Therapist profile
Dr. Betsy Puentes, LMFT, LPC
Texas
Dr. Betsy Puentes - LMFT, LPC; codependency and relationships
Continue with BetsyWhere Betsy stands
- Credentials
- LMFT, LPC
- License
- LPC, Texas / 4607; LMFT, Texas / 3948
- NPI
- 1821868118
- Experience
- 46 years
- Languages
- English
- Location
- Texas
About
- Stress and anxiety
- Codependency patterns
- ACT and CBT
About Betsy
Dr. Betsy Puentes is a licensed marriage and family therapist (LMFT) and licensed professional counselor (LPC) in Texas with 46 years of clinical experience. She holds a Doctorate in Counseling Psychology and a Master’s in Clinical Psychology. She works with adults facing stress, anxiety, depression, low self-esteem, career struggles, addictions, relationship concerns, and codependency-related patterns.
She focuses on practical, conversational therapy. Sessions tend to look like focused talk about what is happening now, what keeps repeating, and what a person wants to change. She treats problems such as trouble saying no, living around someone else’s crises, and loss of personal priorities by helping people name patterns and try different ways of responding.
Dr. Puentes uses a mix of approaches to match the person sitting across from her. That means learning small skills to manage strong feelings, trying new behaviors between sessions, and looking at values and choices when people feel stuck. Therapy can include work on attachments, communication problems, control issues, and recovery from trauma or abandonment.
Her long experience means she has worked with many different life challenges across decades. She aims to help people notice strengths they already have and use those strengths toward change. The first session usually begins with a brief history and a clear plan for what the next steps will address.
Practicalities are handled up front. Sessions use a subscription structure that can be canceled at any time. Prospective clients should use the service button to complete a short matching questionnaire and schedule the first appointment.
How sessions work
How her approaches translate to online work
Acceptance and Commitment Therapy (ACT) helps people notice what matters to them and try small changes in behavior. It is useful for anxiety, low motivation, and patterns like people-pleasing. Cognitive Behavioral Therapy (CBT) focuses on practical skills to change unhelpful thoughts and behaviors and is often used for stress, depression, and anxiety. Emotionally-Focused Therapy (EFT) concentrates on understanding emotional responses and improving how people connect and communicate in relationships.Choosing the right approach is a collaborative process. Dr. Puentes will talk with the client about goals, preferences, and what has or has not worked before. Together they decide which methods to try and adjust the plan based on how the work is going.
Session logistics should be confirmed before booking since formats are not specified in the biography. Many people find online work helps fit therapy into busy routines - it can make scheduling easier, remove travel time, and allow shorter check-ins on hectic days. If someone needs a quieter setup, lower bandwidth options, or a shorter weekly check-in, those practical needs can be discussed when arranging sessions.
Areas of focus
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
46+ years
Listed in
Texas
Languages
English
Questions
Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, depression, self-esteem problems, addictions, relationship issues, and patterns like codependency and attachment difficulties.
What is her style or approach in sessions?
She uses practical talk therapy drawing on approaches such as ACT, CBT, and EFT to help people notice patterns and try new responses.
How much clinical experience does she have?
She has 46 years of professional experience in mental health practice.
What credentials and location should I know about?
She is an LMFT and an LPC licensed in Texas.
Which languages are offered for sessions?
Sessions are offered in English.
Does she work with international clients?
International clients are not currently accepted.
How are sessions billed or priced?
Cost varies by location and sessions use a subscription that can be canceled at any time.
How do I begin the process?
Use the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If you are not safe at home, use the crisis and helpline numbers.