- ACT and CBT
- Emotion-focused work
- Career and identity
About Betsy
Dr. Betsy Puentes is a licensed marriage and family therapist (LMFT) and licensed professional counselor (LPC) in Texas with 46 years of experience. She holds a Master’s in Clinical Psychology and a Doctorate in Counseling Psychology. Her work focuses on stress, depression, anxiety, low self-esteem, career concerns, addictions, relationship difficulties, trauma and anger.
Dr. Puentes takes a straightforward approach in sessions. She treats clients as the experts on their own lives and helps them identify strengths they already have. Conversations are practical and aimed at finding what helps someone feel more able to manage everyday pressures. She encourages small, clear steps rather than complicated plans.
Her background includes long experience with life transitions and the kinds of struggles people face early in adulthood. She draws on methods that help with thinking patterns, emotional responses, and relationships. That can mean working on coping skills, communication, and making clearer choices about career or relationships.
Dr. Puentes also addresses issues like abandonment, attachment concerns, body image, caregiving stress, chronic illness, codependency, and commitment worries. She has worked with people affected by trauma and abuse and with those managing anger and addictive behaviors.
Sessions aim to be practical and steady. The focus is on what the client wants to change, and on tools they can use between meetings. Prospective clients choosing to work with her are asked to start by completing a short matching questionnaire and scheduling a first session.
How her approaches shape online sessions
Acceptance and Commitment Therapy (ACT) helps people notice what matters to them and take small actions toward those values. It is useful for stress, anxiety, and feeling stuck. Cognitive Behavioral Therapy (CBT) looks at thoughts and behaviors and offers concrete techniques to change unhelpful patterns. It is often used for anxiety, depression and problems with motivation. Emotionally-Focused Therapy (EFT) helps people name and work with strong emotions and improves how they relate to others in close relationships.Finding the right approach is part of the work. Dr. Puentes will talk with each person about goals and preferences, and together they will decide which methods to try first. That process is collaborative and may change as needs evolve.
The biography does not list specific online session formats, so confirm current options before booking. Online sessions can make it easier to fit therapy around school, work, or irregular schedules. They also allow for shorter check-ins on busy days or more flexible timing when travel or commute would otherwise be a barrier. Licensed professionals can adapt ACT, CBT and EFT techniques effectively in remote sessions, focusing on practical tools, emotional processing and problem-solving that carry over into daily life.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
46+ years
Listed in
Texas
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, depression, self-esteem and career concerns, as well as relationship issues, trauma, addictions and anger.
How would she describe her therapy style?
Her approach is practical and collaborative, focusing on strengths and small steps clients can use between sessions.
How much experience does she have?
She brings 46 years of professional experience in mental health practice.
What are her credentials and where is she based?
She is an LMFT and an LPC licensed in Texas and holds a Master’s in Clinical Psychology and a Doctorate in Counseling Psychology.
Can I work with her if I live outside the US?
Sessions are offered in English and she is not accepting international clients at this time.
What session formats does she offer?
Session formats are not listed in the biography; confirm current session options before booking.
How much do sessions cost?
Cost varies with location and sessions are billed through a subscription that can be canceled at any time.
How do I start working with her?
Click the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.