Elizabeth Frietsch , LPC

Elizabeth Frietsch is a Licensed Professional Counselor (LPC) based in Texas. She focuses on helping people manage stress, anxiety, trauma and abuse, grief, eating and body-image concerns, and issues around intimacy and self-esteem. She also supports people navigating parenting challenges, career stress, and the emotional fallout of major life changes.

Elizabeth draws on practical, goal-focused approaches to help people move forward. She uses Cognitive Behavioral Therapy, Solution-Focused Therapy, and Trauma-Focused Therapy to address symptoms and develop coping skills. Sessions aim to identify unhelpful thought patterns, build concrete coping strategies, and process traumatic memories at a pace that feels tolerable.

Her experience includes work with survivors of sexual assault, domestic violence, and child abuse, and that background informs her work with trauma, post-traumatic stress, and related depression and anxiety. She also has experience with eating and food-related issues, attachment concerns, and the stress that caregivers and foster or adoptive parents often face.

Elizabeth is affirming of LGBTQ people and of clients with diverse or no religious beliefs. She has personal and professional experience with foster and adoptive parenting and understands the extra parenting stress that can come from caring for children who have experienced trauma. She aims to create a non-judgmental space for people to talk through difficult topics.

Sessions are offered in English and are provided through online formats such as video calls, phone sessions, live chat, and text-based messaging. Elizabeth has four years of clinical experience as an LPC working in Texas.

How therapeutic approaches translate to online care

Elizabeth uses Cognitive Behavioral Therapy to spot and change patterns of thinking that keep stress and anxiety going; that work often includes identifying thought traps and practicing small behavioral changes that reduce distress. Solution-Focused Therapy centers on setting short-term, practical goals and building on what already works to create quick, manageable shifts. Trauma-Focused Therapy aims to help people reduce the hold of past hurt by processing memories and reactions in ways that feel tolerable and safe.

Finding the right approach is a collaborative process. The therapist will talk with the client about symptoms, goals, and preferences, then recommend techniques and pace. Together they check progress and adjust methods as needed so the plan stays useful and realistic.

Online formats include video calls, phone sessions, live chat, and text-based messaging, which offer flexibility for different needs. Video works well for deeper conversations and visual connection. Phone sessions can be easier when bandwidth is limited or a shorter check-in fits a break at work. Live chat and text messaging can support quick check-ins, ongoing accountability, or supplemental support between longer sessions. These options make it easier to fit therapy into a busy life while still using evidence-based approaches.