About Bette
Dr. Bette Smyth, LPC, offers calm guidance for people feeling overwhelmed by stress and anxiety. She writes and listens with a practical, down-to-earth style.
Her work centers on helping people learn tools they can use day to day. This makes her a good fit for someone who wants clear steps and steady support. She brings 35 years of experience in crisis intervention to sessions.
That background includes work in emergency rooms, hotline centers, government crisis agencies, and correctional settings.
Background and approach
Those roles shaped her ability to stay present in hard moments and to respond clearly when emotions feel intense. In sessions she mixes approaches to match what a person needs. She uses cognitive behavioral ideas to spot unhelpful thinking, client-centered methods to follow a person’s pace, and mindfulness and acceptance strategies to handle strong feelings.
She also draws on solution-focused and existential ideas when people want to find meaning or practical next steps. Her style is direct but warm. Conversations focus on building skills for anxiety, grief, trauma, depression, relationship strain, self-esteem, compassion fatigue, and coping with life changes.
She also helps with issues like abandonment, attachment, body image, chronic illness, and communication problems. People who choose her can expect focused sessions that combine listening with concrete techniques. She invites people to tell their story and to try small, doable changes that add up over time.
How her approaches work online and what to expect
Acceptance and Commitment Therapy (ACT) focuses on accepting hard thoughts and feelings while choosing actions that match personal values. It can help when anxiety or avoidance keeps someone from living the life they want. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behavior and teaches practical strategies to change unhelpful patterns. It is often useful for anxiety, depression, and mood concerns.Choosing the right approach is part of the work. She collaborates with each person to find what fits their goals and preferences. That means trying techniques, checking what helps, and adjusting the plan together as needs change.
Online formats she offers include video calls, phone sessions, live chat, and text-based messaging. Video calls let people read facial cues and build rapport. Phone sessions can be easier when bandwidth is limited or a check-in needs to fit a short break. Live chat and text-based messaging make it possible to send brief updates, reflect between sessions, or keep momentum when schedules are tight. These options give flexibility for different rhythms of life and for people in varied locations.
Questions people ask
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What this therapist works with
Most often
Also listed
- Abandonment
- Attachment issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Forgiveness
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- Life purpose
- Money and financial issues
- Mood disorders
- Narcissism
- Panic disorder and panic attacks
- Post-traumatic stress
- Pregnancy and childbirth
- Relationship issues
- Self esteem
- Self-love
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 35 years
- Licensed
- Texas
- Languages
- English
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