Elizabeth Marcum , LCSW

Elizabeth Marcum is a licensed clinical social worker in Texas with six years of experience. She focuses on addictions, relationship and family concerns, intimacy-related struggles, and low self-esteem. Elizabeth aims to create a calm setting where people can speak honestly and begin to feel more in control. She uses evidence-based therapeutic techniques to help people untangle patterns that keep them stuck. Sessions often focus on practical steps to manage cravings, rebuild trust after hurt, and strengthen self-worth. Elizabeth also addresses issues tied to abandonment and attachment, codependency, and challenges that come with chronic illness or pain. People contact her for help with divorce and separation, drug and alcohol addiction, and dealing with guilt or shame. She also provides support around HIV and AIDS concerns, hospice and end-of-life matters, and the isolation that can follow major life changes. Her approach includes listening closely and offering clear, doable strategies. Elizabeth helps clients explore life purpose and transition-related stress at work. She also addresses men's issues and has experience with veteran and armed forces concerns. Sessions are offered in English and are adapted to fit each person’s needs and goals. To begin, she asks people to complete a short matching questionnaire and schedule a time that fits. Therapy subscriptions can be canceled at any time, and session formats include video calls, phone sessions, live chat, and text-based messaging.

Approaches that guide online care and practical support

Elizabeth uses evidence-based therapeutic techniques that focus on changing patterns and building skills. One approach centers on identifying and shifting unhelpful thoughts and behaviors to reduce cravings, manage stress, and strengthen relationships. This method helps people facing addiction, low motivation, and self-esteem issues. Another approach targets attachment and relationship patterns by exploring how early experiences shape current connections. Work in this area can help with intimacy-related struggles, abandonment concerns, and codependency by teaching new ways to relate and set boundaries. Finding the right approach is a shared process. Elizabeth will discuss options with each person and tailor the work to their goals, preferences, and circumstances. Together they decide which techniques to try and adjust them as progress is made. Online therapy offers flexibility for busy lives. Video calls allow face-to-face conversation when more nuance is helpful. Phone sessions use less bandwidth and can fit a break at work. Live chat and text-based messaging work for brief check-ins, ongoing support, or people who prefer writing over speaking. These options make it easier to keep therapy consistent while balancing other responsibilities.