Therapy services
What I offer, and how to tell which one you need
Most people arrive knowing something is wrong and not which box it goes in. That is fine — the boxes are for organising this page, not for sorting you. Read whichever description sounds closest and start there.
Two different questions
Therapy websites tend to muddle two things: what you are dealing with (trauma, anxiety, a marriage in trouble) and the method used to work on it (Accelerated Resolution Therapy, EMDR, cognitive approaches). They are not the same choice, and you only need to make the first one.
Pick the page that matches your situation. Which method we use is a clinical decision we make together after I understand what is going on — and it can change as the work goes on.
By what you are dealing with
Six starting points
Trauma therapy
For people carrying something that happened to them — recently or decades ago — that still shapes how they sleep, react, and relate.
In person in San Antonio, or by telehealth within Texas
Narcissistic abuse recovery
For people leaving — or still inside — a relationship built on control, blame-shifting and being told their own perception is wrong.
In person in San Antonio, or by telehealth within Texas
PTSD treatment
Structured treatment for post-traumatic stress symptoms: intrusive memories, avoidance, hypervigilance, and the changes in mood and thinking that come with them.
In person in San Antonio, or by telehealth within Texas
Anxiety therapy
When worry stops being useful and starts running the day — sleep, decisions, work, and the things you have quietly stopped doing.
In person in San Antonio, or by telehealth within Texas
Depression therapy
For flatness, exhaustion, and loss of interest that has lasted long enough that you have started calling it normal.
In person in San Antonio, or by telehealth within Texas
Sex addiction therapy
Outpatient treatment for compulsive sexual behavior: what keeps the pattern running, how access is interrupted, and what the behavior is regulating.
In person in San Antonio, or by telehealth within Texas
Medication management (opens in a new tab)
I am a counselor and do not prescribe. When medication is worth considering, I refer clients to Dr. Lisa Anderson, DNP, APRN, PMHNP-BC, a psychiatric nurse practitioner in San Antonio who provides psychiatric evaluations and medication management.
Amphyst Behavioral Health, 8600 Wurzbach Rd · a separate practice, booked directly with her
Choosing
You only have to pick what you are dealing with. Which method we use is a clinical decision, made together, and it can change.
By method
How the work is actually done
Accelerated Resolution Therapy (ART)
A structured, eye-movement based therapy that works on the sensory imagery attached to a difficult memory. You do not have to describe the event aloud in detail. Often briefer than open-ended talk therapy, although the number of sessions any person needs is assessed individually and never promised in advance. Full explanation of ART, including who it does not suit.
EMDR
Eye Movement Desensitization and Reprocessing, a widely researched trauma therapy recommended in major clinical guidelines. It shares the bilateral-stimulation family resemblance with ART but follows a different eight-phase protocol and generally takes a different course.
Talk therapy and cognitive approaches
Sometimes the useful work is understanding a pattern, testing a belief you have never examined, and practising something different. This is often the container that reprocessing work sits inside rather than an alternative to it.
Christian counseling, on request
I hold a master’s in ministry and will work within a client’s faith when that is what they want. It is offered, never assumed, and never a condition of being seen.
Practical details
- Session length
- Standard sessions are 50 minutes. ART sessions may run longer; this is agreed in advance.
- In person or online
- In person at the San Antonio office, or by telehealth anywhere in Texas. Some work — ART in particular — may be recommended in person.
- Cost
- $130 per individual session, private pay. In network with six plans and billed directly. Rates and insurance
- Who I see
- Adults. I do not currently take on child or adolescent clients.
Written and clinically reviewed by Jim Denning, MA, LPC. Last reviewed 1 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.
You don’t have to do this alone.
Healing is possible. Tell us a little about what is going on and Jim will get back to you.