New patients
Starting psychiatric care doesn’t require having everything figured out.
Whether you are seeking care for the first time or have been in treatment for years, you should feel welcome to ask questions and understand your care.
Our approach
A thoughtful way forward.
Understanding before prescribing.
Mental health is influenced by more than symptoms. Biology, experiences, relationships, sleep, environment, habits, stress, and meaning all matter.
Rather than only asking, “What diagnosis fits?” we also ask, “What’s actually happening here?”
Presence is part of the treatment.
People are more likely to share meaningful details when they feel heard and unhurried. Those details can change how a concern is understood and how care moves forward.
Medication + understanding.
Medication can reduce symptoms and create space for change. You should also understand what you are experiencing, the evidence behind treatment options, and enough clarity to make informed decisions about the potential risks, alternatives, and benefits.
Cultivating inner wisdom.
Treatment should strengthen your ability to understand your needs, recognize what is and is not working, and make decisions aligned with your values.
Reframing
Look again, with context.
Anxiety may contain useful information.
Avoidance may have once offered protection.
Difficulty focusing is not always laziness.
Burnout is not simply a failure of discipline.
Frequently asked questions
Clear answers. No assumptions.
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Your initial appointment is 60 minutes. It is a conversation about what brings you in, your medical and psychiatric history, medications, relationships, daily life, stressors, strengths, previous treatment, and goals. You will have time to ask questions and discuss next steps. Follow-up appointments are 30 minutes.
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No. You do not need a diagnosis, a perfect explanation, or the right words. We can begin with what you have noticed, what feels difficult, and what you hope will change, then work together to understand the larger picture.
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No. Medication is one possible tool, not an automatic outcome. Recommendations follow a comprehensive evaluation and a collaborative discussion of potential benefits, risks, side effects, alternatives, and your preferences.
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Previous treatment provides useful information. We will review what you tried, the dose and duration when known, what it helped, any side effects, why it was stopped, and what may be different now before considering next steps.
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Yes. Your goals, questions, preferences, comfort, and safety guide treatment. Recommendations should be understandable, and you are encouraged to ask questions and participate actively in decisions about your care.
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Brief supportive and solution-focused therapeutic conversation may be incorporated into medication-management visits. RiverWalk Psych does not provide a separate weekly psychotherapy service, and collaboration with an outside therapist may be recommended when appropriate.
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RiverWalk Psych provides care for children ages 6+, adolescents, and adults.
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Yes. Telehealth is available throughout Texas. The patient must be physically located in Texas at the time of the appointment. Virtual appointments generally offer broader scheduling availability.
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Yes. In-person appointments are available at 401 E Sonterra Blvd, Suite 375, San Antonio, TX 78258.
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RiverWalk Psych currently partners with Headway to accept:
Aetna
Ascension / SmartHealth
Blue Cross and Blue Shield of Texas
Carelon Behavioral Health
Cigna
Horizon Blue Cross and Blue Shield of New Jersey
Independence Blue Cross Pennsylvania — Virtual National Network
More coming soon
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Initial appointment
60 minutes · $250Follow-up appointment
30 minutes · $125 -
RiverWalk Psych does not provide emergency services. Call 911 or 988, or go to the nearest emergency room. E-mail and this website should not be used for urgent clinical concerns.
Our philosophy