Anxiety and depression therapists and psychiatrists in San Marcos, TX

Hi, my name is Karen. I am a Licensed Marriage and Family Therapist. I have been in the field for over 20 years now. I love to work with individuals and couples.

As a therapist, I'm naturally solution-focused, but I also know that lasting change doesn't happen by rushing past the hard stuff. I like to find a balance between processing and problem-solving. Sometimes that means helping clients unpack what's been weighing on them, make sense of their experiences, or connect the dots between past and present. Other times, it means rolling up our sleeves and figuring out what practical steps they can take to start feeling better and moving forward.

I don't believe therapy should be a place where you come in week after week and just talk without seeing any growth. At the same time, I don't believe in jumping straight to solutions before someone has had the opportunity to feel heard and understood. My goal is to help clients gain insight, build skills, and make meaningful changes while honoring where they are in the process.

I tend to be warm, down-to-earth, and genuine in my approach. I want clients to feel comfortable bringing their whole selves into the room—the messy parts, the uncertain parts, and the parts they're still trying to figure out. I believe some of the best work happens when people feel safe enough to be honest and supported enough to take risks.

Above all, I see therapy as a partnership. You are the expert on your life, and I'm here to help you make sense of what you're experiencing, recognize your strengths, and find a path forward that feels authentic and sustainable for you.

Taking the first step is the hardest part—but you do not have to walk it alone.

Welcome! I am a Licensed Clinical Social Worker with over 27 years of experience helping adults, children, and families transform their lives. Together, we will clear the path toward your mental health goals, breaking down big obstacles into manageable steps. Your courage brought you here, and my expertise is here to support you the rest of the way. Let’s build the future you deserve.

I worked over 20 years in several corporate, nonprofit and government settings prior to becoming a licensed therapist. I received my master's degree in Mental Health Counseling at City University of Seattle. During my internship I worked with a county mental health agency serving seriously mentally ill clients for six years. In addition, I have completed extensive training and received certification in both Crisis Counseling and Grief Counseling. I am also a Certified Clinical Trauma Professional (CCTP) and a Certified Narcissistic Abuse Treatment Clinician (NATC).

Hello, I’m Henrietta Pieh, MSN, APRN, PMHNP-BC, a Board-Certified Psychiatric Mental Health Nurse Practitioner. I provide compassionate, patient-centered care to individuals across the lifespan through comprehensive psychiatric evaluations, medication management, and supportive collaboration.

My background includes years of nursing experience in inpatient psychiatry, crisis stabilization, addiction recovery, and geriatric mental health. I believe in meeting clients where they are, building trust through empathy, and working together toward meaningful progress and emotional well-being.

Whether you are navigating stress, depression, anxiety, trauma, or other life challenges, my goal is to create a safe and supportive space where you feel heard, respected, and empowered in your healing journey.

I am laid back, and make you feel like you are talking more to a friend than a therapist. My current clients love this.

Hi! I’m Vanessa! I’m a wife, Mom and entrepreneur. I’m also a psychiatric nurse practitioner specializing in integrative psychiatry and women’s mental health. I run a niche mental health clinic called Kavah Wellness Psychiatry. I hold a bachelors degree, two masters degree and a doctor of nursing practice degree. I have almost a decade of experience in the mental health sector. I love everything mental health!

Thank you for taking the time to view my profile! My name is Terri Lee Stowe and I am the founder/owner of Engaging Teens Counseling Center. I am a licensed professional counselor (LPC). I currently see clients ages 11-25 years-of age. It would be my pleasure to help you/your child to transition between adolescence and adulthood. It is my goal to engage clients and allow them to feel both seen and heard.

Hi, I'm Karla!

I am a board-certified Psychiatric Mental Health Nurse Practitioner, I believe in compassionate, collaborative, and evidence-based care. I support individuals juggling busy, demanding lives dealing with anxiety and depression. I’ve been a nurse for over 12 years, with the last three focused on mental health care. My goal is to guide your healing in the right direction.

Stress, burnout, relationship challenges, emotional overwhelm, or the pressure of constantly holding it all together - sound familiar? My clients are ambitious, capable people who are quietly struggling, and seek not only to feel better but also to understand themselves better in the process.

My approach is warm, inquisitive, and solution-oriented.

If your goal is to strengthen relationships, navigate life transitions, and create a life that feels more connected, meaningful, and sustainable, then I'm your huckleberry. Whether you're navigating a challenging season, feeling stuck, or simply looking to live more intentionally, our work together will be a space to slow down, reconnect with yourself, and move forward with greater clarity and confidence.

I work best with clients who are navigating anxiety, grief, trauma, life transitions, and everyday stress. Many come to therapy feeling overwhelmed, stuck, emotionally exhausted, or unsure of how to move forward. My ideal clients are looking for a supportive space to process what they are carrying, better understand themselves, and begin healing at a pace that feels right for them. I believe people heal best when they feel truly seen, heard, and understood. My approach to counseling is grounded in kindness, empathy, consistency, and genuine human connection.

For the past 20 years, I have worked in educational counseling and mental health support with children and adolescents ages 5–18. During that time, I’ve had the privilege of walking alongside students and families through some of life’s most challenging and meaningful moments. For the last 14 years, I have also practiced as a Licensed Professional Counselor (LPC), helping clients build emotional resilience, confidence, and practical tools for everyday life.

My experience includes working extensively with anxiety, executive functioning challenges, academic stress, goal setting, grief, and trauma. I understand how overwhelming life can feel when emotions, responsibilities, or past experiences begin to weigh heavily. I also know that healing and growth are possible with support, patience, and the right therapeutic relationship.

Hey, I'm Kwanza. I graduated in 2020 from Johnson C Smith University with my Master's in social work. I have 4 years of experience working with children, adults, and families to overcome trauma.

I believe that my clients are the experts of their lives.

When holding space for clients, I provide a space where they can unpack their feelings, express their emotions, and develop skills to help them live a healthier life.