Depression, Anxiety & Other Mental Health Conditions
Mental Health Treatment in Boerne & San Antonio, TX
Whole-Person Care with Dr. Reyes
Discover compassionate, whole-person care in Boerne, San Antonio, and surrounding areas. Dr. Reyes helps patients manage depression and anxiety through personalized, evidence-based treatment plans.
Understanding Anxiety Through a Whole-Person Lens
Depression and anxiety aren’t just mental health concerns, they can affect every part of your well-being. At Dr. Reyes’ practice, we approach treatment with the understanding that your mind, body, and environment are all connected.
Whether you experience depression, persistent worry, restlessness, or panic attacks, our goal is to help uncover the underlying causes (whether hormonal, emotional, or lifestyle-related) and create a plan that supports your overall balance.
Our Approach to Mental Health Care
Comprehensive Assessment
Personalized Treatment Plans
Ongoing Partnership
Depression, Anxiety and Other Mental Health Conditions
Managing depression, anxiety and other psychiatric conditions within a primary care setting using an Integrated Behavioral Health (IBH) approach shifts the focus from siloed care to a “whole-person” model. This strategy addresses the reality that most mental health concerns are first identified in primary care.
1. We offer Collaborative Care (CoCM)
The most evidence-based integration model is the Collaborative Care Model, which relies on a team-based approach:
- Primary Care Provider (PCP): The “quarterback” who manages the overall medical plan.
- Behavioral Health Care Manager (BHCM): Usually a social worker or counselor who provides brief interventions (like CBT or PST) and monitors progress.
- Psychiatric Consultant: Provides caseload reviews and medication adjustments for the PCP, often without seeing the patient directly.
2. Key Management Strategies
Integration transforms how depression and anxiety are handled through four main pillars:
Universal Screening & Identification
Instead of waiting for a crisis, clinics use standardized tools at every visit:
- PHQ-9: For depression severity.
- GAD-7: For anxiety monitoring.
- SBIRT: Screening, Brief Intervention, and Referral to Treatment for co-occurring substance use.
- “Warm Handoffs”
When a PCP identifies a mental health concern, they perform a warm handoff—physically introducing the patient to the behavioral health provider in the exam room. This reduces the stigma and “no-show” rates associated with external referrals.
Measurement-Based Care (MBC)
Treatments are adjusted based on objective data. If a patient’s PHQ-9 score hasn’t dropped by 50% within 8–12 weeks, the team proactively changes the treatment plan (dose escalation, switching medications, or intensifying therapy).
Brief Evidence-Based Interventions
Primary care integration emphasizes short-term, solution-focused therapies rather than long-term psychoanalysis:
3. Benefits of the Integrated Approach
Feature | Traditional Referral Model | Integrated Model |
Access | Long wait times for specialists | Same-day access in the clinic |
Communication | Occasional faxed reports | Daily team huddles/shared EHR |
Stigma | High (going to a “mental clinic”) | Low (seeing a provider at the doctor) |
Outcomes | Fragmented; high drop-out rate | Doubled rates of clinical improvement |
4. Medication Management
In an integrated setting, the PCP initiates pharmacotherapy, but with the support of the psychiatric consultant. This allows for:
- Standardized Protocols: Using first-line SSRIs/SNRIs efficiently.
- Proactive Side-Effect Management: The Care Manager checks in weekly to ensure the patient isn’t stopping medication due to minor side effects.
The goal of integration
Key Insight: The goal of integration is not just to “treat a diagnosis” but to improve functional outcomes—getting the patient back to work, improving sleep, and managing chronic physical conditions (like diabetes) that are often worsened by depression.
Get started today!
In our clinic, we will help with lifestyle coaches, case managers and in-house educators to help you prevent cardiovascular issues or to start a comprehensive, state of the art and integrated medical therapy program.
We are looking forward to make your health care needs our priorities an assist in the journey!
Get started today!
In our clinic, we will help with lifestyle coaches, case managers and in-house educators to help you prevent anxiety or to start a comprehensive, state of the art and integrated medical therapy program.
We are looking forward to make your health care needs our priorities an assist in the journey!