Dr.
01About Betsy
Dr. Betsy Puentes uses practical, evidence-informed approaches to help people manage stress, anxiety, depression, and life changes. She brings a direct, compassionate style and nearly five decades of clinical experience to conversations about work, relationships, identity, and difficult emotions.
Her background includes a Doctorate in Counseling Psychology and a Master’s in Clinical Psychology. Dr. Puentes holds licenses as a Licensed Marriage and Family Therapist and a Licensed Professional Counselor in Texas.
Background and approach
In sessions she helps people name what matters and test small changes that can make daily life easier. She often blends techniques from acceptance and commitment work and cognitive behavioral strategies to support clearer choices. People may bring problems like low self-esteem, motivation struggles, addictive patterns, or anger.
She also addresses trauma, attachment concerns, and issues tied to chronic illness or caregiver stress. Dr. Puentes pays attention to how relationships and identity shape feelings and decisions.
She uses emotionally focused and Imago ideas when relationship patterns come up. Her style aims to be straightforward and respectful while exploring difficult feelings and repeated behavior cycles. Over a long career she has worked with a wide range of concerns, including career challenges, bereavement, and complications from major life changes.
She encourages clients to draw on their strengths and to practice small, manageable steps between sessions. The focus is on practical change that fits each person’s life and goals. Therapy sessions are offered in formats that include video, phone, chat, and text messaging.
Dr. Puentes practices in Texas and conducts work in English.
02Credentials
- LPC (Texas)
- License 4607 · expires August 2026
- LMFT (Texas)
- License 3948 · expires September 2027
- NPI
- 1821868118 · national provider identifier
Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the counselor lists and checks neither.
03Focus areas and approaches
Everything Betsy lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Self esteem
- Career difficulties
- Depression
- Coping with life changes
- Addictions
- LGBT
- Relationship issues
- Trauma and abuse
- Anger management
- Abandonment
- Aging and geriatric issues
- Attachment issues
- Avoidant personality
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- HIV / AIDS
- Hoarding
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Veteran and Armed Forces Issues
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sexuality
- Social anxiety and phobia
- Visually impaired
- Women's issues
- Workplace issues
- Young adult issues
Methods Betsy names
- Acceptance and Commitment Therapy (ACT)
- Cognitive Behavioral Therapy (CBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Imago Relationship Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
These are the methods Betsy names on their own professional profile. Naming an approach is not evidence of training or certification in it, and this directory checks no training records. Ask directly if it matters to you.
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04Online support
Using ACT, CBT, and Emotion-Focused Ideas Online
Dr. Puentes often draws from Acceptance and Commitment Therapy, which helps people clarify values and take small actions even when feelings are hard. ACT can help with anxiety, low motivation, and decisions about career or relationships. Cognitive Behavioral Therapy focuses on spotting unhelpful thoughts and testing practical behavior changes to reduce depression and anxiety symptoms.She also integrates Emotionally-Focused Therapy when relationship patterns and attachment needs are central, helping people identify emotions and change interaction cycles. Choosing the right approach is a collaborative process. The therapist will work with each person to match methods to their goals, preferences, and daily life rather than assuming one method fits everyone.
Online formats include video calls, phone sessions, live chat, and text messaging. Video lets people use visual cues and longer conversations. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging are useful for brief check-ins, homework support, or when written communication feels easier. These options make it simpler to fit therapy into work, caregiving, or travel schedules and to try different formats as needs change.
05Questions people ask
What concerns does she address?
She works with stress, anxiety, depression, self-esteem, career issues, addictions, trauma, anger, and relationship struggles among other concerns.
What is her therapeutic style like?
Her style is direct and compassionate, combining acceptance-based and cognitive techniques with emotionally focused ideas to help people make manageable changes.
How much experience does she have?
She brings 46 years of professional experience, including advanced graduate training and long-standing clinical practice in mental health.
What credentials and location are listed?
She holds a Doctorate in Counseling Psychology, a Master’s in Clinical Psychology, and is licensed as an LMFT and an LPC in Texas.
Which languages are supported?
Sessions are offered in English.
What session formats are available?
Session formats include video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.
How does cost and scheduling work?
Cost varies by location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Click the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.
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