Debbie Silva has been in practice 6 years and is licensed in Texas. Debbie lists stress, Anxiety, trauma and abuse and self esteem among 59 subjects on the BetterHelp roster.
Everything below is either quoted from Debbie's own
BetterHelp listing, taken from public licensing records, or written by
Maker Therapy and labelled as such. Nothing here is an availability promise, a review, or a
rating.
6years in practice
59subjects listed
3approaches listed
01 · Who Debbie works with
Debbie works with stress, Anxiety, trauma and abuse and self esteem
Debbie lists 15 specialisms and 44 further focus areas. Specialisms are the subjects Debbie chose to list first, which is the closest a listing
gets to “this is my actual practice”.
Specialisms
Stress, Anxiety
Trauma and abuse
Self esteem
Depression
Coping with life changes
Addictions
LGBT
Relationship issues
Family conflicts
Grief
Intimacy-related issues
Sleeping disorders
Parenting issues
Anger management
Compassion fatigue
Also experienced with
Abandonment
Adoption and foster care
Attachment issues
Avoidant personality
Blended family issues
Body image
Caregiver issues and stress
Chronic pain, illness, and disability
Co-morbidity
Codependency
Commitment issues
Communication problems
Control issues
Coping with natural or human-caused disaster
Dependent personality
Domestic violence
Drug and alcohol addiction
Emptiness
Family problems
Forgiveness
Guilt and shame
Impulsivity
Isolation / loneliness
Jealousy
Life purpose
Veteran and Armed Forces Issues
Money and financial issues
Mood disorders
Multicultural concerns
Panic disorder and panic attacks
Personality disorders
Phobias
Post-traumatic stress
Pregnancy and childbirth
Prejudice and discrimination
Process addiction (porn, exercise, gambling)
Self-harm
Self-love
Sexual assault and abuse
Sexuality
Social anxiety and phobia
Women's issues
Workplace issues
Young adult issues
02 · In Debbie's own words
What Debbie says about the work
Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.
I am a Licensed Professional Counselor in the state of Texas and a Marine Corps Veteran with seven years of clinical experience providing individual and group counseling services in-person (3 years) and telehealth settings (4 years). I have worked with diverse populations and supported people navigating a wide range of life challenges. I view myself as a passenger alongside your journey of life, creating a safe & supportive space where you feel heard. I am committed to building a trusting therapeutic relationship to understand you, provide an unconditional safe environment with the goal that you feel understood & valid. My goal is to meet you where you are and collaborate with you in a way that honors your strengths, values, goals, but most importantly where you are on your journey of life. You are the expert. I am here to walk beside you, to provide guidance, insight, and provide support as you navigate a journey of change.
I want to acknowledge the courage it takes to seek support and make the decision to invest in yourself.
Thank you for allowing me to be part of your journey.
Debbie Silva, on the BetterHelp listing · read 9 Oct 2026
03 · How Debbie works
The 3 approaches Debbie lists, in plain English
These are the clinical methods Debbie lists. The descriptions are Maker Therapy's, not
Debbie'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 Debbie runs a session.
Client-Centred TherapyPerson-centred · Rogerian
The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.
Mindfulness-Based TherapyMBCT
Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.
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.
04 · What happens next
From this page to a first session
Debbie 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
Debbie's own practice, and not a promise about how quickly anything happens.
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 Debbie at this point.
Naming Debbie specifically
BetterHelp matches algorithmically by default, so asking for Debbie 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
Debbie.
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.
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.
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
2 questions worth asking Debbie
Built from what Debbie actually lists, so they are answerable and specific rather than generic.
Maker Therapy's, not Debbie's - Debbie has not seen them and is under no obligation to answer
any of them.
“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
LPC
Licensed in
Texas
Licence
TX LPC 89397
Licence number
89397
Licence expires
30 Jun 2028
NPI
1861962755
Years in practice
6
Gender
Female
Languages
English
International clients
Not accepted
Listed since
15 May 2026
07 · Provenance
Where every line on this page came from
Debbie'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 Debbie. 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.
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