- Stress and anxiety
- Life purpose questions
- CBT and ACT methods
About Bette
Her approach blends practical, evidence-informed techniques with an emphasis on real-life skills. She uses Cognitive Behavioral Therapy and Acceptance and Commitment Therapy alongside client-centered and solution-focused methods. Conversations focus on what is happening now, learning specific skills, and testing small changes that can reduce distress day to day.
Dr. Smyth’s past work includes crisis intervention in correctional settings, emergency rooms, hotline call centers, and government agencies. That background informs how she handles intense or sudden difficulties and long-term struggles alike. Sessions tend to be interactive and focused on concrete steps rather than abstract theory.
She frames hard experiences as opportunities to learn more about personal values and limits, without promising a neat outcome. Many clients bring painful losses, overwhelming stress, intrusive thoughts, or questions about what matters next. Conversations can include practical exercises, values clarification, and problem-solving around relationships, work, or health challenges.
People coming for help can expect a steady, experience-based clinician who draws on decades of crisis work and research-informed strategies. If questions about session formats or scheduling are important, confirm current options before booking.
License and NPI on record
- LPC
- Texas · 13621
- NPI
- 1861655326
As listed on the therapist's profile. A license can be checked with the state board, and an NPI with the national NPI registry.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
35+ years
Credentials
Texas
Languages
English
How her approaches translate to online work
Acceptance and Commitment Therapy (ACT) helps people notice inner thoughts and feelings without being driven by them, then choose actions that line up with personal values. It is useful for anxiety, low mood, and questions about life purpose. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking and testing new behaviors to reduce distress and improve day-to-day functioning. It often helps with anxiety, depression, and problem-solving around work or relationships.Finding the right approach is part of the work. She collaborates with each person to decide which methods fit best, based on goals, preferences, and what shows up in early sessions. That means trying strategies, checking how they land, and adjusting the plan together.
The original biography does not list specific session formats, so confirm current online options before booking. In general, online sessions can make it easier to fit therapy into a busy week, allow shorter check-ins when needed, and remove travel time. They also let people use video or audio according to what feels manageable on a given day. Ask about the available formats when you schedule to match sessions to your routine and needs.
Frequently asked questions
What types of concerns does she address?
She works with stress, anxiety, trauma and abuse, grief, depression, coping with life changes, relationship issues, self-esteem, and compassion fatigue. Additional areas include attachment, abandonment, body image, chronic illness, caregiving stress, and life purpose.
How does she approach someone who feels stuck?
She uses practical, evidence-informed methods like Cognitive Behavioral Therapy and Acceptance and Commitment Therapy to focus on small, testable changes. Sessions emphasize skills, values clarification, and problem solving.
What is her professional background?
She has 35 years of experience working in crisis intervention, correctional institutions, emergency rooms, hotline centers, and government crisis agencies.
What are her credentials and where is she based?
She is an LPC, a Licensed Professional Counselor, practicing in Texas.
Can I work with her if I live outside the United States?
She accepts international clients. Sessions are offered in English.
What session formats are available?
The original profile does not list specific session formats. Please confirm current session options before booking.
How is cost handled for sessions?
Fees vary with location; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Use the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Good to know
Therapists listed here offer talking therapy online. It is not career, financial or medical advice, and no therapist can promise a particular result.
If you are thinking about harming yourself, or you are in danger, contact a crisis line or emergency services. The numbers are at the foot of this page.