Dr. Elizabeth Marrufo-Esmele, LPC

Dr. Elizabeth Marrufo-Esmele helps people manage stress and anxiety and the ripple effects those issues cause in daily life. She works with people facing addictions, relationship problems, trauma and abuse, depression, grief, and problems with self-esteem. She invites each person to bring their story and strengths into the work.

She uses straightforward conversation to identify what is getting in the way of feeling better. Sessions focus on practical steps and skills that can be tried between meetings. She encourages small changes that build on what already works for each person.

Her approach draws on several methods, including client-centered work that follows the person's priorities and cognitive behavioral techniques that target unhelpful thinking and behaviors. She also integrates mindfulness practices to help with stress and techniques aimed at improving communication in close relationships.

Elizabeth holds the Licensed Professional Counselor credential, LPC, and has five years of professional experience in clinical settings. She practices in Texas and offers sessions in English.

People who choose her often want clear tools and a supportive guide as they change habits, manage mood, or recover from difficult events. She frames therapy as a collaborative process and helps people set goals that feel realistic for their lives.

How her approaches translate to online therapy

Client-Centered Therapy focuses on following the person's lead and prioritizing their goals. Online sessions using this approach are conversational and centered on what matters most to the client, whether that is stress, relationships, or recovery from trauma.

Cognitive Behavioral Therapy, or CBT, breaks problems into thoughts, feelings, and behaviors and teaches clear skills to change unhelpful patterns. It is useful for anxiety, mood concerns, and managing addictive behaviors through action-oriented exercises and homework.

Finding the right approach is part of the work together. The therapist will talk with the person about goals and preferences and adapt methods to fit those needs. Decisions about which techniques to use are collaborative and can change as progress is made.

The biography does not specify which online session formats are offered, so confirm current options before booking. Online work can make it easier to fit sessions into a busy life, reduce travel time, and allow check-ins when schedules are tight. Therapists and licensed professionals often use these benefits to keep therapy consistent while focusing on practical strategies and skills that transfer into everyday routines.