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Dr. Betsy Puentes

Therapist profile

Dr. Betsy Puentes

Texas

Experienced therapist focused on practical change

Continue with Betsy

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  • 46 years experience
  • Men's wellbeing supportive
  • Texas based

About Betsy

Dr. Betsy Puentes uses a practical, person-centered approach rooted in conversation and real-world strategies. She combines her background in psychology with 46 years of professional experience to help people who feel stuck by stress, anxiety, depression, or trouble with self-esteem. Dr. Puentes is an LMFT and an LPC practicing in Texas and she frames work around each person's goals and strengths.

Many clients come for help after big life changes or when career and motivation feel blocked. She also sees people coping with addiction, trauma and abuse, anger, and challenges linked to identity, including LGBT concerns. The focus is on small, manageable steps that add up over time.

Her sessions explore patterns of thinking and feeling, and look for choices that line up with what matters most to the person. She draws on approaches such as Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to build skills for everyday life. Emotionally-Focused and Imago ideas are used when relationship concerns are part of the picture.

Dr. Puentes works with practical problems like communication, commitment issues, codependency, and caregiver stress. She also addresses longer-term themes such as attachment concerns, body image, chronic illness, and avoidant or dependent personality features. The goal is clearer thinking and steadier coping.

Starting therapy is presented as a collaborative process. She treats clients as the experts on their own story and offers guidance to move toward a more fulfilling life.

How her approaches translate to online care

Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small actions toward those values despite difficult feelings. Cognitive Behavioral Therapy (CBT) focuses on spotting unhelpful thinking and testing different behaviors to change mood and habits. Emotionally-Focused Therapy (EFT) looks at patterns in emotional responses and helps people shift how they connect with others when relationship concerns are present.

Finding the right approach is part of the work together. Dr. Puentes will discuss goals, preferences, and what has or hasn’t helped in the past. She uses that conversation to recommend approaches and adjusts methods over time based on how well they fit the client's needs.

Confirm the therapist's current session options before booking so you know which formats are available. Online work can make it easier to fit therapy into a busy week, shorten travel time, and allow check-ins without taking a full day off. Different approaches translate well to remote sessions, and therapists can adapt exercises and homework to suit each person's routine.

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

Languages

English

Frequently asked questions

What kinds of issues can Dr. Puentes help with?

She works with stress, anxiety, depression, low self-esteem, career struggles, addictions, trauma and abuse, anger, and related concerns such as communication problems and caregiver stress.

What is her therapeutic style like?

Her style is collaborative and practical. She centers the client's goals and uses conversational work to build skills and new ways of coping.

How much experience does she bring?

Dr. Puentes has 46 years of professional experience in mental health practice, helping people with a wide range of life and emotional challenges.

Which credentials does she hold and where does she practice?

She holds LMFT and LPC credentials and practices in Texas.

Are sessions available in other languages or internationally?

Sessions are offered in English and international clients are not currently accepted.

What session formats are offered?

Confirm current session options before booking to make sure they meet your needs.

How does cost and billing work?

Cost varies by location and therapist availability; sessions use a subscription that can be canceled at any time.

How do I begin working with Dr. Puentes?

Start by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to therapist availability.

Dr. Betsy PuentesContinue with Betsy