01 · Who Rick works with

Rick works with stress, Anxiety, addictions and anger management

Rick lists 17 specialisms and 27 further focus areas. Specialisms are the subjects Rick chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Rick's own words

What Rick says about the work

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

Hello! My hours are Monday-Friday from 10am-7pm and on Saturday from 10am-1pm. Messages after 8pm will be answered the next morning as soon as I can get to you. I received my Masters Degree in Counseling at the University of North Texas in Denton Texas. I come from a cognitive behavioral orientation although I also use gestalt therapy. I have treated mental health and addiction issues for 29 years. I have worked with a variety of populations including people with grief issues, HIV and AIDS, dual diagnosis (addiction with a mental health disorder), couples, bipolar disorder, anxiety, depression and PTSD. I have experience in both inpatient and outpatient settings. I currently have a private practice in Meridian Texas. I practice exclusively online. I provide Christian counseling if you ask for it. My practice is all inclusive regardless of what you spiritual belief is or is not.

I am trained in the stages of change and motivational interviewing techniques. I am certified to teach Developing Capable Young People, a course developed by the late Stephen Glen for caregivers of young people. "My goal for clients is to establish an alliance using love, acceptance, and support. "My hope is that client's can take something with them from each session that they can apply to their daily lives".

Just a word about the no show policy I have. If you are going to miss an appointment for a live chat or video session please give me 24 hours notice. If you no show once I will attempt to reschedule the appointment. However after the second one in a row it is up to you to contact me about rescheduling.

I believe in providing compassion, love,and support to my clients. Please make note that I do not provide counseling on demand. So if you send me a message in the middle of my night. I will respond to your post within 24 hours. I respond to all posts within that time frame

Rick Fulton, on the BetterHelp listing · read 9 Oct 2026

03 · How Rick works

The 4 approaches Rick lists, in plain English

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

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.

04 · What happens next

From this page to a first session

Rick 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 Rick'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 Rick at this point.

2. Naming Rick specifically

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

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 Rick

Built from what Rick actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Rick's - Rick has not seen them and is under no obligation to answer any of them.

• “You list both Cognitive Behavioural Therapy and Narrative 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 30 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 18221

Licence number

18221

Licence expires

31 Oct 2026

NPI

1073785234

Years in practice

30

Gender

Male

Languages

English

International clients

Not accepted

Listed since

9 Jun 2026

07 · Provenance

Where every line on this page came from

Rick'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 Rick. 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.