Addiction Therapists Available in San Antonio
This page is for people in San Antonio looking for online therapists who work with addiction. Use this list to compare clinicians’ specialties, treatment approaches, experience with substance use and co-occurring conditions, and whether they offer individual or group care. All professionals listed are licensed in Texas; that license covers the whole state, so being in San Antonio is not a barrier to working with any of them. Read therapist profiles to confirm focus areas, client populations served, and how they describe their approach to recovery support and relapse prevention.
This is a partner link. We will earn a commission if you sign up through it, at no cost to you. It does not change what you pay or the order of the listings.
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1. Otis Mann, LPC
Practical, solution-focused support for meaningful change
Works with Addictions · Trauma and abuse · Grief · Anger · Depression
Approaches Client-Centered Therapy · Cognitive Behavioral Therapy (CBT) · Mindfulness Therapy
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2. Demetrica Dement, LPC
Texas LPC supporting recovery and resilience
Works with Addictions · LGBT · Anger · Depression · Coping with life changes
Approaches Client-Centered Therapy · Cognitive Behavioral Therapy (CBT) · Dialectical Behavior Therapy (DBT)
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3. Cynthia Himstedt, LPC
Texas LPC guiding recovery and resilience
Works with Stress, Anxiety · Addictions · Grief · Self esteem · Coping with life changes
Approaches Acceptance and Commitment Therapy (ACT) · Attachment-Based Therapy · Client-Centered Therapy
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4. Sandra Musielewicz, LCSW
Texas LCSW supporting trauma and mood disorders
Works with Stress, Anxiety · Self esteem · Bipolar · Depression · ADHD
Approaches Acceptance and Commitment Therapy (ACT) · Attachment-Based Therapy · Client-Centered Therapy
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5. Ralph DeMar, LPC
Empowerment-focused Licensed Professional Counselor
Works with Stress, Anxiety · Relationship · Family · Trauma and abuse · Depression
Approaches Attachment-Based Therapy · Client-Centered Therapy · Cognitive Behavioral Therapy (CBT)
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6. Yevette Jacques, LPC
Texas LPC helping with stress and relationships
Works with Stress, Anxiety · Addictions · Grief · Self esteem · Depression
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7. Ericka Ferrias, LPC
Licensed counselor guiding clients toward progress
Works with Stress, Anxiety · Trauma and abuse · Anger · Depression · Addictions
Approaches Acceptance and Commitment Therapy (ACT) · Client-Centered Therapy · Cognitive Behavioral Therapy (CBT)
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8. Dawn Maria Spradley, LPC
Strengths-based support for healing and growth
Works with Stress, Anxiety · Addictions · Relationship · Self esteem · Depression
Approaches Attachment-Based Therapy · Client-Centered Therapy · Cognitive Behavioral Therapy (CBT)
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9. Dr. Ngozi Okose, LPC
Licensed counselor specializing in trauma and relationships
Works with Stress, Anxiety · Relationship · Trauma and abuse · Depression · ADHD
Approaches Acceptance and Commitment Therapy (ACT) · Attachment-Based Therapy · Client-Centered Therapy
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10. Dr. Daniel Cabrera, LPC
Works with Stress, Anxiety · Relationship · Bipolar · Depression · Coping with life changes
Approaches Attachment-Based Therapy · Client-Centered Therapy · Cognitive Behavioral Therapy (CBT)
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11. Nancy Cortez , LPC
Support for anxiety, motivation, and self-esteem growth
Works with Stress, Anxiety · Trauma and abuse · Self esteem · Addictions · Relationship
Approaches Client-Centered Therapy · Cognitive Behavioral Therapy (CBT) · Solution-Focused Therapy
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12. Obinna Onyegesi, LCSW
Compassionate LCSW for teens and young adults
Works with Stress, Anxiety · Addictions · LGBT · Depression · Coping with life changes
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13. Jennifer Lee Sylvester, LCSW
Compassionate, client-centered support for life’s toughest moments
Works with Stress, Anxiety · Trauma and abuse · Self esteem · Depression · Coping with life changes
Approaches Client-Centered Therapy · Cognitive Behavioral Therapy (CBT) · Emotionally-Focused Therapy (EFT)
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14. Elaine Messarra, LPC
Works with Stress, Anxiety · Relationship · Trauma and abuse · Grief · Depression
Approaches Client-Centered Therapy · Cognitive Behavioral Therapy (CBT) · Emotionally-Focused Therapy (EFT)
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15. Chinwe Nzerue-Obi, LPC
Practical, culturally aware counseling for meaningful change
Works with Stress, Anxiety · Relationship · Anger · Self esteem · Depression
Approaches Cognitive Behavioral Therapy (CBT) · Solution-Focused Therapy
Continue with Chinwe Online sessions
About addiction therapy for people in San Antonio
Everyone listed on this page holds a license to practice in Texas and works online. That matters more than it sounds: a license is issued by the state, not by a city, so a therapist is available to anyone in Texas regardless of how far away they are. Someone in San Antonio can work with a therapist whose books would otherwise be out of reach.
