Practitioner record · Checked 9 Oct 2026

Debra Arseneaux has been in practice 21 years and is licensed in Texas. Debra lists stress, Anxiety, relationship issues and trauma and abuse among 49 subjects on the BetterHelp roster.

Everything below is either quoted from Debra'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.

21years in practice
49subjects listed
11approaches listed

01 · Who Debra works with

Debra works with stress, Anxiety, relationship issues and trauma and abuse

Debra lists 19 specialisms and 30 further focus areas. Specialisms are the subjects Debra chose to list first, which is the closest a listing gets to “this is my actual practice”.

Specialisms
  • Stress, Anxiety
  • Relationship issues
  • Trauma and abuse
  • Depression
  • Coaching
  • Addictions
  • LGBT
  • Family conflicts
  • Grief
  • Intimacy-related issues
  • Eating disorders
  • Sleeping disorders
  • Parenting issues
  • Anger management
  • Self esteem
  • Career difficulties
  • Bipolar disorder
  • Coping with life changes
  • Compassion fatigue
Also experienced with
  • Abandonment
  • Attachment issues
  • Autism and Asperger Syndrome
  • Body image
  • Caregiver issues and stress
  • Communication problems
  • Control issues
  • Divorce and separation
  • Family problems
  • First responder issues
  • Forgiveness
  • Guilt and shame
  • Infidelity
  • Isolation / loneliness
  • Life purpose
  • Men's issues
  • Midlife crisis
  • Veteran and Armed Forces Issues
  • Mood disorders
  • Obsessions, compulsions, and OCD
  • Panic disorder and panic attacks
  • Polyamory / non-monogamous relationships
  • Post-traumatic stress
  • Pregnancy and childbirth
  • Seasonal Affective Disorder (SAD)
  • Sexual assault and abuse
  • Sexual dysfunction
  • Sexuality
  • Social anxiety and phobia
  • Women's issues

02 · In Debra's own words

What Debra says about the work

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

I have been a therapist for over 17 years, and have had the privilege to serve a very wide demographic of individuals and groups as an owner of a private practice as well as executive coach. While an owner of a private practice, I trained in many areas of specialty, so I could provide the best quality therapy for anyone that was introduced to our clinic, and especially those that my associate therapists were not trained to serve and help. My areas of specialties include PTSD, Sexual Abuse Recovery, Depression, Anxiety, Couples Therapy and Relationship Issues, Grief and Loss, Sexual Issues and Dysfunction, Addiction Issues, Personality and Mood Disorders, Self-harm and Eating Disorders, Spiritual Issues, Addiction, Mediation, Career Counseling and Life Coaching. I thoroughly enjoy what I do, and consider it a privilege to walk alongside someone through sometimes the most difficult time in their life. It is an honor to be trusted to encourage and provide tools to help people transform their lives. Both reactive therapy (helping people recover and thrive in life) and proactive coaching (helping people achieve their goals) are enjoyable for me, so no matter what your goals are, if you feel I am a fit for you, I will do my best to help you achieve those goals as quickly as possible. I work from a brief therapy model, but will extend the treatment plan as agreed and needed if other issues present. I look forward to meeting you and helping you move forward from a place of feeling "stuck" to achieving wellness. Let's get started!

Debra Arseneaux, on the BetterHelp listing · read 9 Oct 2026

03 · How Debra works

The 11 approaches Debra lists, in plain English

These are the clinical methods Debra lists. The descriptions are Maker Therapy's, not Debra'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 Debra 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.
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”.
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.
Emotionally Focused TherapyEFT
Built for couples and rooted in attachment: the recurring argument is treated as a cycle two people are stuck in rather than as one person's fault. Sessions work to interrupt the cycle and get to what each person is actually asking for underneath 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.
Motivational InterviewingMI
A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.
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.
Solution-Focused Brief TherapySFBT
Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.
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

Debra 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 Debra'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 Debra at this point.

  2. Naming Debra specifically

    BetterHelp matches algorithmically by default, so asking for Debra 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 Debra.

  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

4 questions worth asking Debra

Built from what Debra actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Debra's - Debra 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.

  • “With 21 years in, what has changed most in how you work?”

    Long experience is only an advantage if it has been examined. This tends to surface whether it has.

  • “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
MI LPC 6401009011, TX LPC 80762
Licence number
80762
Licence expires
30 Jun 2028
NPI
1407918543
Years in practice
21
Gender
Female
Languages
English
International clients
Accepted
Listed since
15 May 2026

07 · Provenance

Where every line on this page came from

Debra'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 Debra. 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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