Our Approach to Counseling

At Transform & Renew Counseling, we know that no two people arrive in therapy for the same reason. Many of the people we work with are thoughtful, capable individuals who have spent years trying to handle things on their own before finally reaching out for support.

Others are carrying trauma they have never fully processed. Some are exhausted from constantly caring for everyone else while ignoring their own needs. Wherever you are starting, our goal is to help you feel understood, supported, and equipped with tools that create meaningful change in daily life.

Seeking therapy is not a sign of weakness. For many people, it is a proactive step toward healthier relationships, stronger boundaries, emotional balance, and long-term growth.

Our therapists use evidence-based approaches such as EMDR therapy, Cognitive Behavioral Therapy (CBT), attachment-based therapy, trauma-informed care, emotional regulation strategies, and body image and eating disorder support to help clients process difficult experiences, build coping tools, and feel more grounded in daily life.

We support children, teens, adults, couples, and families navigating anxiety, trauma, grief, relationship stress, eating disorders, body image concerns, life transitions, emotional overwhelm, and complex mental health challenges in a safe, supportive, and nonjudgmental environment.

Trauma-informed therapy means moving at a pace that feels safe, collaborative, and respectful of your experiences. You will never be forced to talk about something before you feel ready.

How We Help You Feel Better

You are looking for more than symptom relief or a diagnosis. You may be wanting to wake up without constant anxiety, trust yourself more, feel present with the people you love, set healthier boundaries, or stop carrying the weight of past experiences into every part of your life.

Imagine feeling more confident in your decisions, communicating your needs without guilt, being fully present with your children or partner, trusting yourself again, and having the emotional energy to engage in the parts of life that matter most to you. These are often the kinds of changes clients begin to notice as therapy progresses.

Feel Calmer and More Emotionally Regulated

Learn tools to manage anxiety, emotional overwhelm, racing thoughts, panic, and stress so your mind and body can feel safer and more grounded.

Strengthen Your Sense of Self-Worth

Build confidence, healthier boundaries, and greater self-trust so you can make decisions with more confidence, communicate your needs more clearly, and stop defining your worth by what you do for everyone else.

Develop a Healthier Relationship With Food and Your Body

Receive compassionate support for eating disorders and body image concerns, emotional eating, perfectionism, and reconnecting with yourself in more supportive and sustainable ways.

Process Trauma in a Safe and Supportive Way

Trauma-informed therapy and EMDR therapy can help process difficult experiences without feeling retraumatized while supporting long-term emotional healing.

Strengthen Relationships and Communication

Therapy can help improve communication, attachment patterns, emotional connection, conflict resolution, boundaries, and healthier relationship dynamics.

Find Clarity During Life Transitions

Navigate identity shifts, grief, burnout, parenting stress, relationship changes, and career transitions with greater confidence in yourself and your ability to move forward.

Support Your Child or Teen’s Emotional Growth

Helping children and teens build confidence, resilience, emotional awareness, and healthy coping skills they can carry into adulthood.

Reconnect With Your Values and Faith

For clients who desire it, faith-integrated counseling can thoughtfully incorporate spirituality and emotional healing in ways that feel supportive, respectful, and authentic.

Ways We Can Support You

Transform & Renew Counseling provides trauma-informed counseling for children, teens, adults, couples, and families in San Antonio and across Texas through virtual therapy. Our therapists support a wide range of emotional, relational, and mental health concerns using compassionate, evidence-based approaches tailored to each client’s needs.

Trauma & PTSD Therapy

Support for childhood trauma, relationship trauma, PTSD, grief, emotional overwhelm, and difficult life experiences using trauma-informed approaches including EMDR and other evidence-based therapies.

Learn More

Child & Teen Therapy

Counseling for children and teens ages 5+ using developmentally appropriate, creative, and supportive approaches to help manage anxiety, emotions, trauma, self-esteem, behavior challenges, and life stressors.

Learn More

Anxiety, Stress & Burnout Counseling

Learn practical coping tools to manage anxiety, racing thoughts, emotional overwhelm, panic, perfectionism, burnout, compassion fatigue, and chronic stress while building greater emotional regulation and stability.

Learn More

Life Transitions & Identity Support

Therapy for major life changes including career transitions, relationship changes, identity exploration, parenthood, chronic illness, college stress, and navigating uncertain seasons of life.

