Dr. Betsy Puentes , LMFT, LPC

Dr. Betsy Puentes brings 46 years of clinical experience to adults and couples seeking support through life challenges. She holds both a Master of Arts in Clinical Psychology and a Doctorate in Counseling Psychology, and is credentialed as an LMFT and an LPC - LMFT stands for Licensed Marriage and Family Therapist and LPC stands for Licensed Professional Counselor, reflecting training in both relational and individual treatment approaches. Located in Texas, she has focused her practice on issues such as stress, anxiety, depression, self-esteem and career concerns, as well as relationship problems, trauma and addiction.

Dr. Puentes emphasizes a collaborative stance in therapy, recognizing each person as the expert of their own story and drawing on clients strengths to address the problems that bring them to therapy. She works with a wide range of concerns including coping with life changes, anger, caregiving strain, attachment and abandonment issues, chronic illness and pain, and challenges related to blended families and codependency. Her approach is tailored to each individual and couple, integrating evidence-informed methods to support practical change and emotional understanding.

Clients who choose Dr. Puentes can expect a respectful, goal-oriented partnership that values courage and steady progress. She is accepting new clients in Texas and offers a range of remote session formats to fit different schedules and needs.

Therapeutic Approaches and Online Care

Dr. Puentes integrates Cognitive Behavioral Therapy (CBT) to help clients identify and shift unhelpful thoughts and behaviors; CBT is practical and often used for anxiety, depression, and stress-related concerns. She also uses Acceptance and Commitment Therapy (ACT), which focuses on clarifying values, increasing psychological flexibility, and learning to accept difficult emotions while committing to meaningful actions - an approach that can be useful for life transitions, chronic stress, and coping with persistent problems. Emotionally-Focused Therapy (EFT) is part of her repertoire as well, offering a way to explore and reorganize emotional responses in relationships to improve connection and communication.

Choosing the right approach is a collaborative process. Dr. Puentes works with each client to determine which methods best fit their needs, goals, and preferences, adapting techniques over time as the work progresses.

Online therapy allows clients to access these approaches via video calls, phone sessions, live chat, or text-based messaging, offering flexibility for busy schedules, limited mobility, or geographic distance. These options make it easier to maintain continuity of care and to fit therapy into everyday life while working with licensed professionals and therapists who tailor treatment to individual circumstances.