the K E Y  counseling services of SA

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T R E A T M E N T  modes

Individual Treatment  focuses on the issues that a single client of any age brings to treatment. These issues range from chronic difficulties to challenging life events, even to just needing a listener - someone who doesn't judge and who can help generate new perspectives. At The Key, treatment explores the dynamic between the inner and outer world of the client and attempts to reduce problems via unlocking experiences, improving self awareness, doing boundary work, and shifting behavioral choices towards congruence. 


Couples Treatment focuses on issues that occur between intimately connected persons. Issues range from poor communication or infidelity to trauma adjustment. At The Key, symptoms are identified within relationship characteristics, not individuals, and treatment focuses on improving the quality of intimacy and support between partners via increased self awareness and better communication.  


Family Treatment focuses on the issues within a family system (primary support group), which range from parental concerns  to family conflict.  At The Key, symptoms are identified within the context of the family and treatment focuses on addressing family functioning as a whole through improving relational awareness, problems solving methods,  and changing communication patterns.  


Group Therapy can improve functioning by focusing on the relational dynamics between people. Through the sharing of struggles and common goals, group members develop a sense of cohesiveness, realize they are not alone, accountability, and more congruent life choices. Each member is responsible for his/her change. 

Current Groups

Moms Connect About Autism, SECOND Saturday of each month, 1.5 hours, Free to join and attend if you are female and have or raise children with mental disibilities. 

Giftedness Adult Therapy Group, first and third Tuesday evenings from 7:30-9:00 PM, 25$ per person, closed group so pre-screening and preliminary treatment required (contact Lavelda Naylor).  


T R E A T M E N T  process

At The Key, we see therapy as somewhere between a science and an art. This means that while we can know and learn all sorts of things about the issues you are struggling with by looking to research, using diagnostic tools, and working with standard interventions, these may only provide relief in areas where your life looks like the lives of others. Thus, to account for uniqueness, we also must be creative and open to the process that unfolds before us. With respect to this need for creativity, we will not be too quick to judge nor will we offer you preplanned treatment approaches for diagnoses and issues. 

Treatment Approach

We take an integrative approach to treatement, which is not a one-size-fits-all approach. Thus, we may use cognitive, existential, and/or behavioral techniques to help achieve your goals.  This is not eclecticism; it is treating issues in a stepwise fashion using interventions from different perspectives with overlapping theoretical underpinnings. The overlap we anchor ourselves in at The Key is humanism, which emphasize the value and agency of human beings both individually and collectively. We want to aid and empower you!

Being integrative allows us to better account for each client's way of being in the world. When working with couples and families, we will strive to empower all those who participate in treatment. Relationship dynamics, such as power, safety, trust, etc., are often approached using the Satir Model . This model suggests that when safety to be authentic is absent in a family system or couple, there is often a sense of being trapped or stuck that can increase conflict, encourage poor choice selection, decrease self esteem, and increase negative thinking. When safety to be authentic is present, there is an overall sense of well being that allows for better conflict management, positive meaning making, good self esteem, and more fulfilling choice selection. Goals of the model are to increase awareness, acceptance, responsibility, and positive communication skills so meaning can be made and problems can be solved together.

Starting Treatment

Regardless of service type, in our first session we will do a brief assessment of the issues and make a tentative plan that will identify where we want to go and how we might get there, addressing the most urgent needs first. We will also establish a therapeutic relationship that charaterizes how we work together. Generally speaking, when a good client-therapist relationship can be established, the majority of clients become quickly engaged in the process and make progress towards their goals. Thus, you can expect an emphasis to be placed on establishing a connection. It is our hope that sessions will not feel like a trip to a doctor, or a trip to visit a friend, but somewhere in between where there is a feeling of comfort and acceptance, but also room for confrontation and growth. We want you to feel safe!

Evaluating Progress

As we work towards the goals we have set, we hope to move through the prioritized needs, examine the issues from different aspects, identify patterns that impact the issues, and seek a transformative idea -The Key- that will unlock your life. Some progress is self-evident but other progress is less salient. Thus, we may conduct progress spot checks. Results are used to refine the plan, integrate needed interventions, enhance the client-therapist relationship, and help us get the results you seek. 

Ending Treatment

While each journey is unique and the length of therapy depends on client need, we are sure to know when you have arrived at the desired destination. Some common markers that treatment is reaching an end and it is time to say goodbye are:

  1. All or some of the goals are reached
  2. The client is ready to take over 
  3. Optimal functioning has been achieved
  4. Symptoms are more managable
  5. The issues are no longer relevant
  6. Communication has improved
  7. Conflict has de-escalated
  8. If there is no progress in treatment, options/referrals are discussed.


   L O C A T I O N

Fees are $80.00 per session hour and are reduced on a sliding scale basis (AS LOW AS $50.00). This means we will negotiate a unique rate for you based on your ability to pay.  Forms of payment accepted are paypal, cash, checks, and credit cards. We do not take insurance at this time. 


4230 Gardendale

Suite 502
San Antonio, Tx 78229