Care without the wait

202 licensed therapists & providers in Texas—6 in San Antonio. Available as soon as today, in person and online

Therapy for every life stage

Our providers work with individuals, couples, families, & teens for anxiety, depression, grief, & more

#1 for in-network coverage †

We accept UnitedHealthcare, Cigna, BCBS Plans, Humana, Aetna, & many more. Self-pay options available, no membership fees

Patients who get better

94% of patients feel truly understood by their provider. 3 out of 4 see improvement in depression & anxiety symptoms within 3 months

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554 people sought dialectical behavior therapy (DBT) help at San Antonio in the last year

Discover how starting dialectical behavior therapy (DBT) therapy can support your own journey toward a happier, more fulfilling life.

Start DBT with a licensed therapist as soon as this week

San Antonio, TX

I believe therapy is a collaborative journey of healing, and I strive to offer an inclusive, gentle, and tailored space where both...

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San Antonio, TX

Hola, my name is Monica. I was born in Mexico and I am proud to call San Antonio my home for over 20 years now....

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We don’t have any providers with availability. Our schedules change daily. We’ll reach out as soon as a spot opens up.
Raquel Espino

Hear from Raquel Espino, Licensed Professional Counselor (LPC)

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What is your go-to approach for dialectical behavior therapy?

My go-to approach for helping people in dialectical behavior therapy is somatic regulation skill-building. I find the best benefit in building somatic calming strategies first because it helps reduce our stress response, making us better-able to apply other coping skills.

What tools do you teach in dialectical behavior therapy?

I teach the following tools in dialectical behavior therapy:

  • Emotion regulation: Being able to control emotions, rather than emotions being in control
  • Mindfulness: Focus on being aware of and engaged in the current environment
  • Distress tolerance: Being able to navigate and cope with difficult situations/circumstances

How do you know when a client is making meaningful progress in dialectical behavior therapy?

I know a client is making meaningful progress in dialectical behavior therapy when they display and report a decrease in emotional reactivity and an increase in mindfulness practices.

What can clients do in their personal time to supplement dialectical behavior therapy?

Clients can supplement their time in dialectical behavior therapy with mental health support groups and personal/group spaces for mindfulness practices.

What should someone do to prepare for starting dialectical behavior therapy?

To prepare for their first dialectical behavior therapy session, an individual can take inventory of current coping strategies and support systems they use.

Dialectical behavior therapy (DBT) FAQs

What is dialectical behavior therapy (DBT)?

At Thriveworks, Dialectical behavior therapy (DBT) primarily concentrates on assisting individuals in emotion regulation, enhancing interpersonal relationships, and acquiring effective coping strategies for managing stress and emotional difficulties.

How does DBT work?

Dialectical behavior therapy (DBT) targets your personal challenges. You may work with your DBT therapist to maintain diary cards to monitor progress, emphasizing validation and support in the therapeutic relationship. DBT follows a stage-based approach, prioritizing crisis reduction initially and life satisfaction.

What is DBT best used for?

DBT was initially developed to address the needs of individuals with borderline personality disorder (BPD). However, its versatile approach has enabled its application to a wide range of mental health conditions, including but not limited to, anxiety, depression, stress, and anger issues.

What are the 4 pillars of DBT?

The 4 pillars of DBT are mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance.

Is DBT better than EMDR?

Dialectical behavior therapy (DBT) and eye movement desensitization and reprocessing (EMDR) have distinct purposes and aren’t inherently superior or inferior to one another. DBT is most effective for managing emotional regulation, personality disorders, and interpersonal challenges, while EMDR is specifically tailored for individuals with trauma-related conditions like post-traumatic stress disorder (PTSD).

Is DBT conducted in person or online?

Dialectical behavior therapy (DBT) with therapists at Thriveworks in San Antonio, TX is conducted both in person and online by video. We encourage you to choose the option that works best for you.

How many months is DBT?

The duration of a standard DBT program is typically around 24 weeks, which is roughly six months. The actual number of sessions will vary depending on the issues you wish to address.

