Profile / United States
Dr. Elizabeth Marrufo-Esmele, LPC
Texas
LPC in Texas - anxiety and relationship support
See online therapy options- Stress and anxiety
- Addictions help
- Relationship communication
About Elizabeth
Dr. Elizabeth Marrufo-Esmele is an LPC licensed in Texas with five years of professional experience. She works with people who are dealing with stress, anxiety, addictions, relationship difficulties, trauma and abuse, and depression. Her practice also addresses concerns such as grief, intimacy-related issues, parenting stress, anger, and self-esteem problems.
She uses straightforward, practical methods and focuses on what is happening now. Sessions look at unhelpful thoughts and daily habits. She helps clients notice patterns, try different responses, and practice new skills between visits.
Elizabeth combines Cognitive Behavioral Therapy with client-centered and solution-focused techniques. That means she pays attention to a person's goals, listens for strengths, and introduces small experiments to test new ways of coping. Mindfulness practices are used when they fit the situation to help with anxiety and concentration.
She also draws on the Gottman Method for relationship concerns in ways that focus on communication, repair, and rebuilding connection between partners. Trauma-focused approaches are applied when past harm affects current functioning and safety is addressed in the moment.
The work is practical and goal-oriented. She helps people make step-by-step changes rather than offering quick fixes. To begin, clients answer a short matching questionnaire and schedule a first session to review goals and next steps.
How therapy approaches are used in online sessions
Dr. Marrufo-Esmele commonly combines Cognitive Behavioral Therapy and Client-Centered Therapy in her work. CBT focuses on spotting and testing unhelpful thoughts and habits to reduce anxiety and improve mood. Client-Centered Therapy emphasizes listening, reflecting what matters to the client, and using their own goals to guide the work. She also uses elements of the Gottman Method when addressing relationship communication and conflict.Finding the right approach is part of the process. She will work collaboratively with each client to decide which methods fit best based on current needs, goals, and preferences. That might mean starting with practical CBT exercises, adding mindfulness practices, or shifting to solutions-focused steps as progress is made.
Confirm current session options before booking to know which online formats are offered. Online sessions can make it easier to fit therapy into a busy schedule, reduce travel time, and allow shorter check-ins when needed. They can also make it simpler to maintain continuity during life changes while keeping the focus on clear goals and everyday skills.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
5+ years
Listed in
Texas
Languages
English
Frequently asked questions
What concerns does she help with most often?
She works with stress, anxiety, addictions, relationship problems, trauma and abuse, and depression, along with related issues such as grief, intimacy, parenting stress, anger, and self-esteem.
How does she use Cognitive Behavioral Therapy in sessions?
Cognitive Behavioral Therapy is used to identify unhelpful thoughts and patterns. Clients practice small behavioral experiments and skill building between sessions.
What background and experience does she have?
She holds an LPC credential and has five years of professional counseling experience working with a range of concerns.
Where is she licensed to practice?
She is a Licensed Professional Counselor with licensure in Texas and practices from that state.
Which languages are supported for sessions?
Sessions are offered in English.
Can international clients book sessions?
She does not accept international clients at this time.
How are sessions paid for and what does it cost?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
What are the first steps to get started?
Use the See online therapy options button, complete the short matching questionnaire, and schedule a first session to discuss goals and next steps.
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.