The 5 Most Trusted Counselling Services in San Antonio

trusted-counselling-services-in-san-antonio
We extensively test and research all services we review. Here's why you can trust us.

Therapist Qualifications: We looked for practices with fully licensed teams, including Licensed Professional Counselors (LPC), Licensed Marriage and Family Therapists (LMFT), and Licensed Clinical Social Workers (LCSW), as well as those offering specialized care like EMDR or trauma therapy.

Accessibility & Flexibility: We prioritized clinics that offer extended hours, weekend slots, or reliable telehealth options for busy professionals.

Pricing Transparency: We valued businesses that are upfront about their costs, insurance acceptance, or available sliding scale options.

Patient Atmosphere: We gauged the "vibe" of the clinic to ensure it feels like a safe, welcoming space rather than a cold clinical office.

Specialized Services: We looked for unique offerings like couples workshops, fatherhood coaching, or holistic treatments that go beyond standard talk therapy.

Life throws curveballs, and sometimes we just need someone to help us learn how to hit them or at least dodge them without getting bruised. Anxiety, relationship struggles, or simply feeling stuck can weigh you down. 

Finding the right therapist helps you regain your footing. But staring at a list of names on Google Maps can feel overwhelming when you’re already stressed. 

That’s why I’ve dug into the local scene to find the most reliable, welcoming, and professional counseling services in town.

How much does Counselling cost in San Antonio?

Getting mental health support in San Antonio doesn’t have to break the bank, but prices do fluctuate based on who you see. If you are seeing a student intern or an associate, you might pay around $40 to $50 per session, which is great if you are on a budget. For experienced, fully licensed professionals, the price usually jumps to between $100 and $275. Most people end up paying somewhere in the $100 to $200 range for standard individual therapy. Insurance or sliding scale options can definitely help lower that out-of-pocket hit.

1. Balanced Counseling of San Antonio

balanced-counseling-of-san-antonio

Website: https://www.balancedcounselingsa.com/
Address: 7272 Wurzbach Rd Ste 203
Contact: +1 210-980-6002
Schedule: Mon – Fri: 8 AM – 7 PM, Sat: 8 AM – 5 PM

Balanced Counseling looks at the big picture of your life. They use a holistic philosophy to treat the whole person rather than isolating symptoms. 

I love that they don’t limit themselves to one age group. They have pros who are great with kids, teens, and adults. 

If you have dealt with deep trauma, their team includes therapists trained in EMDR for specialized support. 

They also make it easy to see someone by mixing in-person visits with secure online video therapy.

However, their remote options do come with a slight catch. Their telehealth programs are for those in the San Antonio area, so you might be out of luck if you move or travel far.

Pros

  • Flexible telehealth during business hours
  • Over 15 years of experience
  • Treats anxiety, depression, and addiction
  • Affordable rates for self-pay clients

Cons

  • Telehealth is limited to the local area only


Customer Reviews

I can’t say enough good things about my experience with Elizabeth!!!!

I can’t say enough good things about my experience with Elizabeth!!!! From our first session i genuinely felt heard and understood. She has this great way of helping me explore and process my thoughts and I deeply appreciate the convenience of telehealth. I highly highly recommend.

Dr. Clancey is the best therapist I have ever been to.

I have been a patient of Dr. Clancey for over a year now and he is the best therapist I have ever been to. He is an amazing listener and always makes me feel safe and comfortable. Aside from that, Nayla at the front desk is extremely helpful and friendly! I highly recommend this office to anybody who is looking for a therapist.

2. Alamo Ranch Counseling and Wellness, PLLC

alamo-ranch-counseling-and-wellness-pllc

Website: https://www.alamoranchcounseling.com/
Address: 11220 W Loop 1604 N Building 1 Suite 119
Contact: +1 210-570-2060
Schedule

  • Mon – Fri: 9 AM – 5 PM
  • Sat: 9 AM – 12 PM

Alamo Ranch prioritizes flexibility. They offer a hybrid model that lets locals come in person, while anyone in Texas can hop online for virtual sessions. 

Their EMDR Therapy Intensives provide focused trauma work for those needing deep intervention. 

I actually tried to book a Saturday slot here once for a friend, and the weekend availability was a total lifesaver since most other places were closed. 

They also make a point to list affordable therapy options right on their menu.

The main downside here is that they run a tight ship regarding scheduling. You can’t just walk in when you are having a bad day. Everything is strictly by appointment only.

Pros

  • Free initial consultation available
  • Uses evidence-based care methods
  • Specialists for LGBTQ+ and Military
  • Mix of LPCs and Associates available

Cons

  • Strict appointment-only policy


Customer Reviews

Alamo Ranch Counseling deserves all of the stars

Alamo Ranch Counseling deserves all of the stars for their professionalism, compassion, and excellence. I’m genuinely grateful for Whitni Toson, Practice Founder, and her amazing team. ARCW serves with integrity, wisdom, and heart, creating a space where people feel seen, supported, and cared for. I’m thankful for their impact.


Whitni’s heart for people is admirable!

Whitni is a beautiful spirit that has a passion for helping people to live their best, most meaningful lives! Her compassion for others is unrelenting. The Ladies of Distinction Inc. recently awarded her for her social work within the community. Her heart for people is admirable!

