What is your fifth element?

Fifth Element Counseling, PLLC strives to help individuals grow into their most authentic selves. We believe you possess the elements within to live a more fulfilling life, and we are here to help nurture and guide you to reach your goals.
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Offers Telehealth
Appointments
Accepts
Online Payments
Accepts
Insurance
Accepting New
Clients

About

What's your next step?

I specialize in working with anxiety, depression, and life transitions. I work to provide a nonjudgmental, gender-affirming space for people of all walks of life, ages 4 to 94. I believe in joining my clients on their journeys, utilizing mindfulness techniques, cognitive behavior therapy, solution-focused techniques, or play therapy, depending on the individual. Therapy is an interpersonal relationship and I want clients, first and foremost, to feel comfortable talking with me. The first sessions focus on getting to know where you are in your journey and how you would like my help in reaching your next step. Additionally, I offer ADHD evaluations on a private pay basis whether you are needing it as a first step for therapy or beginning medication management.
Karen Kiser
Counseling

Services

  • Anxiety
  • Depression
  • LGBTQIA+
  • Adjustment Disorder
  • Mindfulness
  • Child or Adolescent
  • Mood Disorders
  • Stress
  • ADD/ADHD

Approaches

  • Acceptance and Commitment (ACT)
  • Cognitive Behavioral Therapy (CBT)
  • Person-Centered
  • Play Therapy
  • Motivational Interviewing
  • Strength-Based

Insurance Accepted

  • Aetna
  • Cigna
  • Optum
  • BlueCross and BlueShield
  • Oscar
  • Out of Pocket
  • United Healthcare
  • UMR
  • United Healthcare Oxford

Fees

  • Private Pay: $100
  • ADHD evaluations: $350

Location

Castle Hills Office

1852 Lockhill Selma Rd Ste 106
San Antonio, TX 78213-1500

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