- Acceptance and Commitment Therapy
- Cognitive Behavioral Therapy
- Solution-focused work
About Bette
Dr. Bette Smyth, LPC, has 35 years of clinical experience in Texas supporting people facing stress, anxiety, trauma, grief, depression, and life changes. She helps people who feel stuck after shifts in work, relationships, or health and who are looking for practical ways to move forward. Sessions emphasize clear skills and steady problem-solving rather than vague promises of quick fixes.
Her background includes long work in crisis intervention settings. That experience shapes a direct, practical approach in sessions. She draws on cognitive behavioral tools and acceptance-based work to help people notice unhelpful thoughts, practice new responses, and act in line with their values.
Dr. Smyth also uses client-centered and solution-focused methods to keep conversations focused and useful. She listens for what matters to each person and then helps set small, concrete steps to test changes between sessions. This can be especially helpful when coping with caregiver stress, chronic illness, or changes after separation.
Her practice addresses relationship difficulties, attachment and abandonment concerns, body image, guilt and shame, and issues around money and purpose. People dealing with compassion fatigue, isolation, or mood disorders can also find practical strategies to manage day-to-day functioning.
Her work history includes correctional institutions, crisis agencies, emergency rooms, and hotline centers. That range informs a flexible, problem-focused style that aims to make sessions relevant to everyday life. To begin, she asks about current struggles and what a reasonable next step would look like for the individual.
How her approaches translate to online work
Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and values-based action. It helps people who feel stuck because they avoid difficult feelings or uncertain choices. Cognitive Behavioral Therapy (CBT) looks at patterns of thinking and behavior and uses practical exercises to reduce anxiety or depressive habits. Client-Centered Therapy prioritizes the person's perspective, listening closely to what matters and shaping next steps from that view.Finding the right approach is part of the work. Dr. Smyth works collaboratively to identify which methods fit a person's needs, goals, and preferences, and she adjusts as those needs change. That means practical tools may be combined with reflective conversation depending on what the person wants to try.
The therapy format and scheduling options should be confirmed before booking. If you want online sessions, check the current session options listed when you select See online therapy options. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when time is limited, and reduce travel time so therapy is easier to maintain alongside everyday responsibilities.
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?
She works with stress, anxiety, trauma and abuse, grief, depression, life changes, relationship strain, and issues around self-esteem and compassion fatigue.
How does she approach someone feeling stuck?
She combines acceptance-based exercises with cognitive behavioral tools and solution-focused steps to identify small, testable changes a person can try between sessions.
How long has she been practicing clinically?
She has 35 years of clinical experience, much of it in crisis intervention and emergency settings.
What are her credentials and where is she based?
She holds a LPC credential and practices in Texas.
Can sessions be held in languages other than English?
Sessions are offered in English.
Does she work with international clients?
She accepts international clients.
How does her fee structure work?
Cost varies with location; sessions use a subscription that can be canceled at any time.
What do I do to begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.