Pricing & insurance

Our therapists accept most major insurance and we offer self-pay options too.
Learn more about pricing for therapy and counseling at Thriveworks.

Our therapists and counselors in San Antonio accept 58 insurance plans

  • Adventist Health Associates | Employee Health Plan

  • Adventist Health Associates | Non-Employee Health Plan

  • Aetna

  • Aetna Medicare Advantage

  • Ambetter by Superior Health Plan

  • Baylor Scott and White Health Plan

  • Baylor Scott and White Health Plan Medicare Advantage

  • Blue Cross Blue Shield of Texas HMO

  • Blue Cross Blue Shield of Texas PPO

  • Blue Cross Blue Shield of Texas | Blue Advantage HMO (BAV)

  • Blue Cross Blue Shield of Texas | Medicare Advantage

  • Blue Cross Blue Shield of Texas | MyBlue (BFT)

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Self-pay costs at San Antonio
Talk therapy

Talk therapy

Includes individual, couples, child/ teen, & family therapy

First session

$1

Ongoing sessions

$1

Talk therapy

Psychiatry

Includes reducing symptoms with medication & management

First session

$1

Ongoing sessions

$1

Hear from our clients

5.0 Learn about verified reviews
★★★★★
Dr. Hansen has been very benefitical in helping me move past a very hard moment in my life and seeing that a better future is there waiting for me. I can look back at what happened and see where I made mistakes and avoid those types of situations in the future.
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Emilia Aug 2026Thriveworks.com verified review
★★★★★
Mrs. Hoff is a very good listener and I would recommend her to anyone she shows a lot of care and concern and is very knowledgeable about what I am dealing with and has helped me thus far with dealing with it
Maya Jul 2026Thriveworks.com verified review
★★★★★
I am grateful for my therapist! I already see massive changes in my life and I am looking forward to my future. I am glad I took that step to call
Quinn Jul 2026Thriveworks.com verified review
★★★★★
I appreciate that Selene listens to my concern and has helpful ideas to help me through the situation.
Abigail Jul 2026Thriveworks.com verified review
★★★★★
easy to converse with and understand
Brianna Jul 2026Thriveworks.com verified review
★★★★★
My therapist has completely changed my life, for the better. I came to Thriveworks with a lot of emotional issues that I just couldn't figure out how to manage. Since working with my therapist I've been able to express those feelings in healthy ways and start conversations with those I've been avoiding. I honestly don't know how I would've get through everything without her. She makes therapy less stressful and more fun than I ever thought it could be. Which has made it easier for me to open up.
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Madeleine Jun 2025Thriveworks.com verified review
★★★★☆
I like her style, I like her smile. I like her wisdom
Tegan Jun 2025Thriveworks.com verified review
★★★★★
What I appreciated the most was that my counselor sat there and let me explain what I was going through.
Moises Jun 2025Thriveworks.com verified review
8 of 25 reviews

Where to find us

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Address

21727 Interstate 10 Suite 106
San Antonio, TX 78257

Getting here

Thriveworks Counseling & Psychiatry San Antonio is located near Interstate 10 and Dominion Drive, off Loop 1604. It is near the Friedrich Wilderness Park and just a short distance from the Leon Springs Elementary School.

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Phone number

(726) 204-3834
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Languages spoken by TX providers

  • Hindi
  • English
  • Spanish
  • Bengali
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Hours

Sunday 8:00am - 9:30pm
Monday 8:00am - 9:30pm
Tuesday 8:00am - 9:30pm
Wednesday 8:00am - 9:30pm
Thursday 8:00am - 9:30pm
Friday 8:00am - 9:30pm
Saturday 8:00am - 9:30pm

Shown in CT

Sunday 8:00am - 6:00pm
Monday 8:00am - 11:00pm
Tuesday 8:00am - 11:00pm
Wednesday 8:00am - 11:00pm
Thursday 8:00am - 11:00pm
Friday 8:00am - 11:00pm
Saturday 8:00am - 6:00pm

Shown in CT

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