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EM Portrait of Dr. Elizabeth Marrufo-Esmele

Dr. Elizabeth Marrufo-Esmele

Compassionate, practical mental health support

LPC Texas

Experience
5 years in practice
Focus areas
Stress, Anxiety, Addictions, Relationship
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English
Continue with Elizabeth

About Elizabeth

Dr. Elizabeth Marrufo-Esmele is a Licensed Professional Counselor (LPC) in Texas who supports people facing stress, anxiety, addiction-related challenges, relationship difficulties, trauma and abuse, and depression.

Background and approach

She also addresses concerns such as grief, intimacy issues, parenting challenges, anger, self-esteem, bipolar mood struggles, and coping with major life changes. Her work includes attention to codependency, communication problems, drug and alcohol addiction, social anxiety, post-traumatic stress, and related emotional wounds.

She draws on a collaborative, client-centered stance that treats each person as the expert on their own life while offering evidence-informed tools. Cognitive Behavioral Therapy (CBT) and mindfulness practices are part of her approach, alongside goal-oriented strategies and relationship-focused methods.

This blend aims to help clients develop practical skills for managing difficult thoughts and emotions while strengthening interpersonal patterns where needed. With five years of professional practice, Dr.

Marrufo-Esmele emphasizes a supportive therapeutic alliance and a strengths-based outlook. She frames seeking help as a courageous step and offers guidance tailored to each individual’s goals, pacing work to meet readiness and personal priorities.

How evidence-informed approaches translate to online care

Dr. Marrufo-Esmele incorporates Cognitive Behavioral Therapy as a core tool, helping clients identify and shift unhelpful thought patterns and build practical coping strategies for anxiety, depression, and mood-related concerns. Client-Centered Therapy is also central to her work, focusing on empathy and collaboration so the client’s own values and strengths guide the pace and focus of treatment. The Gottman Method contributes relationship-focused skills for improving communication and resolving recurring conflicts in close partnerships.

Finding the right therapeutic approach is treated as a collaborative process. She will work with each person to explore which techniques fit their needs and goals, adjusting methods as progress unfolds and preferences become clearer. That collaborative stance helps tailor interventions to what matters most for the client’s life and relationships.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, which offer flexibility for different schedules and comfort levels. These formats make it possible to receive consistent, ongoing support without geographic constraints, allowing licensed professionals to provide continuity of care and practical skills work across varied life situations.

Frequently asked questions

What concerns does this therapist commonly address?
She works with a wide range of difficulties including stress, anxiety, addictions, relationship issues, trauma and abuse, depression, grief, intimacy concerns, parenting challenges, anger, and mood disorders.
What therapeutic approach can I expect in sessions?
The style is collaborative and client-centered, using techniques from Cognitive Behavioral Therapy, mindfulness, solution-focused work, and relationship-focused methods like the Gottman Method to match the client’s goals.
How much clinical experience does she have?
She has five years of professional experience working with people facing emotional, relational, and addiction-related concerns.
Where is the therapist licensed and authorized to practice?
She is licensed as an LPC in Texas under TX LPC 79025 and provides services based from that state.
Can I work with her if I live outside the United States?
International clients are not currently accepted; services are offered to clients within the scope allowed by her Texas license.
What session formats are available for online work?
Sessions are offered via video calls, phone sessions, live chat, or text-based messaging to provide several options for connecting.
How are costs and subscription handled?
Cost varies by location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
How do I begin the process of scheduling care?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist’s availability.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsRelationship issuesTrauma and abuseDepression

Also works with

LGBTGriefIntimacy-related issuesParenting issuesAnger managementSelf esteemBipolar disorderCoping with life changes

Additional focus areas

CodependencyCommunication problemsDrug and alcohol addictionEmptinessForgivenessGuilt and shameMood disordersPost-traumatic stressSelf-loveSexual assault and abuseSocial anxiety and phobia

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Gottman MethodMindfulness TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

5+ years

Licensed

Texas

Languages

English