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Dr. Betsy Puentes
Experience
46 years
Based in
Texas
Sessions
Online
Languages
English

Therapist · Texas

Dr. Betsy Puentes

LMFT, LPC

Experienced therapist focusing on practical change

Continue with Betsy

Opens BetterHelp, where you can review online therapy options and next steps.

License and NPI on record

LPC
Texas · 4607
LMFT
Texas · 3948
NPI
1821868118

As listed on the therapist's profile. A license can be checked with the state board, and an NPI with the national NPI registry.

  • 46 years experience
  • Values-based approaches
  • Works in English

About Betsy

Dr. Betsy Puentes is a licensed counselor who draws on nearly five decades of clinical work to help people facing stress, anxiety, depression, low self-esteem, career struggles, and related concerns. She holds a Master’s in Clinical Psychology and a Doctorate in Counseling Psychology, and uses that experience to guide practical steps forward. Dr. Puentes emphasizes respect for each person's story and strengths as the starting point for change.

Her approach is collaborative and straightforward. She helps people identify what matters to them, notice unhelpful patterns, and try small changes that add up. Sessions focus on real-life concerns like relationships, motivation, coping with change, and managing anger or addictive behaviors.

Dr. Puentes integrates several therapy methods to fit each person’s needs. She draws on Acceptance and Commitment Therapy to clarify values and take action, Cognitive Behavioral Therapy to challenge unhelpful thoughts and habits, and Emotionally-Focused Therapy to address close relationship pain. She also uses existential and Imago-informed ideas when they match the client’s goals.

With long experience, she brings practical tools and steady support. She encourages small, achievable steps and keeps the work grounded in day-to-day life. People who want clear, experienced guidance for stress, mood, identity, or relationship concerns may find her approach helpful.

Dr. Puentes practices in Texas and conducts sessions in English. To begin, readers are asked to confirm current session options before booking.

Areas of expertise

Also works with

AddictionsLGBTRelationship issuesTrauma and abuseAnger management

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesAvoidant personalityBlended family issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSHoardingImmigration issuesImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexualitySocial anxiety and phobiaVisually impairedWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Cognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Existential TherapyImago Relationship TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

46+ years

Credentials

Texas, Texas

Languages

English

How specific approaches translate to online work

Acceptance and Commitment Therapy (ACT) helps people name what matters and take small, values-driven steps despite difficult thoughts or feelings. It is useful for stress, anxiety, low motivation, and coping with life changes. Cognitive Behavioral Therapy (CBT) focuses on spotting unhelpful thought and behavior patterns and testing new ways of thinking and acting; it often helps with anxiety, depression, and self-esteem. Emotionally-Focused Therapy (EFT) looks at emotional connections and patterns in close relationships, helping people identify feelings and change interaction cycles that cause pain.

Finding the right approach is a team effort. The therapist will work with each person to pick methods that match their goals and preferences. Those choices are revisited as progress is made so the plan stays useful and realistic.

Confirm current session options before booking since the biography does not list specific formats. Online sessions can make it easier to fit therapy into a busy life - for example by removing travel time, allowing shorter check-ins during a work break, or letting someone choose a session that does not require video. Licensed professionals can adapt ACT, CBT, and EFT tools to work well in remote appointments, focusing on practical exercises, in-session skill practice, and real-world homework that fits each person’s routine.

Frequently asked questions

What concerns does this therapist address?

She works with stress, anxiety, depression, low self-esteem, career issues, relationship and identity concerns, addictions, trauma, and anger. Additional focuses include abandonment, attachment issues, body image, chronic illness, codependency, and other related areas.

What is her general therapy style?

Her style is collaborative and practical. She helps people clarify values, notice unhelpful patterns, and try small steps that can make daily life easier.

How long has she been practicing?

She has 46 years of professional experience in mental health, drawn from graduate training and long clinical work.

What credentials and location are listed?

She holds LMFT and LPC credentials and practices in Texas. The profile lists a Master’s in Clinical Psychology and a Doctorate in Counseling Psychology.

Which languages are supported?

Sessions are offered in English.

Can people outside the United States work with her?

International clients are not currently accepted.

How are sessions scheduled and what does cost look like?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time. Confirm exact pricing during the matching and scheduling steps.

What steps start the process?

Click the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist’s availability.

Before you get in touch

Therapists listed here offer talking therapy online. A profile is not a diagnosis of you or of anyone in your life, and no therapist can promise how a relationship will turn out.

If you are in danger, or someone is hurting or threatening you, contact emergency services or a domestic-abuse helpline. The numbers are at the foot of this page.

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