- Trauma and abuse
- Grief and loss
- Guilt and shame
About Patsy
Patsy Guest is a Licensed Professional Counselor (LPC) in Texas with 20 years of clinical experience. She focuses on trauma and abuse, grief and loss, anger, stress, anxiety, addictions, relationships, parenting concerns, depression, and coping with life changes, among other issues. Patsy also addresses compassion fatigue and ADHD and lists additional areas such as adoption and foster care, aging and geriatric concerns, autism and Asperger syndrome, caregiver stress, domestic violence, forgiveness, gender dysphoria, guilt and shame, hospice and end-of-life counseling, immigration issues, and infidelity.
Her practice centers on creating an open environment where thoughts and feelings can be shared without judgment. Sessions are intended to let people speak plainly about what troubles them. She encourages people to take the first step and recognizes that starting therapy often takes courage.
In the room she listens for patterns that keep a person stuck and helps name practical next steps. Conversations can include managing intense emotions, making sense of loss, or addressing how stress affects daily life. She uses evidence-based therapeutic techniques to guide these discussions and to help clients try different ways of coping.
Patsy works collaboratively on goals and on small, manageable changes people can try between sessions. She talks through what has and hasn’t worked before and adjusts the plan as needed. The aim is steady progress through clear, practical conversation rather than rapid fixes.
She accepts clients who speak English and is available to international clients; session options should be confirmed before booking. To begin, prospective clients use the site’s matching questionnaire and schedule a first session through the online appointment process.
Evidence-based approaches and online work
Many clients find it helpful to use techniques that target thoughts and reactions, then practice different responses between sessions. One common evidence-based approach focuses on identifying unhelpful thinking patterns and testing new ways of thinking and behaving to reduce distress and improve daily functioning. This approach can be useful for anxiety, depression, guilt, and shame.Another frequently used evidence-based technique targets responses to traumatic memories and strong emotions. It helps people process upsetting experiences in small steps, reduce emotional reactivity, and build skills for managing triggers. This can be applied to trauma, grief, and situations that cause persistent shame or anger.
Finding the right approach is often a collaborative process. The therapist works with the client to choose methods that match the person’s goals, needs, and comfort level, and will adjust the plan as they learn what helps. Decisions about techniques are made together rather than assumed in advance.
Confirm the therapist’s current session formats before booking, as options are not specified here. Online work can make it easier to fit sessions into a busy life by removing travel time and by allowing meetings to happen from different locations. It can also allow for shorter check-ins when schedules are tight or sessions without video when that better suits the client’s needs.
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 problems does she help with?
Patsy works with trauma and abuse, grief, anger, stress, anxiety, addictions, relationship and parenting concerns, depression, and coping with life changes. She also lists areas such as compassion fatigue, ADHD, and guilt and shame.
How would she approach feelings of guilt or shame?
She listens for the thoughts and patterns that keep those feelings alive and uses evidence-based techniques to help people talk through them and try practical coping steps.
What is her background and experience?
She has 20 years of professional experience working with people on trauma, grief, anger, and related concerns.
Is she a licensed clinician and where is she based?
She is a Licensed Professional Counselor (LPC) licensed in Texas and practices from that state.
Does she offer sessions in languages other than English?
Sessions are offered in English.
Can people outside the United States work with her?
She accepts international clients; confirm session options and logistics before booking.
How are sessions scheduled and what do they cost?
Cost varies with location and sessions use a subscription that can be canceled at any time; exact pricing is provided during the sign-up process.
How do I begin working with her?
Use the See online therapy options button, complete the short matching questionnaire, and schedule a first session through the site.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.