Psychotherapy for San Antonio

Specialized Therapy for San Antonio - just an hour from Austin

San Antonio residents have a unique advantage when it comes to accessing Lake Austin Psychotherapy: proximity. At just over an hour on I-35, our West Austin offices are closer than most out-of-town specialists — and for therapy sessions, you don't even need to make the drive. All of our therapy services are available via secure telehealth from anywhere in Texas.

 Whether you're near the Riverwalk, in the Medical Center, Stone Oak, Alamo Heights, or New Braunfels, you can connect with our specialized therapists from the privacy of your home.

What We Offer San Antonio Clients

EMDR Therapy

EMDR is one of the most effective treatments for PTSD and trauma, recommended by the World Health Organization as a first-line treatment. Our team includes EMDRIA-certified EMDR therapists with extensive clinical experience. Sessions are conducted via secure telehealth — bilateral stimulation works just as effectively on screen, and many San Antonio clients appreciate being able to process difficult memories from the comfort of home.

Learn More about EMDR Therapy.

Anxiety, Depression & Grief Treatment

Our clinicians specialize in anxiety, depression, prolonged grief disorder, and complex trauma using evidence-based approaches including EMDR, somatic experiencing, cognitive behavioral methods, and Internal Family Systems (IFS). San Antonio has a large military and veteran community, and our therapists have experience working with combat-related PTSD and military family stress.

Learn More About Anxiety Treatment. Learn More About Depression Treatment. Learn More about Grief Therapy.

Ketamine-Assisted Psychotherapy

For San Antonio clients, ketamine-assisted psychotherapy is especially accessible. Our West Austin offices are approximately one hour north on I-35 — close enough for a same-day visit. All infusions are administered by Dr. Truman Milling, MD, FACEP, a board-certified emergency physician, with full medical monitoring. We also provide private luxury transportation for clients who prefer not to drive. Our physician-supervised model already exceeds the new oversight standards proposed by the Texas Medical Board — a physician is physically present for every infusion.

Learn More About Ketamine Therapy.

Alcohol-User Disorder Treatment

A private, physician-supervised protocol combining psychotherapy, ketamine infusions, and Naltrexone. For San Antonio clients, the short drive to Austin makes the ketamine sessions easy to schedule around work and family. Ongoing therapy continues via telehealth between visits.

Learn More about AUD Treatment

Why San Antonio Clients Chose Lake Austin Psychotherapy

  • Close to Home - At just over an hour from San Antonio, our Austin offices are closer than most out-of-town specialists. And for therapy, you don't need to drive at all — telehealth makes every session accessible from home.

  • Military & Veteran Experience - San Antonio is home to Joint Base San Antonio, Lackland, and Fort Sam Houston. Our therapists have experience treating combat-related PTSD, military sexual trauma, and the unique stressors facing service members and their families.

  • No Waitlists - Immediate availability. Your care begins when you reach out.

  • Specialized Expertise - Our team focuses on trauma, PTSD, anxiety, depression, grief, and alcohol use disorder. This is what we do every day — not a sideline within a general counseling practice.

  • Physician-supervised Ketamine - Board-certified emergency physician on site for every infusion. Full medical monitoring. No remote supervision or unsupervised staff.

  • Privacy - Encrypted telehealth, no waiting rooms. In-person ketamine sessions on a secluded five-acre property. Luxury transport available.

Getting Started from San Antonio

Your first session is a free, confidential one-hour consultation via Zoom. We'll listen to your story, understand your situation, and recommend a treatment approach. No cost, no obligation, and no paperwork upfront.