Therapists & mental health in San Antonio, Texas

Start by filtering the directory for San Antonio. 8 Texas-licensed clinicians serve the area, most by HIPAA-compliant video, so distance isn't a constraint. You contact and book each therapist directly through their own practice.

Most major carriers are represented for San Antonio: BCBS of Texas, Aetna, Cigna, UnitedHealthcare, Superior HealthPlan, and Medicare. Plan acceptance varies by clinician — the insurance filter shows who's in-network for your specific plan.

Any Texas-licensed therapist can legally provide telehealth to anyone physically located in Texas, including San Antonio. Telehealth is HIPAA-compliant secure video and is covered by most insurance plans the same as in-person sessions.

If you're in immediate danger, call or text 988 — the national Suicide & Crisis Lifeline (available 24/7 in English and Spanish).

Self-pay rates from clinicians serving San Antonio typically range from $90 to $200 per 50-minute session. Many therapists offer sliding-scale fees based on income — ask during your first call. Some also accept HSA/FSA cards.

Yes. Superior HealthPlan, Molina, Aetna Better Health, and other Texas Medicaid managed-care plans cover outpatient mental health therapy statewide. Filter the directory by "Medicaid" or your specific plan to see clinicians who currently accept it.

Therapy sessions are protected by HIPAA and Texas state law. Records are only released with your written consent, with narrow legal exceptions (immediate danger to self or others, suspected abuse of a child or vulnerable adult, or a court order).

Our directory includes Licensed Professional Counselors (LPCs), Licensed Clinical Social Workers (LCSWs), Licensed Marriage and Family Therapists (LMFTs), psychologists (PhD/PsyD), and psychiatric providers (MD, DO, PMHNP) — all verified through the NPPES NPI registry. Use the credential filter to narrow your search.

Absolutely — and you should. Research consistently shows the therapist-client fit is the single biggest predictor of progress. Most clinicians expect a "first-fit" consultation. If something feels off after 1-2 sessions, browse other San Antonio therapists and try again.