- 46 years experience
- Values-based approaches
- Works in English
About Betsy
Her approach is collaborative and straightforward. She helps people identify what matters to them, notice unhelpful patterns, and try small changes that add up. Sessions focus on real-life concerns like relationships, motivation, coping with change, and managing anger or addictive behaviors.
Dr. Puentes integrates several therapy methods to fit each person’s needs. She draws on Acceptance and Commitment Therapy to clarify values and take action, Cognitive Behavioral Therapy to challenge unhelpful thoughts and habits, and Emotionally-Focused Therapy to address close relationship pain. She also uses existential and Imago-informed ideas when they match the client’s goals.
With long experience, she brings practical tools and steady support. She encourages small, achievable steps and keeps the work grounded in day-to-day life. People who want clear, experienced guidance for stress, mood, identity, or relationship concerns may find her approach helpful.
Dr. Puentes practices in Texas and conducts sessions in English. To begin, readers are asked to confirm current session options before booking.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
46+ years
Credentials
Texas, Texas
Languages
English
How specific approaches translate to online work
Acceptance and Commitment Therapy (ACT) helps people name what matters and take small, values-driven steps despite difficult thoughts or feelings. It is useful for stress, anxiety, low motivation, and coping with life changes. Cognitive Behavioral Therapy (CBT) focuses on spotting unhelpful thought and behavior patterns and testing new ways of thinking and acting; it often helps with anxiety, depression, and self-esteem. Emotionally-Focused Therapy (EFT) looks at emotional connections and patterns in close relationships, helping people identify feelings and change interaction cycles that cause pain.Finding the right approach is a team effort. The therapist will work with each person to pick methods that match their goals and preferences. Those choices are revisited as progress is made so the plan stays useful and realistic.
Confirm current session options before booking since the biography does not list specific formats. Online sessions can make it easier to fit therapy into a busy life - for example by removing travel time, allowing shorter check-ins during a work break, or letting someone choose a session that does not require video. Licensed professionals can adapt ACT, CBT, and EFT tools to work well in remote appointments, focusing on practical exercises, in-session skill practice, and real-world homework that fits each person’s routine.
Frequently asked questions
What concerns does this therapist address?
She works with stress, anxiety, depression, low self-esteem, career issues, relationship and identity concerns, addictions, trauma, and anger. Additional focuses include abandonment, attachment issues, body image, chronic illness, codependency, and other related areas.
What is her general therapy style?
Her style is collaborative and practical. She helps people clarify values, notice unhelpful patterns, and try small steps that can make daily life easier.
How long has she been practicing?
She has 46 years of professional experience in mental health, drawn from graduate training and long clinical work.
What credentials and location are listed?
She holds LMFT and LPC credentials and practices in Texas. The profile lists a Master’s in Clinical Psychology and a Doctorate in Counseling Psychology.
Which languages are supported?
Sessions are offered in English.
Can people outside the United States work with her?
International clients are not currently accepted.
How are sessions scheduled and what does cost look like?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time. Confirm exact pricing during the matching and scheduling steps.
What steps start the process?
Click the Start Therapy button, complete a short matching questionnaire, and then schedule 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.