James Saxton, LCSW, LCDC, TX | Psychotherapist

About James Saxton

Focus areas

Addiction / Substance Abuse

Depression

Psychodynamic Therapy

Adjustment Disorder

Men's Mental Health Issues

Therapy

Anxiety

Mindfulness-Based Cognitive Therapy (MBCT)

Clientele seen

Young adults (18-24)

Individuals

Adults (25-64)

Seniors (65+)

Treatment approaches

Acceptance and Commitment (ACT)

Dialectical (DBT)

Cognitive Behavioral (CBT)

Eclectic

Cognitive Processing (CPT)

Existential

Identity

Gender

Male

Languages spoken

English

Getting to know James Saxton

Everyone comes to therapy with unique needs and goals, so I don’t take a one-size-fits-all approach. I work collaboratively with clients to understand the patterns and experiences that are keeping them stuck and to create a clear path forward. My approach is trauma-informed and grounded in both insight and action. Together, we identify goals, build practical strategies, and work toward meaningful, lasting change. I aim to create a space that is supportive, honest, and focused—where you feel understood while also being challenged to grow. I offer a safe and non-judgmental space to express thoughts, feelings, and actions that may be impacting your life. With experience in several treatment approaches and personalities, I work to help bring awareness and self-exploration to the extent one wishes to experience. I hold a Master’s in Social Work from Our Lady of the Lake University and a Master’s in Addiction Counseling from Grand Canyon University, which inform my compassionate and individualized approach to care.

What should a new client know about working with you?

My approach to therapy is flexible and tailored to you. I don’t believe in a one-size-fits-all model—our work will be shaped by your needs, goals, and what’s most effective for you. I often integrate different approaches within sessions, focusing both on understanding patterns and building practical ways to move forward. If something isn’t working, I welcome that feedback and will adjust our approach together. Therapy with me is collaborative, honest, and growth-oriented. My goal is to create a space where you feel supported and understood, while also being challenged in ways that help you make meaningful, lasting change.

What is your typical process for working with clients?

Sessions are tailored to you, but typically begin with a check-in on what’s been coming up since we last met. From there, we focus on current concerns, patterns, or challenges that feel most important to you. Together, we explore these areas to build insight and identify practical ways to move forward. Sessions often close with a brief reflection on what stood out and what you can carry with you into the week. My approach is informal, collaborative, and humanistic. While I help guide the process, I also value giving you space to bring what feels most relevant, allowing the work to stay meaningful and connected to your goals.

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In-network insurances

Aetna

Cigna

UnitedHealthcare

100+ more in-network plans

Out-of-pocket fees and assistance

Initial session: $240 for 60 minutes

Ongoing session: $200 for 60 minutes

Sliding scale: Offers lower out-of-pocket fees on an individual basis, typically based on your ability to pay

Popular visit reasons

Hoarding Disorder

New Patient Visit

Pain Management Consultation

Pre-Move In Couples Counseling

Psychosexual Evaluation

Psychotherapy

Psychotherapy Intake / Initial Visit

Sleep Problems

Hoarding Disorder

New Patient Visit

Pain Management Consultation

Pre-Move In Couples Counseling

Office location

James Saxton, LCSW, LCDC also offers online video visits for patients

Praxis Counseling and Therapy, PLLC

4241 Woodcock Dr, Suite C210, San Antonio, TX 78228

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Education and background

Practice names

Praxis Counseling and Therapy, PLLC

Education and training

Our Lady of the Lake University, Master's in Social Work
Grand Canyon University, Master's in Addiction Counseling

NPI number

1447092598

Patient reviews

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Frequently asked questions

How soon can I make an appointment with James Saxton?

Generally, James Saxton has appointments available on Zocdoc within 1 week. You can see James Saxton's earliest availability on Zocdoc and make an appointment online.

Is James Saxton accepting new patients?

James Saxton generally accepts new patients on Zocdoc. You can see James Saxton's earliest availability on Zocdoc and schedule an appointment online.

Does James Saxton accept my insurance?

Choose your insurance plan to verify if James Saxton is in-network.

Can I make an appointment with James Saxton online?

Yes, you can make an appointment online with James Saxton using Zocdoc. It’s simple, secure, and free.

What practice does James Saxton work with?

James Saxton works with Praxis Counseling and Therapy, PLLC.

Where is James Saxton's office located?

James Saxton has 2 office locations in San Antonio, view full addresses on James Saxton's profile.

What are common reasons for patients to see James Saxton?

James Saxton frequently sees patients for New Patient Visit, Pain Management Consultation, Psychotherapy, Psychotherapy Intake / Initial Visit, and Sleep Problems. You can see other visit reasons for James Saxton on their profile.