Our therapists offer DBT / dialectical behavior therapy in San Antonio, TX

Ifeoma “Iffy” Menakaya is a board-certified Psychiatric Mental Health Nurse Practitioner with 5 years of experience delivering compassionate, high-quality mental health care. She takes an evidence-based, client-centered approach to help individuals manage depression, anxiety, insomnia, PTSD, mood disorders, and adjustment disorders. Iffy is committed to empowering clients to reconnect with their strengths and achieve lasting stability and well-being.

Iffy holds a Master of Science in Nursing from Walden University and a Doctor of Nursing Practice from the University of South Alabama. She integrates evidence-based therapies such as cognitive behavioral therapy, motivational interviewing, and psychotherapy into individualized care plans tailored to each client’s needs.

Iffy creates a safe, non-judgmental space where clients feel heard, supported, and empowered. Her compassionate approach fosters trust and collaboration, helping clients develop practical strategies for coping, growth, and long-term mental wellness. She is dedicated to guiding clients toward fulfilling and meaningful lives.

Meghan Paravi is a Licensed Professional Counselor Associate with 5 years of experience. She treats clients of all ages who are struggling with life transitions, ADHD, depression, anxiety, and grief, among other concerns. Meghan strives to look at each client individually, as they are the expert on their life. Her practice is rooted in the belief that individuals possess inherent strength and resilience. Meghan is committed to creating a collaborative and empathetic therapeutic relationship where clients feel heard, understood, and empowered to make positive changes in their lives.

Meghan earned her Master’s in Counseling from Loma Linda University. She collaborates with clients to develop effective strategies and techniques tailored to their unique needs, promoting personal growth and positive change. Meghan uses approaches including exposure response prevention, experiential therapy, expressive arts, and psychoanalysis.

Meghan partners with clients to discover life beyond “existing” or “surviving” in broken relationships, impaired thinking, painful behavior patterns, and debilitating intense emotions. She will walk alongside you, empowering you to discover hope, healing, and happiness to reach your fullest potential.

Dr. Peta-gay Ledbetter is a Licensed Professional Counselor Supervisor (LPC-S) who has 16 years of experience as a psychotherapist providing care to adolescents, teens, and adults. Dr. Peta is most passionate about women’s issues including postpartum depression (dissertation) and treating survivors of sexual assault, sex trafficking, and domestic violence. Trauma, complicated grief, LGBTQIA, codependency, self-harm, infidelity, abortion recovery, and foster care are some of the uncommon topics that she has addressed in therapy.

Dr. Peta completed Doctor of Philosophy degrees (PhDs) in Educational Psychology and Individual Differences at the University of Houston. She has been an Adjunct Professor since 2008 and a Counseling Supervisor since 2013. Dr. Peta has also been a Registered Nurse (RN) since 1991 and has Sexual Assault Nurse Examiner (SANE) and medical training background. She completed post-doctoral studies in 2019 for Global Mental Health and Trauma at Harvard Medical School. Dr. Peta is experienced in treating a diverse population as well as issues in a culturally competent manner.

Dr. Peta seeks to establish a warm and caring therapeutic relationship with all clients, building on their own individual strengths and adding to coping skills, improving communication, and working collaboratively to meet the clients’ goals for therapy. She has a person-centered approach that is both trauma-informed and solution-focused. Dr. Peta holds certifications and training in multiple therapy interventions such as dialectical behavioral therapy (DBT), cognitive behavioral therapy (CBT), cognitive processing therapy (CPT), eye movement desensitization and reprocessing (EMDR), trust-based relationship intervention (TBRI), marriage and family, and sand tray. Interventions are tailored to the needs of the individual client, couple, or family. 

James Atkison is a Licensed Professional Counselor (LPC) with over 12 years experience in the mental health field. He has experiences with trauma, PTSD, suicidal and non-suicidal self injury, as well as depression and anxiety. He works with children, adolescents, adults to help them achieve the success they are desiring.

James completed his Master's degree in Counseling Psychology at the University of Central Oklahoma. He is a combat veteran from the Army and understands the stresses of transitioning to civilian life. This, in addition to his professional experience, enables him to provide the guidance and support his clients are seeking. James utilizes multiple treatment approaches including mindfulness, cognitive behavioral therapy (CBT), trauma-focused cognitive behavioral therapy (TF-CBT), cognitive processing therapy (CPT), and motivational interviewing (MI).

Life is like a river with calm waters and rapids. James is confident that he would be able to provide you will the tools to navigate the river of Life. If you are ready to gain the tools and knowledge you need to navigate the rapids in your life, schedule an appointment with him today.

Chloe Gibson is a Licensed Professional Counselor with 2 years of experience. She enjoys assisting adolescents and adults with a range of concerns such as depression, anxiety, anger, academic stress, low self-esteem, grief/loss, trauma, and life transitions. Before joining Thriveworks, Chloe worked in settings including university, partial hospitalization, crisis intervention, and community outreach. With an empathic listening ear, Chloe provides a safe place for clients to tell their stories. She focuses on strengths, not flaws, and how to use them to cultivate resilience.

Chloe received her Master of Science in Counseling Psychology from Angelo State University. She takes an eclectic approach to therapy and uses a variety of modalities including cognitive behavioral therapy, solution-focused brief therapy, emotion-focused therapy, narrative therapy, and positive psychology.

Many people equate themselves with their issues, but Chloe encourages you to externalize the problem and write a new story. She views you as the expert and guides you through challenges while instilling confidence. If you are ready to better your mental health, reach out to Chloe today!