1. River North Anxiety LLC
Credentials: Kristin Eisenhauer, PhD, Licensed Psychologist in Texas.
Specialization: Anxiety disorders, panic disorder, OCD, depression, trichotillomania (hair pulling), skin picking, specific phobias, insomnia.
Therapy Approaches: Cognitive Behavioral Therapy (CBT), Exposure with Response Prevention (ERP), Prolonged Exposure. Virtual reality technology used for specific phobias such as fear of flying and fear of storms. In-vivo exposure conducted in community settings (bridges, elevators, tall buildings) as needed.
Populations Served: Adults aged 18 to 65 experiencing anxiety and anxiety-related disorders.
Background: Dr. Eisenhauer uses evidence-based treatment methods with a focus on practical exposure work. Practice emphasizes that examining anxious thoughts, making strategic behavioral adjustments, and learning to manage physical sensations of anxiety are key components of effective treatment.
Insurance Accepted: Contact practice for insurance and fee information.
Session Format: Individual psychotherapy sessions are 45 minutes. In-person sessions in Midtown San Antonio. Exposure sessions may be conducted in community settings.
Location: Midtown San Antonio, TX
Contact: https://www.rivernorthanxiety.com
Initial Consultation: Contact through website to discuss treatment needs and schedule initial evaluation.
2. Alliance Psychology and Alliance Psychiatry
Credentials: Board-certified adult psychiatrist, board-certified clinical psychologists, licensed psychologists, licensed therapists, and licensed counselors. Staff trained at programs across the country.
Specialization: ADHD, learning disabilities, autism, personality disorders, depression, bipolar disorder, anxiety, trauma, OCD, relationship issues.
Therapy Approaches: Psychodynamic therapy, EMDR, Emotion Focused Therapy (EFT), Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), behavior therapy. Psychological testing and evaluations available.
Populations Served: Individuals, couples, families, and children. Practice offers integrative care combining psychology and psychiatry services.
Background: Group of professionals approaching cases from a bio-psycho-social-spiritual model for comprehensive, integrative care. Staff includes psychiatrists who can provide medication management alongside psychotherapy.
Insurance Accepted: Contact practice for current insurance panel information.
Session Format: Individual, couples, family, and group psychotherapy. Medication management available. In-person and telehealth options.
Location: San Antonio, TX (contact for specific address)
Contact: https://www.alliancepsychologytx.com
Initial Consultation: Treatment begins with initial evaluations and assessments to focus care on specific mental health and wellness needs.
3. Therapy Lab San Antonio
Credentials: Licensed clinical psychologists and therapists with advanced degrees and specialized training in evidence-based treatments.
Specialization: Anxiety, depression, burnout, ADHD assessment, autism spectrum assessment, relationship difficulties, cultural identity conflicts, family expectations.
Therapy Approaches: Cognitive Behavioral Therapy (CBT), evidence-based assessments, structured treatment protocols.
Populations Served: Adults and families in San Antonio navigating mental health challenges. Clinicians experienced with cultural identity conflicts, balancing traditional Hispanic family expectations with individual aspirations, and military family stress.
Background: Practice with San Antonio-focused clinicians who understand the city’s deep cultural roots and significant military presence. Experience working with clients navigating mental health impacts of cultural identity, extended family relationships, and economic mobility pressures.
Insurance Accepted: Contact practice for insurance and fee information.
Session Format: Virtual appointments available with no waitlist.
Location: San Antonio, TX (virtual services)
Contact: (213) 712-9595 | https://www.therapylab.com/locations/san-antonio-therapists
Initial Consultation: Book a welcome call through website with therapist or care coordinator.
4. Aligned Mind Counseling
Credentials: Licensed therapists providing private-pay counseling services.
Specialization: Anxiety, depression, grief, stress, life transitions.
Therapy Approaches: Compassionate, evidence-based counseling approaches.
Populations Served: Adults seeking therapy for anxiety, depression, grief, and stress management.
Background: Private practice focused on providing compassionate mental health support in San Antonio.
Insurance Accepted: Private pay practice. Contact for fee information.
Session Format: In-person and telehealth sessions available.
Location: San Antonio, TX (contact for specific address)
Contact: https://alignedmindcounseling.com
Initial Consultation: Free 15-minute consultation available.
5. Resilience Center of Houston (San Antonio/Texas Virtual)
Credentials: Licensed therapists and counselors with specialized training across multiple treatment modalities.
Specialization: Anxiety, depression, trauma, relationship difficulties, life transitions, grief and loss, child and adolescent concerns, military family support.
Therapy Approaches: Cognitive Behavioral Therapy (CBT), evidence-based treatments, trauma-informed care.
Populations Served: Adults, children, couples, and families throughout Texas via telehealth. Special understanding of military family challenges.
Background: Multi-location practice serving Texas residents with virtual therapy options. Clinicians understand unique stressors facing San Antonio’s large military-connected population.
