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Counseling & Psychotherapy for Healing & Wellness

Individual services for adults in Texas 

Free 15-minute phone consultation for new clients

Services provided online via TheraNest

Accepting Aetna, Blue Cross and Blue Shield of Texas, and Cigna through Headway

About the Practice


PADMA, the Sanskrit word for "lotus," is an acronym for the principles that guide our clinical practice and daily life: Positivity, Authenticity, Development & Growth, Mutuality, and Appreciation & Gratitude.

Our approach to counseling and psychotherapy is eclectic/integrative, incorporating elements from a variety of theoretical and therapeutic approaches.  These include acceptance and commitment therapy, cognitive behavioral therapy, dialectical behavior therapy, existential therapy, mindfulness, multicultural counseling, narrative therapy, self-compassion, solution-focused brief therapy, and strengths-based counseling.

We work collaboratively with our clients to develop individualized treatment plans that build on their strengths and help them to achieve their goals in a safe and nonjudgmental environment.

Practice Forms


Please refer to the documents below for detailed practice information:

New clients will complete these forms electronically via TheraNest.

A good faith estimate (GFE) of expected charges is available upon scheduling an appointment or upon request.

About the Founder

Cynthia Y. Chi, MD, MS, NCC, LPC is a clinical mental health counselor focusing on the treatment of depression and anxiety as well as the prevention of suicide.  She is a native Texan, raised in Houston, who now calls San Antonio home.  Her pronouns are she | her | hers.


Cynthia graduated first in her class from the University of Texas Medical Branch School of Medicine in 2002, completed her pediatric residency training at Stanford University Medical Center in 2005, and practiced as a hospital-based physician for the next 15 years.  She taught pediatrics at medical schools around the country and received faculty teaching awards for her work with University of Michigan pediatric residents and University of North Carolina - Chapel Hill medical students.

Out of concern for the growing number of patients on her service who were struggling with suicidality, Cynthia completed courses in cognitive behavioral therapy (CBT) through the Massachusetts General Hospital Psychiatry Academy in 2015 and integrated CBT into her medical practice.  Her interest in and passion for promoting mental wellness started her on the path to becoming a dedicated mental health provider.  In 2020 she completed a Master of Science degree in clinical mental health counseling at the University of Texas at San Antonio, and in 2024 she completed an internship as a licensed professional counselor associate.  Her practice is now comprised exclusively of counseling and psychotherapy.

Cynthia is motivated to help others achieve happiness, contentment, and fulfillment in their lives.  To this end, she strives to create a welcoming, respectful, and empowering practice environment.  She also supports clients in strengthening their identities, navigating life changes, managing stress, developing resilience, and honoring their values.

In her free time, Cynthia enjoys walking her dogs, making pottery, and visiting family in Italy.


Contact Us

Business Hours:  Tuesday - Saturday | 12.00 noon - 7.00 pm

Phone:  210.802.8758  |  Email:

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© 2024 PADMA Counseling, PLLC

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