About Nat
Nat Pacini is an LPA with 35 years of experience who practices from Texas. He uses straightforward language and aims to build trust before any work begins. Nat favors clear, practical steps and avoids jargon so people can focus on what matters most.
He follows Cognitive Behavioral Therapy as a primary model and blends other approaches as needed. Nat begins by listening to understand the problem and what it means to the person seeking help.
Background and approach
That shared understanding often brings immediate relief. From there he explains how thinking patterns and behaviors link to feelings, and he discusses simple, manageable actions a person can try. Sessions emphasize collaboration and respect for personal boundaries.
Nat encourages clients to keep control over what they share and how they pace the work. He also teaches ways to manage difficult thoughts and protect the parts of life someone prefers to keep personal. Practical tools and short-term goals are central to his approach.
Nat aims to help people notice small improvements in one to two months when possible, and he often recommends frequent messaging between sessions to reinforce progress. He respects each person’s comfort level while also inviting effort toward change.
He trained at the University of Texas at Austin and earned a Master of Arts in Clinical Psychology from the University of Houston-Clear Lake in 1986. Much of his background comes from more than two decades working in an in-patient facility in Texas, where he supported people through serious challenges.
Nat works with concerns such as anxiety, stress, depression, grief, anger, self-esteem, parenting strain, career issues, bipolar mood concerns, and compassion fatigue. He integrates client-centered, mindfulness, and solution-focused ideas alongside CBT to tailor work to each person.
Approaches that translate well to online work
Client-Centered Therapy focuses on listening and responding to what matters most to the person. The therapist follows the client's lead, offers empathy, and helps clarify values and goals; this approach helps when someone needs understanding and a steady presence.Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behaviors. It uses clear exercises and small experiments to change unhelpful patterns, which can be useful for anxiety, depression, and stress-related problems.
Mindfulness Therapy teaches simple attention and breathing practices to reduce reactivity and help people notice what is happening in the moment. These practices pair well with CBT techniques for managing worrying thoughts.
Finding the right approach is part of the work together. The therapist will discuss goals, preferences, and the kinds of exercises someone is willing to try. Those conversations guide which methods get used and how they are adjusted over time.
Online formats let people fit therapy into busy lives. Video calls allow face-to-face conversation when seeing expressions matters. Phone sessions use less bandwidth and can be easier to use on the go. Live chat or text-based messaging provide shorter check-ins and frequent contact between sessions to reinforce skills and keep momentum.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Anger management
- Self esteem
Also listed
- Aging and geriatric issues
- Avoidant personality
- Bipolar disorder
- Career difficulties
- Caregiver issues and stress
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Dissociation
- Eating and food-related issues
- Emptiness
- Fatherhood issues
- Grief
- Guilt and shame
- Hospice and end-of-life counseling
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Prejudice and discrimination
- Relationship issues
- Workplace issues
Therapeutic approaches
- Experience
- 35 years
- Licensed
- Texas
- Languages
- English
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