Finding a therapist
Best Depression Therapists in San Antonio (2026)
Depression therapists and clinics in San Antonio, from solo practices to an academic medical center, and how to judge which one fits.
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.
Depression does not always look like sadness. It often shows up as flatness, exhaustion, irritability, poor sleep, or losing interest in things that used to matter, and it can go on long enough that it starts to feel like your personality. Several talk therapies have good evidence for depression, including CBT, behavioral activation and interpersonal therapy. For moderate to severe depression, therapy combined with medication is often recommended.
When depression sits on top of trauma, treating the trauma is often part of treating the depression. That is worth raising in a first conversation with any therapist below.
1. The Denning Center — Jim Denning, MA, LPC
Tesoro Drive, North Central San Antonio · in person and telehealth across Texas
Our practice
Jim's depression therapy is for the flatness, exhaustion and loss of interest that has gone on so long you have started calling it normal. Much of his work is with depression that grows out of trauma, where the low mood is partly the cost of carrying something unresolved.
- Uses cognitive approaches, with Accelerated Resolution Therapy (ART) and EMDR when trauma is part of the picture.
- Author of Make It to Midnight: Learning to Live When You Want to Die, a book about suicidal thinking. About the book.
- In network with Aetna, UnitedHealthcare, BCBS of Texas, TRICARE, Humana Military and TriWest; private pay is $130 a session.
2. Vitality Life Counseling of San Antonio
John Smith Drive, Medical Center area · in person and telehealth
A counseling practice with a dedicated depression page. Its site lists CBT, as well as bipolar disorder, anxiety, panic, trauma and grief.
- Publishes its self-pay fees and a long list of in-network plans, including TRICARE and TriWest.
3. Balanced Counseling of San Antonio
Wurzbach Road, Northwest San Antonio · group practice, in person and telehealth
A group practice whose depression page lists CBT, DBT, solution-focused therapy and behavioral activation, for adults, teens and children.
- Says an EMDR-trained therapist is on the team.
4. San Antonio Authentic Counseling
Piedras Drive East, Northwest San Antonio · in person and telehealth
Offers depression counseling individually or in groups. Its site lists cognitive behavior therapy, cognitive processing therapy and EMDR.
- Accepts insurance; details are on its insurance and fees page.
5. Deep Centered Mental Health — San Antonio
I-10 West, Dominion area · therapy and psychiatry
A Texas group with therapy and psychiatric care under one roof. Its site lists EMDR and medication management, as well as transcranial magnetic stimulation (TMS) and esketamine (Spravato), two medical treatments that are prescribed for some forms of treatment-resistant depression.
- Worth knowing about if weekly therapy and first-line medication have not been enough. Whether TMS or esketamine is appropriate is a medical decision.
6. UT Health San Antonio — Counseling and Psychotherapy
University Plaza clinic, Medical Center · academic medical center
The Department of Psychiatry's outpatient therapy service. Its staff include counselors, psychologists, social workers and psychiatrists. It lists individual therapy for depression and anxiety using CBT, mindfulness and behavior therapy, and runs a weekly in-person anxiety and depression group.
- Also offers specialty programs, including cognitive processing therapy for PTSD, and DBT.
Signs it is time for more than weekly therapy
- Thoughts of suicide, or of not wanting to be alive. Call or text 988 now, and tell any therapist you see about it.
- Being unable to work, eat or get out of bed for days at a time.
- Depression that has not moved after an adequate trial of therapy.
- Periods of unusually high energy, little need for sleep, or racing thoughts between the lows. Tell a clinician about these, because they can change the treatment.
Questions people ask
Which therapy works best for depression?
Can a counselor prescribe antidepressants?
What if I cannot afford therapy right now?
Sources
Read next on this site
Written and clinically reviewed by Jim Denning, MA, LPC. Last reviewed 23 September 2026.
We review health content at least once a year, and sooner when clinical guidance, fees, insurance, or crisis information changes. Tell us if something here looks wrong.
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