Addiction therapists & psychiatrists in Bulverde, TX

Sandy Crisp, MS, LPC, CRC, LCDC, CCTS-II

When surviving isn't enough anymore.

Life can get complicated, painful, and downright exhausting. Sometimes the things you've survived become the very things keeping you stuck. You may be functioning, showing up for everyone else, and doing what needs to be done, but somewhere along the way, you've lost sight of yourself.

I'm Sandy Crisp, a Licensed Professional Counselor, Licensed Chemical Dependency Counselor, Certified Rehabilitation Counselor, and nationally certified trauma specialist. I bring more than 20 years of professional experience helping people navigate trauma, PTSD, anxiety, depression, addiction, chronic illness, disability, grief, and major life changes.

I work with people who are tired of feeling stuck, overwhelmed, or disconnected from themselves. Whether you're struggling with something that happened years ago or trying to make sense of what's happening right now, we'll work on understanding the patterns, emotions, and experiences affecting your life.

You don't need to have a diagnosis or know exactly what's wrong. We can figure that out together.

If you're feeling overwhelmed by trauma, anxiety, depression, PTSD, or bipolar disorder, you do not have to carry it alone. Therapy can be a place to feel heard, understood, and supported while you make sense of what you've been through. Together, we'll focus on helping you feel safer, more grounded, and better equipped to move through life with confidence and hope.

I am dedicated to offering mental health services of the highest caliber. I am caring and provide comprehensive care to adolescents and adults. I bring strong clinical abilities along with a natural ability to connect with patients and their families. I follow recommendations grounded in evidence-based guidelines, clinical knowledge, and individual observation. As a PMHNP-BC, I serve in many roles, including public health educator and mental health advocate. My goal is to provide quality mental health care services to all.

I am CBT based with Solution Focused and Gestalt main ones I use.

Hey there, my name is Cynthia Leeann Mickel. I am a licensed therapist in TX, OR, AZ, and WA. I graduated with my Master's from Texas Tech University in Lubbock, TX. I have worked with a variety of treatment areas and populations. I have work at: CPS, a psychiatric hospital, Clinical Supervisor at an inpatient drug and alcohol rehabilitation center, Clinical Director at an out patient program with 4 locations, online therapy working with issues ranging from trauma, depression, anxiety, to grief, adhd, and many others. I have served most populations including: men, women, children 12+, people with legal troubles, relationship concerns, and more.

PMHNP | Anxiety, Depression, Bipolar Disorder, ADHD | Medication Management | Virtual Texas

Providing virtual psychiatric medication management for adults across Texas with convenient telehealth appointments.

Hi, I’m Delia Patino, a board-certified Psychiatric Mental Health Nurse Practitioner with over 6 years of experience providing mental health care and more than 15 years of nursing experience. I believe mental health is an essential part of overall wellness, stability, and quality of life.

Seeking support can be a difficult first step, and I strive to provide a compassionate, respectful, and judgment-free environment where patients feel heard, understood, and actively involved in their care. I specialize in treating anxiety, depression, bipolar disorder, PTSD, mood disorders, ADHD, and psychotic disorders through personalized medication management and evidence-based treatment approaches.

You should know that I truly care about who you are, not just the symptoms you’re experiencing. I understand that reaching out for mental health support can feel intimidating, especially if you’ve ever felt judged, misunderstood, or dismissed in the past. My goal is to create a space where you feel safe, heard, and respected from the very first conversation.

I approach every person with compassion, patience, and curiosity. I take the time to understand your story, your stressors, and what matters most to you, so your care is never one-size-fits-all. I believe healing happens best when you feel supported and involved in your treatment, and I see our work as a true partnership.

I am committed to using evidence-based practices while also honoring your lived experience. Whether we are focusing on medication, coping strategies, or long-term growth, I will always be honest, supportive, and collaborative.

Above all, you should know that you are not alone here, and your well-being is my priority.

If you've spent your life providing, surviving, and holding things together for everyone else, therapy can feel like one more thing to manage. I work with men and working people who are tired of feeling anxious, isolated, or stuck, and who want to feel like themselves again. As a bilingual therapist raised in San Antonio, I understand the pressures of low wages, generational trauma, and the expectation to keep pushing no matter what. Whether you're navigating relationships, identity, or stress that never fully turns off, you don't have to figure it out alone. Sessions can be held in Spanish or English. Si prefieres hablar en español, aquí estamos.