- 35 years experience
- Texas LPC
- Supports carers
About Bette
Dr. Smyth holds a PH.D. and is a Licensed Professional Counselor - LPC in Texas with 35 years of experience that began in crisis intervention. Much of her early work took place in emergency rooms, hotline call centers, government crisis agencies, and correctional settings. That background shaped how she responds to urgent distress and complex emotional needs.
Her sessions mix clear, research-informed tools and an openness to each person’s story. She draws on cognitive behavioral ideas, acceptance and commitment concepts, and client-centered listening to help people change unhelpful patterns and make values-based choices. She also integrates existential questions about meaning when those issues come up.
Practical skills are a frequent focus. People may work on managing intrusive thoughts, reducing anxious reactions, coping with chronic illness or caregiver stress, or handling guilt and shame. The work often includes short exercises, new ways of thinking about problems, and real-life experiments between sessions.
Dr. Smyth welcomes people dealing with compassion fatigue and the specific strains of caregiving. She invites you to share your story and to explore steps toward feeling more resilient, clear, and able to meet life’s demands.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
35+ years
Credentials
Texas
Languages
English
Therapeutic approaches and online care that fit your life
Dr. Smyth often uses Acceptance and Commitment Therapy to help people notice unhelpful thoughts without getting stuck in them and then take small, values-guided steps forward. This approach is useful for anxiety, depression, and coping with chronic stress.She also draws on Cognitive Behavioral Therapy, which focuses on identifying and changing patterns of thinking and behavior that keep distress going. CBT is practical and often includes short exercises to try between sessions.
Finding the right approach is part of the work together. The therapist will listen to your goals and preferences and help choose methods that fit your situation. That decision is collaborative and can change as needs evolve.
Practical benefits of online therapy can include easier scheduling, fewer travel logistics, and fitting sessions into a busy week. If you are an international client, confirm how sessions will be arranged and scheduled. Please check the current session options before booking so you know which formats are offered and can pick what fits your routine.
Frequently asked questions
What kinds of concerns can be addressed here?
Dr. Smyth works with stress, anxiety, trauma and abuse, grief, depression, and coping with life changes. She also focuses on caregiver issues and compassion fatigue among other related concerns.
How would you describe the therapy style?
The approach blends client-centered listening with practical tools from cognitive behavioral therapy and acceptance and commitment therapy. Sessions aim to be collaborative and task-focused when that helps.
What is Dr. Smyth's professional background?
She has 35 years of experience, beginning in crisis intervention work in emergency rooms, hotlines, government crisis agencies, and correctional settings. That history informs her response to urgent and complex situations.
Where is Dr. Smyth based and what are her credentials?
She practices in Texas and holds the LPC credential, Licensed Professional Counselor in Texas.
Are sessions available in languages other than English?
Sessions are offered in English.
Can people outside the U.S. work with her?
International clients are accepted. Confirm scheduling and any logistical details before booking.
How are fees and payment handled?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
What are the first steps to begin therapy?
Use the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist's availability.