Elizabeth Frietsch

Compassionate trauma-informed CBT-based care

LPC Texas

Experience: 4 years in practice
Focus areas: Stress, Anxiety, Trauma and abuse, Grief
Approaches: Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy
Languages: English

About Elizabeth

Elizabeth Frietsch is a Licensed Professional Counselor (LPC) in Texas who centers her work on practical, evidence-informed approaches to help people navigate trauma, anxiety, and life transitions.

Background and approach

She integrates Cognitive Behavioral Therapy (CBT) with trauma-focused techniques and solution-focused strategies to address symptoms and build concrete skills for daily coping. Her practice draws on several years of experience supporting survivors of sexual assault, domestic violence, and child abuse, and on work with depression, eating concerns, attachment and intimacy fears, and caregiver stress.

She prioritizes an affirming, nonjudgmental stance and brings understanding around LGBTQ issues, diverse belief systems, and the unique demands of foster and adoptive parenting. Elizabeth’s background in education and social services informs her approach to compassion fatigue and burnout prevention, and she uses practical interventions to reduce intrusive reminders of past trauma while strengthening coping and relational skills.

Sessions emphasize collaboration, clear goals, and tools clients can use between appointments to manage stress, improve mood, and pursue meaningful life changes.

Using Structured Therapy Approaches in Online Care

Elizabeth commonly uses Cognitive Behavioral Therapy (CBT) to help people identify unhelpful thoughts and build practical skills for reducing anxiety, improving mood, and changing behavior. Solution-Focused Therapy is also part of her toolkit, offering brief, goal-oriented interventions that emphasize strengths and small, attainable changes to move forward. Trauma-Focused Therapy is used to address the lingering effects of traumatic events by helping clients process reminders of the past and develop coping strategies to reduce their impact.

Choosing the right approach is collaborative; the therapist will work with each person to determine which methods best match their needs, goals, and preferences. Initial sessions typically focus on understanding the presenting concerns and together selecting strategies that fit the client's pace, whether that means skills work, focused problem-solving, or trauma processing.

Online therapy with Elizabeth is offered through video calls, phone sessions, live chat, or text-based messaging, providing flexibility for varied schedules and communication styles. These options make it easier to maintain continuity of care while balancing work, parenting, or other responsibilities, and they allow clinicians and clients to adapt interventions to what works best for each individual.

Frequently asked questions

What concerns does this therapist commonly address?

Elizabeth works with stress, anxiety, trauma and abuse, grief, eating and body image concerns, compassion fatigue, intimacy-related issues, parenting stress, self-esteem, career challenges, depression, and coping with life changes. Additional focuses include attachment and abandonment issues, post-traumatic stress, and related topics.

What therapeutic style can I expect in sessions?

Her style blends Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy, and Trauma-Focused Therapy, aiming to teach skills, set attainable goals, and process traumatic experiences in a paced way.

How much clinical experience does she have?

She has four years of documented experience and has worked extensively with survivors of sexual assault, domestic violence, and child abuse since 2015, developing targeted skills for trauma recovery and related challenges.

What are the therapist's credentials and where are they located?

She holds the LPC credential with the license TX LPC 80008 and practices in Texas.

Does she offer services in languages other than English or to international clients?

Sessions are provided in English and she is not currently accepting international clients.

Which session formats are available for online work?

Available formats include video calls, phone sessions, live chat, and text-based messaging to accommodate different communication preferences and schedules.

How are costs and billing handled for sessions?

Costs vary with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.

What steps are involved in beginning therapy with this clinician?

To begin, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions based on therapist availability.

Areas of expertise

Primary focus

Stress, Anxiety Trauma and abuse GriefEating disordersCompassion fatigue

Also works with

LGBTIntimacy-related issuesParenting issuesSelf esteemCareer difficultiesDepression Coping with life changes

Additional focus areas

AbandonmentAdoption and foster careAttachment issuesBody imageCaregiver issues and stressCoping with natural or human-caused disasterDomestic violenceEating and food-related issuesEmptinessFirst responder issuesForgivenessGuilt and shame Isolation / lonelinessLife purposePost-traumatic stressSeasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSexualitySocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)Solution-Focused TherapyTrauma-Focused Therapy

Experience

4+ years

Licensed

Texas

Languages

English