San Antonio Behavioral Health Care That Meets You Where You Are.

Anxiety is a mental health disorder that can greatly impact daily life—affecting your performance at work or school, your relationships, and your overall wellbeing. It can be caused by stressful environments, trauma, conflict, or personal matters, and may produce both psychological and physical symptoms such as poor concentration, shortness of breath, increased sweating, and dizziness. When anxiety becomes persistent or overwhelming, it may signal an anxiety disorder that needs professional support.

Major depressive disorder, or clinical depression, is a common but serious mood disorder that can severely impact someone's daily life, such as their careers, physical health, and their social life. Depression is not a "one-size-fits-all" disorder, and symptoms can be displayed differently from person to person, both physically and psychologically. There may not be one singular cause of depression, but a combination of factors, including genetics, biological factors like chemical imbalances, or environmental factors. With early intervention and diagnosis, treatment through psychotherapy, and possible medication, it is possible to recover and learn how to properly overcome depression.

Traumatic or dangerous events including an assault, natural disaster, or military combat, can have lasting effects on a person's mental health leading to post-traumatic stress disorder or PTSD. People who have PTSD may feel stressed and afraid long after the danger is over and often feel as though they are re-living their trauma when triggered. Symptoms often co-exist with other conditions such as substance use disorders, depression, and anxiety.

Bipolar disorder is a brain disorder that causes dramatic shifts in a person's mood, energy, activity levels, and the ability to think clearly. People living with bipolar disorder often experience extreme lows (depression) and extreme highs (mania), feel paranoia, and believe things that aren't true or hear voices. These lows and highs usually occur in cycles and may last weeks or even months. It is a lifelong condition that begins anywhere from the late teens to middle age, and if left untreated, usually worsens. However, recognizing early warning signs can allow people to seek treatment and learn to control symptoms through therapy and lifestyle choices.

Schizophrenia is a severe mental health disorder that affects a person's senses. They may also have trouble recognizing emotions, relating to others, and may seem like they have lost touch with reality. Although schizophrenia is not as common as other mental health disorders, the symptoms can be very disabling and include delusions and hallucinations, inability to express emotions, disorganized thinking, and agitated body movement.

Postpartum depression (PPD) is a serious mental health disorder that can affect parents after giving birth, sometimes referred to as "the baby blues." Parents suffering from postpartum depression may experience sadness and an empty feeling that begins to interfere with their ability to care for themselves and their babies. Other signs and symptoms include a fear of not being a good parent, difficulty bonding with their baby, increased irritability or anger, trouble sleeping, changes in appetite, and in more serious cases, thoughts of harming yourself or your baby.

Suicidal thoughts or actions should never be taken lightly or dismissed. Suicide is a leading cause of death that can affect anyone, regardless of age, gender, sex, race, or background. Warning signs that someone is contemplating suicide may include talking about feeling hopeless or having no purpose in life, giving away possessions, discussing a plan for suicide, and increased isolation.

If you or a loved one is experiencing a mental health crisis and are at risk of suicide, you are not alone. The Center's Adult Behavioral Health Division offers comprehensive services that can help people who are at risk of suicide.

Outpatient Behavioral Health Services are open to the residents of Bexar County.

Adult Outpatient Services are open to Bexar County residents who are 18 or older with a mental health diagnosis on our priority list as determined by Texas Health and Human Services.

Child/Adolescent Outpatient Services are open to those 3 years or older with a mental health diagnosis or at risk of out of home/out of school placement.

CHCS embraces a comprehensive approach to treatment and recovery. Our outpatient treatment model brings other specialties and disciplines into the treatment team to help you achieve your recovery goals. Medication may help manage symptoms while you work with your treatment team to build and expand coping skills and self-care strategies for recovery.

Your interdisciplinary treatment is composed of individuals who work together to coordinate your medical, psychological, emotional, therapeutic, and recovery support needs, and may consist of a combination of medication, care management, counseling and nursing services. Your treatment team may consist of a combination of team members including, peers, family partners, care managers, licensed clinicians, nurses, and medical prescribers. You may meet with different members of your treatment team multiple times per month. Our outpatient treatment programs have proven to be effective for long term recovery. If these services are not for you, please let the clinician know you would like to be referred to a community-based provider.

The Center for Health Care Services accepts many insurance plans including Medicaid and Medicare. Payment of your estimated consumer portion is expected at the time services are provided. This includes deductibles, copays, and any other predetermined fees due for this visit. CHCS will not refuse services to a person based on inability to pay. You may qualify for financial assistance toward your payments. This qualification will be determined based on your income and family size. To determine the appropriate monthly fee, you must provide the required documents and complete a Financial Assessment. Please be prepared to show proof of insurance, proof of residency, and family income upon check-in.

View Monthly Ability to Pay Fee Schedule