Learn More

Grief & Loss Counseling

Compassionate support for grief, loss, infertility, relationship loss, traumatic grief, and complex emotional experiences while helping clients process emotions and move toward healing.

Learn More

Faith & Spiritual Integration

Optional faith-based counseling for clients who would like to integrate spiritual values, personal beliefs, and emotional healing into the therapeutic process in a supportive and respectful way.

Learn More

Eating Disorders & Body Image Support

Counseling for disordered eating, body image concerns, perfectionism, body dysmorphia, emotional eating, and self-worth using compassionate, weight-inclusive and Health at Every Size® aligned approaches.

Learn More

Boundaries & Codependency

Therapy to help clients navigate people-pleasing, unhealthy relationship patterns, emotional burnout, attachment wounds, difficulty saying no, and learning to build healthier boundaries and self-trust.

Learn More

Mood Disorder Counseling

Support for depression, bipolar disorder, emotional dysregulation, mood instability, and complex mental health concerns using compassionate, trauma-informed, and evidence-based therapeutic approaches.

Learn More

Not Sure Which Therapist Is the Best Fit?

Whether you're a parent seeking support for your child, someone healing from trauma, navigating a major life transition, working through relationship challenges, or simply looking for a space to grow, we'll help connect you with a therapist who fits your needs.

Answer one quick question and we’ll point you toward a few therapists who may be a good fit based on your needs.

Access & Insurance

We aim to make starting therapy feel clear and manageable. From insurance verification to finding a therapist whose schedule works for yours, our goal is to remove as many barriers as possible so getting support feels realistic and achievable.

✔ Insurance and private pay options are available for counseling services.
✔ In-person counseling in San Antonio and virtual therapy across Texas.
✔ Insurance verification support before your first appointment whenever possible.
✔ Daytime, evening, and select weekend appointments may be available so therapy can fit around work, school, parenting responsibilities, and other commitments.
✔ You do not need to know which therapist, therapy approach, or specialty is right for you before contacting us—we can help guide you.

Therapy is not one-size-fits-all. Some clients seek support around a specific challenge or life transition, while others benefit from longer-term counseling. Together, you and your therapist can determine an approach, pace, and treatment plan that aligns with your goals, needs, and circumstances.

Request an Appointment

Flexible Counseling Options

Therapy That Fits Into Real Life

Most people begin therapy while still managing work, school, parenting responsibilities, caregiving, athletics, medical appointments, and the demands of everyday life.

We offer both in-person and virtual therapy options, and our team will help you find a therapist and appointment time that works with your life—not the other way around.

Therapists Currently Accepting New Clients

Meet a few of our counselors currently accepting new clients. Whether you're looking for support for yourself, your child, your relationship, or a specific concern like trauma, anxiety, grief, eating disorders, or life transitions, we'll help you find a therapist who feels like the right fit.

Julie Ramsey, LPC Associate, trauma and EMDR therapist in San Antonio

Julie Ramsey

LPC Associate

Julie works with adults who are exhausted from carrying the weight of trauma, anxiety, chronic illness, or life's challenges alone and are ready to move toward greater healing, confidence, and emotional freedom.

Meet Julie
Staci Makela-Kerr, LPC Associate, counselor for older adults, grief, anxiety, and life transitions in San Antonio

Staci Makela-Kerr

LPC Associate

Staci helps adults navigate grief, life transitions, retirement, and changing seasons of life while rediscovering purpose, connection, and hope for what's ahead.

Meet Staci
Daniella Reyes, LPC, bilingual counselor for grief, trauma, couples, families, and relationships in San Antonio

Daniella Reyes

LPC

Daniella helps individuals, couples, and families navigate grief, trauma, relationship challenges, and life transitions while rebuilding confidence, connection, and hope for what's ahead.

Meet Daniella
View All Counselors Help Me Find the Right Therapist

Not Sure Where to Start?

Finding the right therapist matters. If you're unsure where to begin, our team can help guide you toward a clinician whose experience, approach, and personality may be a good fit for your needs.

Many people worry that starting therapy means committing to years of counseling. In reality, therapy looks different for everyone. Some clients come for support around a specific challenge, while others choose longer-term care. Together, you and your therapist can determine what makes sense for your goals, needs, and schedule.

Request an Appointment Learn How to Get Started
In-person counseling in San Antonio and virtual therapy appointments available across Texas.
Questions before scheduling? Call or text 210-201-4578.

