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Therapist profile

Dr. Betsy Puentes

Therapist · Texas

Experienced clinician focused on practical change

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Dr. Betsy Puentes
Credentials
LMFT, LPC
License
LPC, Texas · 4607; LMFT, Texas · 3948
NPI
1821868118
Experience
46 years
Languages
English
Location
Texas
  • 46 years experience
  • Values-based approaches
  • English only

About Betsy

Dr. Betsy Puentes is a Texas-based clinician who draws on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and emotionally focused approaches to help people facing stress, anxiety, depression, and self-esteem struggles. She holds a Doctorate in Counseling Psychology and a Master’s in Clinical Psychology, and brings 46 years of professional experience to her work. Dr. Puentes emphasizes the client’s own knowledge of their life and builds on existing strengths to address current challenges.

Her sessions focus on clear goals and practical steps. She helps people talk through career difficulties, motivation problems, and changes that feel overwhelming. She also works with issues such as addiction, trauma, anger, and identity concerns related to LGBT life. Codependency and relationship struggles are part of the concerns she addresses.

Dr. Puentes uses short, direct conversations and exercises to shift unhelpful patterns. Cognitive Behavioral techniques help identify thoughts and behaviors that get in the way. Acceptance and Commitment methods support making values-based choices even when feelings are difficult.

She values a collaborative style where clients set priorities and try small changes between sessions. Her long experience means she can offer many practical options and perspectives when problems feel stuck. People who want straightforward guidance and steady support often find this approach helpful.

Sessions are conducted in English and provided from Texas. Prospective clients should confirm the current session options before booking and follow the site process to begin.

How ACT, CBT, and EFT guide online work

Acceptance and Commitment Therapy (ACT) focuses on helping people notice their thoughts and feelings without getting stuck, and then take actions that match their values. It can be useful for anxiety, stress, and making life changes. Cognitive Behavioral Therapy (CBT) identifies unhelpful thinking and behavior patterns and replaces them with more workable alternatives; it often helps with depression, anxiety, and motivation problems. Emotionally-Focused Therapy (EFT) centers on understanding emotions in the moment and using that awareness to shift how a person responds to relationship and attachment concerns.

Finding the best therapy method is a collaborative process. The therapist will discuss goals, preferences, and what feels useful in early sessions. Together they will try approaches that fit the person’s needs and adjust based on how things progress.

Confirm the therapist's current session options before booking since formats are not specified in the biography. In general, online therapy can make scheduling easier and reduce travel time so sessions fit into busy days. It can also allow shorter check-ins when time is limited, or let someone choose audio instead of video to reduce bandwidth. Licensed professionals can use these options to help clients apply ACT, CBT, or EFT techniques between appointments and to work through practical steps from week to week.

Areas of expertise

Also works with

AddictionsLGBTRelationship issuesTrauma and abuseAnger management

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesAvoidant personalityBlended family issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSHoardingImmigration issuesImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexualitySocial anxiety and phobiaVisually impairedWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Cognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Existential TherapyImago Relationship TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

46+ years

Credentials

Texas, Texas

Languages

English

Frequently asked questions

What concerns can Dr. Puentes help with?

She helps with stress, anxiety, depression, low self-esteem, career struggles, and coping with life changes. Other areas include addictions, trauma and abuse, anger, relationship challenges, and codependency.

What is her therapeutic style?

Her style is collaborative and practical. She uses clear conversations and exercises to set goals and try changes between sessions.

What kind of experience does she bring?

She has 46 years of professional experience and holds a Doctorate in Counseling Psychology plus a Master’s in Clinical Psychology.

What credentials and location are listed?

She is credentialed as an LMFT and an LPC and practices from Texas.

Which languages are supported for sessions?

Sessions are offered in English.

Does she work with international clients?

She is not accepting international clients at this time.

How are session costs handled?

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?

Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.

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