Therapist profile
Dr. Elizabeth Marrufo-Esmele, LPC
Texas
Dr. Elizabeth Marrufo-Esmele - LPC, Relationships and Addictions
Continue with ElizabethWhere Elizabeth stands
- Credentials
- LPC
- License
- LPC, Texas / 79025
- NPI
- 1417733551
- Experience
- 5 years
- Languages
- English
- Location
- Texas
About
- CBT techniques
- Client-centered work
- Gottman elements
About Elizabeth
Dr. Elizabeth Marrufo-Esmele is an LPC (Licensed Professional Counselor) in Texas with five years of clinical experience. She works with people facing stress, anxiety, addictions, relationship struggles, trauma and abuse, depression, grief, and issues around intimacy and self-esteem. She also addresses codependency, communication problems, and substance-related concerns.
Her approach centers on listening and building on a person's strengths. She uses practical tools from Cognitive Behavioral Therapy and Solution-Focused Therapy to help people notice patterns and try small changes. She also draws on Client-Centered methods and mindfulness to slow down thinking and increase awareness.
Sessions are conversational and goal-directed. She helps people identify what matters to them, set clear steps, and check what works. Expect straightforward feedback, gentle challenges, and homework you can try between meetings.
When relationship issues are the focus, elements of the Gottman Method are used to improve communication and manage conflict. For trauma-related concerns she includes trauma-focused strategies and pacing that follow the client's readiness.
Elizabeth asks questions, reflects what she hears, and keeps tasks simple. She aims to help someone who tends to put others first learn to set limits, name needs, and rebuild a sense of self. Practical skills, brief experiments, and steady follow-through are central to her work.
How sessions work
How therapeutic approaches translate to online sessions
Client-Centered Therapy focuses on listening and reflecting. It helps people name their priorities and feel understood, which can be useful when sorting out people-pleasing and codependency patterns.Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and actions connect. In short, it helps identify unhelpful thinking and tests small behavior changes to reduce anxiety, low mood, and difficult relationship reactions.
Gottman Method elements are used when relationship communication is a concern. Those techniques break down how couples interact and teach clearer ways to speak and respond to each other, useful for improving conversations and reducing repeated conflict.
Choosing an approach is collaborative. The therapist will talk with the client about goals, try methods that fit those goals, and adjust over time based on what helps. Clients are invited to give feedback and guide which tools stay in use.
Session logistics and formats are not specified in the biography, so confirm current options before booking. Online sessions can make it easier to fit therapy into a busy day, allow a shorter check-in when needed, and remove travel time. If a client prefers less screen time, discuss options such as brief phone check-ins or video sessions that focus on a few concrete skills per meeting. Licensed professionals can adapt methods like CBT and Client-Centered work to an online setting in ways that fit everyday life.
Areas of focus
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
5+ years
Listed in
Texas
Languages
English
Questions
Frequently asked questions
What concerns does she commonly address?
She works with stress, anxiety, addictions, relationship problems, trauma and abuse, depression, grief, intimacy issues, self-esteem and codependency.
How would she describe her therapeutic style?
Her style is conversational and practical. She listens, helps set goals, and uses exercises to test what changes help.
How much experience does she have?
She has five years of professional work experience as an LPC in Texas.
What are her credentials and location?
She is an LPC, licensed in Texas and practices there.
Which languages are supported for sessions?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How does cost and payment work?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
What should I do to begin working together?
Select 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.