Therapist listings are provided by BetterHelp. We will earn a commission at no extra cost to you if you use our links to buy.

Annette Rios-Barrera
Experience
23 years
Based in
Texas
Sessions
Online
Languages
English, Spanish

Therapist · Texas

Annette Rios-Barrera

LCSW

Compassionate, practical therapy for connection and identity

Continue with Annette

Opens BetterHelp, where you can review online therapy options and next steps.

License and NPI on record

LCSW
Texas · 53659
NPI
1891147039

As listed on the therapist's profile. A license can be checked with the state board, and an NPI with the national NPI registry.

  • Relationship clarity
  • Grief and loss
  • Bilingual support

About Annette

Annette Rios-Barrera is a licensed clinical social worker in Texas with 23 years of experience. She uses a compassionate, straightforward approach to help people facing anxiety, depression, stress, and relationship concerns. Her work often centers on identity questions and connection, and she includes perspectives that are welcoming to LGBT people and those in non-traditional relationship structures.

She frames therapy around the client’s goals and values. Sessions focus on building emotional safety, increasing self-awareness, and restoring trust in relationships. Annette mixes practical tools - like skills for coping with strong feelings - with conversational space to make sense of hard experiences.

Annette integrates several therapy approaches, including Acceptance and Commitment Therapy, Attachment-Based Therapy, Cognitive Behavioral Therapy, and Dialectical Behavior Therapy. She also draws on client-centered principles to keep the pace and direction guided by each person’s needs. This combination helps with grief, intimacy issues, career stress, and life transitions.

Her additional focus areas include attachment concerns, abandonment, adoption and foster care issues, autism and Asperger syndrome, body image, chronic illness and caregiver stress, and aspects of alternative sexual culture such as BDSM and kink. She also supports people coping with aging, blended family dynamics, and commitment or codependency struggles.

Annette offers services in English and Spanish and works with international clients. She aims to balance curiosity and practical strategies, and she will adapt sessions to what feels most useful for each person.

Areas of expertise

Primary focus

LGBTRelationship issuesFamily conflictsGriefIntimacy-related issues

Also works with

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeAvoidant personalityBDSM, kink, and alternative sex cultureBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSHoardingHospice and end-of-life counselingImmigration issuesImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyEye Movement Desensitization and Reprocessing (EMDR)Gottman MethodJungian TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused TherapyInternal Family SystemsSystemic Therapy

Experience

23+ years

Credentials

Texas

Languages

English, Spanish

Approaches that guide online work and goals

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts without being driven by them and focus on actions that match their values. It can be useful for anxiety, stress, and making life changes. Attachment-Based Therapy looks at how early bonds shape current relationships and helps people rebuild trust and closeness through new, corrective experiences. Client-Centered Therapy emphasizes the person’s perspective and lets the client set the pace while the therapist offers empathy and nonjudgmental support.

Finding the right approach is part of the work. The therapist will discuss options and tailor methods to the client’s goals, needs, and preferences. This is a collaborative process where strategies are adjusted based on what feels most effective and comfortable.

Confirm current session options before booking, as session formats are not specified here. Online therapy can make it easier to fit sessions into busy routines, reduce travel time, and allow shorter check-ins when schedules are tight. It can also let people work with a bilingual therapist in English or Spanish without needing to relocate. The therapist will help match the session style to practical needs so therapy can fit into everyday life.

Frequently asked questions

What concerns does Annette address?

She works with anxiety, depression, stress, relationship and intimacy-related issues, grief, career concerns, and coping with life changes. Other areas include attachment, adoption and foster care questions, and caregiving stress.

How would you describe her therapy style?

Her style combines practical skills with open conversation. Sessions aim to build emotional safety, increase self-awareness, and use tools that fit the client’s goals.

What background does she bring to sessions?

She has 23 years of professional experience and centers relational healing and trauma-informed care in her work. She also uses lighter practices like laughter yoga when helpful.

Where is she licensed and practicing?

She is a Licensed Clinical Social Worker, LCSW, practicing in Texas.

Which languages are supported during sessions?

Sessions are offered in English and Spanish.

Can people outside the United States work with her?

She accepts international clients. Confirm any time zone or scheduling details when booking.

How does billing and cost work?

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

What are the first steps to begin therapy?

Select the Start Therapy button, complete the short matching questionnaire, and schedule a session according to the therapist’s availability.

Before you get in touch

Therapists listed here offer talking therapy online. A profile is not a diagnosis of you or of anyone in your life, and no therapist can promise how a relationship will turn out.

If you are in danger, or someone is hurting or threatening you, contact emergency services or a domestic-abuse helpline. The numbers are at the foot of this page.

Back to all therapists

Annette Rios-BarreraReview online therapy options on BetterHelp.

Continue with Annette