Therapists in San Antonio, TX
I am not accepting new therapy or assessments until November.
I provide therapy for teenagers and young adults with difficulties related to depression, anxiety, developmental trauma, school issues, and navigating relationships. Additionally, I evaluate children (age 6+), adolescents, and adults. My evaluation expertise includes Autism, ADHD, learning disabilities (e.g., dyslexia), and psychological problems (e.g., depression, anxiety, bipolar).
I am not accepting new therapy or assessments until November.
I provide therapy for teenagers and young adults with difficulties related to depression, anxiety, developmental trauma, school issues, and navigating relationships. Additionally, I evaluate children (age 6+), adolescents, and adults. My evaluation expertise includes Autism, ADHD, learning disabilities (e.g., dyslexia), and psychological problems (e.g., depression, anxiety, bipolar).
If you're struggling with anxiety, depression, self-esteem, or feeling disconnected from your true self, you're not alone. You may feel overwhelmed, but I’m here to help you find clarity and strength. Together, we’ll work on shifting unhelpful patterns, building self-love, and developing the skills you need to navigate life with confidence. My goal is to help you feel empowered to create the life you want—one where you feel connected, resilient, and authentic. Healing takes time, but you don’t have to do it alone. Let’s start this journey together.
If you're struggling with anxiety, depression, self-esteem, or feeling disconnected from your true self, you're not alone. You may feel overwhelmed, but I’m here to help you find clarity and strength. Together, we’ll work on shifting unhelpful patterns, building self-love, and developing the skills you need to navigate life with confidence. My goal is to help you feel empowered to create the life you want—one where you feel connected, resilient, and authentic. Healing takes time, but you don’t have to do it alone. Let’s start this journey together.
I work with teens and adults experiencing anxiety, depression, trauma, or psychosis. Some clients come to therapy feeling overwhelmed, stuck, disconnected, or unsure how to manage symptoms affecting their lives. Others may be functioning well outwardly while struggling privately. Together, we work to understand patterns in thoughts, emotions, and behaviors and develop practical ways to respond differently.
I work with teens and adults experiencing anxiety, depression, trauma, or psychosis. Some clients come to therapy feeling overwhelmed, stuck, disconnected, or unsure how to manage symptoms affecting their lives. Others may be functioning well outwardly while struggling privately. Together, we work to understand patterns in thoughts, emotions, and behaviors and develop practical ways to respond differently.
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.
I believe that clients have the tools in them to work through life's struggles, to bring them forth and use them. Clients can also learn new skills to make the necessary changes needed in their life. I use the therapeutic theories of Cognitive-Behavioral Therapy and Solution-Focused Therapy.
I believe that clients have the tools in them to work through life's struggles, to bring them forth and use them. Clients can also learn new skills to make the necessary changes needed in their life. I use the therapeutic theories of Cognitive-Behavioral Therapy and Solution-Focused Therapy.
I can work with many different clients, but I specialize in working with clients dealing with Life Transitions, Self-Esteem, Individual Counseling, Guilt/Shame, and Anxiety. I believe it is essential to consider the many dimensions of a person’s life in order to understand how they arrived at their current circumstances and to support them in moving forward with intention and self-awareness. I am committed to creating a safe, supportive, and nonjudgmental space where clients can openly explore their concerns with empathy and trust.
I can work with many different clients, but I specialize in working with clients dealing with Life Transitions, Self-Esteem, Individual Counseling, Guilt/Shame, and Anxiety. I believe it is essential to consider the many dimensions of a person’s life in order to understand how they arrived at their current circumstances and to support them in moving forward with intention and self-awareness. I am committed to creating a safe, supportive, and nonjudgmental space where clients can openly explore their concerns with empathy and trust.
With over 19 years of experience, I have a strong background helping adolescents and adult clients overcome personal challenges and cope with triggering situations. My expertise is in PTSD and other trauma related disorders, anxiety, and relationship issues. All services are performed with respect and understanding of professional rules of ethics.
With over 19 years of experience, I have a strong background helping adolescents and adult clients overcome personal challenges and cope with triggering situations. My expertise is in PTSD and other trauma related disorders, anxiety, and relationship issues. All services are performed with respect and understanding of professional rules of ethics.
Born in Mexico City. Living in Texas since 1976. Bicultural and bilingual. Married with two children and seven grandchildren. Working as a clinical psychologist since 1989. Working experience with children, adolescents, adults, couples, and the elderly.
Born in Mexico City. Living in Texas since 1976. Bicultural and bilingual. Married with two children and seven grandchildren. Working as a clinical psychologist since 1989. Working experience with children, adolescents, adults, couples, and the elderly.
As a counselor, I love helping my clients feel empowered, confident, and helping them make meaning out of their difficult life experiences. I have a passion for helping people heal from traumatic experiences and find ways to cope in order to move on in their journey. I specialize in helping people who have experienced Child Sexual Abuse, Sexual Assault, and Domestic Violence. I have also worked with client's struggling with depression, anxiety, and relationship issues.
