01 · Who Elizabeth works with

Elizabeth works with stress, Anxiety, trauma and abuse and grief

Elizabeth lists 14 specialisms and 9 further focus areas. Specialisms are the subjects Elizabeth chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Elizabeth's own words

What Elizabeth says about the work

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

Welcome. My name is Elizabeth, and I am here to offer support and active listening and to help you feel better so that you can get to where you want to be to find some peace in your life.

I am a licensed professional counselor in the state of Texas. I have been a licensed counselor for close to 15 years. I worked as a master counselor for 10 years prior to being licensed. I have a Bachelor’s degree from the University of Texas in Austin and my Master of Science degree in Counseling from Texas A & M University in Corpus Christi. I have done a lot of work to support persons who have experienced trauma in their life. I have worked with both women and men who have been victim/survivors of domestic violence and sexual assault. I have worked with trauma victims/survivors of other crimes as well. In addition, I have experience working in psychiatric/behavioral health settings to offer support to persons who have mental health challenges, such as depression, suicidal thoughts, anxiety, and PTSD symptoms. In behavioral health settings, I have also worked with persons who struggle with substance abuse issues. My experience working in inpatient and outpatient settings gave me the opportunity to facilitate groups for individuals who are seeking help and need to know they are not alone in their struggle. In addition, I have worked with individuals and couples with general life stressors and life changes, who simply need some help and support to be better humans. I have been a crisis counselor working in shelter for those who survive sexual assault and domestic violence and seek a safe place to be. In addition, I have worked with geriatric clients, who are adjusting to this time in their life when they want to reflect and process the challenges they experience as older adults in the world. I am a person who keeps in mind that everyone comes from different places in the world, different belief systems, and different ways of being. Because of this, I will do my best to keep in mind that we all are of different ethnicity, different sexuality, and different cultures. My therapeutic style involves helping you find the tools and the best strategies to use to get your goals met. I do so in a client-centered, solution focused, and cognitive behavioral approach, meeting you-the client-wherever you are in your life.

Elizabeth Barrera-Sepulveda, on the BetterHelp listing · read 9 Oct 2026

03 · How Elizabeth works

The 5 approaches Elizabeth lists, in plain English

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

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.

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.

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

Elizabeth 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 Elizabeth'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 Elizabeth at this point.

2. Naming Elizabeth specifically

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

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 Elizabeth

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

• “You list both Cognitive Behavioural Therapy and Client-Centred 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 22 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

TX LPC 63128

Licence number

63128

Licence expires

30 Sep 2028

NPI

1952756108

Years in practice

22

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Elizabeth'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 Elizabeth. 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.