The Bariatric Counseling Center of San Antonio
The Journey to a NewYou Begins Here

The Bariatric Counseling Center of San Antonio

We are the Only Program in the United States designed to provide you with the missing piece necessary to create lasting change.

You’ve taken the first step. By making the decision to undergo medically supervised weight loss or bariatric surgery, you’ve made a tremendous commitment to beginning your journey toward sustainable weight loss and pursuing a greater quality of life. At The Bariatric Counseling Center of San Antonio, we’re here to help you by providing the therapy, counseling and support you need to embrace the behavioral changes that will help ensure that the weight you take off, stays off.

We are an Intensive Outpatient Program geared to assisting people who have failed at prior weight loss attempts because behavioral change has not accompanied the process. We focus on creating that change through insight and awareness into one’s relationship with food. We work to establish adaptive coping mechanisms, eliminating binge eating and using food to cope with stress and emotions.

It’s about losing. It’s about winning. It’s about you. Call today to learn more.


From the beginning, we set out to create an environment that is as welcoming as it is functional. Designed specifically to accommodate people of size, our therapy and counseling areas have the welcoming ambiance of a spa or upscale wellness center. Our executive chef teaches healthy cooking in our teaching kitchen, on par with culinary schools around the country. We want our clients to be excited about healthy options that can be enjoyed to avoid the feelings of deprevation that lead to failure.

If you're interested in our services, we encourage you to visit our facility. Contact us to arrange a tour, so you can see firsthand the caring environment and positive results that await our patients.

Our teaching kitchen is designed so people feel comfortable. It's the perfect place for learning new recipes, tricks, and techniques!
Teaching Kitchen Rendering


Solving severe weight problems requires more than counting calories. Our staff is trained in helping patients address the physical, emotional and psychological dynamics that are crucial for understanding the causes of obesity and binge eating. This understanding is the first step moving you toward a new, healthier way to live.

From cooking and nutrition skills, to physical fitness regimens, to understanding the personal needs or issues that drive overeating, our team will equip you with the tools to transform your life.

With nearly 100 years of combined experience, we're here to support your long-term success by providing the therapy, counseling and insights you need to change your relationship with food, and to embrace healthier lifestyle choices in areas like eating, exercise and relationships.

Nathan S. Johnston, M.D.

Nathan S. Johnston, M.D.

Board Certified Psychiatrist

Dr. Nathan S. Johnston is a private practice psychiatrist that has recently moved to the Northwest area of San Antonio. He completed his psychiatry residency training at the University of Texas Heath Science Center San Antonio (UTHSCSA) where he served as the chief resident in his final year of training. Dr. Johnston has been the recipient of multiple national and local awards, has published and presented multiple research projects of his own design and remains an adjunct faculty member at the UT Health San Antonio Campus where he gives weekly lectures to the psychiatry residents and medical students.

Dr. Johnston is well known for his kind and empathic demeanor as well as his exceptional bedside manner. He is an active and enjoyed participant in the BCC monthly family night, helping family members understand how to support their loved ones.

When he is not practicing psychiatry, Dr. Johnston enjoys spending time with his family, including his two dogs Maverick and Primrose, going to the movies, golfing, surfing the Gulf Coast and rooting for the San Antonio Spurs. Go Spurs Go!

Natalie Ebrom RD, LD

Natalie Ebrom RD, LD

Registered Dietitian

Natalie is a native San Antonian on a mission to bring health and wellness to her city. After receiving her Bachelor of Science in Nutrition from Texas A&M University, she was one of nine interns awarded a position in the highly competitive dietetic internship at Texas State University where she completed 1,240 hours of supervised practice. Natalie’s work as a dietitian includes focuses on liver disease, pediatrics, research, and medically supervised weight loss. Natalie enjoys working with clients to develop personalized nutrition goals and healthy eating strategies that work for them. Natalie combines her passion and background to provide BCC patients with the best in nutrition care.

