01 · Who Elizabeth works with

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

Elizabeth lists 12 specialisms and 24 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.

At this time, I'm scheduling for web chat only in evenings. I am a Licensed Professional Counselor (LPC) in Texas. I've been working primarily with adolescent and adult survivors of sexual assault, domestic violence, and child abuse since 2015. I am certified in Cognitive Processing Therapy (CPT), an evidence-based modality developed specifically for reducing the effects of trauma. The effects of trauma can linger many years after the event, and I am ready to help you process the reminders of your past that still impact you, whether recent or long ago. Because of my work with survivors of trauma, I have also gained experience working with overcoming depression, anxiety, eating disorders, and attachment/intimacy fears.

I am a safe person for all people, including individuals on the LGBTQIA+ spectrum and those of diverse (or no) religious beliefs. I am a foster/adoptive parent and have extensive experience navigating the Texas foster care system as well as the additional parenting stressors unique to parenting children who've experienced trauma. I am familiar with Trust-Based Relational Intervention (TBRI), a parenting technique developed for raising children from hard places. Having spent all of my career in education and social services, I am familiar with preventing and addressing compassion fatigue/burnout. Some individuals may feel nervous or vulnerable when beginning counseling, so it's important to me to be a completely safe, non-judgmental, and affirming counselor who can handle hefty topics.

Elizabeth Frietsch, on the BetterHelp listing · read 9 Oct 2026

03 · How Elizabeth works

The 3 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.

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.

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

2 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.

• “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 80008

Licence number

80008

Licence expires

30 Apr 2028

NPI

1861147944

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

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.