Book a therapist or psychiatrist in San Antonio, TX covered by Aetna

I am licensed in Texas with 9 years of professional experience. I have experience working with military families and children going through reintegration processes, and understanding new family dynamics. I have experience working with children and youth who are facing social, academic, and identity concerns. I have experience working with foster and adopted youth. I have experience in helping adult clients with relationships, family conflicts, parenting, self-esteem, sexuality, and confidence.

Have you ever felt like you're accomplishing everything but still feel unfulfilled or unsatisfied? Do you give so much of yourself to others that little is left for you at the end of the day? Does your child's behaviors (fighting, defiance, truancy, argumentative) leave you wondering what's really going on beneath the surface. It just might be time to take a deeper look.

I’m Tiana Welch, a Licensed Independent Clinical Social Worker, providing telehealth therapy for children, teens, and young adult/adult women. With six years of experience, I have supported clients facing many challenges, including mental health concerns, behavioral issues, and substance abuse. My passion lies in helping children, teens, and families take a deeper look at behaviors to uncover the root causes, and in supporting young adult and adult women as they peel back the layers of perfectionism, burnout, and societal expectations to reconnect with their true selves.

Outside of therapy, I enjoy attending Pilates and spin classes, coloring, painting, reading, and exploring new creative hobbies like learning to sew (this month).

I believe everyone needs help from time to time.

I specialize in evening and weekend appointments. Later appointments are available, please request your needs.

I am a friendly goal-oriented therapist who believes strongly in positive self-reinforcement. I have a Master's degree from La Tech University with a background in private practice for over 20 years. I am Licensed in Louisiana and Texas as a professional counselor. I am also Licensed as a marriage and family therapist in Louisiana.

I received my Master of Science in Counseling with a clinical mental focus from East Texas A&M University. I've worked the past 4 years in education with clients with very diverse cliental and ages (12-18). Additionally, I did an internship at an outpatient facility with clients ages ranging from 40-80. I offer compassion, understanding, and radical acceptance to all my clients.

I am a board-certified psychiatrist with 9 years of experience in adult, child, and adolescent psychiatry. My practice is grounded in patient-centered, evidence-based care for a wide range of mental health conditions, including depression, bipolar disorder, anxiety, ADHD, PTSD, sleep disorders, and substance use disorders. I offer comprehensive psychiatric evaluations, individualized treatment planning, medication management, and ongoing follow-up care.

I am a Licensed Clinical Social Worker (LCSW) who works with individuals struggling with substance use disorders, depression, anxiety, grief, relationship issues, identity exploration, and difficult life transitions. I also have experience working with adolescents and understand the unique emotional, relational, and developmental challenges that can come during those years.

I believe therapy works best when people feel genuinely safe, understood, and respected. My goal is to create a space where clients can show up honestly without fear of judgment. I know that starting therapy can feel uncomfortable or vulnerable, especially for people who are used to carrying things on their own, and I take seriously the trust it takes to open up to another person.

I am an LGBTQ-affirming clinician and believe deeply in creating a supportive and inclusive environment where clients can explore their experiences authentically. I approach therapy with compassion, curiosity, and respect for each person’s individual story and lived experience.

Much of my work centers around helping people who feel overwhelmed, disconnected, stuck, emotionally exhausted, or unsure how to move forward. Whether someone is navigating addiction, anxiety, depression, grief, relationship struggles, or major life stressors, I aim to help them feel less alone while working toward meaningful and lasting change.

Above all, I believe the therapeutic relationship itself is one of the most important parts of the healing process. Research consistently shows that a strong connection between therapist and client is one of the strongest predictors of success in therapy. Because of that, I place a high value on building a relationship grounded in trust, honesty, collaboration, and authenticity.

Welcome — I’m glad you’re here. I work with clients who may be feeling overwhelmed, stuck, or emotionally drained, and I provide a supportive space to better understand what’s going on and begin making meaningful changes.

I specialize in supporting clients (Spanish & English) navigating anxiety, trauma, depression, and cultural or ethnic identity-related concerns. I am passionate about my profession. I enjoy teaching social work and providing social work services. I believe that social work is a calling and therefore, I am being called to serve.

I obtained a bachelor's in Social Work at Prairie View A & M University and a Masters in Social Work at the University of Houston. I am a native Houstonian, and bilingual (Spanish/English.)

About Me

Taking the step to reach out for therapy often comes during a personal crisis or a feeling that life simply isn't working as well as it could. Recognizing that you need a shift takes courage, and finding the right support shouldn't feel like another obstacle.

For the past 17 years, I have worked in the mental health field and been a licensed Social Worker for the past 5. My work has taken a deep focus on supporting active-duty military members, veterans, and their families. That experience has shaped my belief that real healing happens in a grounded, collaborative space where you are heard and respected.

Are you in the blame game? Do you blame yourself for events and circumstances beyond your circle of control and influence? You’re one of the millions of people so trapped!

Counseling help is available for you- as a parent, a teenager, young adult, couple, or whatever category that defines your person. As your counselor, your mental health journey is mine. You have POWER within YOU. Utilizing your past experience as a steppingstone to overcome all obstacles.

BELIEVE!!!

Let the journey begin.