- Trauma and abuse
- Grief and loss
- Anger and stress
About Patsy
Patsy Guest is a Licensed Professional Counselor (LPC) in Texas with 20 years of experience. She works with people who are struggling with trauma and abuse, grief and loss, anger, anxiety, stress, addictions, depression, parenting challenges, ADHD, and relationship concerns. She also focuses on areas such as adoption and foster care, caregiver stress, aging issues, and first responder concerns.
Patsy keeps sessions straightforward and direct. She encourages people to name what is most distressing and then looks at practical steps to reduce overwhelmed feelings. Conversations move at a pace set by the client, with attention to clear goals for each week. She avoids jargon and uses everyday language so clients can make immediate changes between sessions.
Her background includes two decades of clinical work in Texas settings with diverse needs. That experience has shaped an approach that balances listening with concrete strategies. She draws on evidence-based therapeutic techniques to address trauma symptoms, grief reactions, and persistent anxiety patterns.
Patsy pays close attention to problem areas that often co-occur, such as caregiver stress or difficulties after loss. She helps people sort priorities and practice new behaviors in real situations. Sessions often include skill practice, symptom tracking, and short homework tasks to build momentum.
For people nervous about starting therapy, Patsy invites small first steps. The first session focuses on immediate concerns and establishing a plan. Subsequent appointments review progress and adjust methods as needed.
How evidence-based techniques are used in online sessions
Many evidence-based therapeutic techniques focus on changing unhelpful patterns in thinking and behavior. Cognitive-behavioral approaches help people notice anxious or negative thoughts and practice alternative responses. These methods are commonly used for anxiety, phobias, and stress-related problems.Trauma-focused approaches aim to reduce the hold of distressing memories and reactions. They include grounding skills, paced exposure to reminders, and new ways to respond to triggers. These techniques can help with trauma, abuse, and grief when reactions feel overwhelming.
Finding the right approach is part of the work together. The therapist will review symptoms, goals, and preferences and then suggest techniques to try. Clients and therapist monitor progress and adjust methods if something is not helping.
Confirm the exact session formats before booking since the biography does not specify them. Online work can make it easier to fit appointments around work, caregiving, or travel. It can also allow shorter check-ins when time is tight, or sessions without video when that reduces discomfort. Licensed professionals often use these practical options to help therapy fit into everyday life.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Experience
20+ years
Listed in
Texas
Languages
English
Frequently asked questions
What kinds of concerns does she address?
Patsy works with trauma and abuse, grief, anger, anxiety, stress, addictions, depression, parenting concerns, ADHD, and related challenges listed in her profile.
What is her therapeutic style like?
She uses straightforward, practical sessions that combine listening with clear, actionable steps and short between-session tasks.
How much clinical experience does she have?
She has 20 years of professional work experience in Texas clinical settings.
What credential does she hold and where is she based?
She is an LPC - Licensed Professional Counselor - practicing in Texas.
Which languages are supported?
Sessions are offered in English and she accepts international clients.
What session formats are available?
The biography does not list specific session formats; confirm current session options before booking.
How are sessions priced?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.