Individual Counseling in San Antonio
Individual counseling provides a safe, supportive space to explore what’s weighing on you and develop practical tools for moving forward. Whether you’re struggling with anxiety, depression, stress, relationship issues, burnout, or major life changes, counseling can help you feel more like yourself again.
Is Individual Counseling Right for Me?
You may benefit from counseling if you are:
- Feeling anxious, overwhelmed, or constantly stressed
- Struggling with depression, sadness, or a loss of motivation
- Having difficulty sleeping, concentrating, or enjoying things you once loved
- Experiencing relationship challenges or family conflict
- Going through a divorce, career change, or major life transition
- Feeling stuck or unsure about your next steps
- Having thoughts like “I don’t want to do this anymore” or feeling like life has become too difficult
You don’t have to wait until things become a crisis. Counseling can help you build skills, strengthen relationships, and create lasting change.
How Counseling Works

Get Started
Schedule a consultation or your first appointment. We’ll learn more about what you’re experiencing and help match you with a counselor who fits your needs.

Create a Plan Together
Your first session is an assessment. You’ll spend time getting to know your counselor, discussing your concerns, and identifying concrete goals. We believe you should always know what you’re working toward and how progress is happening.

Build Skills & Maintain Growth
Together, you and your therapist will do the work of creating change. As you meet your goals, counseling may shift toward maintenance and ongoing support. We believe in preventive care—not waiting until things fall apart, but building a relationship and support system that helps you stay well.
Frequently Asked Questions
How often do I need to come?
Most clients begin with weekly sessions. As progress is made, sessions may become less frequent. We often encourage clients to plan for about 6–12 sessions initially, though everyone’s journey is different.
How long are sessions?
Most counseling sessions are 50 minutes long.
How will I know if counseling is working?
You may notice feeling calmer, sleeping better, communicating more effectively, or feeling more confident handling life’s challenges. Progress can be gradual, but you and your counselor will regularly review your goals and celebrate changes along the way.
Can I choose my counselor?
Absolutely. You’re welcome to choose your counselor, and our team is also happy to make recommendations based on your needs, personality, and goals.
Does insurance cover counseling?
Yes. We accept many insurance plans and also offer self-pay options. Our team can help verify your benefits before your first appointment.
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