What Clients Are Saying About Us

Real experiences shared by individuals who have worked with our therapists and found support, connection, healing, and growth through the counseling process.

“

"I’m just glad I can talk about whatever with my therapist. I don’t have anyone else I can talk to about this stuff."

“

"After years of carrying trauma, I finally feel like I can move through my day without constantly feeling on edge. EMDR helped me feel like myself again."

“

"When I started therapy, I felt overwhelmed and emotionally exhausted. Now I have healthier coping skills, stronger boundaries, and more confidence in handling difficult situations."

“

"No other counselor has understood me like this. It’s been extremely validating."

“

"As someone who has always struggled to open up, I was surprised by how safe and comfortable I felt in therapy. For the first time, I felt truly heard without being judged."

“

"You’re amazing at what you do. You’re absolutely in the right line of work."

Frequently Asked Questions

Yes. Transform & Renew Counseling is an insurance-based counseling practice. Our team can help verify your benefits before your first session so you have a clearer understanding of your coverage, copay, deductible, or expected costs.
You can start by contacting our office through the website, phone, or email. Our team will help with insurance verification, scheduling, and matching you with a therapist based on your needs, preferences, and availability. You can also learn more about the process on our Getting Started page .
EMDR therapy is an evidence-based approach that helps the brain process distressing experiences so they feel less overwhelming. It is often used for trauma, anxiety, grief, negative beliefs, and experiences that still feel emotionally stuck.
That is completely okay. Your first session is a supportive space to ask questions, share what feels comfortable, and begin building trust with your therapist at a pace that feels manageable.
Yes. We provide counseling for children and teens using age-appropriate, creative, and trauma-informed approaches to support emotional regulation, behavior concerns, anxiety, trauma, self-esteem, and family stress.
Yes. We offer in-person counseling in San Antonio and virtual therapy across Texas , depending on clinician availability, client needs, and service type.

You Don’t Have to Figure This Out Alone

Therapy is about more than reducing symptoms. It can help you build healthier relationships, trust yourself more, break unhelpful patterns, and create a life that feels more aligned with who you want to be.

You do not need to have everything figured out before reaching out. We're here to help you take the next step.

Many of our clients are thoughtful, capable people who have spent years caring for others, pushing through challenges, and doing their best with the tools they had.

Therapy is not a sign that you've failed—it's often a sign that you're ready to invest in yourself with the same care you've given everyone else.

Request an Appointment Verify Insurance
In-person counseling in Northwest and Northeast San Antonio, plus secure virtual therapy across Texas, making it easier to access support wherever you are.
Group Therapy & Support Groups

Supportive Groups for Healing, Confidence, Identity, and Emotional Wellness

Sometimes it helps to know you are not the only one struggling with body image, emotional stress, injury recovery, confidence, anxiety, or feeling disconnected from yourself. Group therapy can offer support, encouragement, practical tools, and connection with others who understand what you are experiencing.

Transform & Renew Counseling currently offers trauma-informed and emotionally supportive groups for teens and adults focused on body image healing, self-worth, emotional resilience, identity, and rebuilding confidence after injury and major life challenges.

Explore Group Offerings Ask About Current Groups
Adult Body Image and Body Kindness Therapy Group
Teen Body Image and Body Kindness Therapy Group
Mind Over Injury Teen Athlete Support Group

Already a Client? Manage Your Appointments with Ease

Need to log in, reschedule, request a session, or access your appointment information? Use the client portal anytime — it’s quick, secure, and designed to fit your schedule.

Client Portal
For scheduling questions or insurance updates, please contact our office directly.
Transform & Renew Counseling Logo

Transform & Renew Counseling

Trauma-informed counseling in San Antonio and virtual therapy across Texas.

Blog Client Portal Privacy Policies & Complaints
Northwest Office
11550 W Interstate 10, Suite 155, San Antonio, TX 78230
Northeast Office
1919 Oakwell Farms Pkwy, Suite 155, San Antonio, TX 78218
Ph: 210-201-4578 • [email protected]

© 2026 Transform & Renew, PLLC - Serving San Antonio, Stone Oak, Leon Springs, Helotes, Alamo Heights, Shavano Park, Leon Valley, Boerne, Universal City, Cibolo, Schertz and clients virtually across Texas.

Text Us Call Us