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968 people sought cognitive behavioral therapy (CBT) help at San Antonio in the last year

Discover how starting cognitive behavioral therapy (CBT) therapy can support your own journey toward a happier, more fulfilling life.

Start CBT with a licensed therapist as soon as this week

4  therapists available in San Antonio

Having experienced personal trauma and loss, I have a deep, authentic understanding of how painful life circumstances affect us—an...

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As a career-long advocate for mental health and wellness, I am passionate about connecting with people from all walks of life to h...

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As a woman who has experienced stress, loss, and trauma, I understand the impact of painful life circumstances and how they challe...

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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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Raquel Espino

Hear from Raquel Espino, Licensed Professional Counselor (LPC)

View Raquel Espino's profile

What is your go-to approach for cognitive behavioral therapy?

My go-to approach for helping people in cognitive behavioral therapy is self-awareness. I find the best benefit in helping clients build self-awareness early on because it provides the foundation for future coping skills applications.

What tools do you teach in cognitive behavioral therapy?

I teach the following tools in cognitive behavioral therapy:

  • Cognitive challenging: Identifying patterns of thought distortions
  • Cognitive reframing: Providing perspective for alternate thoughts in order to identify thought distortions
  • Emotion regulation: Being able to control emotions, rather than emotions being in control

How do you know when a client is making meaningful progress in cognitive behavioral therapy?

I know a client is making meaningful progress in cognitive behavioral therapy when they report a decrease in racing thoughts or feelings of guilt and an increase in self-confidence to use coping skills.

What can clients do in their personal time to supplement cognitive behavioral therapy?

Clients can supplement their time in cognitive behavioral therapy with journaling or joining mental health support groups.

What should someone do to prepare for starting cognitive behavioral therapy?

To prepare for their first cognitive behavioral therapy session, an individual can identify current coping skills for addressing stressful life circumstances.

Starting Cognitive behavioral therapy (CBT) in San Antonio

What is cognitive behavioral therapy (CBT)?

At Thriveworks, Cognitive behavioral therapy (CBT) is a widely recognized and evidence-based form of psychotherapy or talk therapy. It focuses on identifying and changing negative thought patterns, emotions, and behaviors that can contribute to various mental health issues or challenges that people are struggling with.

What does a cognitive behavioral therapist do?

Cognitive behavioral therapists specialize in Cognitive behavioral therapy (CBT) and can help you to identify and comprehend your thought patterns, which often encompass automatic negative thoughts, cognitive distortions, and self-defeating beliefs. Once these negative thought patterns are pinpointed, cognitive behavioral therapists aim to challenge and replace them with the objective of fostering more constructive and logical thinking. In addition, these therapists place significant emphasis on implementing positive behavioral changes based on the newly established, healthier thought patterns.

What is CBT best for?

Cognitive behavioral therapy (CBT) is particularly effective for addressing conditions like anxiety disorders, depression, phobias, and obsessive-compulsive disorders. It focuses on identifying and modifying negative thought patterns and behaviors, making it well-suited for issues related to distorted thinking and emotional regulation.

How much does a CBT session cost?

At Thriveworks, we accept most major insurance plans, allowing many clients to pay as little as $0–$50 per session with their co-pay. We also offer self-pay options for those out-of-network or without insurance. Self-pay rates for talk therapy range from $160 to $240 for intake sessions and $135 to $195 for follow-ups, depending on your state. For psychiatry services, self-pay intake sessions are $255–$375, with follow-ups ranging from $175–$300, also varying by state. More information on current self-pay costs is available on our pricing page.

What is the success rate of CBT?

The success rate of CBT varies depending on the intentions of the client and their condition(s).

What is better: CBT or DBT?

The selection between cognitive behavioral therapy (CBT) and Dialectical behavior therapy (DBT) is based on an individual’s unique needs and challenges. CBT is commonly chosen for addressing conditions such as anxiety and depression, whereas DBT is especially beneficial for individuals dealing with borderline personality disorder, emotional regulation issues, and difficulties in interpersonal relationships.

Is CBT conducted in person or online?

Cognitive behavioral therapy (CBT) with our Thriveworks therapists 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 sessions is CBT?

Generally, CBT is considered a short-term therapy, typically lasting for about 12 to 20 weekly sessions. In some cases, it might extend to around 16 to 20 sessions for more complex issues.

Pricing & insurance

Our therapists accept most major insurances. We accept 360+ insurance plans, and offer self-pay options, too.
Learn more about pricing for therapy and counseling services at Thriveworks.

Our therapists and counselors in San Antonio accept 52 insurance plans

  • Adventist Health Associates | Employee Health Plan

  • Adventist Health Associates | Non-Employee Health Plan

  • Aetna

  • Aetna Medicare Advantage

  • Ambetter by Superior Health Plan

  • Auto Club Enterprises (Employers Health Network)

  • 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 | Anthem (Blue Card)

  • Buist Byars and Taylor (Employers Health Network)

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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
★★★★★
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.
Read more 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.
Iyahna Jun 2025
Thriveworks.com verified review
★★★★
I like her style, I like her smile. I like her wisdom
Melvin Jun 2025
Thriveworks.com verified review
★★★★★
What I appreciated the most was that my counselor sat there and let me explain what I was going through.
Jeffrey Jun 2025
Thriveworks.com verified review
★★★★★
Christine was kind, professional and yet very down to earth and relatable! I really enjoyed meeting her and talking to her. I look forward to the next time I speak to her.
Karen Jun 2025
Thriveworks.com verified review
★★★★★
The ease of conversation.. True care shown.. Wise words chosen.. When asked questions.. Questions usualy follow through and not end and feel like a interview observation through transparent glass. I now know what my wife's characteristics should be when I get one, basically I feel at complete comfort speaking, with her on sensitive matters. Ur scales are too low for me to rate her, she far exceeds anything such a 10 and a 100. .
Read more The ease of conversation.. True care shown.. Wise words chosen.. When asked questions.. Questions usualy follow through and not end and feel like a interview observation through transparent glass. I now know what my wife's characteristics should be when I get one, basically I feel at complete comfort speaking, with her on sensitive matters. Ur scales are too low for me to rate her, she far exceeds anything such a 10 and a 100. .
Omer Jun 2025
Thriveworks.com verified review
★★★★★
No need for improvement from my therapist. I always feel heard and seen with positive feedback on how I can improve.
Rita Jun 2025
Thriveworks.com verified review
★★★★★
Amanda is providing me with resources that I need to heal.
Rebecca Jun 2025
Thriveworks.com verified review
★★★★★
I've had a very positive experience with my therapist. My only issue has been with the communication with Thriveworks which was cumbersome and difficult to navigate even with simple things like scheduling.
Lisa Jun 2025
Thriveworks.com verified review

Where to find us

Getting here

Thriveworks Counseling & Psychiatry San Antonio is located in the same building as University Medicine Associates Dominion Crossing, Behavioral Innovations, Juan Ferreris MD, Courtney Smith MD, Rafael Rosalez MD, Dinah S George MD, Christus Children’s Pediatric Medical Office, and many other doctors’ offices. In the same plaza is Club Pilates, and nearby is Baskin-Robbins, Dunkin Donuts, Rishi’s Beauty Salon, and Rock’s Discount Vitamins N More. Club Car Wash is also nearby.

Phone number

(726) 204-3834

Languages spoken by TX providers

  • English
  • Spanish
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
Sunday 8:00am - 9:30pm

Shown in CT

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 - 6:00pm
Sunday 8:00am - 6:00pm

Shown in CT

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