Profile / United States
Dr. Betsy Puentes, LMFT, LPC
Texas
LMFT and LPC - Stress and anxiety focus
See online therapy options- CBT-based techniques
- Acceptance and Commitment Therapy
- Emotion-focused work
About Betsy
Dr. Betsy Puentes is a Licensed Marriage and Family Therapist (LMFT) and Licensed Professional Counselor (LPC) in Texas with 46 years of experience. She focuses on stress, anxiety, depression, low self-esteem, career concerns, addiction, relationship issues, trauma and abuse, and anger. She also works with related areas such as abandonment, attachment issues, body image, caregiver stress, chronic illness, codependency, and communication problems.
Dr. Puentes views clients as the experts on their own stories and looks for strengths to build on. In sessions she listens and helps people notice unhelpful thoughts and habits. She supports practical problem solving and clearer decisions about work, relationships, and daily coping.
Her clinical approach includes Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and Emotionally-Focused Therapy among other methods. That means she may use structured exercises, attention to values and actions, and focused work on emotional patterns depending on the concern. She aims to match approaches to what the person wants to work on.
She has a doctorate in counseling psychology and a master’s degree in clinical psychology. These degrees underpin decades of clinical work with adults facing life changes and persistent stress. Her experience includes long-term and short-term work depending on goals.
Sessions are conducted in English and she practices from Texas. Starting involves a short questionnaire and scheduling a first session through the platform's matching and booking flow. The practice uses a subscription model that can be canceled at any time.
How her approaches translate to online work
Dr. Puentes uses Cognitive Behavioral Therapy to help people identify and change unhelpful thoughts and behaviors. CBT often involves short exercises, practice between sessions, and clear steps to try new responses to stress or anxiety.She also draws on Acceptance and Commitment Therapy to clarify what matters most to someone and to build actions that align with those values. Emotionally-Focused Therapy appears in her work when the focus is on understanding emotional patterns and how they affect relationships and reactions.
Finding the right approach is a shared task. She will discuss goals and preferences and then try methods that fit the issue and the person's style. Adjustments are made as needed so sessions stay practical and focused on the client's aims.
The biography does not list specific online session formats here, so confirm current session options before booking. In general, online sessions can make it easier to fit therapy into a busy day, allow shorter check-ins when needed, and remove commuting time. Licensed professionals can adapt exercises, worksheets, and in-session practices to work in an online setting so therapy can be integrated into everyday life.
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 help with?
She works with stress, anxiety, depression, low self-esteem, career problems, addictions, relationship concerns, trauma and anger, plus related issues like attachment, codependency, and caregiver stress.
How would she describe her therapeutic style?
Her style is practical and structured. She uses tools to notice unhelpful thoughts and habits and to try different ways of responding.
How much clinical experience does she have?
She has 46 years of professional work experience in mental health practice.
What are her credentials and where does she practice?
She holds LMFT and LPC credentials and practices in Texas.
Which languages are supported?
Sessions are offered in English.
Can I work with her from outside the United States?
She does not accept international clients at this time.
How are sessions scheduled and what is the cost model?
Sessions use a subscription that can be canceled at any time; exact cost varies with location.
What do I need to do to get started?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.