Practitioner record · Checked 9 Oct 2026

Larisha Perlote has been in practice 8 years and is licensed in Texas. Larisha lists stress, Anxiety, relationship issues and family conflicts among 38 subjects on the BetterHelp roster.

Everything below is either quoted from Larisha'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.

8years in practice
38subjects listed
11approaches listed

01 · Who Larisha works with

Larisha works with stress, Anxiety, relationship issues and family conflicts

Larisha lists 12 specialisms and 26 further focus areas. Specialisms are the subjects Larisha chose to list first, which is the closest a listing gets to “this is my actual practice”.

Specialisms
  • Stress, Anxiety
  • Relationship issues
  • Family conflicts
  • Trauma and abuse
  • Grief
  • Intimacy-related issues
  • Parenting issues
  • Anger management
  • Self esteem
  • Career difficulties
  • Bipolar disorder
  • Coping with life changes
Also experienced with
  • Abandonment
  • Attachment issues
  • Blended family issues
  • Commitment issues
  • Communication problems
  • Coping with natural or human-caused disaster
  • Divorce and separation
  • Family of origin issues
  • Family problems
  • Forgiveness
  • Guilt and shame
  • Infidelity
  • Isolation / loneliness
  • Life purpose
  • Midlife crisis
  • Veteran and Armed Forces Issues
  • Multicultural concerns
  • Personality disorders
  • Post-traumatic stress
  • Prejudice and discrimination
  • Self-harm
  • Self-love
  • Sexual assault and abuse
  • Women's issues
  • Workplace issues
  • Young adult issues

02 · In Larisha's own words

What Larisha says about the work

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

I am licensed in Texas with seven years of professional work experience. I have experience in helping clients with adjustment and attachment concerns, daily stressors, anxiety, relationship issues, family conflicts, trauma, and abuse. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming life's challenges. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

Larisha Perlote, on the BetterHelp listing · read 9 Oct 2026

03 · How Larisha works

The 9 approaches Larisha lists, in plain English

These are the clinical methods Larisha lists. The descriptions are Maker Therapy's, not Larisha'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 Larisha 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.
The Gottman Method
A couples approach built on decades of observational research into what distinguishes relationships that last. Structured and assessment-led: it maps friendship, conflict and shared meaning, then works on the specific mechanics of how the two of you argue.
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.
Internal Family SystemsIFS
Treats the mind as made up of parts - the critic, the one who withdraws, the one that keeps everything running - each of which is trying to protect you. The work is getting to know them rather than overruling them.

Also listed

  • Somatic Therapy
  • Systemic Therapy

04 · What happens next

From this page to a first session

Larisha 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 Larisha'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 Larisha at this point.

  2. Naming Larisha specifically

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

  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 Larisha

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

  • “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
LMFT
Licensed in
Texas
Licence
TX LMFT 203758
Licence number
203758
Licence expires
31 May 2028
NPI
1437837820
Years in practice
8
Gender
Female
Languages
English
International clients
Not accepted
Listed since
15 May 2026

07 · Provenance

Where every line on this page came from

Larisha'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 Larisha. 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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