Dr. Betsy Puentes, LMFT, LPC
Texas · 46 years in practice
Dr. Betsy Puentes draws on long experience and a focus on meaning to help people facing life’s hard questions.
License and registration
- LPC, Texas
- 4607 · expires August 2026
- LMFT, Texas
- 3948 · expires September 2027
- NPI
- 1821868118 · national provider identifier
- Years in practice
- 46
- Languages
- English
Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.
About Betsy
Dr. Betsy Puentes draws on long experience and a focus on meaning to help people facing life’s hard questions. She uses Existential ideas alongside practical methods to guide conversations about purpose, values, and daily coping.
Dr. Puentes believes people carry answers inside their stories and works to make those clearer in sessions. She holds a Master’s in Clinical Psychology and a Doctorate in Counseling Psychology.
Her clinical credentials include LMFT and LPC and she has practiced for 46 years in Texas.
Background and approach
Over that time she has supported people dealing with stress, anxiety, depression, and career struggles. In a typical session she will listen closely and ask direct, simple questions that help you notice what matters most. She combines this with tools from cognitive behavioral work and acceptance-focused approaches to change troubling thoughts and build new patterns.
The aim is practical - to reduce overwhelm and increase choices in everyday life. Common concerns she addresses include self-esteem, coping with life changes, relationship challenges, addictions, trauma and anger. She also works with issues like attachment struggles, caregiver stress, chronic illness, and body image.
Treatment plans are shaped around each person’s goals and pace. Dr. Puentes uses a conversational, steady style and encourages small, doable steps between sessions.
She can offer sessions by phone, video, live chat, or text messaging to fit a busy schedule. Getting started involves a short matching questionnaire and scheduling a first appointment.
Focus areas and approaches
Everything Betsy lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Self esteem
- Career difficulties
- Depression
- Coping with life changes
- Addictions
- LGBT
- Relationship issues
- Trauma and abuse
- Anger management
- Abandonment
- Aging and geriatric issues
- Attachment issues
- Avoidant personality
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- HIV / AIDS
- Hoarding
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Veteran and Armed Forces Issues
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sexuality
- Social anxiety and phobia
- Visually impaired
- Women's issues
- Workplace issues
- Young adult issues
Approaches Betsy names
- Existential Therapy
- Acceptance and Commitment Therapy (ACT)
- Cognitive Behavioral Therapy (CBT)
- Emotionally-Focused Therapy (EFT)
- Imago Relationship Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
Existential perspective and online therapy options
Existential Therapy centers on meaning, choice, and responsibility. It helps people facing big life questions, transitions, or feelings of aimlessness by encouraging honest reflection on values and priorities. Acceptance and Commitment Therapy, or ACT, pairs well with this work by teaching practical skills to accept difficult thoughts and commit to value-driven actions. ACT can help with anxiety, depression, and motivation issues. Cognitive Behavioral Therapy focuses on identifying and changing unhelpful thoughts and behaviors, offering clear strategies to manage symptoms of anxiety, low mood, and stress.Finding the right approach is part of the process. The therapist will talk with each person about their goals and preferences and then try methods that fit those needs. This is collaborative - adjustments are made as progress and feedback shape the work.
Online sessions are offered by video call, phone, live chat, or text-based messaging. Video calls allow face-to-face conversation when schedules permit. Phone sessions can be easier when video is difficult or bandwidth is limited. Live chat and text messaging work well for brief check-ins, ongoing support between sessions, or when typing helps someone organize their thoughts. These options make therapy more flexible and easier to fit into a busy life.
We will earn a commission if you sign up through our link, at no cost to you. It does not change what you pay or the order of the listings.
Questions people ask
What kinds of problems does she help with?
She works with stress, anxiety, depression, self-esteem, career concerns, relationship problems, trauma, anger, addictions, and related issues such as attachment and caregiver stress.
How would you describe her therapeutic style?
The approach blends Existential reflection with practical tools from acceptance and cognitive behavioral methods and emotionally-focused work to address feelings and behavior together.
What is her professional background?
She holds a Master’s in Clinical Psychology and a Doctorate in Counseling Psychology, and she brings 46 years of professional experience to her practice.
Where is she located and licensed?
She practices in Texas and holds TX LMFT and TX LPC credentials.
Which languages are supported for sessions?
Sessions are offered in English and international clients are not currently accepted.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging to accommodate different needs and schedules.
How does payment and cost work?
Cost varies with location and therapist arrangements; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule a session based on the therapist's availability.
More therapists in Texas
See allMaddisson Elizardo
LPC
Practical, values-focused counseling in Texas
- Stress, Anxiety
- Addictions
- Relationship
April Nance
LPC
Compassionate counselor focused on meaning and change
- Stress, Anxiety
- Addictions
- Trauma and abuse
Daffney Tchassem
LCSW
Practical support for life's difficult moments
- Stress, Anxiety
- Relationship
- Family
Is this your profile?
Ask us to correct details or take the page down.
Contact us