- Evidence informed
- Values focused
- Practical skills
About Bette
She draws on 35 years of experience in crisis intervention. That experience comes from work in emergency rooms, hotline call centers, government crisis agencies, and correctional settings. Those roles shaped a problem-focused, down-to-earth way of working that centers on listening and practical skills.
In sessions she uses techniques from cognitive behavioral therapy and acceptance and commitment therapy alongside client-centered principles. That means talking about clear thoughts and behaviors, noticing values and what matters most, and making small changes that add up. She also uses existential ideas to help people find meaning when life feels confusing.
Dr. Smyth pays attention to how past attachments and abandonment wounds affect current relationships and self-worth. She also supports people dealing with chronic illness or caregiver stress, body image concerns, and issues like guilt, shame, or impulsivity. Conversations focus on what is happening now and what steps feel doable next.
If someone wants to start, she invites them to share their story and practical goals. The work is collaborative and paced to what each person can handle. Her approach is steady, compassionate, and focused on real-life change.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
35+ years
Credentials
Texas
Languages
English
Approaches that translate to online work
Acceptance and Commitment Therapy, or ACT, helps people notice their thoughts and make choices based on what matters most. It can be useful for anxiety, depression, and situations where values guide change. Cognitive Behavioral Therapy, or CBT, focuses on the link between thoughts, actions, and mood, teaching practical skills to reduce distress and change unhelpful patterns. Client-Centered Therapy emphasizes listening, empathy, and tailoring the pace to the person's needs, which supports rebuilding trust and self-understanding.Choosing the right approach is part of the work. The therapist will discuss goals and preferences and try methods that fit each person's situation. That exploration is collaborative and can shift over time as needs change.
The original biography does not list specific session formats, so confirm current online options before booking. Many people find online sessions help fit therapy into busy days, allow shorter check-ins between appointments, and make it easier to keep continuity when travel or work schedules change. Licensed professionals can use online meetings to teach coping skills, run structured CBT exercises, and guide ACT values work in ways that fit daily life.
Frequently asked questions
What concerns does she help with?
She addresses stress, anxiety, depression, grief, trauma and abuse, self-esteem, compassion fatigue, and related mood and relationship issues.
How would you describe her therapeutic style?
Her style is warm and practical. She combines gentle listening with concrete techniques people can use between sessions.
What is her professional background?
She brings 35 years of experience in crisis intervention, including work in emergency rooms, hotlines, government agencies, and correctional settings.
What credentials and region should I know about?
She is an LPC - Licensed Professional Counselor - practicing in Texas.
Can sessions be done in other languages or from other countries?
Sessions are offered in English and she accepts international clients.
What session formats are available?
The original biography does not list specific session formats; please confirm current session options before booking.
How does payment work and what does it cost?
Cost varies by location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist 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.