Dr. Betsy Puentes, LMFT, LPC

Dr. Betsy Puentes is a licensed psychotherapist who draws on nearly five decades of clinical experience. She holds a Master’s in Clinical Psychology and a Doctorate in Counseling Psychology, and she practices in Texas as an LMFT and an LPC. She focuses on everyday problems that wear people down and stands beside them as they work toward change.

Her approach centers on helping people face stress, anxiety, and depression with practical steps and honest conversation. She also helps with low self-esteem, motivation struggles, career setbacks, relationship issues, and the emotional impact of trauma and anger. Aging and geriatric issues and caregiver stress are listed among her areas of focus.

Sessions are built around the client’s story and strengths. She encourages people to name what matters to them and to try manageable actions that move life in a different direction. Therapy can include looking at thoughts and behaviors, clarifying values, and improving emotional connection in relationships.

Her long experience brings familiarity with many life stages and challenges. People who come to her often want straightforward help to make decisions, cope with loss, or rebuild confidence. The work tends to be collaborative and paced to each person’s needs.

She believes starting therapy is a brave step and offers steady support through that process. To begin, readers should use the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

How key approaches shape online therapy

Acceptance and Commitment Therapy (ACT) helps people clarify what matters most to them and take small steps toward those values, even when difficult thoughts or feelings are present. Cognitive Behavioral Therapy (CBT) focuses on spotting unhelpful thinking patterns and testing practical changes in behavior to reduce anxiety and depression. Emotionally-Focused Therapy (EFT) concentrates on improving emotional bonds and communication in close relationships, helping people feel seen and understood.

Choosing the right approach is part of the work. The therapist will talk with each person about their goals and preferences and will make decisions together about which methods to try. That collaborative process helps tailor the work to problems like stress, aging-related concerns, caregiver strain, or relationship difficulties.

Session logistics and formats are not detailed in the biography, so confirm current options before booking. 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 let people use shorter check-ins when needed or choose a format that avoids being on camera. Licensed professionals use these practical options to help therapy fit daily routines rather than expecting major schedule changes.