Practitioner record · Checked 9 Oct 2026

Marisa Esparza has been in practice 10 years and is licensed in Texas. Marisa lists stress, Anxiety, parenting issues and anger management among 72 subjects on the BetterHelp roster.

Everything below is either quoted from Marisa'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.

10years in practice
72subjects listed
13approaches listed

01 · Who Marisa works with

Marisa works with stress, Anxiety, parenting issues and anger management

Marisa lists 18 specialisms and 54 further focus areas. Specialisms are the subjects Marisa chose to list first, which is the closest a listing gets to “this is my actual practice”.

Specialisms
  • Stress, Anxiety
  • Parenting issues
  • Anger management
  • Depression
  • ADHD
  • Addictions
  • LGBT
  • Relationship issues
  • Family conflicts
  • Trauma and abuse
  • Intimacy-related issues
  • Eating disorders
  • Sleeping disorders
  • Self esteem
  • Career difficulties
  • Bipolar disorder
  • Coping with life changes
  • Compassion fatigue
Also experienced with
  • Abandonment
  • Aging and geriatric issues
  • Antisocial personality
  • Attachment issues
  • Autism and Asperger Syndrome
  • Avoidant personality
  • Blended family issues
  • Body image
  • Caregiver issues and stress
  • Chronic pain, illness, and disability
  • Codependency
  • Communication problems
  • Control issues
  • Coping with natural or human-caused disaster
  • Dependent personality
  • Disruptive Mood Dysregulation Disorder (DMDD)
  • Dissociation
  • Domestic violence
  • Drug and alcohol addiction
  • Emptiness
  • Family of origin issues
  • Family problems
  • Fatherhood issues
  • First responder issues
  • Forgiveness
  • Gender dysphoria
  • Guilt and shame
  • Hospice and end-of-life counseling
  • Immigration issues
  • Impulsivity
  • Isolation / loneliness
  • Jealousy
  • Life purpose
  • Midlife crisis
  • Veteran and Armed Forces Issues
  • Mood disorders
  • Multicultural concerns
  • Narcissism
  • Obsessions, compulsions, and OCD
  • Panic disorder and panic attacks
  • Paranoia
  • Personality disorders
  • Phobias
  • Postpartum depression
  • Post-traumatic stress
  • Seasonal Affective Disorder (SAD)
  • Self-harm
  • Self-love
  • Sexual assault and abuse
  • Social anxiety and phobia
  • Traumatic brain injury
  • Women's issues
  • Workplace issues
  • Young adult issues

02 · In Marisa's own words

What Marisa says about the work

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

My name Is Marisa Esparza. I am a licensed LPC in Texas. I completed my Masters of Education in Mental Health Counseling from University of Texas at El Paso in December 2015 and have a Bachelors in Education from the University of Texas at El Paso in May 2011. I have worked in several settings that I feel allow me the advantage to recognize the barriers and conflicts with receiving mental health treatment.

My most recent position at El Paso Behavioral Health systems includes: Program manager children and adolescents inpatient unit, Program manager adult and military outpatient group, Program manager adolescent outpatient group. In this position I was able to Work collaboratively with patients, medical staff, and families to help stabilize high risk children and adults. I Provided psychological assessments and risk assessments to determine needs and communicate with medical staff. I facilitated daily groups as well as family sessions. I worked collaboratively with treatment teams and attended to emergency crisis on unit. I was able to build rapport with adult and children and provide verbal deescalation when in crisis. I assisted with medical staff and treatment team to determine safety in community.

Previously I worked s a qualified mental health professional on the Assertive Community Treatment Team I provided individual psychiatric rehabilitative skills training and crisis assessment/management in consumers's homes and in the community. I provided ongoing assessment, preliminary diagnosis of present Axis 1 psychiatric and co-occurring disorders. My job required coordinating of community resources to assist in assessing medical, social, educational, financial, and other appropriate services that help in achieving an improved quality of life, increase tenure in the community, and decrease the need for unnecessary inpatient hospitalization.

Throughout my internship at El Paso Behavioral Health,I developed the necessary skills in order to work effectively with children, adolescents, adults, military, and seniors. Through my course work I was able to gain an understanding of mental health, chemical dependency, crisis counseling, as well as other areas of counseling. I was able to effectively apply counseling for clients experiencing psychological, social, behavioral, and emotional issues. As an intern I worked primarily in the Children and Adolescent Unit, I counseled with emphasis on Reality Therapy. I worked with individuals and groups to promote optimum mental and emotional health. I ran group therapy sessions, completed assessments, took risk assessments, shadowed treatments teams, and attended family sessions.

As a Mental Health Technician in the Children and Adolescent Unit, I helped admit and discharge patients. I maintained close contact with them, and monitored vital signs such as heart rate and blood pressure. I observed patient behaviors, recorded their conditions and lead them in therapeutic and recreational activities. I regularly consulted with RN’s, LVN’s, social workers, Dr.’s, and therapists.

I am confident in my skills and abilities and am willing to work with all populations. I have a deep passion for working with adolescents, young adults, and their families. It has been in my experience that there is a disconnect in communication and world views. I am a LGBTQIA advocate and passionate about empowering youth exploring their identity as well as educating families. I have been able to explore several populations within inpatient hospitals, out patient settings, and the community. This advantage has allowed me to grow as a clinician and empathize with all my patient populations better.

Marisa Esparza, on the BetterHelp listing · read 9 Oct 2026

03 · How Marisa works

The 13 approaches Marisa lists, in plain English

These are the clinical methods Marisa lists. The descriptions are Maker Therapy's, not Marisa'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 Marisa 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.
Psychodynamic Therapy
Works on the assumption that current patterns - in relationships, at work, in how you treat yourself - have a history, and that seeing the history loosens the pattern. Less structured than CBT, usually longer, and more interested in what comes up unbidden than in a weekly agenda.
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.
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.

04 · What happens next

From this page to a first session

Marisa 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 Marisa'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 Marisa at this point.

  2. Naming Marisa specifically

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

  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 Marisa

Built from what Marisa actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Marisa's - Marisa 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
LPC
Licensed in
Texas
Licence
TX LPC 81589
Licence number
81589
Licence expires
30 Apr 2028
NPI
1508509563
Years in practice
10
Gender
Female
Languages
English
International clients
Accepted
Listed since
9 Jun 2026

07 · Provenance

Where every line on this page came from

Marisa'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 Marisa. 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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