James Saxton, LCSW, LCDC, TX | Psychotherapist

About James Saxton

Focus areas

Addiction / Substance Abuse

Depression

Stress

Anxiety

Men's Mental Health Issues

Burnout

Sleep Problems

Clientele seen

Young adults (18-24)

Individuals

Adults (25-64)

Seniors (65+)

Treatment approaches

Acceptance and Commitment (ACT)

Person-Centered

Cognitive Behavioral (CBT)

Motivational Interviewing

Identity

Gender

Male

Languages spoken

English

Getting to know James Saxton

Many people I work with feel overwhelmed, stuck, or burned out—whether it’s anxiety that won’t shut off, trouble sleeping, or patterns with substance use that are hard to break. You might feel like you’ve tried to manage things on your own, but something still isn’t working. In our work together, we focus on understanding what’s keeping you stuck and building practical, realistic ways to move forward. I aim to create a space that feels straightforward, supportive, and focused on real change—not just talking, but actually helping you feel and function better. My approach is collaborative and tailored to you. I draw from evidence-based approaches like CBT, ACT, and Motivational Interviewing, but more importantly, I focus on what’s going to be effective for your specific situation. Whether you're dealing with anxiety, stress, burnout, sleep issues, or substance use, we’ll work together to create a clear path forward that fits your life.

What should a new client know about working with you?

You don’t need to have everything figured out before starting therapy. It’s completely okay if things feel unclear or overwhelming—that’s part of what we work through together. My style is collaborative, straightforward, and focused on helping you make real progress. We’ll spend time understanding what’s been going on, identifying patterns that may be keeping you stuck, and building practical strategies you can actually use in your day-to-day life. I tend to be active in sessions—I’ll ask questions, offer observations, and help guide the conversation so it stays productive and focused. At the same time, I aim to create a space where you feel comfortable being open and honest without judgment. The goal is not just to talk about things, but to help you feel more in control, more clear, and better equipped moving forward.

What is your typical process for working with clients?

We usually start with an initial session focused on getting a clear understanding of what’s been going on and what you’d like to change. This includes discussing current concerns, relevant history, and what’s felt most difficult or frustrating. From there, sessions tend to follow a consistent structure. We’ll check in on what’s come up since the last session, focus on the most important issues in the moment, and work on identifying patterns, triggers, or behaviors that may be contributing to the problem. As we go, we’ll develop practical strategies and tools you can apply between sessions. The goal is not just insight, but helping you make meaningful changes in your day-to-day life. Throughout the process, we’ll adjust the focus based on what’s working and what you need, so therapy stays relevant, productive, and aligned with your goals.

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In-network insurances

Aetna

BlueCross BlueShield

Cigna

UnitedHealthcare

200+ 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

Depression

Insomnia

LGBTQ+ Counseling

Motivational Interviewing

New Patient Visit

Psychotherapy

Psychotherapy Intake / Initial Visit

Sleep Problems

Depression

Insomnia

LGBTQ+ Counseling

Motivational Interviewing

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 Depression, New Patient Visit, Psychotherapy, Psychotherapy Intake / Initial Visit, and Sleep Problems. You can see other visit reasons for James Saxton on their profile.