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Patsy Guest

Patsy Guest, LPC

Therapist in Texas

Compassionate counselor focused on practical coping

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  • Direct and practical
  • Trauma and grief
  • 20 years experience

About Patsy

Patsy Guest is a Licensed Professional Counselor (LPC) practicing in Texas with 20 years of clinical experience. She helps people who are coping with trauma, grief, anger, anxiety, addictive behaviors, and major life changes. Patsy aims to make the first steps into therapy less daunting and affirms the courage it takes to begin.

Over two decades she has supported people through stressful transitions and ongoing mood concerns. Her work includes helping with parenting strain, relationship difficulties, attention-deficit issues, and compassion fatigue from caregiving roles. She also has experience with adoption and foster care matters, aging and geriatric concerns, and issues that arise after natural or human-caused disasters.

Patsy uses practical, evidence-based techniques to help people manage strong emotions and build coping skills. Sessions focus on clear goals and simple tools that can be practiced between meetings. She aims to create a calm space where clients can talk through fears, anger, or loss without feeling judged.

Her approach often addresses relationship stress and infidelity, cultural challenges such as immigration issues, and identity concerns including gender dysphoria. She also assists with caregiver stress, hospice and end-of-life topics, and forgiving or processing guilt and shame.

People who prefer a straightforward therapist may find her style a good fit. Patsy emphasizes collaboration and steady progress, helping clients develop strategies for daily life. If you want practical steps to handle anxiety, grief, or trauma, she focuses on tools that aim to make a real difference.

How evidence-based methods translate to online care

Many of the techniques Patsy draws on are practical ways to manage symptoms and build new habits. One common approach uses skills training to manage strong emotions and reduce impulsive reactions; it teaches specific coping moves to try when anger or anxiety rise. Another approach focuses on processing loss and trauma through paced conversations and narrative work, helping people make sense of painful events and move forward.

Choosing the right method is a shared process. Patsy works with each person to match strategies to their needs, goals, and preferences. Together they check what helps and adjust the plan as progress is made.

Confirm the current session options before booking so you know what formats are available. Online therapy can make scheduling easier and fit sessions into a busy life, helping people keep regular appointments without long travel. It can also allow for shorter check-ins when time is tight or phone-based conversations when less bandwidth is available. Licensed professionals can use online work to focus on the same skills and goals they use in person.

Areas of expertise

Primary focus

Trauma and abuseGriefAnger management

Also works with

Stress, AnxietyAddictionsRelationship issuesParenting issuesDepressionCoping with life changesCompassion fatigueADHD

Additional focus areas

Adoption and foster careAging and geriatric issuesAutism and Asperger SyndromeCaregiver issues and stressCoping with natural or human-caused disasterDomestic violenceFamily problemsFatherhood issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHospice and end-of-life counselingImmigration issuesInfidelityIsolation / lonelinessJealousyMidlife crisisVeteran and Armed Forces IssuesMood disordersMulticultural concernsPanic disorder and panic attacksPostpartum depressionPost-traumatic stressPregnancy and childbirthSexual dysfunctionSexualitySocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Experience

20+ years

Credentials

Texas

Languages

English

Frequently asked questions

What kinds of concerns does Patsy address?

Patsy works with trauma and abuse, grief and loss, anger, stress, anxiety, addictions, and relationship issues. She also supports people facing parenting strain, compassion fatigue, ADHD, and major life changes.

How would you describe her therapeutic style?

Her style is practical and straightforward, focusing on evidence-based techniques and clear goals. Sessions emphasize skill-building and applying tools between meetings.

How much experience does she have?

Patsy has 20 years of professional experience working with a wide range of concerns from trauma to caregiver stress.

What credentials and location are listed for this therapist?

She is a Licensed Professional Counselor, LPC, licensed in Texas and practices there.

Which languages are supported in sessions?

Sessions are offered in English.

Can international clients work with Patsy?

She accepts international clients, so people outside the U.S. can inquire about working together.

How are fees and billing handled?

Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.

What is the process for starting therapy?

Begin by selecting the continue button on this profile, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

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