Dr. Betsy Puentes, LMFT, LPC

Dr. Betsy Puentes is a licensed therapist in Texas who centers her work on helping people manage stress and anxiety. She brings a long career in mental health to sessions and focuses on practical steps people can use right away. She frames clients as the experts on their own lives and helps them build on existing strengths to make changes they want.

With 46 years of experience, Dr. Puentes draws on many approaches to tailor care to each person. She uses methods such as Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to address thoughts and behaviors that keep someone stuck. Emotionally-Focused Therapy and Imago Relationship Therapy inform her way of working with relationship concerns and communication issues.

Her background includes a Master’s degree in Clinical Psychology and a Doctorate in Counseling Psychology, and she holds both LMFT and LPC credentials in Texas. She has helped people with depression, career setbacks, addictions, trauma, anger, and issues around self-esteem and confidence.

In a session with Dr. Puentes, people can expect a straightforward, respectful approach. She asks about what matters most and helps set small, manageable goals. Conversations tend to focus on practical strategies and clearer ways to cope with life’s changes.

She works in English and does not take international clients. To begin, people are asked to use the Start Therapy button and complete a short matching questionnaire before scheduling according to availability.

How approach choices shape online therapy

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and choose actions that match their values. It is often used for stress, anxiety, and getting unstuck from repeated patterns. Cognitive Behavioral Therapy (CBT) focuses on the link between thoughts, feelings, and actions and offers practical exercises to change unhelpful thinking and behavior. It is commonly used for anxiety, depression, and coping with life changes. Emotionally-Focused Therapy (EFT) concentrates on emotions and patterns in close relationships, helping people understand emotional responses and improve communication.

Finding the right approach is part of the work together. The therapist will talk with each person about goals, needs, and preferences and then suggest methods that fit. Clients and the therapist decide together which strategies to try and adjust the plan over time.

Please confirm current session options before booking since formats are not specified here. Online therapy can make it easier to fit sessions into a busy life by reducing travel time and allowing appointments during lunch breaks or between errands. It can also allow shorter check-ins when needed or sessions that do not require being on camera. Licensed professionals work with clients to pick session rhythms and styles that match daily schedules and therapy goals.