1,011 therapists match this page, all of whom name addiction among the areas they work with. Fifteen are shown above. The list changes between pages, so it is worth looking at more than one if none of these feels like a fit.
What to compare
- Credential. LPC, LCSW and LMFT are different training routes into licensed therapy work. None outranks the others; they shape emphasis rather than quality.
- Years in practice. Shown for every therapist here. More experience is not automatically better, but it is a fair proxy for how much of a given problem someone has seen.
- What else they work with. A therapist whose other focus areas overlap with your situation is usually a better starting point than one whose listed areas stop at the single thing you searched for.
- Approach. CBT, psychodynamic, solution-focused and the rest describe how sessions tend to run. If you have tried therapy before and it did not suit you, changing approach is often more useful than changing therapist.
- Language. Shown where a therapist offers sessions in more than English.
How online sessions work
Sessions run by video or by messaging, arranged through our partner platform rather than booked directly with the therapist. There is no travel and no waiting room, which for most people is the difference between starting and not starting. Pricing is set by the platform and shown before you commit.
Therapy in San Antonio
San Antonio has a population of about 1,434,625. Local in-person availability varies and waiting lists are common, which is part of why state-wide online practice has grown. Nothing on this page depends on a therapist being near you.
Common questions
How do I pick a therapist for addiction recovery when I live in San Antonio?
Look for clinicians who list substance use disorders, relapse prevention, and any co-occurring mental health issues you have. Check stated approaches like cognitive behavioral therapy or motivational interviewing. Compare experience with the substances involved and populations served. Licensing in Texas means any listed therapist can work with you in San Antonio via online care.
Can therapists on this list help with both substance use and mental health concerns?
Many clinicians who treat addiction also work with depression, anxiety, trauma, or mood disorders. When addiction and mental health issues occur together, coordinated care is important. Review profiles for mention of co-occurring conditions, integrated treatment, or experience treating both areas to find a clinician who addresses your full set of concerns.
What should I compare in therapist profiles specific to addiction treatment?
Compare stated specialties (alcohol, opioids, stimulant use), treatment methods (CBT, relapse prevention, 12-step facilitation), work with medication-assisted treatment teams if needed, and whether they offer individual or group formats. Also note experience with stages of change and harm reduction versus abstinence-focused approaches so it matches your recovery goals.
Other reasons people in San Antonio look for a therapist
- Anxiety therapists in San Antonio
- Depression therapists in San Antonio
- Self-Esteem therapists in San Antonio
- Relationship therapists in San Antonio
- Life Changes therapists in San Antonio
- Trauma therapists in San Antonio
- Grief therapists in San Antonio
- Family therapists in San Antonio
- Parenting therapists in San Antonio
- Anger therapists in San Antonio
- Career therapists in San Antonio
- LPC therapists in San Antonio
- LCSW therapists in San Antonio
- LMFT therapists in San Antonio