01 · Who Dr. works with

Dr. works with stress, Anxiety, trauma and abuse and parenting issues

Dr. lists 14 specialisms and 17 further focus areas. Specialisms are the subjects Dr. chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Dr.'s own words

What Dr. says about the work

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

Hi, my name is Dr. Patricia Frueh, (my friends and clients call me Pat), and I am a clinical psychologist licensed in Michigan with over 25 years of experience working as a psychotherapist. As a therapist, I believe our relationship is key in helping you, so you will find that I have a warm and respectful style, often seeing the humor in things. I want our work together to be a safe place where you feel comfortable voicing whatever you need to say. I listen, too, for your strengths and natural resilience, believing that those perspectives sometimes get lost when you're suffering. I have worked with clients who have expressed a wide range of concerns, including depression, anxiety, relationship issues, parenting problems and habit challenges. I have helped many people who have experienced physical trauma or emotional abuse too.

I incorporate many aspects of positive psychology in my approach, as well as psychology research about happiness. Depending on your needs, I may incorporate cognitive-behavioral, humanistic, psychodynamic and trauma-informed counseling approaches. I am also a Certified Mindfulness Meditation teacher, so I may use ACT and/or DBT interventions, (both incorporate mindfulness). I will tailor our dialog and treatment plan to meet your unique and specific needs.

It takes courage to seek for a more fulfilling and happier life and to take the first steps towards a change. If you are ready to take that step I am here to support and empower you.

I look forward to working with you!

Dr. Patricia Frueh, on the BetterHelp listing · read 7 Oct 2026

03 · How Dr. works

The 6 approaches Dr. lists, in plain English

These are the clinical methods Dr. lists. The descriptions are Maker Therapy's, not Dr.'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 Dr. 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.

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.

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.

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

Dr. 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 Dr.'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 Dr. at this point.

2. Naming Dr. specifically

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

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 Dr.

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

• “With 28 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

Psychologist

Licensed in

Michigan

Licence

MI Psychologist 6301008874

Licence number

6301008874

Licence expires

14 Aug 2027

NPI

1114521788

Years in practice

28

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Dr.'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 7 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 Dr.. 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.