James Saxton, LCSW, LCDC, SAP, CCTP, CSTS, CEF
Licensed Clinical Social Worker
San Antonio, TX
Online & In-Person
Free initial consultation
About me
I work with individuals navigating addiction, trauma, and persistent behavioral patterns that can feel difficult to break. My approach is trauma-informed and focused on understanding the underlying drivers of behavior, not just managing symptoms. Together, we work to build awareness and develop practical ways to respond differently in real-world situations.
Many of the individuals I work with are insightful and self-aware, but still find themselves repeating the same patterns—whether that’s related to substance use, relationships, or emotional responses. Understanding what’s happening hasn’t always translated into meaningful change, and that can feel frustrating.
My work focuses on helping you make sense of those patterns in a way that is practical and applicable. Rather than only talking about experiences, we look at how they show up in real time—how you think, respond, and move through situations—and begin identifying where change is actually possible.
I approach therapy from a trauma-informed perspective, recognizing that many behaviors serve a purpose, even when they create problems. Together, we work to understand what’s driving those behaviors and develop ways to respond differently without losing sight of what those patterns have been trying to do for you.
This is a collaborative process. We focus on awareness, application, and building something that feels sustainable outside of session—not just insight, but change that carries into your day-to-day life.
License
License(s)
Education
Our Lady of the Lake University
Grand Canyon University
Fees and insurance
Cost per session
$200 - $200Sliding scale
YesAccepted payment methods
- Check
- Health Savings Account (HSA)
- Zelle
- Credit Card
- Flexible Spending Account (FSA)
Accepted credit cards
- Visa
- Mastercard
- Discover
Accepted insurance plans
- Tricare
- United Healthcare
- Aetna
- Anthem
- Humana
- Self-Pay Only
- Cigna
- Blue Cross/Blue Shield
- Optum
Specialties and clinical interests
- Alcohol or Drug Use/Addictions
- Anxiety
- Bipolar & Other Mood Disorders
- Depression
- Grief & Loss
- Men's Issues
- Mental Health Professionals
- Relationships
- Self-Esteem
- Sleep Disorders
- Substance Use Disorders
- Trauma & PTSD
Therapy types
- Acceptance and Commitment Therapy (ACT)
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Mindfulness
- Solution-Focused Brief Therapy (SFBT)
- Trauma-Informed Therapy
Community specialties
- 12-Step Programs
Faith-based specialties
- Atheism/Agnosticism
- Buddhism
- Christianity
- Gnosticism
Images and videos
Location
Praxis Counseling and Therapy PLLC
4241 Woodcock Drive
Suite C210
San Antonio, TX 78228 US
Office is ADA Accessible
Licensed to see clients in
Years in practice
Service types
- Therapy / Counseling
Types of clients
- Adults (18+)
- Individuals
Languages
- English
Website and social media