Dr. Elizabeth Marrufo-Esmele

Dr. Elizabeth Marrufo-Esmele is a Licensed Professional Counselor (LPC) based in Texas who supports people dealing with stress, anxiety, addiction, relationship struggles, trauma and abuse, depression, grief, and anger. She emphasizes a respectful, down-to-earth approach where the client’s experience guides the work. She frames therapy as a partnership and helps clients identify their strengths and next steps.

She draws on client-centered therapy to keep sessions focused on what matters most to each person. Cognitive Behavioral Therapy (CBT) is used to notice patterns of thinking and behavior that keep problems going, and to try small, practical changes. Mindfulness strategies are offered to help with staying grounded during strong emotions.

Dr. Marrufo-Esmele also uses solution-focused techniques to set clear, achievable goals and track progress session to session. The Gottman Method informs work around communication and relationship concerns when those come up. Sessions are conversational and goal-oriented, with an emphasis on skills people can use between meetings.

She has five years of professional experience and practices in Texas. The therapist describes clients as the experts in their own stories and focuses on building on existing strengths. People who are worn out by repeated arguments, stuck routines, or overwhelming feelings may find a practical, steady approach here.

To begin, clients are invited to reflect on what they most want to change and bring that into early sessions. The work tends to combine short-term problem solving with slower work on meaning, self-compassion, and healthier patterns over time.

How therapy methods translate to online care

Client-Centered Therapy focuses on listening closely and following the client’s lead. Online work with this approach looks like sessions that prioritize what matters most to the person and adjust pace and topics to their needs. Cognitive Behavioral Therapy (CBT) helps people notice unhelpful thoughts and try different behaviors; in remote sessions this often includes homework and brief check-ins to track practice between appointments.

Finding the right approach is part of the process. The therapist will work together with the client to decide which methods feel most useful. Goals, preferences, and everyday constraints guide whether more skills practice, talk-based reflection, or structured exercises are emphasized.

Session format options are not specified in the profile, so confirm available formats before booking. Online work can make it easier to fit therapy into a busy schedule, reduce travel time, and allow shorter check-ins when needed. It also supports continued work on skills between sessions through quick reviews and goal tracking with the therapist.