Care without the wait

162 licensed therapists & providers in Texas—4 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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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

San Antonio, TX

I chose a career in counseling because I’m passionate about helping others, committed to promoting social justice, upholding ethic...

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San Antonio, TX

I see therapy as a collaborative journey, and I strive to meet each client with compassion, curiosity, and genuine respect for the...

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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

Helping you feel seen, supported, and hopeful again is my passion....

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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)

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.

Cognitive behavioral therapy (CBT) FAQs

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 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

4.9 Learn about verified reviews
★★★★★
I appreciate that I have someone who I can rely and have support for my issues. Someone that doesn’t judge me and provide guidelines.
Rochelle Aug 2026Thriveworks.com verified review
★★★★★
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
★★★★☆
I have helpful conversations with my therapist. I think we have a good rapport.
Autumn Aug 2026Thriveworks.com verified review
★★★★★
I appreciate that my Therapist gives me beneficial assignments/tasks.
Nora Aug 2026Thriveworks.com verified review
★★★★☆
Very understanding
Patricia Aug 2026Thriveworks.com verified review
★★★★★
Felt comfortable talking ,was great for 1st session.
Sophie Aug 2026Thriveworks.com verified review
★★★★★
She was kind and listened and wanted to understand so she can help me navigate this difficult situation
Madelyn Aug 2026Thriveworks.com verified review
★★★★★
She genuinely listens and give me outstanding feedback.
Quiana Aug 2026Thriveworks.com verified review
8 of 56 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

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

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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
Sunday 8:00am - 6:00pm

Shown in CT

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