San Antonio Community Resource Directory

Our History

Esperanza Counseling and Care was founded in 2022 by me, Charmaine Pigue. After my mother, Esperanza passed away, I wanted to honor her legacy by creating a helping agency dedicated to helping individuals who needed counseling. Since then, we have grown into a thriving nonprofit, serving individuals needing help in our community.

I am a licensed clinical social worker with over 16 years of experience in counseling. I received my LMSW in 2003 and my LCSW in 2021.

I immigrated to the US from Jamaica when I was very young. While being a military spouse, I traveled and lived in other countries. These experiences helped me integrate cultural sensitivity into my practice. Each client is treated as a unique person because there is no one else like you. Getting to know the person is a high priority.

My practice is for those who are experiencing anxiety, stress, mental health disturbances, or spiritual disturbances. This world/universe is changing quite rapidly, causing us to feel out of our minds! My goal is to help those who don't fit into the conventional therapy approaches. I help with building self-esteem and confidence, and empower clients to be their best! If any of this resonates with you, give me a call. It is my highest calling to assist with your personal growth.

I offer a space you can be your authentic self. My specialty is Cognitive Behavioral Therapy. My clients tell me that I help them become more aware of what they are doing. They have a chance to grieve, grow, and heal from their experiences, so they can live a more positive life.

Open 24/7

I work with clients who may be experiencing:

  • Anxiety
  • Depression
  • Grief
  • Communication issues with family or friends

After completing an intake/biopsychosocial, we will develop a plan with goals and objectives to help improve your symptoms. Most of my clients see a gradual improvement within the first month of regular visits. The goal is to promote positive change in your life!

I use Alma and Headway platforms to qualify your insurance. We usually know within 2 days if your insurance will pay for counseling services.

Treatment Approach

Types of Therapy:

  • Cognitive Behavioral (CBT)
  • Culturally Sensitive
  • Emotionally Focused
  • Feminist
  • Interpersonal
  • Multicultural
  • Narrative
  • Person-Centered
  • Strength-Based

I also see patients at a second location:

19315 FM 2252 Bldg. 3, Suite 301 Garden Ridge, TX 78266


  • Aetna
  • BlueCross and BlueShield
  • Harvard Pilgrim
  • Oscar Health
  • UMR
  • UnitedHealthcare UHC | UBH
  • Out of Network


  • Individual Sessions $75
  • Couple Sessions $125
  • Sliding scale: apply if you may be eligible
  • Pay by American Express, Discover, Health Savings Account, Mastercard, Visa, Zelle
Open 24/7
Updated within the last 3 months.