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Annette Rios-Barrera

Therapist profile

Annette Rios-Barrera, LCSW

Texas

LCSW in Texas - relationships and family concerns

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About

  • Anxiety and depression
  • Attachment and intimacy
  • English and Spanish

About Annette

Annette Rios-Barrera is a Licensed Clinical Social Worker (LCSW) in Texas with 23 years of clinical experience. She works with adults facing anxiety, depression, grief, relationship strain, identity questions, and the stresses that come with parenting and family life.

Annette focuses on relational healing and trauma-informed care. She helps people sort through intimacy issues, attachment concerns, and the complications that come with blended and nontraditional relationships. Her work includes support for those in the LGBT community and people navigating adoption, foster care, or caregiving stresses.

Sessions aim to clarify what matters most to each person. Annette uses practical skills from cognitive behavioral therapy and dialectical behavior therapy to manage distress. She also draws on acceptance and commitment ideas to help people live in line with their values.

Her style is centered on listening and adjusting to each person's goals and cultural background. She sometimes uses playful practices, like laughter yoga, when it fits a client's needs and energy. That can lighten heavy topics and make steady work feel more manageable.

Annette provides therapy in English and Spanish and works with adults across a wide range of life changes. To begin, prospective clients follow an intake process that helps match them to a first session and the approaches that fit their situation.

How sessions work

How these approaches guide online work

Annette draws on cognitive behavioral therapy to help people identify unhelpful thoughts and try new behaviors. CBT is useful for anxiety, depression, and managing everyday stressors. She also uses attachment-based ideas to look at how early and current relationships shape trust and intimacy. That approach helps when attachment patterns make current relationships feel difficult.

Choosing the best approach is a collaborative process. Annette will discuss your goals, preferences, and what you want to change, and then recommend techniques or combinations that fit your situation. She checks in and adjusts the plan as work progresses so the focus stays practical and relevant.

The biography does not list specific session formats, so please confirm current online options before booking. Online work can make it easier to fit therapy into busy days, allow for shorter check-ins when needed, and reduce time spent traveling. Many people find remote sessions help maintain continuity during life transitions and make regular appointments more manageable.

Areas of focus

Areas of expertise

Primary focus

LGBTRelationship issuesFamily conflictsGriefIntimacy-related issues

Also works with

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeAvoidant personalityBDSM, kink, and alternative sex cultureBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSHoardingHospice and end-of-life counselingImmigration issuesImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyEye Movement Desensitization and Reprocessing (EMDR)Gottman MethodJungian TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused TherapyInternal Family SystemsSystemic Therapy

Experience

23+ years

Listed in

Texas

Languages

English, Spanish

Questions

Frequently asked questions

What kinds of concerns does she address?

She works with adults on anxiety, depression, grief, relationship strain, identity questions, and family-related stressors.

How would you describe her therapeutic style?

She uses a trauma-informed, relational approach and adapts methods to each person's goals and values.

How much clinical experience does she have?

She has 23 years of professional experience as a clinician based in Texas.

What credential does she hold and where is she located?

She is an LCSW licensed in Texas and practices from that state.

Can I work with her in my language?

Sessions are offered in English and Spanish.

Does she work with clients outside the United States?

She accepts international clients.

How are sessions paid for?

Cost varies with location and sessions use a subscription model that can be canceled at any time.

What do I do to start a first session?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If anyone is in danger, use the crisis numbers.

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Annette Rios-Barrera

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