As a counselor, I love helping my clients feel empowered, confident, and helping them make meaning out of their difficult life experiences. I have a passion for helping people heal from traumatic experiences and find ways to cope in order to move on in their journey. I specialize in helping people who have experienced Child Sexual Abuse, Sexual Assault, and Domestic Violence. I have also worked with client's struggling with depression, anxiety, and relationship issues.
Do you find yourself endlessly scrolling, wishing you were living someone else’s life? Tired of pretending to be happy while secretly feeling anxious, depressed, or envious? You don’t have to stay stuck! In our work together, I help you uncover what’s holding you back, quiet racing thoughts, and builds healthier patterns. My goal is to get you back on track so you feel grounded, confident, and able to enjoy your own life again.
Do you find yourself endlessly scrolling, wishing you were living someone else’s life? Tired of pretending to be happy while secretly feeling anxious, depressed, or envious? You don’t have to stay stuck! In our work together, I help you uncover what’s holding you back, quiet racing thoughts, and builds healthier patterns. My goal is to get you back on track so you feel grounded, confident, and able to enjoy your own life again.
My ideal clients are adults and families who feel weighed down by anxiety, depression, or the effects of past trauma. Many are navigating life stressors such as relationship struggles, work challenges, or sudden changes that have left them feeling stuck and overwhelmed. They are seeking a safe, supportive space where they can process their experiences, gain new coping tools, and work toward resilience and healing. Above all, they want to feel understood, regain control of their lives, and move forward with confidence.
My ideal clients are adults and families who feel weighed down by anxiety, depression, or the effects of past trauma. Many are navigating life stressors such as relationship struggles, work challenges, or sudden changes that have left them feeling stuck and overwhelmed. They are seeking a safe, supportive space where they can process their experiences, gain new coping tools, and work toward resilience and healing. Above all, they want to feel understood, regain control of their lives, and move forward with confidence.
Inclusive Support for Your Unique Journey Accessible Online Therapy Across Texa. Growth Starts Here. I’m a Licensed Professional Counselor Associate (supervised by Dr. Kevin Milligan, LPCS), and I help individuals in San Antonio and all across Texas find their balance, strength, and joy.
-Your Safe Space for Real Change-
Life is complex, and sometimes you need a compassionate guide to navigate it. My practice is an affirming, non-judgmental space dedicated to your growth, no matter where you are on your journey.
Inclusive Support for Your Unique Journey Accessible Online Therapy Across Texa. Growth Starts Here. I’m a Licensed Professional Counselor Associate (supervised by Dr. Kevin Milligan, LPCS), and I help individuals in San Antonio and all across Texas find their balance, strength, and joy.
-Your Safe Space for Real Change-
Life is complex, and sometimes you need a compassionate guide to navigate it. My practice is an affirming, non-judgmental space dedicated to your growth, no matter where you are on your journey.
Renew your mind. Transform your life.
Imagine carrying the weight of unspoken stress, past wounds, or roles that never gave you space to pause and breathe. Maybe you’re an everyday person showing up for others but feeling unseen yourself—a man who's always had to “be strong,” an elder navigating life transitions, a faith-filled woman wrestling with doubt or disappointment, or someone simply tired of just getting by. You want peace in your mind, healing in your relationships, and clarity about who you are and where you’re going. You’re not asking for perfect—you’re asking to feel whole, seen, and equipped to move forward.
Renew your mind. Transform your life.
Imagine carrying the weight of unspoken stress, past wounds, or roles that never gave you space to pause and breathe. Maybe you’re an everyday person showing up for others but feeling unseen yourself—a man who's always had to “be strong,” an elder navigating life transitions, a faith-filled woman wrestling with doubt or disappointment, or someone simply tired of just getting by. You want peace in your mind, healing in your relationships, and clarity about who you are and where you’re going. You’re not asking for perfect—you’re asking to feel whole, seen, and equipped to move forward.
Elizabeth K. Oldham
Licensed Professional Counselor, MA, LPC-S, CCTP, CCFP
2 Endorsed
San Antonio, TX 78230
Do you feel stuck? Are you suffering from an anxiety or mood disorder? Would you like to change your self-talk and plan your future? As a whole-person centered therapist I will utilize cognitive behavior techniques with a secondary emphasis on physical habits to help you to examine and make life changes. I will help you to make sense of your story, identify and adjust thinking, and accept and love yourself. Together we will set clear goals for life changes. I create an atmosphere of acceptance and hope, integrating faith if desired. Additionally I now offer Compassion Fatigue Therapy for those in helping professions.
Do you feel stuck? Are you suffering from an anxiety or mood disorder? Would you like to change your self-talk and plan your future? As a whole-person centered therapist I will utilize cognitive behavior techniques with a secondary emphasis on physical habits to help you to examine and make life changes. I will help you to make sense of your story, identify and adjust thinking, and accept and love yourself. Together we will set clear goals for life changes. I create an atmosphere of acceptance and hope, integrating faith if desired. Additionally I now offer Compassion Fatigue Therapy for those in helping professions.
Are you looking for a counselor to help with life's difficulties? I am a strength-based clinician who wants to build upon the client’s successes, talents, coping skills, interests and personal skills. I will use psychodynamic principals and cognitive-behavior interventions to help my clients improve their life. I can also work with parents on developing strategies for the success of their children.