Insurance Accepted: In-network with most major insurance plans and employee assistance programs. Competitive private pay rates available.
Session Format: Online virtual therapy available throughout Texas.
Location: Virtual services available to San Antonio residents
Contact: https://www.resiliencecenterhouston.com
Initial Consultation: Contact scheduling team to answer questions and get started with counseling.
Mental Health Industry in Texas
Average Therapy Session Costs
Individual therapy sessions in San Antonio range from $75 to $200 per session depending on the provider’s credentials and experience. Licensed Professional Counselors (LPC) typically charge $90 to $150 per session. Licensed Clinical Psychologists with doctoral degrees generally charge $125 to $200 per session. Psychiatrists may charge $175 to $350 for sessions including medication management. Couples therapy sessions typically range from $100 to $225. San Antonio therapy costs are generally lower than larger Texas metropolitan areas like Houston and Dallas.
State Licensing Requirements for Psychologists
To practice as a licensed psychologist in Texas, professionals must complete a doctoral degree (PhD or PsyD) with at least 60 semester credit hours. Candidates must complete 3,500 hours of supervised professional experience, with 1,750 hours pre-doctoral (internship) and 1,750 hours post-doctoral. The Examination for Professional Practice in Psychology (EPPP) must be passed with a minimum score of 500. The Texas Jurisprudence Examination must be passed with a score of 90% or higher. Texas requires 40 hours of continuing education every two years to maintain licensure. The Texas Behavioral Health Executive Council administers psychology licensure.
Telehealth Regulations
Texas permits licensed psychologists to provide telehealth services to clients located within the state. Texas is a member of PSYPACT (Psychology Interjurisdictional Compact), allowing psychologists with E.Passport credentials to practice telepsychology across 40+ member states. Providers must use HIPAA-compliant platforms and obtain informed consent specific to telehealth services.
Mental Health Parity Laws
Texas has mental health parity laws requiring health insurers to provide coverage for serious mental illness on par with physical health conditions. The federal Mental Health Parity and Addiction Equity Act (MHPAEA) applies to group health plans. Texas law requires insurers to cover at least 45 days of inpatient treatment and 60 outpatient visits per year for covered conditions.
Professional Organizations
The Texas Psychological Association (TPA) represents practicing psychologists, offering continuing education, advocacy, and professional resources. The Texas Counseling Association supports licensed counselors throughout the state. The San Antonio Counseling Association provides local networking for area practitioners.
Workforce Availability and Wait Times
San Antonio has a growing mental health workforce. Wait times for new patients typically range from one to four weeks depending on the provider, specialty, and insurance acceptance. Providers accepting Medicaid often have longer wait lists. The city’s large military population creates demand for providers experienced with military family issues and PTSD.
Common Mental Health Concerns
In the San Antonio region, commonly treated conditions include anxiety disorders, depression, trauma and PTSD (particularly among military-connected populations), relationship difficulties, cultural identity concerns, work-related stress, and adjustment disorders related to life transitions.
State-Funded Mental Health Resources
The Texas Health and Human Services Commission oversees public mental health services. The Center for Health Care Services serves as the Local Mental Health Authority for Bexar County (San Antonio area). Crisis services are available through the Texas Crisis Hotline and local crisis teams.
Frequently Asked Questions
What should I expect to pay for therapy in San Antonio without insurance?
Private pay rates in San Antonio typically range from $100 to $175 per 50-minute session with a licensed therapist. Sessions with doctoral-level psychologists generally cost between $125 and $200. San Antonio therapy costs are generally lower than other major Texas cities and coastal metropolitan areas. Many therapists offer sliding scale fees based on income.
How do I verify that a psychologist is licensed in Texas?
The Texas Behavioral Health Executive Council maintains an online license verification system at bhec.texas.gov where you can search by name or license number. This database shows current license status, expiration date, and any disciplinary actions. All practicing psychologists must maintain active licensure.
Are there therapists in San Antonio who specialize in military family issues?
Yes, San Antonio’s large military presence (including Joint Base San Antonio) means many local therapists have experience with military family concerns, deployment stress, reintegration challenges, and PTSD. When searching for a therapist, you can specifically ask about experience with military families. The VA also provides mental health services to veterans.
What is the difference between an LPC and a psychologist in Texas?
Licensed Professional Counselors (LPC) hold master’s degrees and provide counseling services after completing 3,000 hours of supervised experience. Psychologists hold doctoral degrees (PhD or PsyD) and complete 3,500 hours of supervised experience. Psychologists can also conduct psychological testing and assessment. In Texas, neither can prescribe medication.
How does San Antonio’s cultural diversity affect mental health services?
San Antonio has a rich Hispanic/Latino cultural heritage, and many therapists in the area are bilingual (English/Spanish) and culturally competent in working with clients navigating cultural identity, family expectations, and intergenerational dynamics. When seeking a therapist, you can ask about cultural background, language capabilities, and experience with specific cultural concerns.