3. Northeast Counseling Center, PLLC

northeast-counseling-center-pllc

Website: https://neccsa.org/
Address: 12915 Jones Maltsberger Rd 201 and #202
Contact: +1 210-404-4317
Schedule: Mon – Fri: 9 AM – 4 PM

Northeast Counseling Center is incredibly inclusive, welcoming children, adults, and seniors alike. 

If money is tight, you can opt to see an Associate Therapist for a much lower rate, which makes care way more accessible. 

They also have a unique niche for men, specifically offering “Fatherhood” coaching to help dads navigate parenting and anxiety. 

I really also really appreciate that they offer early morning appointments starting at 7 AM. This schedule allows for sessions before the workday begins, which can be a good start to the day of those who may need it. 

Unfortunately, their schedule isn’t quite as flexible on the other end of the week. They don’t offer any weekend appointments, so you have to squeeze sessions in during the work week.

Pros

  • Secure video sessions for all of Texas
  • Transparent pricing for 2026 listed
  • Offers CBT, DBT, and Brainspotting
  • Inclusive for LGBTQ+ and neurotypical needs

Cons

  • No weekend appointments available


Customer Reviews

From day one, Samantha made me feel comfortable and heard.

I can’t thank Samantha enough for the impact she’s had on my life in the short time I’ve been here. From day one, she’s made me feel comfortable and heard. She doesn’t just listen, she gives tools and guidance that actually help in daily life. I’ve noticed a huge difference in mood, confidence, and how I handle challenges. Truly grateful for her support.

I try to send everyone I know to her!

I have been seeing Andrea Cox for almost three years now and she has helped me more than I can express. When I started in 2018, I was newly divorced, had just graduated college with no idea of how to move forward, and was dealing with the fact that my children were just diagnosed with ASD. Andrea has helped me tackle my depression and anxiety, has helped me work through my major life changes, and has always made me feel safe enough to come in and work on my vulnerability. I try to send everyone I know to her!

4. Neely Counseling Center

neely-counseling-center

Website: https://neelycounseling.com/
Address: 11153 Westwood Loop bldg. 1
Contact: +1 210-523-4200
Schedule

  • Mon – Fri: 9 AM – 6 PM
  • Sat: 9 AM – 4 PM
  • Sun: 10 AM – 4 PM

Neely Counseling Center focuses on proactive mental health care. They encourage “Couch Time,” which is basically a mental health check-up to catch issues before they blow up. 

Their philosophy prioritizes practical application, focusing on real solutions rather than venting. 

I’ve heard from a colleague who used their services that the administrative team is super helpful with billing, which takes a lot of stress off your plate. 

They also have a bilingual team, making them a great choice for Spanish-speaking families. 

One potential drawback is that, like many growing practices, appointment availability can sometimes be limited depending on the provider you’re hoping to see, so flexibility with scheduling may be helpful.

Pros

  • Over 20 years of collective experience
  • In-person, online, and group options
  • Dedicated staff for insurance and billing
  • Free phone consultation available

Cons

  • Appointment availability is limited

Customer Reviews

I’m so happy that we have Gabby to help us

Gabby was so calming and kind. Our experience was so much more of a conversation and validation. She’s supportive and offered coping skills that have not been presented to me prior. I’m so happy that we have Gabby to help us work through our trauma and grief. She’s a gem.

Excellent counseling center with 2 locations.

Excellent counseling center with 2 locations. Dani was beyond helpful getting my benefits checked, with scheduling, and helping me over the phone managing my appointment during high risk safety concerns. Thanks Dani!! Highly recommend Neely Counseling and can’t thank Dani enough 🙏🏼


5. Inspire 2Be You Counseling Services

inspire-2be-you-counseling-services

Website: https://www.inspire2bu.life/
Address: 4414 Centerview Dr # 106
Contact: +1 210-725-8702
Schedule

  • Mon – Fri: 8 AM – 8 PM
  • Sat: 8 AM – 2 PM

Inspire 2Be You is all about empowerment and creating a safe space for deep healing. 

Dacia Benton leads the practice with a compassionate, faith-informed approach to therapy.

They specialize in heavy-hitting issues like trauma, PTSD, and substance abuse, offering a path forward for those in deep pain. The practice centers on restoration and helping you find your strength again. 

They also stay open until 8 PM on weekdays, which is incredibly convenient for the after-work crowd. 

A downside to be aware of is the administrative side of things. Some clients have reported delays or confusion when it comes to processing insurance, so you might need to stay on top of the paperwork, too.

Pros

  • Specializes in trauma and substance abuse
  • Late evening hours until 8 PM
  • Compassionate, faith-informed care
  • “Safe space” environment

Cons

  • Insurance processing can be slow


Customer Reviews

Every session I leave thankful to have found her.

I’ve been seeing Mrs. Benton for 7 months, and I honestly don’t know how I would have gotten through those months without her. Every session I leave thankful to have found her. She makes it easy to open up, she shows care and compassion, and gives great advice and homework on how to move forward. Thank you Dacia and April for all you do.

Best Practice I’ve had!

Best Practice I’ve had! Mrs. Benton really takes her time with her clients and help them through whatever the root of the problem is! Gives great helpful inputs and what’s really important to me as a client is also the environment and I feel safe and comfortable in her office! A nice safe place. Highly recommended her!