Lena RiveraFinding the right psychotherapist in San Antonio isn’t always easy. After spending hours sifting through reviews, websites, and even chatting with locals, I know how overwhelming it can be to choose someone you’ll actually connect with.
Therapy is personal. You want someone who understands what you’re dealing with and makes you feel comfortable opening up.
That’s why I’ve done the legwork and rounded up the best psychotherapists in San Antonio. Whether you’re tackling stress or just looking for a little extra support, these professionals stand out for their expertise and approachability.
With that, let’s make the search a little easier. Your ideal therapist could be just around the corner.
How much do psychotherapists charge in San Antonio?
Psychotherapists in San Antonio typically charge $100–$180 per session. Lower-cost options may be available through sliding-scale fees, sometimes starting at $40 for qualified clients, or through special programs.
1. Balanced Counseling of San Antonio
Address: 7272 Wurzbach Rd Ste 203, 78240
Contact Details: +1 210-980-6002
Operating Hours:
- Monday to Friday – 8:00 AM to 7:00 PM
- Saturday – 8:00 AM to 5:00 PM
- Sunday – Closed
Having spoken with a few people who’ve worked with Balanced Counseling of San Antonio, the practice’s focus on accessibility stands out.
They offer both in-person and telehealth sessions, and thoughtful details like free parking and wheelchair-accessible, gender-neutral facilities reflect an intentional approach to inclusivity. It’s something I value in a mental health provider.
Clinicians themselves often receive high marks for their experience. I’ve heard Alison Wynn, LCSW and Board-Approved Supervisor, and Madhu Karnad, MA, LPC–Supervisor, mentioned by name for their professionalism and genuine care.
The team’s ability to address a wide array of issues—from anxiety and depression to trauma (with EMDR therapy) and even bipolar disorder—gives clients confidence they’re in good hands.
On the practical side, most people found the session fees straightforward. Individual sessions cost $125, family sessions are $155, and telehealth appointments are around $150.
However, the lack of group or peer support options may be a drawback for those seeking shared or community-based healing.
Trustworthy and genuine specialist
“Alison does incredible work. She knew what would be best after our first initial meeting. I also appreciate the information she shares with me on how the brain and body work. She is trustworthy and genuine. When I share my experience with others (which wouldn’t be possible had it not been for therapy), it inspires them. I am so appreciative to have found this office.”
– Zelina K, Google Review
I love having EMDR therapy available
“Great, calming and relaxing atmosphere. I love having EMDR therapy available. It is also very helpful that telehealth is offered; such a wonderful place. I have tried a lot of different therapy modalities, and this is the first time I truly feel a difference. Alison makes it a safe place and has been amazing. I am so grateful I took a friend’s recommendation to come here.”
– Tephanie Cadena, Google Review
2. Into the Roots Therapy
Address: 4203 Gardendale Rd, c206, 78229
Contact Details: +1 210-580-4149
Operating Hours:
- Monday to Saturday – 10:00 AM to 5:00 PM
- Sunday – Closed
Into the Roots Therapy is owned and led by Phi-Long Le, LPC, NCC, a fully licensed professional in Texas. He specializes in working with children and adolescents (ages 7–17) but also has experience with a wide range of other populations.
The practice supports individuals, couples, and families and has a strong focus on culturally diverse clients, particularly Asian and Hispanic/Latino populations. I appreciated how inclusive and approachable this felt.
Into the Roots Therapy helps with a wide range of issues—anxiety, ADHD, ODD, and more.
Their use of evidence-based approaches such as CBT, Solution-Focused Therapy, Play Therapy, and Trauma-Focused techniques allows sessions to be tailored to each client’s unique needs.
Insurance from providers like Aetna, Ambetter, and BlueCross BlueShield is accepted, which adds a layer of convenience. Still, it’s always wise to confirm your specific coverage in advance.
The only limitation is that Into the Roots Therapy is a small practice. While this creates a personal and intimate experience, it can also mean fewer appointment slots and less scheduling flexibility compared with larger clinics.
Life-changing and amazing experience
“The experience I’ve had with into the roots therapy has been life changing and amazing! My PCP referred me to Into the Roots Therapy and the response time was super quick. My first interaction with Phi was amazing. I was then assigned to the amazing Leah and she helped me tremendously. My life has changed for the better and I look forward to every session I have with her. I cannot imagine where I would be without the amazing support that my therapist Leah offers me. Most people’s super heroes wear capes but my hero’s work at Into The Roots Therapy 🩷”
– Starrla Gonzalez, Google Review
Well-educated and has worked with kids both in practice and in foster care
“Phi is an outstanding therapist and there is no one I would trust my kids to more than him. He is well educated and has worked with kids both in practice and at a foster care facility for years. Phi does not just go through the motions, he puts his heart and soul into what he does and genuinely cares about every person that comes through his doors.”
– Matthew Torvik, Google Review
3. Sillon Wellness
Address: 4538 Centerview Dr, Suite 180, 78228
Contact Details: +1 726-201-5284
Operating Hours:
- Monday to Friday – 8:00 AM to 6:00 PM
- Saturday – 8:00 AM to 2:00 PM
- Sunday – Closed
Sillon Wellness offers both in-person and telehealth therapy, focusing on evidence-based treatments grounded in research-supported approaches.
