For Women & Couples

Rediscover connection. Reclaim meaning. Rekindle hope.

Relationship Counseling in San Antonio & Across TX.

A white, textured vase sits in a San Antonio therapist office with green leafy plant stems inside, placed on a wooden surface with a light-colored wall background.

It’s like your emotions (and reactions) are beyond your control.

On the outside, you look like you’ve got it all together—a career you’ve worked hard for, a busy life, never seeming in over your head no matter how much is on your plate. But behind closed doors, your relationships tell a different story. 

In conflict, you either shut down or blow up, no matter how hard you try to communicate calmly. And afterward? You’re left feeling ashamed, misunderstood, and alone. You often find yourself wondering why you keep ending up in these same cycles when all you really want is to feel seen and loved.

You want a deep, connected relationship—one where you don’t have to lose yourself to keep the peace.

Desiree Medina, San Antonio therapist, sits in an outdoor area with her hands folded, smiling.

Hi, I’m Desiree.

You’re not broken, you’re just stuck in a pattern. Let’s break it together.

I’m not the kind of therapist who just nods and lets you vent. I’m here to help you understand what’s happening beneath the surface—because it’s never actually about the dirty dishes or where to go for dinner. It’s about the fear, the resentment, and the exhaustion you’ve been carrying for years. Together, we’ll slow down and get to the root of these issues, because that’s where real change happens.

Minimalist office space in a San Antonio therapist office with a tan leather sofa, a beige throw blanket, and a wooden chair next to a light wood table decorated with a white vase and a dried pampas grass arrangement.

I’m direct, but always with compassion, and I’ll guide you toward new perspectives that can shift your approach to connecting with your partner.

In our work, I want you to feel safe enough to get honest—truly honest—about the pain, the things that aren’t working, and what you wish could be different. I’ll help you put words to emotions you’ve never said out loud so we can make sense of the patterns that keep showing up. Change happens when you’re willing to stick with it through the hard moments, and I’ll always be right there with you.

I specialize in…

  • You’re smart, driven, and capable—but your love life feels like the one area you can’t get a handle on. Maybe you keep coming up against the same red flags and can’t seem to get past the first few dates. Or maybe you’re being strung along by someone who says they care about you but won’t act like it, and you keep giving your all, hoping they’ll finally choose you.

    You don’t have to settle for a relationship (or situationship) that drains you. Let’s get to the bottom of these patterns so you can have the love you deserve.


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  • You care about each other, but right now, it feels like you’re stuck in the same fight on repeat. You don’t feel as emotionally connected as you once did, and live more like roommates than loving partners. The eggshells you both walk on in between fights make it difficult to have any true intimacy or deeper conversations.

    This doesn’t mean your relationship is beyond repair. Here, we’ll create space for both of you to feel heard, and to rebuild the trust and closeness you’ve been missing.


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  • When trust is broken, it shakes the very foundation of a relationship. Your sense of safety, your confidence in your partner, and even how you see yourself can feel diminished. You might find yourself wondering, “How did we even get here? Can we come back from this?”

    Whether you’ve been betrayed or you’re the one who caused the hurt, I want you to know that while healing won’t happen overnight, it is possible.


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The fact that you’re here means you’re ready to create real change.

Because growth doesn’t happen in your comfort zone.

Let’s make this part simple.

01

Get started

Schedule a free consultation by clicking here. On this brief call, you can ask any questions and share what’s bringing you to therapy. If it feels like a good fit, we’ll schedule your first session. Appointments are available in-person in San Antonio and online for anyone in Texas.

02

Get to work

In our sessions, we’ll work on getting to the root of your relationship struggles and helping you sit with the hard emotions you’ve been avoiding. But the real work happens between sessions—when you start putting these tools into practice and showing up for yourself in a consistent way.

03

Get unstuck

Over time, you can start to notice shifts in how you respond in your relationships. You can feel more in control of your emotions, more confident expressing your needs, and more connected to the people who matter—without losing yourself in the process.

Couple holding hands, the woman has an engagement ring and a small heart tattoo on her wrist.

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Take the first step toward your next chapter.