Specialist care by secure video from anywhere in the San Antonio area, in English or Spanish, with family welcome in the room.
Families in San Antonio shouldn’t have to wait months or drive hours to find a therapist who specializes in obsessive-compulsive disorder (OCD), anxiety, ADHD, autism or avoidant/restrictive food intake disorder (ARFID). With Layers Counseling Specialists, you meet by secure video with a therapist who focuses on exactly what you’re facing, in English or Spanish. We work with children, teens and adults, using approaches with strong research behind them, like exposure and response prevention (ERP) for OCD and SPACE for parents of anxious children.
We specialize in OCD (including ERP and I-CBT), anxiety disorders, ADHD, autism, ARFID, eating disorders, and trauma, working with children as young as 3, teens, and adults.
Sessions happen by secure, private video from anywhere in Texas, from Alamo Heights and Stone Oak to New Braunfels and Schertz. All you need is a private space and an internet connection, and a phone or tablet works fine.
Family is at the center of how we work with children, and parents and grandparents are welcome partners in care. Military families can keep therapy steady through changing schedules, and online sessions stay the same after a move anywhere in Texas. Evening appointments are available.
Yes. Our therapists are licensed in Texas, so we can meet by secure video with anyone located in the state, including all of greater San Antonio.
Yes. Karla Pineda and Isaac Rosas offer therapy in Spanish or English by secure video, including ERP for OCD and anxiety. Parent sessions can be in Spanish too.
Yes. Online therapy can keep going through schedule changes, and if you move within Texas you keep the same therapist. If a move out of state is coming, we’ll plan for it together so nothing ends abruptly.
Yes. For children, the adults who care for them every day are part of the plan. With your permission, we include them in parent sessions so everyone knows how to help.
We’re a private-pay practice, so we don’t send your information to an insurance company. We accept HSA and FSA cards and offer two fee levels: our specialists and our focused clinicians, who are supervised by specialists and cost less. A limited number of sliding-scale spots are available too.
For many people, yes. Research on video-based CBT and ERP shows results similar to in-person care for anxiety and OCD, and meeting from home makes it easier to stay consistent.
