Overview of Services

  • Individual & Group Psychotherapy
  • Weight Loss Surgery Evaluation & Support Groups
  • Chronic Pain Evaluation & Support Groups
  • Differential Diagnosis Clarification
  • IQ and Personality Testing
  • Psychological Evaluations

Comprehensive Evaluations for the following:

  • New Chronic Pain Patients & Surgery/Implant Candidates
  • Weight Loss Surgery Candidates
  • Disability Evaluations for Insurance Companies & Social Security
  • Worker’s Compensation Injuries & Trauma
  • Diagnosing ADHD or Learning Disabilities
  • Board Exam Candidates Seeking Accommodations
  • Law Enforcement Commission Screenings
  • Neuropsychological Evaluations

What Do We Do?

Our Clinical team uses traditional “talk therapy, ” skills training, and assessment to understand your needs. We utilize an integrative approach to therapy that include Cognitive Behavioral, Gestalt, and Relational approaches. We work with individuals with a variety of concerns that include:

  • Adjustment to severe medical and disabling condition
  • Psychological adjustment to chronic pain
  • Psychological support for the Bariatric Surgery patient before and after surgery
  • Various forms of depression
  • Anxiety and stress management, including social anxiety
  • Posttraumiatic Stress Disorder issues
  • Couple and relationship issues
  • Family Counseling

Education & Consultation

We provide psychoeducation on topics related to relaxation, mindfulness, social skills training, weight loss surgery, and chronic pain.

  • Stress Management and Relaxation Training
  • Chronic Pain Support Groups
  • Biofeedback Therapy
  • Preparing for Bariatric Surgery & Post Weight Loss Surgery Support Groups

Other Assessment Services

Neuropsychological Evaluations

  • Assessing the effects of brain trauma on cognitive functions
  • For patients concerned with possible cognitive changes
  • Clarification of onset of possible brain disease
  • Candidates seeking accommodation for Board Exams
  • Students having significant difficulties in school (ADHD & Learning Disability Testing)

Bilingual Services

We offer psychotherapy and evaluations for individual and group settings in English and Spanish.

Step 1: Pre-surgical Psychological Evaluation

Most insurance companies require that patients have a psychological evaluation prior to spinal surgery and implants of spinal chord stimulators and intrathecal morphine pumps. The purpose of the assessment is to identify risk factors that might negatively impact the success of the procedure. The fist part of the evaluation is a structured interview to obtain background information about your pain, medical history, emotional well-being and health behaviors. The second part is a true-false personality inventory and two short assessments that ask about pain management strategies and beliefs.

Step 2: Evaluation Results

Results of the evaluation are sent in a report to the referring pain management physician/surgeon. The content of the report includes information from your interview and test results.

Also, a feedback session with the evaluator will be scheduled if there appears to be significant risk factors that could interfere with a successful outcome. Possible evaluation recommendations include:

  • An acceptable candidate for the procedure without further behavioral health treatment.
  • Acceptable for surgery with further behavioral health treatment before the surgery.
  • Acceptable for surgery will further behavioral health treatment after surgery.
  • Consider delaying the surgery until after further evaluation and/or behavioral health treatment.

Living with Pain Workshops

In addition to individual assessment and psychotherapy, we offer groups for patients who want to improve the quality of their life while living with a chronic condition. Workshops offered include:

Basics of Chronic Pain Series*

  • Overview of Chronic Pain
  • Understanding Behavior Change
  • Monitoring behavior change
  • Readiness to change and Setting Goals

Life Impact of Chronic Pain*

  • Emotions and Chronic Pain
  • Sex and Chronic Pain
  • Effects of Chronic Pain on the Family
  • Changing Your Thoughts and Beliefs
  • Activity and Chronic Pain

*Each workshop is 1.5 hours once a month

Workshop Registration

To sign-up for a workshop, please call 210-447-6363. We will be happy to discuss your needs and answer questions you have about our counseling services and programs.

Bilingual Services

We offer psychotherapy and evaluations for individual and group settings in English and Spanish.

Step 1: Psychological Evaluation

The intent of the psychological evaluation prior to the surgery is to assess the patient’s readiness, motivation, and determination to make the essential behavior changes. A pre-surgery evaluation for bariatric surgery is often required by insurance companies and physicians. It is a way for the behavioral health specialist to ensure there are no risk factors that would potentially impede success of the procedure. There are two parts to an evaluation. The first includes an interview where we discuss your background information. The second part includes assessment of your personality and coping skills.

Step 2: Evaluation Results

Results of the evaluation are sent to the treating bariatric surgeon. These are usually available within 7 business days from the date of assessment by fax in order to facilitate the process. Feedback sessions are scheduled with patients where behavioral health treatment is recommended. Possible evaluation recommendations include:

  • Acceptable for surgery; (psychotherapy desired on an as needed basis; patients are invited to attend any group of interest.)
  • Acceptable for surgery; provide ongoing psychological treatment before, concurrent, of after surgery. This may include individual psychotherapy or a referral to a specific pre-operative or psot surgery group.
  • Delay consideration for surgery pending response to further psychological treatment or a re-evaluation

Pre & Post Surgery Groups

You have the surgical tool to control your hunger, now add the behavioral tools so you can get the maximum effect from your procedure.

We offer groups for patients preparing for surgery to assist with facilitating a successful surgical outcome. Bariatric Surgery is a life-changing decision. Once the surgery is actually completed, the patient is faced with major behavioral changes in order to achieve weight loss goals. Our groups are designed to assist you in navigating through this process.

Pre-Operative Weight Loss Surgery Group

Our main objective with pre-operation classes is to better prepare bariatric candidates who are faced with specific challenges before surgery and need facilitation on how to best prepare for their surgery. The group consists of a 3 week multi-dimensional class covering topics such as:

  • Understanding behavior change
  • Coping skills before surgery
  • Monitoring behavior change
  • Stress Management
  • Family relationships and eating habits
  • Identifying beliefs that lead to impulsive eating

Post-Operative Weight Loss Surgery Group

Our main objective of the post-operation classes is to offer education, counseling, coaching, and consultation to candidates who seek structure and knowledge after bariatric surgery.

The group consists of a 4 week class focusing on:

  • Challenges and new experiences after surgery
  • Your relationship with food such as beliefs that may interfere with success
  • How to cope with unexpected triggers
  • Creating food & exercise routines

Bilingual Services

We offer psychotherapy and evaluations for individual and group settings in English and Spanish.


To set an appointment for an initial evaluation or sign-up for a free pre or post surgery group call 210-447-6363. We will be happy to discuss your needs and answer questions you have about our counseling services and programs.