- Stress and anxiety
- Family of origin patterns
- CBT and ACT
About Betsy
Dr. Betsy Puentes is a Texas clinician with the credentials LMFT and LPC and 46 years of clinical experience. She works with stress, depression, anxiety, low self-esteem, career concerns, and other sensitive life problems. Her background is in clinical and counseling psychology, and she draws on long-term practice to support people facing everyday and complex difficulties.
She approaches conversations as a practical collaboration. Sessions focus on clarifying what is most troubling now, identifying patterns that come from earlier family relationships, and testing small changes that can feel doable. She uses straightforward tools from Cognitive Behavioral Therapy and Acceptance and Commitment Therapy along with relational work to address connection and communication problems.
Dr. Puentes often helps people who notice old family roles or expectations still shaping their choices and moods. She also works with issues around attachment, abandonment, body image, caregiving stress, chronic illness, and relationship struggles. Her work includes concerns related to addiction, anger, and coping with major life changes.
People meet to talk through thoughts, practice different responses, and monitor what shifts between sessions. She emphasizes learning practical skills alongside reflection about how early family experiences influence present behavior. That combination is meant to help people manage symptoms and make clearer decisions about work, relationships, and self-care.
Therapy in her practice is conducted in English and offered from Texas. Costs vary by location and use a subscription that can be canceled at any time. To begin, people complete a short matching questionnaire and schedule a first session.
How her approaches translate to online sessions
Acceptance and Commitment Therapy (ACT) helps people notice their thoughts and commit to actions that reflect their values. It is often useful for stress, anxiety, and decisions that feel stuck. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking and practicing different behaviors to reduce symptoms like worry or low mood. Emotionally-Focused Therapy (EFT) concentrates on emotional experience and patterns in relationships to improve communication and connection.Choosing the right approach is part of the work. She collaborates with clients to decide which methods to try first, adjusting the plan based on goals and preferences. That makes sessions feel practical and focused rather than one-size-fits-all.
The therapist's session formats are not specified here, so confirm current options before booking. Many people find online sessions helpful because they can fit appointments into a busy day, avoid travel time, and use quieter settings for focused conversation. Some formats are easier for short check-ins while others suit longer skill-practice work. Talk with her about timing and structure so sessions can be scheduled to match work, caregiving, or other routines.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
46+ years
Listed in
Texas
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, depression, low self-esteem, career difficulties, addictions, relationship problems, anger, and related concerns such as attachment and abandonment.
What is her general approach in sessions?
She uses practical conversation, skill practice, and reflection. Approaches include Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and relational methods to address communication and connection.
How much clinical experience does she have?
She has 46 years of professional experience in clinical and counseling psychology settings.
What credentials and location are listed?
She holds LMFT and LPC credentials and practices from Texas.
Which languages are supported for sessions?
Sessions are offered in English.
Does she work with international clients?
She does not accept international clients at this time.
How is cost handled for sessions?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
What are the steps to begin working together?
Start by selecting the See online therapy options button, complete a short matching questionnaire, and then schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.