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Annette Rios-Barrera

Therapist · Texas

Annette Rios-Barrera

LCSW

Relational, trauma-informed therapy for life transitions

  • 23 years' experience
  • Based in Texas
  • Sessions online
  • Speaks English, Spanish
Continue with Annette

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  • Trauma-informed care
  • Bilingual English Spanish
  • Relationship and grief focus

About Annette

Annette Rios-Barrera is a licensed clinical social worker with 23 years of experience based in Texas. She uses a trauma-informed, relational approach to help people who are feeling overwhelmed by anxiety, depression, grief, or difficult changes. Her pronouns are she/her and she offers care in English and Spanish.

Her work centers on practical steps people can use right away. Sessions focus on goals the client sets and on building emotional safety. She helps people notice patterns, strengthen relationships, and develop tools to manage stress and intense feelings.

Annette brings attention to identity and connection, including support for people in the LGBT community and those navigating non-traditional relationships. She also addresses issues such as caregiver stress, chronic illness, cancer, adoption and foster care concerns, and late-life or aging issues.

Her approach draws from several therapies, including acceptance and commitment work, attachment-focused ideas, cognitive-behavioral strategies, and skills from dialectical behavior therapy. She also uses a client-centered stance that follows each person’s pace and priorities.

Annette balances focused therapeutic work with lighter moments when appropriate. That can include brief mindfulness practices or playful exercises to reduce tension. To begin, users complete the site questionnaire and schedule sessions based on availability.

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

Credentials

Texas

Languages

English, Spanish

Approaches that translate to online grief and relationship work

Annette uses acceptance and commitment ideas to help people notice painful thoughts without being driven by them and to move toward values-based action. This approach can be useful for grief, anxiety, and making life changes.

She also draws on attachment-based work to look at how early and current relationships shape reactions and safety in close connections. That can help when people are rebuilding trust or managing intimacy concerns.

Finding the right approach is part of the work. Annette collaborates with each person to decide which tools fit their goals and situation. She will check in and adjust strategies as needs change, so therapy stays relevant and practical.

The original profile does not specify which online session formats are used. Please confirm current session options before booking. Online sessions can make it easier to fit therapy into a busy life, reduce travel time, and allow for shorter check-ins when needed. Licensed professionals can adapt these approaches to help with grief, relationship challenges, stress, and mood concerns via remote sessions when format options are available.

Frequently asked questions

What concerns does Annette commonly address?

She works with anxiety, depression, grief, relationship and intimacy issues, stress, career questions, and coping with life changes. Additional focuses include caregiver stress, chronic illness, adoption and foster care matters, and body image concerns.

How would you describe her therapeutic style?

Her style is trauma-informed and relational. She uses practical tools, helps clients set goals, and follows each person's pace while focusing on emotional safety and connection.

What experience does she bring to sessions?

She has 23 years of clinical experience working with a range of concerns related to identity, relationships, grief, and long-term health challenges.

What are her credentials and where is she based?

She holds the credential LCSW, which stands for Licensed Clinical Social Worker, and is based in Texas.

Which languages are supported in therapy?

Sessions are offered in English and Spanish. She also accepts international clients.

What session formats are available?

The original profile does not list specific session formats. Please confirm current session options with the provider before booking.

How does payment or cost work?

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

How do I get started if I want to work together?

Select the Start Therapy button, complete the short matching questionnaire, and schedule sessions according to therapist availability.

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Annette Rios-BarreraReview online therapy options on BetterHelp.

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