Bexar County
Online Therapy in San Antonio, Texas
Anywhere in San Antonio or the rest of Bexar County, therapy with Vanessa Gross, LMFT, takes place by secure video, without leaving the house. Depression, grief and the transitions that can set them off often arrive together, and her work makes room for all three.
Depression, Grief and the Changes Behind Them
Depression can make ordinary tasks feel heavy: the unopened mail, the texts that go unanswered, the mornings that begin with talking yourself out of bed. Vanessa uses CBT and ACT to loosen the thought patterns and routines that keep that cycle going, and psychodynamic therapy to understand where it started.
Grief after a death, or after quieter losses like a friendship or a marriage ending, can sit alongside depression or look very much like it. Vanessa's approach to grief and loss makes room for the sadness and for the logistics that come after.
Life transitions such as retirement, a move, a divorce or a child leaving home can bring either one to the surface. Sessions look at what has ended, what is starting and what you want to carry forward.
If depression or grief ever brings you to a crisis or to suicidal thinking, call or text 988; if you or someone else is in immediate danger, call 911.
Therapy That Starts Where You Already Are
When depression drains your energy, the steps around an appointment can be the hardest part: getting ready, driving across town, finding parking and driving back. A video session removes most of them. You join from wherever you have privacy, and when the hour ends you are already home.
Some people find it easier to talk about a loss from a familiar chair, surrounded by their own things. Others prefer a spot that feels a little apart from daily life, such as a spare room or a parked car. Either works, as long as it is private and in Texas.
Bexar County and the Towns Around San Antonio
San Antonio is the seat of Bexar County and sits at the southern edge of the Hill Country. Vanessa's license is a Texas license, so each session has to happen while you are inside the state. That covers Stone Oak, Southtown, Monte Vista and the rest of the city, plus Alamo Heights, Leon Valley, Helotes, Converse, Schertz and New Braunfels.
What the First Phone Call Is For
Getting started takes one free 15-minute phone call, which you can ask for through the Work With Me form. If talking about depression feels like too much right now, the call can stay brief and practical: what you are noticing, what you would like to change, and what sessions cost.
Questions
Frequently Asked Questions
The first session is the intake, and it lasts 60 minutes, the same as every session after it. It is a chance to talk through what brought you to therapy, the history behind it and what you most want help with, and to ask anything about how Vanessa works. By the end, you should have a clearer sense of where therapy will start.
There is no threshold to clear. If low mood has lasted for weeks, if things you used to enjoy feel flat, or if getting through the day takes more effort than it used to, that is reason enough to talk with someone. The free phone consultation is a low-pressure way to describe what is happening and decide together whether sessions make sense.
It can. Retirement ends a routine, a role and often a daily circle of people, even when you chose it and planned for it. Feeling flat beforehand is common, and sessions can look at what work has been giving you, what you expect to miss, and how to build a week that has some shape to it once the job is gone.
Related Pages
First Sessions
How starting therapy with Vanessa works, from the free 15-minute phone consultation to the first 60-minute video session and the goals that follow.Read More
Do I Need Therapy?
Signs therapy could help, how it differs from talking with friends, when to get urgent help, and how to decide if you are unsure.Read MoreOnline in Texas
How online therapy with Vanessa Gross, LMFT, works for adults and couples anywhere in Texas, from the first phone call to regular sessions.Read More
A gentler next step
You don't have to know exactly what to say.
A free 15-minute phone consultation is a simple place to begin.