Elizabeth Frietsch , LPC

Elizabeth Frietsch schedules appointments in the late evenings to accommodate parental duties and varied work schedules, making therapy more accessible for caregivers and professionals. She is a Licensed Professional Counselor (LPC) in Texas - a mental health professional credential that indicates advanced training and state licensure. Since 2015 she has focused on supporting adolescent and adult survivors of sexual assault, domestic violence, and child abuse, and she holds certification in Cognitive Processing Therapy (CPT), an evidence-based method developed specifically to help people process and reduce the lingering effects of trauma.

Her clinical work with survivors has informed a broader practice addressing depression, anxiety, eating and food-related issues, and attachment or intimacy-related fears. Elizabeth brings particular experience with parenting challenges tied to foster and adoptive families, including familiarity with Trust-Based Relational Intervention (TBRI), and she understands the unique stresses of navigating the Texas foster care system. She has spent her career in education and social services and applies that background to preventing and addressing compassion fatigue and burnout among caregivers and helping professionals.

Elizabeth presents as a nonjudgmental, affirming practitioner who welcomes people across the LGBTQIA+ spectrum and those of diverse or no religious beliefs. She aims to create a steady, supportive space for working through heavy or vulnerable topics and to help clients process reminders of past events that continue to affect their daily lives.

Therapeutic Approaches and Online Care

Elizabeth uses a blend of approaches to meet different needs, beginning with Cognitive Behavioral Therapy - a practical method that helps people identify unhelpful thinking patterns and replace them with more balanced thoughts and behaviors, often used for anxiety, depression, and stress-related concerns. Trauma-Focused Therapy and related trauma processing techniques help people work through the emotional and behavioral impacts of past harm, with an emphasis on reducing the power of trauma-related reminders and improving day-to-day functioning. Solution-Focused Therapy centers on clients' strengths and immediate goals, encouraging small, actionable steps that lead to meaningful change.

Finding the right approach is part of the therapeutic journey, and Elizabeth works collaboratively with each person to determine which methods best fit their needs, goals, and preferences. She adjusts strategies as progress is made and as priorities evolve.

Online therapy offers practical flexibility - sessions can occur by video call or phone, and shorter contacts can happen via live chat or text-based messaging. These options make it easier to fit therapy into busy schedules, support continuity of care for those with caregiving responsibilities, and allow people to work with licensed professionals from the locations where they live.