Are you looking for a counselor to help with life's difficulties? I am a strength-based clinician who wants to build upon the client’s successes, talents, coping skills, interests and personal skills. I will use psychodynamic principals and cognitive-behavior interventions to help my clients improve their life. I can also work with parents on developing strategies for the success of their children.
I help children, teens, young adults, and families work through trauma, anxiety, emotional overwhelm, and hard life experiences in a way that feels safe, supportive, and real. My style is warm, direct, trauma-informed, and yes, probably includes a little humor when appropriate. I specialize in trauma-focused work, EMDR, play therapy, and supporting clients who have experienced sexual abuse or assault.
I help children, teens, young adults, and families work through trauma, anxiety, emotional overwhelm, and hard life experiences in a way that feels safe, supportive, and real. My style is warm, direct, trauma-informed, and yes, probably includes a little humor when appropriate. I specialize in trauma-focused work, EMDR, play therapy, and supporting clients who have experienced sexual abuse or assault.
Starting therapy can feel like a big step, especially if you’ve been carrying stress, anxiety, sadness, or overwhelm on your own for a long time. I strive to offer a safe, supportive, and nonjudgmental space where you can feel comfortable being yourself and talking openly about what’s been weighing on you.
Starting therapy can feel like a big step, especially if you’ve been carrying stress, anxiety, sadness, or overwhelm on your own for a long time. I strive to offer a safe, supportive, and nonjudgmental space where you can feel comfortable being yourself and talking openly about what’s been weighing on you.
As a therapist, I believe that healing begins in a space where you feel seen, heard & safe to be your authentic self. My approach stems from trauma-informed, culturally responsive care that meets you where you are—whether you're navigating life transitions, managing emotional struggles or processing past trauma. My experience spans work with military service members & their families, at-risk youth & gender-diverse individuals. If you're looking for a therapist who truly understands the complexity of your experiences & values, you’re in the right place. Together, we can work toward clarity, resilience & a more grounded sense of self.
As a therapist, I believe that healing begins in a space where you feel seen, heard & safe to be your authentic self. My approach stems from trauma-informed, culturally responsive care that meets you where you are—whether you're navigating life transitions, managing emotional struggles or processing past trauma. My experience spans work with military service members & their families, at-risk youth & gender-diverse individuals. If you're looking for a therapist who truly understands the complexity of your experiences & values, you’re in the right place. Together, we can work toward clarity, resilience & a more grounded sense of self.
Gabriela Alvarado
Marriage & Family Therapist Associate, MS, LMFT-A
3 Endorsed
San Antonio, TX 78230
Hello! I am Gaby. As a Marriage and Family Therapist, I aim to create a nurturing and safe space where clients can dive deep into their experiences, forge healthier connections, and develop the tools they need to flourish. I enjoy working with children and adolescents as they navigate the pivotal complexities of identity, relationships, and mental health. I am passionate about working with women transitioning into motherhood and helping them navigate the challenges of life transitions. As a systemic therapist, I recognize the intricate dynamics of relationships and their profound impact on each family member.
Hello! I am Gaby. As a Marriage and Family Therapist, I aim to create a nurturing and safe space where clients can dive deep into their experiences, forge healthier connections, and develop the tools they need to flourish. I enjoy working with children and adolescents as they navigate the pivotal complexities of identity, relationships, and mental health. I am passionate about working with women transitioning into motherhood and helping them navigate the challenges of life transitions. As a systemic therapist, I recognize the intricate dynamics of relationships and their profound impact on each family member.
As a therapist, I pride myself on meeting the client where they’re at by listening and allowing them to be exactly who they are. I offer a safe space to share as much or as little as the client is comfortable sharing. Validating and normalizing their experiences while also challenging them to work towards change. Helping a client realize they can do hard things and have the capacity to overcome sometimes overwhelming odds is one of the joys of being a therapist.
As a therapist, I pride myself on meeting the client where they’re at by listening and allowing them to be exactly who they are. I offer a safe space to share as much or as little as the client is comfortable sharing. Validating and normalizing their experiences while also challenging them to work towards change. Helping a client realize they can do hard things and have the capacity to overcome sometimes overwhelming odds is one of the joys of being a therapist.
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How does your Therapist compare?
Number of Therapists in San Antonio, TX
3,000+
Average cost per session
$128
Therapists in San Antonio, TX who prioritize treating:
| 91% | Anxiety |
| 91% | Social Anxiety |
| 91% | Health Anxiety |
| 91% | Driving Anxiety |
| 85% | Depression |
| 69% | Self Esteem |
| 68% | Trauma and PTSD |
Average years in practice
9 Years
Top 3 insurances accepted
| 93% | Aetna |
| 79% | BlueCross and BlueShield |
| 79% | Cigna and Evernorth |
How Therapists in San Antonio, TX see their clients
| 52% | In Person and Online | |
| 48% | Online Only |
Gender breakdown
| 80% | Female | |
| 19% | Male | |
| 1% | Non-Binary |