Finding a therapist
Best Anxiety Therapists in San Antonio (2026)
Anxiety therapists and practices in San Antonio, what treatment each one says it uses, and how to tell which kind of help fits the kind of anxiety you have.
Disclosure: this guide is published by The Denning Center, and Jim Denning, MA, LPC, is listed first because it is his practice's website. That placement is not a claim that he is more skilled or more effective than anyone else here. The other practices were chosen using the criteria below; none of them paid to be included, and none reviewed this page.
"Anxiety" covers a lot of ground: generalized worry, panic attacks, phobias, social anxiety, and obsessive-compulsive disorder, which is classified separately but is often treated by the same specialists. The best-supported treatments differ between them. Cognitive behavioral therapy (CBT) is the core for most anxiety disorders. Exposure and response prevention (ERP) is the specific first-line therapy for OCD. When anxiety grows out of a traumatic event, trauma-focused therapy is often the better fit.
So the most useful thing to look for is not a general "anxiety specialist" label. It is a practice that names the method it uses for the kind of anxiety you have.
1. The Denning Center — Jim Denning, MA, LPC
Tesoro Drive, North Central San Antonio · in person and telehealth across Texas
Our practice
Jim's anxiety therapy work suits people whose anxiety is tied to something that happened to them: hypervigilance, startle, dread that sets off with no obvious trigger, or sleep that never settles. He is trained in Accelerated Resolution Therapy (ART) and EMDR, and uses cognitive approaches for worry that runs the day.
- Particularly relevant where anxiety sits alongside trauma or post-traumatic stress.
- In network with Aetna, UnitedHealthcare, BCBS of Texas, TRICARE, Humana Military and TriWest; private pay is $130 a session.
2. River North Anxiety — Dr. Kristin Eisenhauer, PhD
9th Street, Midtown San Antonio · licensed psychologist
A practice focused on anxiety and related disorders in adults. Its site describes CBT and exposure-based work, including exposure in the office with virtual reality (for fears such as flying or storms) and exposure out in the community.
- Lists panic, OCD, phobias, trichotillomania, skin picking and insomnia.
- Private pay, out of network with every insurer. Fees are published on the site.
3. AMA Behavioral Therapy
Lockhill Selma Road, Shavano Park · in person and telehealth
An OCD and anxiety practice founded by Andrea Alvarez, LPC-S, NCC. Its site lists ERP, CBT, acceptance and commitment therapy (ACT) and cognitive processing therapy (CPT), and a four-week intensive outpatient program.
- Works with children from age 5 through adults.
- The site says its clinicians trained through the International OCD Foundation.
4. Center for Dialectical and Cognitive Behavioral Therapies
Broadway, Alamo Heights area · in person and telehealth within Texas
A multi-clinician CBT and DBT center whose team includes board-certified psychologists. Its site lists traditional CBT, prolonged exposure, ERP for OCD and interoceptive exposure for panic disorder.
- Also lists perinatal mood and anxiety disorders, and DBT skills groups.
- Private pay, not in network with any insurer. Fees are published on the site.
5. Sung Counseling — Kristine Sung, LPC
Online, within Texas · faith-integrated
Online Christian counseling for anxiety and OCD, in individual, intensive and group formats.
- A fit if you want a therapist who brings faith into treatment.
6. Stone Oak Christian Counseling
Pantheon Way, Stone Oak · group practice, faith-based
A faith-based group practice that lists anxiety, depression, trauma and grief. Its site lists CBT, DBT, EMDR and emotion-focused therapy.
Matching the treatment to the anxiety
- Generalized worry: CBT has the strongest evidence. Ask how the therapist works with worry itself, not only with relaxation.
- Panic attacks: CBT that includes interoceptive exposure, which means deliberately bringing on the body sensations you fear so they lose their power.
- OCD: exposure and response prevention (ERP). Ask directly whether they use it and how.
- Anxiety that began after a traumatic event: a trauma-focused approach, such as CPT, prolonged exposure, EMDR or Accelerated Resolution Therapy (ART).
Questions people ask
How long does therapy for anxiety usually take?
Do I need medication as well as therapy?
Is breathing and relaxation enough?
Sources
Read next on this site
Written and clinically reviewed by Jim Denning, MA, LPC. Last reviewed 23 September 2026.
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