Their use of modalities like Dialectical Behavior Therapy (DBT), Acceptance & Commitment Therapy (ACT), and EMDR (Eye Movement Desensitization & Reprocessing) allows them to tailor treatment to each client’s needs.
This range allows therapy to be tailored to a wide spectrum of client needs.
The team, including Priscilla Sanchez, LPC, Dr. Scott Paul Rheinschmidt, PhD, LPC‑S, and Christina Taylor, MA, LCSW, has experience helping with anxiety, OCD, and more.
They are also comfortable working with military personnel, veterans, and active-duty families, which is a nice touch if that applies to you.
To make sure you find the right therapist, they even offer a quick 15-minute phone consultation before you commit to sessions.
On the practical side, they do accept major PPO plans like Cigna and TRICARE. Though it’s worth noting they are not in network with HMO plans, so you’ll want to double-check your coverage.
Fantastic therapist
“My therapist Christiana is fantastic, I feel so much better about myself and my outlook, I could take on anything:-)”
– Paula Taylor, Google Review
Caring, understanding, and easy appointment booking
“Caring, understanding, easy booking appointments and communicating with therapist”
– Benita Almendarez, Google Review
4. Alamo Ranch Counseling & Wellness
Address: 11220 W Loop 1604 N Building 1 Suite 119, 78254
Contact Details: +1 210-570-2060
Operating Hours:
- Monday to Friday – 9:00 AM to 5:00 PM
- Saturday – 9:00 AM to 12:00 PM
- Sunday – Closed
Alamo Ranch Counseling & Wellness is a private group practice serving individuals, couples, and families.
The team here is genuinely impressive. It includes seasoned counselors like Whitni Toson, MA, LPC‑S, a Licensed Professional Counselor Supervisor, and Madeline Jones, M.A., LPC, as well as emerging professionals such as Kassandra McClain, MA, LPC‑Associate.
This blend of experience and fresh perspective means personalized care with a broad scope. They provide a wide range of services, from individual and teen therapy to couples counseling and pregnancy or postpartum support.
One feature that really stands out is their intensive EMDR programs—2‑ or 3‑day sessions totaling 12+ hours designed for focused trauma processing, which is more specialized than standard weekly therapy.
If budget is a concern, they also have lower-rate sessions with supervised graduate student counselors, usually $50–$55 per session.
While the practice is private-pay and not in-network with insurance, they accept HSA/FSA cards and provide superbills for out-of-network reimbursement.
Has created spaces for people to come together and gain support
“I prefer learning what I can about the person that I choose to talk to. So, I will offer some information to help your search. This is a lovely facility. Ask about parking ahead of time if it is a concern. My encounters with Whitni Toson are always helpful as she makes sure that she understands me clearly before responding. She exhibits patience and has a lot of knowledge to back her practice. Mrs. Toson has been recognized as a leader in San Antonio. She is listed in San Antonio Business Journal’s 40 under 40 and received a Status of Women Spirit award from Top Ladies of Distinction, Inc.’s for her services and commitment to the community. This is understandable since, in addition to private sessions, she offers group sessions and has created spaces for people to come together and gain support. I highly recommend her for personal, group and team sessions.”
– D & A Sly, Google Review
Serves with integrity, wisdom, and heart
“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.”
– Jennipha Ricks, Google Review
5. Desta Therapy
Address: Building 12 – Suite 12103, 16607 Blanco Rd, 78232
Contact Details: +1 210-417-9272
Operating Hours:
- Monday to Sunday – 7:00 AM to 10:00 PM
Desta Therapy is a private group practice offering both in-person and telehealth therapy.
Their team includes licensed clinicians such as LCSWs, LPCs, and LMFTs, including Nikki Larsen and Jessica Gomez-Pool. They also work with master’s-level interns, all of whom are trained in trauma-informed care.
Speaking with a few staff members, it’s clear they prioritize matching clients with the right therapist. The free 15-minute virtual consultation makes that process easy and approachable.
They treat a wide range of concerns, from trauma and PTSD to ADHD and life transitions. Services are available for children as young as five, as well as for teens, adults, couples, and families.
Several clinicians provide Spanish-language support. The team actively serves LGBTQ+ and multicultural clients, reflecting a commitment to inclusivity.
With a mix of senior clinicians and interns, appointment availability is generally good, and sessions can be more affordable. However, therapy style and experience may vary depending on which clinician you’re matched with.
Made a significant difference in my kids’ behavior
“I have nothing but positive things to say about this company and its team. The two therapists my children see regularly have made a significant difference in my kids’ behavior with the approaches taken in addressing their behavioral needs. The company’s owner, Jimmy, has worked with me and my wife from the beginning to ensure our experience with the therapists’ services and with ancillary matters such as billing and scheduling is nothing short of amazing. I’d highly recommend Desta for anyone seeking counseling or therapy for their young children.”
– Keith O’Hara, Google Review
Great Communication and amazing customer service
“I strongly recommend Desta therapy . Great Communication and amazing customer service to set everything for success. Also me and my kids feel safe and understood. We currently working with 2 different therapist and very happy.”
– Rania Seifen, Google Review
