- Focus on codependency
- Practical coping skills
- Strengths-based approach
About Elizabeth
Dr. Elizabeth Marrufo-Esmele helps people manage stress, anxiety, addictions, relationship conflict, trauma, and depression. She supports people dealing with codependency, grief, intimacy issues, parenting strain, anger, low self-esteem, mood changes, and coping with life transitions. She is a Licensed Professional Counselor (LPC) practicing in Texas and speaks English.
She believes the person in the room is the expert on their life. Sessions focus on identifying strengths and building on them. Conversations are practical and grounded, with clear steps people can try between meetings.
Her approach draws on several methods to match what a person needs. Cognitive Behavioral Therapy helps spot and change unhelpful thinking and behaviors. Client-Centered Therapy prioritizes the person's pace and perspective. Mindfulness and Solution-Focused techniques are used to develop manageable habits and short-term goals.
People with histories of trauma or sexual assault are offered trauma-focused ideas that aim to improve safety and coping. Those facing addiction, including drug and alcohol issues, work on practical relapse prevention and communication skills. Relationship concerns are approached with skills-based tools taken from the Gottman Method to improve interaction and understanding.
Taking the first step can feel hard, and Dr. Marrufo-Esmele aims to make the process straightforward. Sessions are geared toward real-world changes and clearer daily functioning. Readers are invited to consider whether a style focused on strengths and practical steps fits their needs.
How her approaches translate to online therapy
Client-Centered Therapy focuses on listening and following the person's lead, helping them set the pace and topics for sessions. This approach supports people who want a gentle, steady process to talk through issues and build confidence.Cognitive Behavioral Therapy (CBT) works by identifying unhelpful thoughts and testing new behaviors. Online CBT sessions can include short practice exercises, homework assignments, and clear steps to try between meetings to reduce anxiety or manage mood symptoms.
Solution-Focused Therapy concentrates on small, achievable goals and what works already in a person's life. It can help people break big problems into manageable steps and track progress from session to session.
Finding the right mix of methods is part of the work together. The therapist will collaborate with the person to choose approaches that match their needs, goals, and what feels most comfortable. That plan can evolve as people try different strategies and notice what helps.
If you are considering online work, confirm the session formats offered before booking. Online options can make it easier to fit therapy into a busy schedule, allow shorter check-ins when needed, and remove travel time. These practical benefits often help people keep consistent momentum toward their goals.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
5+ years
Credentials
Texas
Languages
English
Frequently asked questions
What concerns does this therapist help with?
She supports people with stress, anxiety, addictions, relationship and intimacy issues, trauma and abuse, depression, grief, parenting strain, anger, low self-esteem, bipolar mood concerns, and coping with life changes. Additional focuses include codependency, communication problems, substance addiction, shame, and post-traumatic stress.
What is her therapeutic style?
She uses a practical, person-centered style that emphasizes a client's strengths. Sessions combine skill-building, goal work, and supportive listening to help people take concrete steps between meetings.
How long has she been practicing?
She has five years of professional work experience supporting people through a range of mental health and relationship concerns.
What are her credentials and where does she practice?
She holds the LPC credential and is licensed in Texas. Her practice location is listed as Texas.
Which languages are supported?
Sessions are offered in English.
Can people outside the United States work with her?
International clients are not currently accepted.
How are sessions paid for and what does it cost?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with this therapist?
Use the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's 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.