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Meet our Clincians

Please see below for more information about each of our caring clincians. Our team brings a wealth of knowledge, expereince, and care in the counseling field. We hope that we are able to service your needs. We look forward to meeting with you!

Priscilla Perez, M.A., L.PC., N.C.C. 

Welcome to our page!  I am the founder and owner of Grit & Grace counseling. I am a proud graduate of The University of Texas at San Antonio where I earned my Masters degree in Counseling.  I have been providing counseling services to indviduals since 2012.

My counseling sessions are client centered and theory based. I will use an eclectic approach in sessions with clients and will utilize techniques from different theories such as Rogerian, cognitive behavioral, solution focused and acceptance commitment theory. In our sessions together, we will discover what makes you, YOU. In sessions, clients tend to gain a better understanding of themselves, the people in their lives and the world around them. Together, we will find solutions to help you work towards a better version of yourself and improve in the areas of life you would like to change. My hope is that I can help you gain more awareness and acceptance towards the things and people we cannot control and develop healthier perspectives to improve the parts of your self you would like to grow in. 

GRIT & GRACE COUNSELING will help provide you the tools and support you need to navigate the ups and downs, with the hope that you may be able to have a better quality of life regardless of the things that are out of your control. If you are feeling stressed, overwhelmed or are not feeling like the best version of yourself, our team is here to help you navigate your journey in a compassionate, safe and therapeutic environment. I believe that clients have the power and ability to help create the life they desire.

You are taking the first step in improving your mental health! 


My areas of expertise: anxiety, depression, trauma, self-esteem, women's issues


Maribel Arias, M.A., L.P.C.

I obtained my Masters degree in Counseling from Wayland Baptist University. My passion is to help people during the various stages, circumstances, and situations that people face throughout life and on a daily basis. My goal is to help create a safe and peaceful environment for my clients to better understand them on an individual basis. 


​I will strive to help my clients find their unique qualities and purpose in life. My approach is a blend of Existential and Rogerian Theory in order to help my clients achieve their potential in life. By using an Existential approach, my client will strive to discover their meaning and purpose in life. The benefit of a Rogerian approach is that it allows for the client to be fully involved in their own treatment. This allows clients to become empowered in their current challenges they are facing. 

My areas of expertise: depression, trauma, grief, and self-esteem. 


Misty McGuffin, M.A., L.P.C.

“Vulnerability is the birthplace of innovation, creativity, and change.” – Brene Brown 

It takes a great deal of courage to be vulnerable, and you have taken the first brave step of seeking out a counselor to help you on the journey to healing and change – Congratulations!  I would be honored to be a part of helping with whatever is on your mind.  I believe healing comes through honesty and openness, so I strive to be compassionate and non-judgmental during this process.  I work to create an open-minded atmosphere of respect, calm, trust, kindness, willingness, and full acceptance of every person as they are.  I want everyone to feel heard and to know they don’t have to go through this alone.  I am comfortable with the tough conversations that lasting change requires.  I believe every person has the ability to be who they want to be, and my goal is to help empower you to do so through supportive, constructive feedback and helping you gain insight into any barriers.  


I work with adolescents, young adults, and adults of all ages.  I am open to helping you find your way through almost any problem or obstacle you may be facing, but my areas of specialty include: adjusting to life transitions, mood disorders, depression, anxiety, trauma, LGBTQ related issues, sexual identity, recovery from addictions, eating disorders, personality disorders, self-worth, stress management, emotion regulation, problem solving, decision making, improving communication, creating healthy relationships, and life/work balance.  


I earned my Master’s Degree in Professional Counseling in 2012.  I have experience working with people from all walks of life including individuals from various cultures, religions, and worldviews.  My history includes working with individuals, families, inpatient setting, intensive outpatient setting, group therapy, foster care, LGBTQ, and military.  


I treat every client as a unique individual with their own unique needs, ways of being, and methods of change.  So therefore, I practice an eclectic approach to therapy by utilizing various evidence-based techniques to include cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), person centered therapy, solution focused therapy, motivational interviewing, mindfulness, and meditation.  Together, “we can do hard things.” -Glennon Doyle  


 Victoria Palafox, M.S., L.P.C.

Hope, possibility, insight, change; these are the gifts therapy can offer. I provide individual therapy which is collaborative, compassionate, and uniquely tailored to you. Building a positive and meaningful connection is at the heart of what I do.


Most importantly, I provide you with a safe, non-judgmental space to fully explore your inner world. I enjoy working with members of marginalized communities with an emphasis on first generation, people going through major life transitions, veterans, and those who are experiencing symptoms of anxiety and depression.


My approach to treatment is integrative, using elements of Cognitive Behavioral Therapy (CBT), Role-play, Client Centered Counseling, and Humanistic Therapy with a social justice orientation.


