

Headway supports OCD treatment in Lafayette through virtual and in-person sessions covering Acceptance and Commitment Therapy, exposure work, and ritual management. Many clients save up to 75% on sessions through insurance, with some paying as low as $0 per session.
You look like you have it together—but inside, your relationship feels strained, communication breaks down, or anxiety and overthinking take over. Whether you’re a couple stuck in the same arguments, a teen struggling emotionally, or an adult feeling overwhelmed, you don’t have to figure this out alone. I provide therapy in San Antonio for couples, teens, and adults who want real, lasting change. I specialize in “couples therapy,” “teen counseling,” and “therapy for anxiety and relationship issues,” helping clients improve communication, manage emotions, and break unhealthy patterns.
Hi, I’m Emily. I’m a Licensed Marriage and Family Therapist (LMFT) and Licensed Addiction Counselor (LAC) specializing in relationships, family systems, substance use, and co-occurring mental health challenges. I work with individuals, couples, and families navigating anxiety, depression, trauma, bipolar disorder, panic disorder, ADHD, identity exploration, grief, chronic illness, and end-of-life concerns.
Many of my clients come to therapy feeling overwhelmed by emotional ups and downs, struggling with relationship conflict, managing substance use concerns, or coping with co-occurring disorders like anxiety and depression alongside addiction. You may feel stuck in repeating family patterns, battling intrusive thoughts, experiencing mood instability, panic attacks, impulsivity, or feeling disconnected from yourself and others.
With experience in inpatient treatment settings and diverse cultural environments, I bring a deep appreciation for the complexity of the human experience. I am LGBTQ+ affirming and culturally responsive, and I approach each client with curiosity, compassion, and respect for their lived experience.
I have been in private practice for 20 years with my specialty focusing on individuals resolving historic traumas and women balancing all of the complications of womanhood in a fast paced, demanding world. My style is informed from my diverse experience. I have worked in adolescent residential treatment, FBI consulting, an expert witness and a graduate school professorship; all the while working with my private practice clients. In the last several years, I have been sought out as a corporate consultant and speaker to discuss how our negative experiences and traumas shape our behaviors as high intensity professionals.
The untapped magnificence I see in my clients never ceases to inspire and amaze me. Anyone who is willing to do hard work is already a gift to this World! I've grown bored of many things in my life but this work....never!
Dr. Vandenberg has over 25 years of experience in mental health treatment. As a board certified advanced nurse practitioner with a clinical doctorate, Dr. Vandenberg has extensive training providing psychiatric medication management for all ages.
With a background in both family practice and psychiatric mental health, Dr. Vandenberg recognizes the importance of treating the whole person, mind and body. She received her Bachelors of Science in Nursing from the University of Virginia and her Masters of Science in Nursing Education from Mercer University. Dr. Vandenberg went on to receive her post Masters of Science as a family nurse practitioner (FNP), psychiatric mental health nurse practitioner (PMHNP) and a Doctorate in Nursing Practice (DNP) at the University of Tennessee.
Dr. Vandenberg has practiced in a variety of psychiatric, integrated care and academic settings. Her research interests include integrative care , binge eating disorder and non suicidal self injury across the lifespan.
I specialize in supporting adolescents and young adults as they navigate the unique challenges of growing up, finding identity and new roles, and building resilience. Therapy with me is collaborative and supportive, and my approach is grounded in warmth, curiosity and genuine care for your story.


Headway helps you manage obsessive-compulsive disorder with expert-guided support — from finding the right therapist or psychiatrist, to understanding costs, to scheduling with ease.
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