01 · Who Miguel works with

Miguel works with stress, Anxiety, relationship issues and trauma and abuse

Miguel lists 5 specialisms and 7 further focus areas. Specialisms are the subjects Miguel chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Miguel's own words

What Miguel says about the work

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

Miguel Angel De La Fuente is a Licensed Professional Counselor in Texas and Virginia, a National Certified Counselor, and a proud U.S. Army Ranger combat veteran. He has been serving as a mental health professional since 2018 and brings a unique blend of clinical training, military service, leadership, and lived experience to his work. Miguel is committed to serving his community by offering guidance that is grounded in both professional excellence and real-world understanding.

He holds a bachelor’s degree in Kinesiology, a master’s degree in Psychology, and is currently pursuing his doctoral degree in Clinical Psychology. With over 10 years of military service, more than 30 years in health and fitness, and years of counseling experience, Miguel offers well-rounded care that addresses the mind, body, and spirit. His clinical approach is eclectic and individualized, drawing from cognitive-behavioral therapy, psychodynamic concepts, positive psychology, spiritual integration, and trauma-informed care.

Miguel has extensive experience working with individuals facing depression, PTSD, trauma, bipolar disorder, borderline personality disorder, anxiety, alcohol abuse, marital struggles, and major life transitions. His primary clinical focus includes PTSD, trauma, bipolar disorder, and marriage counseling. Because of his military background and life experience, he is especially equipped to understand and support veterans, first responders, their families, and individuals impacted by trauma, separation, deployment, and identity-related struggles.

Rooted in his Christian faith, Miguel is passionate about helping people find healing, resilience, and renewed purpose. He is the founder of FIRE-FORGED, a faith-based life coaching venture centered on Faith, Identity, Resilience, and Execution. He is also the author of Fire-Forged: Reclaiming Biblical Manhood in a Generation of Drift, a leadership manual shaped by his own story of adversity, perseverance, and redemption. In addition, he leads a men’s group called Biblical Manhood, where he teaches and equips men to pursue Christ-centered leadership, discipline, and integrity in their homes and communities.

Outside of counseling, Miguel strongly promotes physical wellness as a key part of mental and spiritual health. As a pioneer of CrossFit in South Texas, he has spent over two decades in the health and fitness field and remains active through CrossFit and mountain biking. Miguel is a proud father of six children and values spending time with his family as often as he can. His mission is to help others heal, grow, and become who God has called them to be.

He holds the following Certifications: • Certified Clinical Trauma Professional (CCTP-I). • Certified Clinical Trauma Professional (CCTP-II): Complex Trauma & Dissociative Disorders. • Certified Personality Disorder Treatment Provider. • Tactical Combat Casualty Care (TCCC) Medical Provider Course (2024).

Miguel De la fuente, on the BetterHelp listing · read 9 Oct 2026

03 · How Miguel works

The 6 approaches Miguel lists, in plain English

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

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.

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.

Also listed

• Existential Therapy

04 · What happens next

From this page to a first session

Miguel 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 Miguel'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 Miguel at this point.

2. Naming Miguel specifically

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

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 Miguel

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

• “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.

• “You offer sessions in English and Spanish. Does the work change depending on which we use?”

  People often reach different material in a first language than in a second. Worth naming before you choose.

06 · Practical details

Credentials and licensing

Credential

LPC

Licensed in

Texas

Licence

TX LPC 81880

Licence number

81880

Licence expires

30 Nov 2027

NPI

1982281796

Years in practice

8

Gender

Male

Languages

English, Spanish

International clients

Accepted

Listed since

9 Jun 2026

07 · Provenance

Where every line on this page came from

Miguel'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 Miguel. 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.