About Patsy
Patsy Guest is a Licensed Professional Counselor with 20 years of clinical experience based in Texas. She supports people who are facing anxiety, grief, trauma, anger, depression, and major life changes. Patsy aims to make the first step into therapy feel manageable and respectful of each person's pace.
She creates a calm space where people can talk honestly about hard things. Conversations focus on what matters most to the client and practical ways to cope day to day.
Background and approach
Sessions are straightforward and geared toward small, useful changes rather than jargon or long lectures. Patsy draws on evidence-based therapeutic techniques to address trauma, stress, and addictive behaviors. She works to help clients reduce worry, process grief, and manage strong emotions with clear tools.
When appropriate, she also helps people navigate relationship strain, parenting stress, and caregiver challenges. With two decades of experience, Patsy has supported people through loss, end-of-life decisions, immigration concerns, and disaster-related distress. She also has focus areas that include autism and aging-related issues and first responder challenges.
Her approach blends practical strategies with attentive listening. Patsy offers sessions in English and accepts international clients. She provides video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.
To begin, a short matching questionnaire helps pair a person with her practice style and scheduling rhythms.
How evidence-based techniques translate to online care
Evidence-based therapeutic techniques often used for anxiety and trauma include approaches that teach practical coping strategies and techniques for processing difficult memories. One common method focuses on building coping skills for stress and worry through structured exercises and behavioral steps that can reduce daily overwhelm. Another approach centers on processing traumatic experiences in gradual, supported ways so memories feel less disruptive and emotions become easier to manage.Finding the right method is a collaborative process. The therapist will work with each person to identify which techniques match their needs, goals, and preferences. Together they will try options and adjust the plan based on what helps most, with the client guiding the pace.
Online sessions offer real flexibility. Video calls allow face-to-face conversation when that feels helpful, while phone sessions can be easier when bandwidth or camera use is a concern. Live chat and text-based messaging make brief check-ins or step-by-step coaching possible between longer sessions. These formats help people fit therapy into work breaks, caregiving schedules, or different time zones and support ongoing progress without needing to travel.
Questions people ask
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What this therapist works with
Most often
- Trauma and abuse
- Grief
- Anger management
Also listed
- Addictions
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Autism and Asperger Syndrome
- Caregiver issues and stress
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Domestic violence
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Hospice and end-of-life counseling
- Immigration issues
- Infidelity
- Isolation / loneliness
- Jealousy
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Parenting issues
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Relationship issues
- Sexual dysfunction
- Sexuality
- Social anxiety and phobia
- Stress, Anxiety
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
- Experience
- 20 years
- Licensed
- Texas
- Languages
- English
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