Tend to the garden within - watch your life flourish

A collaborative, client-centered, and down to earth approach to counseling using play therapy, CBT, DBT/RODBT, ACT, and Narrative Therapy to create a truly personalized experience. Whether you need to vent, learn coping skills, or process challenges, I’m here to support and guide you in a safe, nonjudgmental space that’s focused on YOU.
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Offers Telehealth
Appointments
Accepts
Online Payments
Accepting New
Clients

About

A counselor who really cares

Hi, I’m Madison! I love working with kids (age 8+), teens, and adults to help them navigate life’s stressors with confidence. I specialize in supporting young women and girls, guiding them through challenges like family changes, identity issues, school/life stressors, friendships, and the transition to adulthood. As a therapist, I believe in the power of laughter, connection, and always having someone in your corner. My approach is very relaxed, and areas of focus include anxiety, depression, self-esteem building, emotional processing, eating disorders, motherhood struggles and ADHD management, along with providing LGBTQIA+ affirming care. Together, we’ll work through challenges with creativity and care, finding new ways to help you become the best version of yourself!
Madison Karasek
Counseling

Services

  • Anxiety
  • ADD/ADHD
  • Body Image Disorders
  • Borderline Personality
  • Bullying
  • Burnout
  • Child or Adolescent
  • Codependency
  • College Mental Health
  • Coping Skills
  • Depression
  • Eating Disorders
  • Emotional Abuse
  • Existential Crisis
  • Gender Identity
  • Grief
  • LGBTQIA+
  • Life Transitions
  • Mindfulness
  • Open Relationships/Polyamory
  • Panic Disorders
  • Parenting
  • Relationship Issues
  • Trauma
  • Women's Issues

Approaches

  • Acceptance and Commitment (ACT)
  • Cognitive Behavioral Therapy (CBT)
  • Dialectical (DBT)
  • Radically Open DBT (RODBT)
  • Existential
  • Holistic Therapy
  • Person-Centered
  • Play Therapy
  • Reality Therapy
  • Narrative Therapy
  • Expressive Arts
  • Family Systems

Location

17890 Blanco Road, Suite 307 San Antonio, Texas 78232

A street map for office location at San Antonio, TX 78232-1098

San Antonio, TX 78232-1098

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