Elizabeth Frietsch, LPC

Elizabeth Frietsch is a Licensed Professional Counselor (LPC) in Texas who uses practical, skills-based work to address stress, anxiety, trauma, grief, and related concerns. She writes plainly and speaks directly, helping people facing eating issues, relationship and intimacy worries, parenting stress, and questions about self-worth and purpose.

She draws on Cognitive Behavioral Therapy (CBT) and trauma-focused approaches to help people notice unhelpful thinking and change patterns that keep problems going. Sessions often include clear strategies to manage strong emotions and step-by-step work on specific problems. Solution-Focused Therapy tools are used when clients want shorter-term goals and concrete next steps.

Her background includes work since 2015 with survivors of sexual assault, domestic violence, and child abuse, and that experience informs how she approaches trauma and post-traumatic stress. She also has experience supporting people dealing with depression, eating and food-related difficulties, and attachment or intimacy fears.

She identifies as affirming of LGBTQIA+ people and those with diverse or no religious beliefs. As a foster and adoptive parent, she understands the practical strains of parenting children who have experienced trauma and knows how caregiver stress can affect daily life.

Elizabeth aims to be nonjudgmental and direct. Sessions focus on understandable skills, clearer thinking, and manageable steps toward goals. She offers video calls, phone sessions, live chat, and text-based messaging to fit different schedules.

How CBT and Trauma-Focused Work Translate to Online Care

Elizabeth uses Cognitive Behavioral Therapy to help people spot unhelpful thoughts and try behavioral changes that reduce anxiety, low mood, and eating-related struggles. CBT sessions often include simple exercises and homework that translate well to online formats. Trauma-Focused Therapy addresses the lingering effects of past harm by working through reminders and reactions in a paced, stabilizing way to reduce distress and improve daily functioning.

Finding the right approach is a collaborative process. The therapist will talk with each person about goals, symptoms, and preferences, then suggest CBT tools, trauma-focused steps, or focused solution techniques accordingly. Clients are encouraged to give feedback so the plan can be adjusted over time to better fit their needs.

Online sessions are offered by video calls, phone, live chat, or text-based messaging to match different schedules and comfort levels. Video suits more interactive work and skill teaching, phone can be easier when bandwidth is limited, live chat works for brief check-ins, and messaging supports ongoing reflection between sessions. These options make it easier to fit therapy around work, parenting, and other responsibilities while keeping the work practical and goal-oriented.