Get to know me
Hi there! My name is Madison Karasek and I’m an LPC operating out of San Antonio, TX. I received my MA Clinical Mental Health Counseling from St. Mary’s University and began my counseling journey at the height of the pandemic - talk about jumping in with both feet! I spent the next several years at a group practice in town where I was able to hone my skills with kids 4+, teens, and adults, practice my techniques, and most of all build stellar relationships with my lovely clients. My favorite part about counseling is truly connecting with people. We’re all human, experiencing very human things. I just so happen to know a bit about mental health!
I provide a safe, encouraging space where you can be yourself and say it like it is without fear of judgment. With experience in a wide range of treatment modalities—including play therapy, CBT, DBT/RODBT, ACT, and Narrative Therapy—I believe strongly in a collaborative approach tailored to each unique client. Whether you need a place to vent or crave more structure, I’m here to support you however you need. When I first meet clients, I tell them I’m not the type of therapist who simply says, "And how does that make you feel?" I’m a genuine person who truly cares and stands in your corner, whether in happy or heavy times. Therapy with me is down-to-earth, client-centered, and focused on helping you grow.
