Dr. Betsy Puentes , LMFT, LPC

Dr. Betsy Puentes is a Texas-based therapist with 46 years of professional experience helping people address stress, anxiety, depression, relationship concerns, addictions, and a wide range of life changes. She holds a Master’s degree in Clinical Psychology and a Doctorate in Counseling Psychology, training that underpins a long career working with individuals, couples, and families. Dr. Puentes is licensed in Texas as an LMFT and an LPC - Licensed Marriage and Family Therapist and Licensed Professional Counselor - credentials that reflect training in both relationship-focused and individual therapy.

Her approach honors the idea that each person is the expert on their own story. She supports clients by building on existing strengths and helping them develop new strategies to tackle issues like low self-esteem, career challenges, trauma and abuse, anger, and coping with chronic illness or caregiving stress. She also works with concerns related to attachment, blended families, codependency, and identity questions within LGBT care.

Dr. Puentes invites those ready to pursue a more satisfying life to take the first step. She offers collaborative, experienced guidance intended to help clients clarify goals, increase resilience, and move toward meaningful change, and she is available to assist throughout that process.

Therapeutic Approaches and Online Care with Dr. Betsy Puentes

Dr. Betsy Puentes uses cognitive behavioral therapy (CBT) to help clients identify unhelpful thinking patterns and build practical skills for managing anxiety, depression, and stress. CBT focuses on changing thoughts and behaviors that maintain emotional difficulties and is useful for problem-focused work such as mood management and coping strategies.

She also draws on Emotionally-Focused Therapy (EFT) when addressing relationship patterns and attachment concerns. EFT helps partners and individuals explore emotional responses and reshape interactions to improve connection and communication, which can be especially helpful for couples and family issues.

Finding the right approach is part of the therapeutic process. Dr. Puentes collaborates with each client to determine which methods fit their goals, needs, and preferences, and she adapts techniques over time so therapy remains relevant and effective.

Online therapy with a licensed professional offers flexible options for busy schedules and varied access needs. Clients can meet via video calls, phone sessions, live chat, or text-based messaging, allowing continuity of care from home or work and enabling consistent progress even when in-person sessions are not possible.