Dr. Betsy Puentes, LMFT, LPC

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 Master’s in Clinical Psychology and a Doctorate in Counseling Psychology. Dr. Puentes works with adults facing stress, anxiety, depression, self-esteem struggles, career concerns, addiction, relationship issues, trauma and abuse, and anger.

She approaches work practically and directly. She treats clients as the experts on their own lives and looks for strengths to build on. Early sessions focus on clear goals and what the person wants to change about how they react or feel.

Dr. Puentes draws on methods that help people notice thoughts and feelings, change unhelpful patterns, and improve connection with others. She uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to address difficult emotions and behavior. Emotionally-Focused Therapy and Imago ideas inform her work on relationship patterns and communication.

In sessions she helps people map triggers, try new responses, and practice skills between meetings. Conversations tend to be straightforward and focused on practical steps rather than abstract theory. She encourages small, sustainable changes that reduce reactivity and increase choice.

Her background includes long experience in clinical settings and private practice in Texas. People who want to manage anger, repair important relationships, or get unstuck with career and life transitions can expect clear guidance and collaborative planning toward concrete goals.

How her approaches translate to online sessions