Couples therapists

Family Therapist, MA, LMFT-S, LPC-S

Vanessa Bernal is a licensed marriage and family therapist and Licensed Professional Counselor, both at supervisor level, in San Antonio with 15 years in practice. She works with children, preteens, teens, adults, couples and families on relationship problems, anxiety, depression, trauma, ADHD, grief, OCD, substance use, eating disorders, postpartum concerns and LGBTQ+ issues. She aims to make therapy a comfortable, trusting place clients want to come back to, whether they need a listening ear or someone to coach them through a hard stretch. She blends techniques from many models, including CBT, emotionally focused, narrative and family systems therapy. She offers reasonable self-pay rates and lower-cost intern sessions, in person and online.

Clinical Social Work/Therapist, LCSW-S

Edgar Napoles is a licensed clinical social worker and supervisor in New Braunfels. His clients include adults, couples, families, college students, first responders and working professionals. He helps with depression, anxiety, trauma, relationship issues, cultural stress and major transitions, and also treats addiction, bipolar disorder and perinatal concerns, with LGBTQ+ affirming care. He brings warmth and structure to sessions, and his own background gives him a firsthand feel for the Hispanic and Mexican American community. His methods include CBT, DBT, EMDR and emotionally focused therapy, applied in a culturally sensitive way, and he also provides immigration evaluations. He sees clients in person in New Braunfels and online.

Licensed Professional Counselor, MA, LPC

Stephen Trotter is a Licensed Professional Counselor in San Antonio with three years in practice. He works with individuals and couples hoping to strengthen how they relate to themselves and to others, helping them understand their emotional cycles and the feelings, motives and behaviors that shape how they relate. He also helps with anxiety, depression, ADHD, grief, self-esteem and life transitions, and sees children, teens and families. His style is collaborative, positive and warm, with humor and authenticity, and his office is set up to feel calm and cozy. He draws on emotionally focused therapy, the Gottman Method, art therapy and attachment-based work. He sees clients in person in San Antonio and online.

Family Therapist, LMFT

Tania Ortiz is a licensed marriage and family therapist in San Antonio who works with individuals, couples and families, including teens and older adults. She helps with infidelity and other relationship issues, anxiety, depression, stress, grief, trauma, self-esteem and life changes, as well as postpartum concerns. With each client she sets and clarifies goals, explores different paths forward and helps them draw on their own strengths to create lasting change and connection. In couples work she uses the Gottman Method, emotionally focused therapy, solution-focused therapy and CBT. She is bilingual and offers therapy in English and Spanish, in person in San Antonio and online.

Licensed Professional Counselor, LPC, PMH-C

Esmeralda Cardenas is a Licensed Professional Counselor based in Helotes and certified in perinatal mental health. She specializes in maternal mental health, supporting mothers through pregnancy, postpartum and parenting, and she works with dads too. Many of her clients seem to be coping well but feel overwhelmed inside, carrying anxiety, intrusive thoughts, guilt, identity shifts and strain in their relationships. She also helps adults and couples with depression, trauma, ADHD and grief. Her therapy is collaborative and structured, offering practical tools and deeper insight to help clients regulate emotions and rebuild confidence, using CBT, ACT, DBT, cognitive processing therapy and somatic, trauma-informed care. She sees clients online.

Licensed Professional Counselor, MA, LPC, CADC

Stephanie Knight is a Licensed Professional Counselor and certified alcohol and drug counselor in Lake Oswego, Oregon. She offers individual and group therapy for teens, adults and couples, with a focus on women, helping clients through especially difficult stretches of life when anxiety, frustration or unhealthy coping can take hold. Her areas include anxiety, depression, trauma, relationships, self-esteem, substance use, eating disorders and bipolar disorder. She aims to provide caring support and fresh solutions, drawing on CBT, cognitive processing therapy, DBT, ACT, EMDR, emotionally focused therapy, the Gottman Method and motivational interviewing. She sees clients in person in Lake Oswego and online.

Family Therapist, LMFT

Michael Morales is a licensed marriage and family therapist in Beaverton, Oregon, with 11 years in practice. He works with adults, older adults and couples on relationship and couples issues, anxiety, depression, trauma, self-esteem and stress, helping clients feel more empowered, connected and safe in daily life. He favors evidence-based, systems-oriented tools and draws on the Gottman Method, emotionally focused therapy, IFS, attachment-based, psychodynamic and trauma-informed work. He invites clients who are ready to put in the effort to appreciate who they are now while learning new skills for growth and lasting change. He offers sessions in person in Beaverton and online.

Family Therapist, MA, LMFT, CST

Jennifer Besst is a licensed marriage and family therapist and certified sex therapist in Tigard, Oregon, with 16 years in practice and licenses in Oregon and California. She specializes in relationship and sexual concerns, including sexual pain conditions such as dyspareunia and vaginismus, sexual anxiety and differences in desire. She also helps adults and couples with dating, moving in together, conflict, sharing household load, breakups and divorce, and opening a relationship, as well as anxiety, depression, grief and LGBTQ+ concerns. Her approach combines cognitive therapies, interpersonal neurobiology and the Gottman Method, with art therapy and other creative methods when wanted. She sees clients in person in Tigard and online.

Licensed Professional Counselor, MS, LPC, LMHC

Stacey Nixon is a Licensed Professional Counselor in Portland, Oregon, who works with preteens, teens, adults, couples and families. She helps clients who feel thrown off balance by trauma, ongoing stress, difficult emotions or distance from a partner, and her areas also include anxiety, depression, grief, life transitions, self-esteem, substance use and LGBTQ+ concerns. Whether a client wants to work through trauma or improve communication with a partner, she focuses on building self-acceptance and awareness as a base for change. Her methods include EMDR, emotionally focused therapy, attachment-based and family systems work, CBT, motivational interviewing and compassion-focused care. She offers sessions in person in Portland and online.