01 · Who Steven works with

Steven works with stress, Anxiety, trauma and abuse and self esteem

Steven lists 15 specialisms and 22 further focus areas. Specialisms are the subjects Steven chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Steven's own words

What Steven says about the work

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

I graduated from East Texas Baptist University with a Masters in Counseling. There I learned how to associate spirituality into the healing process . I have experience working with individuals of many cultures and ethnicities, many of which I met as a case worker in Dallas. I have also worked in a clinical, outpatient, and inpatient settings. I have worked with issues such as depression, anxiety, trauma, personality disorders, boundaries, addiction, bipolar disorders, mood disorders, schizophrenia , and many more. I have worked with all ages from 5-99 . I am trained in crisis and suicide intervention. I am also certified in Cognitive Behavioral Therapy. My main motivation is my love for others and I believe were intended out of love so must love to intend. I come from a Cognitive Behavior framework but integrates other counseling techniques when necessary to meet client needs.

Steven Ramage, on the BetterHelp listing · read 9 Oct 2026

03 · How Steven works

The 6 approaches Steven lists, in plain English

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

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.

04 · What happens next

From this page to a first session

Steven 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 Steven'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 Steven at this point.

2. Naming Steven specifically

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

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 Steven

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

• “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 81247

Licence number

81247

Licence expires

30 Apr 2028

NPI

1558965681

Years in practice

3

Gender

Male

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Steven'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 Steven. 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.