Child & Teen Counseling in San Antonio
Growing up isn’t always easy. Children and teens face stress from school, friendships, family changes, social media, and emotional challenges. Counseling provides a safe space where young people can express themselves, learn coping skills, and build confidence.
Is Counseling Right for My Child or Teen?
Your child or teen may benefit from counseling if they are:
- Feeling anxious or worried
- Experiencing sadness, depression, or mood changes
- Having trouble managing emotions
- Struggling at school or with friends
- Becoming withdrawn or isolating themselves
- Going through a divorce or family change
- Having behavioral concerns
- Struggling with self-esteem or confidence
How Counseling Works
Parent Consultation
We begin by learning about your child, your concerns, and your goals. We’ll answer questions and make sure your family is matched with the right counselor.
Assessment & Goal Setting
Your child or teen meets with their counselor and begins building a relationship. Together, we identify areas for growth and develop clear goals so everyone understands what we’re working toward.
Growth & Ongoing Support
Counseling may include learning coping skills, processing emotions, improving communication, and developing healthier ways to handle challenges. Our goal is to help children and teens build skills that last long after counseling ends.
Frequently Asked Questions
Will parents be involved?
Yes. Parents are an important part of the counseling process. We want you to understand how your child is progressing and ways you can support them at home. At the same time, we also want children and teens to feel they have a safe place to talk openly, so there are appropriate limits to what is shared.
How often are sessions?
Most clients start with weekly 50-minute sessions. We often recommend planning for about 6–12 sessions initially, though this varies based on your child’s needs.
Does insurance cover counseling?
Yes. We accept many insurance plans and can help verify your benefits before your first appointment.
What if my teenager doesn't want to come?
It’s common for teens to feel hesitant at first. Therapy works best when clients are willing participants, but we’ve found that many teens become more comfortable after a few sessions. Our counselors use age-appropriate strategies to help teens feel safe, respected, and engaged.
What happens during a session?
Sessions vary based on age and goals. Teens often spend time talking about daily life, relationships, stress, and emotions. Younger children may use games, activities, or creative approaches to help them express themselves. While we believe counseling should feel comfortable and engaging, we are also intentional about helping children and teens develop skills and make meaningful progress.
How will I know if counseling is helping?
You may notice improvements in mood, communication, behavior, confidence, or emotional regulation. Your counselor will regularly discuss progress and adjust goals as needed.
Ready to Get Started?
Pricing, Insurance, Scheduling, and More!
How We Get Things Done
CBT/DBT
CBT (cognitive behavioral therapy) and DBT (dialectical behavior therapy) are two forms of psychotherapy
It is structured, goal-oriented, and focused on the present
Starting with education, skill-building, and attention to emotional and social patterns, CBT and DBT help people manage intense emotions and unhelpful behaviors
Effective for anxiety, self-esteem, and depression
Narrative Therapy
Helps separate a person from their problem
Encourages people to rely on their own strengths and skills
Personal experiences are explored as stories that shape identity and meaning
Helps individuals step into the role of the narrator in their own life
Solution Focused
A short-term, goal-oriented, evidence-based approach
Incorporates positive psychology principles and practical strategies
Focuses on identifying what is already working
Helps clients move forward by building solutions instead of staying stuck in problems
Meditation and Arts
A multimodal approach that may include writing, movement, music, or creative expression
Incorporates mindfulness and meditation to support emotional awareness and regulation
Encourages exploration of thoughts, reactions, and insights through creative processes
No artistic experience needed, just a willingness to engage
ADHD Testing and Assessments
Evaluates functioning across focus, effort, memory, emotion, activation, and regulation
Uses the Brown Executive Functioning Scale along with a comprehensive clinical and behavioral assessment
Completed over two sessions, totaling approximately three hours
Includes a detailed review of history, symptoms, and results
Provides a clear plan that may include behavioral strategies, coaching, or medication referrals
This is your invitation
Whether you are a first-generation professional carrying the weight of expectation, a parent trying to show up fully for your family, a couple fighting to find your way back to each other, or simply someone who has finally decided that you deserve the same care you give everyone else — you belong here.
Free Consultation
Call 210-523-4200 for New Client Consultation
Send Us a Note
admin[at]neelycounseling.com