Kathryn Chacra, LCSW

Kathryn Chacra, LCSW

Licensed Clinical Social Worker/Telehealth Therapist

What clinical research indicates, Kathryn witnesses firsthand. There is success and benefits in helping clients through teletherapy; free of location, transportation, medical or scheduling constraints. In 2005 Kathryn first began using distance counseling to help clients after the trauma of Hurricane Katrina. While attending Columbia University for her Masters of Science in Social Work, Kathryn’s academic studies focused on clinical practice in health and mental health settings with direct training in teletherapy. The ability to serve clients where they are is tremendously powerful and intimate. Whether it has been with clients overcoming depression, anxiety, difficult life transitions or managing complex medical needs, Kathryn has developed a strong humanistic and compassion based approach. With a focus on the here and now, Kathryn can help her clients create and go after the goals they set for themselves. Kathryn aims to respectfully and compassionately meet her clients where they are, electronically, but more importantly emotionally.

Melissa Waterfield-Copeland, MA, LPC, LCDC

Melissa Waterfield-Copeland, MA, LPC, LCDC

Licensed Professional Counselor

Melissa is a licensed Professional Counselor and licensed Chemical Dependency Counselor. Her experiences have included working with the crisis, addiction and forensic populations. Melissa has additional training in Dialectical Behavioral Therapy (DBT) and Eye Movement Desensitization and Reprocessing (EMDR) approaches to therapy, as well as Clinical Supervision. Her holistic and integrative approach involves integrating various elements of different theories to the practice. Her key is to use the techniques and psychotherapy tools best suited for a particular client and problem. Melissa’s therapy will leave you with feelings of comfort, confidence and hope about your future.

Sara Hamilton, PsyD

Sara Hamilton, PsyD

Licensed Clinical Psychologist

Dr. Hamilton believes long-term weight loss success comes from healing mind and body together, as she strongly values the connections between them. Much of Dr. Hamilton’s academic and clinical efforts have been devoted towards considering the ways in which mindfulness practices facilitate improved emotional health, bodily awareness, and self-compassion. Dr. Hamilton particularly enjoys working with clients in the midst of life transitions and values the opportunity to help our clients as they explore new ways to meet their weight loss goals. To facilitate achieving and maintaining weight loss success, she is invested in helping clients explore how their relationships with food and with others impact their eating and exercise habits. Dr. Hamilton brings a compassionate and empathic presence to her work in which she seeks to empower clients as they discover new avenues of happiness in their lives.

In addition to acting as staff psychologist, Dr. Hamilton is tasked with researching and evaluating the success of our program.

Maria Olinka Tristan

Maria Olinka Tristan

Licensed Professional Counselor and Movement Instructor

Olinka brings both joy and a wealth of experience to her group sessions. She has been a Licensed Professional Counselor for over three years. Olinka has worked with several populations including eating disorders, domestic violence, adolescents, and families. Olinka also teaches Zumba for both for beginner and advanced students. Those who are new to exercise will embrace her enthusiasm and knowledge and be inspired by her personal story.

Olinka also elected to improve her life through weight loss surgery. Eight years later, she is a living testament to what it means to find joy in exercise after bariatric surgery, and what it takes to sustain meaningful, long-term weight loss.

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The BCC program has helped me really work at addressing the underlying reasons for overeating. The program helped me with mindfulness, self-esteem, and handling life in a more positive and resilient manner. I highly recommend this program. ~M.C.
The Program is extremely helpful for long term success. I would highly recommend it to anyone having weight loss surgery. ~F.C.
The ability to have applicable tools while moving forward from Bariatric surgery was invaluable. Discovering that the mental shift required to change my habits with food was much tougher than I imagined, made BCC a must with my future success! ~R.E.
I was truly inspired and healed considerably during my time with your program. It is the best program I have ever experienced in my life. I would definitely recommend this program and I would like to thank all of your great staff for their knowledge, patience and giving from their hearts to everyone. ~A.A.