CBTTherapistsUSA

The therapist listings are provided by BetterHelp and we will earn a commission if you use our link - at no cost to you.

RD Portrait of Rafaela DeSoto-Ray

Rafaela DeSoto-Ray

Experienced Texas LPC focused on practical change

LPC Texas

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

About Rafaela

Rafaela DeSoto-Ray is a licensed professional counselor in Texas with 25 years of clinical experience helping people navigate stress, anxiety, depression, grief, relationship concerns, and major life transitions.

Background and approach

She draws on a broad clinical background to address issues ranging from trauma and abuse to mood disorders, ADHD, intimacy-related problems, sleep difficulties, parenting challenges, and bipolar concerns. Her additional work includes attention to aging and geriatric issues, attachment and family-of-origin patterns, neurodevelopmental conditions, caregiver stress, and a range of interpersonal problems such as communication difficulties and infidelity.

Rafaela approaches therapy with flexibility, matching therapeutic techniques to each person's needs rather than following a single method. She integrates client-centered listening with practical, goal-oriented strategies and cognitive-behavioral tools to help clients develop new skills and perspectives they can apply between sessions.

She emphasizes clients' strengths and lived expertise, aiming to offer at least one useful idea or skill in each meeting. Rafaela communicates in English and provides services to clients located in Texas under her LPC credential, TX LPC 18263.

Approach and Access: Practical Therapy Online



Rafaela uses cognitive behavioral therapy to help clients identify unhelpful thinking patterns and build concrete skills for managing anxiety, depression, and stress-related symptoms. She also employs client-centered techniques that prioritize empathic listening and collaboration so clients feel understood while exploring strengths and personal goals.

Finding the best approach is treated as a collaborative process. She works with each client to blend strategies that fit their needs, goals, and preferences, checking in regularly and adjusting the plan so the work remains relevant and practical.

Online formats include video calls, phone sessions, live chat, and text-based messaging, which allow for flexible scheduling and a range of ways to communicate. These options can make it easier to maintain consistency, try different communication styles, and access support from locations within Texas. Licensed professionals can use these formats to deliver structured, skill-focused work that complements in-person care when needed.

Frequently asked questions

What kinds of concerns does Rafaela commonly address?
She works with a wide range of issues including stress, anxiety, depression, relationship difficulties, trauma and abuse, grief, ADHD, bipolar disorder, sleep problems, parenting challenges, and intimacy-related concerns.
What is Rafaela's general therapeutic style?
Her style is flexible and client-centered, combining empathic listening with practical strategies such as cognitive behavioral techniques and solution-focused interventions tailored to each person's goals.
How much clinical experience does she have?
She brings 25 years of professional experience working with developmental and behavioral disorders, neurological conditions, mood and trauma-related concerns, and a variety of family and interpersonal issues.
What are her credentials and where is she located?
Rafaela is an LPC licensed in Texas with license number TX LPC 18263 and provides services to clients located in Texas.
Can I work with her in languages other than English?
All services are provided in English; she is not listed as offering services in additional languages and is not accepting international clients.
Which session formats are available with this therapist?
She offers multiple online formats including video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and schedules.
How are fees and payments handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the steps to begin therapy with her?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesDepressionCoping with life changesADHD

Also works with

Family conflictsTrauma and abuseGriefIntimacy-related issuesSleeping disordersParenting issuesAnger managementBipolar disorder

Additional focus areas

Aging and geriatric issuesAttachment issuesAutism and Asperger SyndromeCaregiver issues and stressCodependencyCommunication problemsControl issuesDisruptive Mood Dysregulation Disorder (DMDD)DissociationFamily of origin issuesFamily problemsForgivenessGuilt and shameImpulsivityInfidelityIntellectual disabilityLife purposeMen's issuesMidlife crisisMood disordersPanic disorder and panic attacksPost-traumatic stressSexual assault and abuseSexualitySomatizationTraumatic brain injury

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Solution-Focused Therapy

Experience

25+ years

Licensed

Texas

Languages

English