Addiction therapists & psychiatrists in San Antonio, TX

I believe therapy should feel like a place where you can be yourself without judgment. I work with teens and adults across the lifespan, with particular experience supporting clients as they navigate anxiety, relationships, life transitions, and the challenges that come with change. My background in education has given me a deep understanding of the pressures people face at different stages of life, while my counseling training allows me to support clients in finding greater clarity, confidence, and balance. I strive to create a space that feels comfortable, supportive, and collaborative, while helping clients recognize their strengths and move toward meaningful change.

I'm a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to providing compassionate, evidence-based care for adolescents and adults. I believe in creating a safe, nonjudgmental space where you feel heard and supported. My approach is collaborative and personalized, focusing on helping you achieve meaningful, lasting improvements in your mental health and overall well-being.

With nearly 30 years in education and over a decade of experience as a Certified Professional School Counselor (CSC), I bring a strong foundation in supporting children, adolescents, teens and families through a wide range of challenges. In addition to school counseling experience, I hold a Licensed Professional Counselor (LPC) with a Master's Degree in Clinical Mental Health.

A trauma-informed approach is at the heart of each session. Creating a space where clients feel safe, heard and genuinely supported is a top priority. Whether navigating stress, loss, grief, anxiety, life transitions, or school related concerns, sessions are tailored to need each person's unique needs.

I am a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with a DNP (Doctor of Nursing Practice) degree from the University of Massachusetts Global. I have experience working with adolescents and adults in multiple settings facing various complex mental health issues, including OCD, depression, anxiety, ADHD and mood disorders.

Two decades of clinical excellence.

Dr. Cindy Ruelas-Tafolla's path to becoming a clinician began at age 13 with the sudden loss of her father — an experience that planted the seed of her life's purpose: to be the kind of support she needed during her own darkest moments.

She earned her Bachelor of Arts in Law and Society from UC Santa Barbara, her Master of Social Work from the University of Southern California, and her Doctorate in Social Work (DSW) from USC.

Over two decades, she has served as a Medical Social Worker, Case Manager, and Behavioral Health Therapist — bringing doctoral-level depth, board-certified credentials, and genuine compassion to every client she works with.

Hello and Welcome,

My name is Nancy Twining, LPC, LCDC in Lubbock, Texas with M.Ed. (Counseling), BA (Psychology). Accepting New Clients with services: in -person, virtual, hybrid

If you are here looking for ways to have a better connection with yourself and others and find yourself thinking:

*What do I do now"?

(Neurodivergent informed therapy, Life stages, Sp. Ed. disabilities advocacy, chronic conditions/illnesses)

"I wish I had someone to talk to about this"

(Relationships, Grief, Communication skills, aging & life stages)

"I am tired of feeling like this and want to feel better

(Anxiety, Depression, Self - Love, Empowerment)

"What is it that makes me feel/believe like this"?

(Understanding yourself, what makes you You)

I can help. I want you to feel better, have a lighter spirit and help you find your personal best ways as we walk on your journey together.

This is what I know:

In my family, we have Neurodivergence, some anxiety, depression, grief, life stages, chronic illnesses and conditions and pain issues.

My belief: You are the Key to your Solutions!

I came to counseling after realizing at age 16 that I was meant to be counselor. Since then, working as a Sp. Ed. teacher and a regular education and Sp. Ed. counselor and in IOP therapy have added up while I persisted to make my dream come true to be an LPC. Yes, dreams do come true!

Personally, I offer experience and life perspective learned from nearly all the eras of our human experience and I hope to share it with my clients.

Therapies and techniques, and plans are customized just for you: Person-Centered, Cognitive - Behavioral, Solution Focused, and Self - Expression and Mindfulness through art and nature. All are holistically for your mind, body and spirit benefit.

Outside of my work as a therapist, I enjoy spending time outdoors, riding my horses, and being with my family. These activities help me stay grounded and connected to what matters most in life. I value balance, authenticity, and meaningful relationships, and I bring those same values into my work with clients. I strive to create a welcoming, supportive environment where clients feel comfortable being themselves and working toward their goals.

I'm a Licensed Professional Counselor (LPC) licensed in Colorado and Texas, and a Licensed Mental Health Counselor (LMHC) in Washington, with years of experience supporting individuals through life's challenges. I'm based in Fort Collins, CO and work with clients virtually — so you can connect with me from wherever you feel most at ease. I accept several major insurance plans and am currently welcoming new clients.

Licensed Private Counselor, MS, MEd., LPC, EMDR Trained

I am a Licensed Private Counselor serving clients in Texas. I believe all experiences in our lives whether good or bad can help a person grow by equipping themselves with knowledge and skills to better understand who they are as a person. All information about a person is important and can be used as a steppingstone toward wholeness and healing. I have worked with children, teens, adults, and people with special needs.