Elizabeth Frietsch , LPC

Elizabeth Frietsch arranges appointments in the late evenings to accommodate parental duties and work schedules. She is a Licensed Professional Counselor (LPC) in Texas - a state license for trained mental health professionals who provide counseling and psychotherapy. Since 2015 she has focused primarily on supporting adolescent and adult survivors of sexual assault, domestic violence, and child abuse, and she is certified in Cognitive Processing Therapy (CPT), an evidence-based treatment developed to reduce the effects of trauma.

Her trauma work has led to experience helping people navigate related struggles such as depression, anxiety, eating disorders, and fears around attachment and intimacy. She offers an affirming, non-judgmental approach and is available to people across the LGBTQIA+ spectrum as well as those with diverse or no religious beliefs. As a foster and adoptive parent, she has practical knowledge of the Texas foster care system and understands the specific parenting stressors that come with raising children who have experienced trauma. She is familiar with Trust-Based Relational Intervention (TBRI) and draws on principles that support healing for children from hard places.

With a background spent in education and social services, Elizabeth also addresses compassion fatigue and burnout in caregivers and professionals. She aims to be a steady, affirming presence for difficult topics and to help clients process reminders of the past that continue to affect their lives, whether those events are recent or long ago.

Evidence-based Approaches and Online Care

Elizabeth Frietsch uses proven therapeutic approaches adapted for remote work. Cognitive Behavioral Therapy, or CBT, helps identify unhelpful thoughts and patterns and teaches practical skills to manage anxiety, mood, and stress. Solution-Focused Therapy emphasizes setting clear goals and building on current strengths to create meaningful changes in a shorter timeframe. Trauma-Focused Therapy, including methods like Cognitive Processing Therapy, concentrates on processing traumatic memories and reducing their ongoing impact on day-to-day life.

Choosing the right approach is part of the therapeutic process and is done collaboratively. Elizabeth partners with each person to assess needs, goals, and preferences, and then tailors a plan that may combine techniques from different approaches to best support recovery and growth.

Online therapy offers flexible ways to engage - video calls, phone sessions, live chat, and text-based messaging - making it easier to fit counseling into busy schedules, caregiving responsibilities, and varied locations. These options increase accessibility and allow therapists and licensed professionals to maintain continuity of care while adapting to each client's practical needs.