Call for an appointment (210) 774-8292
Call for an appointment (210) 774-8292


Couples Counseling

Frequent conflict. Mistrust. Defensiveness. Emotional disconnect. Infidelity. These are just a few reasons couples may find themselves in need of a marriage counselor. A relationship is a journey between two people with many twists and turns along the way. If you find you’ve lost your way, I’d like to help you get back on course. 


I approach couples counseling using Relational Life Therapy (RLT). RLT was developed by Terry Real, a psychotherapist, speaker and author who specializes in relationship concerns. RLT is a form of couples counseling that aims to help partners resolve conflicts, develop personal accountability, improve communication, and foster intimacy within their relationship. I am a fully certified RLT therapist. This is an approximately two-year program by which clinicians are trained in the theoretical concepts and clinical practice of Relational Life Therapy.


Couples counseling is available for both gay and straight couples at all stages of their relationship, including premarital counseling. My office is welcoming and affirming of non-trditional couples as well. To learn more about my approach to couples counseling, please click on the video below. To schedule an appointment, you can call my office at 210-774-8292.


“And in the end, the love you take is equal to the love you make.”

-John Lennon and Paul McCartney




Counseling for Moms

"For when a child is born the mother also is born again.” —Gilbert Parker


There is no more powerful or absolute life transition than that of becoming a mother. Holding one’s child can be the most joyful experience of life. Those baby sounds…those baby smells…the softness of that baby skin. But what if that isn’t your experience? What if, when staring down at your sleeping child you are filled with anxiety and panic rather than peace and happiness? What if things don’t go as planned? What if you don’t feel the way everyone said you would? 


You’re not alone. Many women struggle with their transition into motherhood. Some studies estimate 1 in 5 women will be diagnosed with a Perinatal Mood and Anxiety Disorder (PMAD). You don’t have to suffer in silence and you don’t have to “tough it out” on your own. I regularly attend trainings on PMADs and am skilled at working with women at all stages of pregnancy, post partum, and parenthood. Whether you need treatment for a formal diagnosis of PMAD or simply want some supportive and nonjudgmental guidance during this time of change, I am here to help you find your footing and improve your confidence and enjoyment of this time in your life.


To learn more about my work with moms, please click on the video below. To schedule an appointment, you can call my office at 210-774-8292.




In order to do our part in slowing the spread of COVID-19, our office has transitioned to tele-mental health services.  Please contact our office to schedule a tele-session with your therapist. New clients welcome.



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Desirae Ysasi, LPC-S, PLLC