01 · Who Paul works with

Paul works with stress, Anxiety, trauma and abuse and anger management

Paul lists 19 specialisms and 41 further focus areas. Specialisms are the subjects Paul chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Paul's own words

What Paul says about the work

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

Hello! My name is Paul Andrew Germany. I am a Licensed Professional Counselor in the state of Texas. I have over 15 years of experience in the mental health field and have worked with people from teens to seniors of differing back grounds, cultures, beliefs, and life choices. The majority of my career I have been employed by UTMB-CMC as a Mental Health Clinician. I can’t remember a time when I was not fascinated and intrigued by the subject of psychology and mental health; and it remains one of my passions to this day. I pursued my BA in psychology from the University of Texas at Austin and continued my post-graduate studies in clinical psychology at Stephen F. Austin State University earning my MA. While working in the field full-time I continued to enroll in advanced counseling courses and exceeded the state’s criteria to become a License Professional Counselor. With years of continuing education and the motivation to be most effective counselor possible, I have stayed up to date with emerging theories, evidence-based techniques, and am proficient in many counseling methods. My counseling style is tailored to the individual with whom I’m working, however, I treat all with compassion, empathy and respect. The techniques I tend to utilize most often are those that have shown to be most effective. They include Cognitive Behavioral, Client Centered, Solution Focused, and Mindfulness Based Therapies. However, this again is dependent upon the issues we are addressing and goals you wish to achieve. I have experience treating individuals and groups with a wide range of mental health issues. From life coaching to treating patients with chronic mental health disorders in an inpatient setting, from agoraphobia to trichotillomania, there are only a few areas out of my wheelhouse. In those rare cases, I would work just as hard helping you find a therapist better suited to your needs. Whether you are seeking help for a severe issue and require long term therapy or you are just wanting an old school psychodynamic experience with a warm and non-judgmental ear to listen, I’m here. I commend you for taking this first step towards a better you; now let’s get to work.

Paul Germany, on the BetterHelp listing · read 9 Oct 2026

03 · How Paul works

The 10 approaches Paul lists, in plain English

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

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.

Eye Movement Desensitisation and ReprocessingEMDR

A structured trauma protocol in which you hold a distressing memory in mind while following a repeated side-to-side cue. The mechanism is still debated; the outcome data in post-traumatic stress is strong enough that it appears in national treatment guidelines.

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.

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.

Also listed

• Existential Therapy
• Jungian Therapy
• Somatic Therapy

04 · What happens next

From this page to a first session

Paul 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 Paul'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 Paul at this point.

2. Naming Paul specifically

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

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 Paul

Built from what Paul actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Paul's - Paul 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 20 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 79208

Licence number

79208

Licence expires

30 Sep 2027

NPI

1841863990

Years in practice

20

Gender

Male

Languages

English

International clients

Not accepted

Listed since

9 Jun 2026

07 · Provenance

Where every line on this page came from

Paul'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 Paul. 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.