01 · Who Ashley works with

Ashley works with trauma and abuse, grief and anger management

Ashley lists 5 specialisms and 24 further focus areas. Specialisms are the subjects Ashley chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Ashley's own words

What Ashley says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

I am a licensed LCSW army vet currently working with Texas residents. I specialize in working with combat veterans, or anyone who has served in our military. I have experience in helping clients with trauma, substance abuse, OCD, coping with grief and loss, anger management, self-esteem, depression, and anxiety. Therapy can be painful, but if you are wanting to heal and grow, I am honored to walk with you on your journey. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!

Ashley Pierce, on the BetterHelp listing · read 9 Oct 2026

03 · How Ashley works

The 6 approaches Ashley lists, in plain English

These are the clinical methods Ashley lists. The descriptions are Maker Therapy's, not Ashley's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Ashley runs a session.

Acceptance and Commitment TherapyACT

Rather than trying to argue a painful thought away, ACT works on loosening its grip and getting on with what matters to you anyway. Sessions spend real time naming your values, then building action around them while difficult feelings are still present.

Attachment-Based Therapy

Reads present-day relationship difficulty through the lens of how safety and closeness were learned early on. The therapeutic relationship itself is treated as part of the work, because it is where the pattern tends to show up first.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Dialectical Behaviour TherapyDBT

A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.

Narrative Therapy

Treats the story you tell about your life as something that can be examined and retold rather than as the plain facts. Separates the person from the problem - “the anxiety” rather than “your anxiety” - to make room for the parts the current story leaves out.

Trauma-Focused TherapyTF-CBT · trauma-informed

CBT adapted for people whose difficulty is rooted in a frightening or overwhelming event. Pacing is the point: safety and stabilisation come first, the memory itself is approached gradually and only when you are ready, and the aim is that recalling it stops hijacking the present.

04 · What happens next

From this page to a first session

Ashley practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Ashley's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Ashley at this point.

2. Naming Ashley specifically

   BetterHelp matches algorithmically by default, so asking for Ashley is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Ashley.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

3 questions worth asking Ashley

Built from what Ashley actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Ashley's - Ashley has not seen them and is under no obligation to answer any of them.

• “You list both Cognitive Behavioural Therapy and Attachment-Based Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LCSW

Licensed in

Texas

Licence

TX LCSW 109022

Licence number

109022

Licence expires

30 Apr 2028

NPI

1073325478

Years in practice

3

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Ashley's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Ashley. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.