Top Counseling and Mental Health Support for Abuse Survivors in San Antonio
2025 San Antonio guide to top counseling and mental health support for abuse survivors. Find trauma-informed therapists, crisis centers, and free or low-cost therapy resources in Bexar County.

Introduction
Recovering from abuse — whether physical, emotional, sexual, or psychological — takes more than courage. It requires consistent, compassionate mental-health support. Survivors in San Antonio, Texas have access to several trusted organizations and trauma-informed counselors offering therapy, support groups, and crisis intervention.
This guide lists the top counseling and mental-health programs in San Antonio that specialize in helping survivors of domestic violence, sexual assault, and related trauma.
What to Look for in Survivor-Focused Counseling
When choosing a therapist or program, prioritize those that:
Use trauma-informed approaches (understanding PTSD and abuse dynamics)
Guarantee safety and confidentiality (no contact with abuser, discreet communication)
Offer free or low-cost sessions (via grants or sliding scale)
Provide culturally and linguistically appropriate care
Connect you with legal aid, housing, and crisis support
🏥 Leading Counseling & Mental-Health Resources in San Antonio
1. Family Violence Prevention Services (FVPS)
San Antonio’s primary domestic violence agency.
Offers individual and group counseling, emergency shelter, and 24-hour crisis line for survivors.
Free services for victims of domestic violence and sexual assault.
📞 24-Hour Hotline: (210) 733-8810
🌐 fvps.org
2. The Rape Crisis Center of San Antonio
Specializes in trauma-focused therapy, crisis counseling, and support groups for survivors of sexual assault and abuse.
Also provides advocacy and community education.
Services are free and confidential.
📞 24-Hour Hotline: (210) 349-7273
3. Battered Women & Children’s Shelter (through FVPS)
Offers on-site trauma therapy, support groups, and empowerment counseling for residents and community members.
Counseling provided by licensed therapists trained in abuse recovery.
4. Center for Health Care Services (CHCS)
Provides behavioral-health and trauma therapy through community mental-health centers.
Survivors can access counseling, medication management, and crisis stabilization.
📞 24/7 Crisis Line: (210) 223-SAFE (7233)
5. YWCA San Antonio – Counseling & Wellness
Offers individual and family therapy, focusing on trauma, abuse, and empowerment.
Services available to all genders and income levels (sliding scale).
6. Catholic Charities – Counseling Services
Licensed counselors provide low-cost trauma counseling to survivors of domestic violence, child abuse, and grief.
Bilingual and faith-sensitive therapists available.
7. La Paz Community Mental Health Center
Focuses on bilingual, trauma-informed counseling for survivors in underserved Latino communities.
Offers individual and group therapy on a sliding-fee scale.
8. Thriveworks San Antonio
Private practice with licensed trauma therapists specializing in domestic abuse and PTSD.
Accepts most insurance plans; evening and telehealth appointments available.
🤝 Support Groups and Peer Networks
Domestic Violence & Trauma Support Groups through FVPS and the Rape Crisis Center.
NAMI San Antonio — Peer support and mental-health recovery groups. (namisanantonio.org)
RAINN Online Chat — National, anonymous 24-hour support for sexual-violence survivors. (rainn.org)
Meetup & Psychology Today group listings — Search for “Trauma Recovery,” “Abuse Survivors,” or “Domestic Violence Support” in San Antonio.
🧭 Choosing the Right Counselor
Key Question | Why It Matters |
---|---|
Is the therapist trauma-informed? | Ensures they understand abuse-related triggers and recovery. |
What’s the cost or financial aid? | Survivors should not face financial barriers. |
Can you access telehealth safely? | Remote options help survivors maintain privacy. |
Are bilingual services available? | Comfort and trust improve in your native language. |
Do they connect you to other support (legal aid, housing)? | Integrated services accelerate recovery. |
💬 Quick Access Numbers
Resource | Hotline / Contact |
---|---|
Family Violence Prevention Services | (210) 733-8810 |
Rape Crisis Center (Sexual Assault) | (210) 349-7273 |
Center for Health Care Services – Crisis Line | (210) 223-SAFE (7233) |
YWCA San Antonio | (210) 228-9922 |
NAMI Helpline (Mental Health Support) | (800) 950-6264 |
🕊 Final Thoughts
No survivor should face trauma alone. San Antonio’s mental-health and advocacy organizations offer free, confidential, and compassionate help designed specifically for survivors of abuse. Whether you need emergency support, therapy, or ongoing counseling, trained advocates are ready to listen and help you heal.