About Patsy
Patsy Guest is a Licensed Professional Counselor with 20 years of experience in Texas. She helps people who are coping with trauma, grief, anger, anxiety, depression, and life changes. Patsy aims to make the first step feel manageable by offering calm, steady support.
She focuses on practical ways to manage stress and strong emotions. Sessions are meant to be a space where people can say what they’re thinking without fear of judgment.
Background and approach
Patsy listens closely and works with each person to set realistic goals for daily life. Patsy also helps people dealing with addiction, compassion fatigue, and relationship strain. She supports those adjusting to adoption and foster care, caregiving stresses, aging concerns, and end-of-life issues.
Additional areas she addresses include immigration stress, domestic violence impacts, and challenges tied to gender identity. Her style is straightforward and patient. She breaks down problems into small steps and teaches skills that can be used between sessions.
The focus is on what will help most in everyday routines, school or work responsibilities, and family roles. Sessions can cover managing ADHD-related difficulties like attention, organization, and daily planning, alongside emotional concerns. Patsy welcomes international clients and conducts sessions in English.
To begin, clients complete a short matching questionnaire and schedule a time that fits their needs.
How evidence-based techniques translate to online therapy
Many evidence-based therapeutic techniques focus on teaching skills people can use every day. One useful approach emphasizes behavioral strategies for managing stress and mood; it teaches concrete routines, activity planning, and simple behavior changes that help reduce anxiety and depression symptoms. Another common approach concentrates on trauma-informed care, which helps people process difficult experiences at a pace that feels safe while building coping skills for triggers and strong emotions.Choosing the right approach is collaborative. The therapist will talk with each person about their goals, symptoms, and preferences and will try different techniques to see what fits best. Together they develop a plan that can change over time as needs shift and progress is made.
Online therapy offers flexibility for people with busy lives. Video calls let conversations feel more like in-person meetings, phone sessions can work when bandwidth is limited, and live chat or text messaging are useful for quick check-ins or when someone prefers not to be on camera. These options make it easier to fit therapy into work, school, caregiving, or travel schedules, while still building practical skills and tracking progress over time.
Questions people ask
What kinds of concerns does Patsy work with?
What is her therapeutic approach and style?
How long has she been practicing?
What credentials and region apply to her practice?
Which languages are supported and can she see clients outside the US?
What session formats are available?
How is cost handled for sessions?
How do I start working with Patsy?
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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