with empathy. It may be useful to break management down into parts, and there are several apps that can be used to organize which drugs are ingested, when they need to be refilled, and how they should be stored.
Are there natural treatments that can replace medications?
While there are many medications that can be vital to mental health, there are some natural lifestyle changes that can help reduce the need for drugs. Regular exercise, good sleep habits, a healthy diet, and therapy can all go a long way in symptom relief. Psychiatric medications typically treat symptoms but do not necessarily treat the cause of the condition. Many clinicians consider medications an adjunct to treatment rather than a treatment in and of itself.


