

Families in San Antonio shouldn’t have to wait months or drive hours to find a therapist who specializes in 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, and therapy is available 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.
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. We offer evening appointments, and our parent-based program, SPACE, helps when a child won’t come to therapy.
Yes. We offer therapy in English or Spanish by secure video, including exposure and response prevention (ERP) for OCD and anxiety, for children, teens, and adults.
Yes. Our therapists are licensed in Texas, so we can meet with anyone located in the state by secure video.
Yes. Online care fits military life well. As long as you’re in Texas, your care continues without interruption, and if a move takes you out of state, we’ll help you find a good specialist there.
For most people, yes. Research shows online treatment for OCD and anxiety works about as well as meeting in person.
We’re a private-pay practice. Because we don’t bill insurance, nothing goes on file with your insurance company unless you choose to submit a superbill for out-of-network reimbursement. 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.
Book a free 15-minute video consult online, or call or text 214.444.8079. You’ll talk with the clinician you’d like to work with, and if it feels right, we’ll find a first appointment that fits your week.