What's My Approach to Therapy?
If you’re searching for a San Antonio therapist because you feel stuck, numb, overwhelmed, or “high-functioning but not okay,” you’re in the right place. You may be living with posttraumatic stress (PTSD) symptoms, depression, anxiety, panic, irritability, shutdown, sleep disruption, or relentless hypervigilance—especially if you’re a veteran, first responder, or high-responsibility professional. You might have tried therapy and medication and still feel labeled as treatment resistant. If that’s you, I help you build traction—safely, strategically, and with real-world outcomes.
I’m Jessica Hope, a 20-year U.S. Army veteran, licensed psychotherapist in San Antonio, Texas, and founder of Therapized AF. I’m a traditional, evidence-based therapist at my core, and I’m best known for helping clients find breakthrough moments through ketamine-assisted psychotherapy (KAP) in San Antonio and psychedelic integration. People come to me for posttraumatic stress (PTSD) therapy, trauma therapy, treatment-resistant depression support, and anxiety treatment when standard approaches haven’t worked.
What I help you solve (the real problems):
Posttraumatic stress (PTSD), complex posttraumatic stress (PTSD), combat stress, and moral injury
Depression, “flatness,” low motivation, and treatment-resistant depression
Anxiety, panic, intrusive thoughts, and chronic stress overload
Emotional numbing, anger, irritability, relationship shutdown, and disconnection
Suicidal ideation support, and safety-focused stabilization (when life feels unlivable)
High-performer burnout: “I’m doing everything, but I’m not okay”
What it’s like to work with me
You’ll get a direct, grounded, no-BS approach with warmth and clarity. We start by stabilizing your nervous system and your life: sleep, stress load, triggers, coping skills, and safety. Then we do deeper work that creates lasting change—trauma processing, meaning-making, identity repair, and integration that turns insight into daily functioning. If you’re exploring ketamine therapy in San Antonio for depression or posttraumatic stress (PTSD), we’ll talk through readiness, expectations, safety, and integration, so your progress holds.
Couples therapy in San Antonio (when trauma impacts the whole family)
Couples come to me for couples therapy and marriage counseling in San Antonio when posttraumatic stress (PTSD), depression, anxiety, or suicidal ideation is straining the relationship and family system. We focus on stabilization, communication repair, accountability, and rebuilding connection, while also getting clear and discerning about whether the relationship can heal, or if separation is the healthiest next step.
I offer therapy for teens, adults, and couples in San Antonio, TX, and Texas telehealth, with specialized support for veterans, first responders, and their families seeking high-integrity, results-driven care.