About Elizabeth
Dr. Elizabeth Marrufo-Esmele helps people facing stress, anxiety, addiction concerns, relationship struggles, trauma, and depression. She also supports clients dealing with grief, intimacy issues, parenting strain, anger, self-esteem concerns, mood changes, and life transitions.
She uses a direct and respectful approach and encourages people to draw on their own strengths. She views each person as the expert on their life and works alongside them to set practical goals. Sessions focus on clear steps and coping tools that can be used between appointments.
How Elizabeth works
Techniques can include identifying thought patterns, building new habits, and practicing mindfulness skills. Her work reflects five years of clinical experience as a Licensed Professional Counselor, LPC. That background includes addressing codependency, communication problems, drug and alcohol addiction, sexual assault and abuse, and post-traumatic stress.
She brings steady, calm support when topics feel overwhelming. Therapy blends structured methods and responsive listening. Cognitive Behavioral Therapy and solution-focused work are used to make changes sooner.
Gottman-informed ideas are applied when relationship patterns come up, and mindfulness practices help with emotional regulation. People can expect straightforward conversation and collaborative planning. Sessions aim to reduce immediate distress and build longer-term skills.
The goal is clearer coping, improved relationships, and a stronger sense of self.
Elizabeth lists 6 ways of working on the entry:
What Elizabeth works with
The areas below are the ones Elizabeth selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- Anger management
- Bipolar disorder
- Codependency
- Communication problems
- Coping with life changes
- Depression
- Drug and alcohol addiction
- Emptiness
- Forgiveness
- Grief
- Guilt and shame
- Intimacy-related issues
- LGBT
- Mood disorders
- Parenting issues
- Post-traumatic stress
- Self esteem
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Trauma and abuse
Training and background
| Register | LPC |
|---|---|
| Years in practice | 5 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Texas |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches that guide online sessions
Client-Centered Therapy focuses on respectful listening and supporting a person to find their own answers. It helps when someone feels stuck or unsure and wants a therapist who follows their lead. Cognitive Behavioral Therapy, or CBT, looks at how thoughts and actions affect mood and behavior. It uses practical exercises to reduce anxiety, depression, and unhelpful habits. The Gottman Method brings attention to how partners interact and teaches skills for clearer communication and problem solving when relationship patterns cause pain.Finding the right approach is part of the work. The therapist collaborates with each person to choose or combine methods that fit their needs, goals, and preferences. That means trying techniques, reviewing what helps, and adjusting the plan together as progress unfolds.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to increase flexibility. Video sessions allow face-to-face conversation when visual cues matter. Phone sessions can be easier when bandwidth is limited or for a quick check-in. Live chat and text messaging work well for short updates, prompt support between sessions, or when writing feels more comfortable. These options make it simpler to fit therapy into a busy life and to continue work across different settings.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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