Jill M. Lewis, M.S., L.P.C., N.C.C.

All of us can feel the impact of these uncertain times. Life can present itself with unpredictable situations that may impact your ability to live the life you desire. Uncertainty and adjusting to life changes may feel difficult, stressful, and overwhelming. I believe in the capacity of human resilience, and the power to overcome life's challenges so you can create ways to experience and enjoy your life fully. 


Having a compassionate, nonjudgmental therapist assist you through these transitions can help clarify confusions, help you gain insight regarding your pain, and return balance to your life. My priority is to create an atmosphere that promotes growth and positive change for you and move you toward being the healthiest version of yourself.


Miriam Witthauer, M.S.,  L.C.S.W.

Hello, my name is Miriam and I am a Licensed Clinical Social Worker.  I grew up in the Rio Grande Valley and have called San Antonio home for 6 years now.  I am bilingual and have worked in a wide range of settings to include non profit organizations, an inpatient psychiatric hospital, and now in a private practice setting.  


I am passionate about helping others navigate through difficult times in their lives.  Therapy is an amazing tool but asking for help can be difficult.  Everyone experiences their own struggles in different ways.  I utilize person centered and cognitive behavioral theory approaches our sessions. My approach is empathetic and I believe in the dignity and worth of a person and the importance of human relationships. With this belief in mind, clients feel more motivated to take action in their treatment when they feel that what they do will have an effect on the outcome.  

I work with both adults and adolescents.  Together as a team, we will develop a treatment plan that focuses on the issues and changes that you identify and are ready to address.  Many of the tools that we may explore together in session include mindfulness techniques , the exploration of feelings, cognitions and behaviors and can incorporate expressive techniques such as journaling and art.


Cassandra Limon, M.S., L.P.C.

Life sometimes takes us in directions that are unknown, unwanted, unexpected and out of our control. When it does, it can appear overwhelming and difficult to face these issues and emotions by ourselves. Sometimes we feel that is the only option in order to succeed. What we tend to forget is life is a journey that we should take as a community and not individually. We can overcome theses issues together. My role would be to ride alongside with you, supportively and with an open mind to help you achieve the life that best fits you.


I have experience working with a variety of individuals from children to adults from diverse cultures. I specialize in sexual abuse and trauma, behavioral issues in the home and school setting, loss/grief, depression, anxiety as well as child exploitation. I have acquired a certification in Trauma Focused Cognitive Behavioral Therapy (TFCBT).


My goal is to provide support in a non judgmental and safe place for individuals to assist through difficult times, decisions or complicated phases in their life. Life happens and sometimes it is difficult to get back on track. Please feel free to reach out through phone or email with any questions. Remember that it's never too late to get back on track.



****Clincians at our Medical Center Location**** 

Kimberly Patlan, M.S., L.P.C. 

Hello, my name is Kimberly M. Patlan, and I am a Licensed Professional Counselor. I graduated from Texas A&M International University. I am bilingual and have experience working with children (4+), teens, and adults.  I am passionate about helping others through their difficult times. I have experience working with individuals going through depression, anxiety, grief & loss, PTSD, etc. I enjoy educating others and helping them gain an understanding of their own emotions, thoughts, and behaviors. I have extensive experience and training helping children and adults that have experience traumatic experiences. As a collaborative team we can work together to help you find your strengths to get you through these difficult times.

My therapeutic approach begins by building a solid foundation on a Person-Centered approach and incorporating its core principles. Taking into consideration your needs and building on other modalities such as Solution-Focused Therapy, Child-Centered Play Therapy, or Cognitive Behavioral Therapy.


Sasha Pinson-Hamilton, M.S., L.P.C., N.C.C.

Hello! I am Sasha Pinson, LPC. I obtained both my Bachelor of Science in Psychology and Master’s in Clinical Mental Health Counseling from the University of Texas in San Antonio. I am passionate about working with pre-teens, teens, and young adults on various aspects of their identity. During these special years of life, you may be flooded with ideas, feelings, and behaviors that are not easy to navigate alone. My personal philosophy is therapy is your car embarking on a journey of self-growth. You are the driver, and I am the passenger, here to help navigate you through difficult times (don’t worry I won’t use the emergency break unless you ask). You have the autonomy and agency to fulfill your life goals no matter the obstacles that you may encounter. Just know with me, you will not have to face those moments alone. I find it a great privilege to be able to walk with you in this phase of life.



My areas of expertise include but are not limited to Anxiety, Depression, School-related issues, Work-related issues, social identity, and Self-esteem.


My therapeutic approaches include Person-Centered Therapy, Solution-Focused Therapy, Gestalt Therapy, and Strength-Based Therapy, and I also utilize Play-Therapy Techniques.

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