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Michelle Ruiz Deal, LPC-S

Grounded in trust.
Centered on you.

Veteran and counselor in San Antonio, helping people through OCD, trauma, grief, and life after injury.

  • Licensed in TX & WI
  • English & Spanish
  • Veteran
Request an appointment See her focus
Portrait of Michelle Ruiz Deal Taking appointment requests
Michelle Ruiz DealLicensed Professional Counselor–Supervisor
9+years in focused clinical practice
26years in the veteran community
2state licenses
2languages

Clinical focus

Who she works with

OCD

Exposure-based treatment that builds room to respond, not react.

PTSD & complex trauma

Structured, evidence-based care for what still weighs on you.

Grief & suicide prevention

Steady support through loss and the hardest moments.

Veterans & first responders

Care from someone who has served, for those who serve.

Limb loss & injury

Amputation, limb salvage, and osseointegration — adjustment and identity.

Approach

Understanding first.
Then, a way forward.

Evidence-based treatment, shaped around the person receiving it.

  1. 01

    Start with you

    Your story, circumstances, and priorities set the direction.

  2. 02

    Choose what fits

    Proven methods, selected and adapted for your situation.

  3. 03

    Build practical skills

    Tools to meet hard thoughts and moments with more choice.

Methods she uses

ERP
Exposure and Response Prevention — the core treatment for OCD.
ACT
Acceptance and Commitment Therapy — acting on what matters, even with difficult thoughts.
CPT
Cognitive Processing Therapy — working through beliefs shaped by trauma.
PE
Prolonged Exposure — gradually facing trauma memories and reminders.
WET
Written Exposure Therapy — a brief, writing-based PTSD treatment.
EMDR
Eye Movement Desensitization and Reprocessing — helping the brain reprocess traumatic memories.
DBT
Dialectical Behavior Therapy — skills for intense emotions and hard moments.
Mindfulness
Staying present with what you feel, without being run by it.

About

A person, before anything else.

Michelle Ruiz Deal, LPC-SVeteran · Counselor · Supervisor

Michelle leads Ruiz Deal Resilience, her counseling practice in San Antonio. She adapts proven methods to each person, so the work fits your life, not the other way around.

A veteran herself, she has spent 26 years connected to the veteran community, and brings that understanding to veterans, service members, and first responders.

  • Licensed Professional Counselor–Supervisor in Texas & Wisconsin
  • Provides care in English and Spanish
  • Supervises therapists early in their careers
  • Public speaker

Fees & insurance

Clear costs, up front.

Insurance accepted

  • BCBS
  • Tricare
  • Aetna
  • UnitedHealthcare
  • Oscar
  • Curative

Coverage varies by plan. Check your benefits before your first session.

Private pay

Initial session
$185
Session
$175
Group therapy per session
$45
Crisis or extended session
$200

Paying without insurance? You have the right to a Good Faith Estimate of your costs before care begins.

Your story matters.
So does how it is heard.

Get started

Request an appointment

Start with a 15-minute consultation request. Michelle reviews every request before anything is confirmed.

Request an appointment

Secure & HIPAA-compliant via SimplePractice

Were you referred?
Mention who referred you in your request. It helps with context.
Already a client?
You can request your next session the same way.
In crisis?
This isn’t for emergencies. Call or text 988, or call 911.