Marisabel Azcarate

Something brought you here — and it's worth paying attention to. I'm Marisabel, a Licensed Professional Counselor with over 20 years of experience supporting adults, teens, and children through trauma, anxiety, depression, life transitions, and relationships that feel stuck.

I earned my Master's in Mental Health Counseling from Webster University in 2007. Since then, I've worked across some of the most demanding clinical settings there are — psychiatric hospitals, corrections, immigration, and outpatient mental health — which means I've sat with people in the hardest moments of their lives. That experience shapes how I show up in session: steady, present, and unrattled by whatever you bring in.

I'm licensed in both Texas (LPC) and New Mexico (LPCC), and I work with a wide range of clients — from people navigating ADHD, OCD, and anxiety to those processing grief, divorce, attachment wounds, abuse, or anger that's hard to manage. Many of my clients are people who've been carrying a lot for a long time, often without anyone noticing how heavy it really is.

My approach is client-centered and trauma-informed — which is another way of saying we move at your pace, not a textbook's. Before we do any "real work," we build trust, because lasting change rarely happens until you feel genuinely safe in the room.

I integrate several modalities depending on what fits. EMDR for trauma that lives in the body. CBT for thought patterns that get stuck on repeat. Expressive arts, play therapy, and sand tray for clients — often children — who need to access feelings that are hard to put into words. Crisis intervention and anger management when that's what the moment calls for.

What stays consistent across all of it: I won't rush you, I won't pretend to have answers I don't have, and I'll meet whatever you bring in without judgment.

First sessions are mostly about getting to know each other. You don't need to come in with the right words or a plan — just whatever brought you here today. We'll talk about what's been hardest recently, what's already been tried, and what you'd like to feel differently in your life.

From there, I'll start to get a sense of what kind of work might help — whether that's processing something old that keeps showing up in the present, building tools for anxiety or anger that's running the show, or simply having a space where someone listens without trying to fix you.

By the end of the first session, you should leave with a clearer sense of the path forward and whether we feel like a fit. There's no commitment to anything beyond that first conversation.