- ACT principles
- CBT techniques
- Client-centered work
About Bette
Dr. Bette Smyth is an LPC - Licensed Professional Counselor in Texas with 35 years of clinical experience. She works with stress, anxiety, trauma and abuse, grief, depression, coping with life changes, relationship concerns, self-esteem, and compassion fatigue. She also addresses problems related to abandonment, attachment, body image, caregiver strain, chronic illness and pain, communication and control issues, divorce and separation, forgiveness, guilt and shame, impulsivity, isolation, life purpose, money and mood problems.
Her work is practical and direct. She uses approaches drawn from cognitive behavioral therapy, acceptance and commitment ideas, client-centered work, existential questions, and solution-focused methods. Sessions tend to focus on how thoughts and actions affect everyday life and what small changes can reduce repeated upset.
Dr. Smyth’s background includes crisis intervention across many settings. She has experience in correctional institutions, emergency rooms, government crisis agencies, and hotline call centers. That history shapes an approach that attends to immediate stressors as well as longer-standing patterns.
Conversations in sessions aim to identify specific patterns that keep guilt or shame active. She helps people notice unhelpful thinking, try different actions, and practice new ways of relating to themselves. Practical skill-building and reflective discussion are both part of the work.
Her style balances real-world problem solving with space to talk about values and meaning. For someone carrying guilt or shame, she focuses on steps that change how daily life actually feels and works.
Therapeutic approaches and doing therapy online
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without letting them dictate action. It focuses on values and small, consistent steps toward what matters. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behaviors and uses practical exercises to change unhelpful patterns. Client-Centered Therapy emphasizes an open, respectful conversation where the therapist listens and reflects so the client can find their own solutions.Choosing the right approach is part of the work. She will collaborate with each person to decide which methods fit their goals, problems, and preferences. That often means trying tools from different approaches and adjusting based on what helps in everyday life.
The original biography does not list specific session formats, so confirm current online options before booking. Online work can make it easier to fit sessions into a busy schedule, allow shorter check-ins when needed, and avoid travel time. It also lets people practice skills in the places they live and then talk through what came up. Licensed professionals commonly use these practical benefits to help therapy fit routine life without promising any particular outcome.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
35+ years
Listed in
Texas
Languages
English
Frequently asked questions
What kinds of problems does she address related to guilt and shame?
She works with guilt and shame alongside stress, anxiety, trauma, grief, depression, relationship concerns, self-esteem, and compassion fatigue.
How does she approach feelings of guilt or shame in sessions?
She uses cognitive behavioral tools, acceptance and commitment ideas, client-centered conversation, and solution-focused steps to notice thinking patterns and try different actions.
How much clinical experience does she have?
She has 35 years of experience, including many years in crisis intervention settings such as emergency rooms and hotline call centers.
What credential and location information is on file?
She is an LPC - Licensed Professional Counselor in Texas.
Are sessions offered in other languages or for international clients?
Sessions are offered in English, and she accepts international clients.
What session formats are available?
The original biography did not list specific session formats; please confirm current session options before booking.
How does pricing work for sessions?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What do I need to do to start working with her?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.