Elaine Messarra is a Licensed Professional Counselor (LPC) based in Texas with 26 years of experience in psychotherapy.
01About Elaine
Elaine Messarra is a Licensed Professional Counselor (LPC) based in Texas with 26 years of experience in psychotherapy. She offers individual therapy and brings a calm, patient presence to sessions. Elaine writes and listens carefully so clients can talk through what matters most to them.
She uses a client-centered approach that sets the pace and goals with each person. Elaine also draws on cognitive behavioral therapy to help spot thinking patterns, and emotionally-focused ideas to strengthen how people connect with their feelings.
Background and approach
Mindfulness and narrative methods are part of her toolbox when those approaches fit a person's needs. Her work covers stress, anxiety, trauma and abuse, grief, depression, and addictions. She also helps with relationship and intimacy-related issues, family concerns, parenting strain, caregiving stress, chronic illness, and compassion fatigue.
Practical issues like sleep problems, anger, self-esteem, career shifts, and coping with life changes are commonly addressed in sessions. Elaine has experience in independent practice and has provided services in nursing home and assisted living settings, plus a background as a teacher and school counselor.
That long experience informs how she supports adults through loss, caregiving challenges, aging and geriatric matters, and family of origin wounds. Therapy with Elaine centers on clear, respectful conversation. She offers faith-informed counseling and prayer if a client requests it.
Sessions focus on helping people feel heard, less stuck, and more hopeful as they make changes.
02Credentials
- LPC (Texas)
- License 12798 · expires April 2027
- NPI
- 1669630232 · national provider identifier
Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the counselor lists and checks neither.
03Focus areas and approaches
Everything Elaine lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
- Grief
- Depression
- Addictions
- Family conflicts
- Intimacy-related issues
- Sleeping disorders
- Parenting issues
- Anger management
- Self esteem
- Career difficulties
- Coping with life changes
- Compassion fatigue
- Abandonment
- Aging and geriatric issues
- Attachment issues
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Divorce and separation
- Emptiness
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Phobias
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Self-love
- Social anxiety and phobia
- Traumatic brain injury
- Trichotillomania
- Women's issues
- Workplace issues
Methods Elaine names
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Emotionally-Focused Therapy (EFT)
- Mindfulness Therapy
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
These are the methods Elaine names on their own professional profile. Naming an approach is not evidence of training or certification in it, and this directory checks no training records. Ask directly if it matters to you.
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04Online support
How Elaine’s Approaches Work Online
Elaine commonly blends client-centered work with cognitive behavioral therapy to help people notice unhelpful thoughts and try new, small behaviors. Client-centered Therapy means sessions follow the person's pace and priorities while the therapist listens, reflects, and helps clarify goals. Cognitive Behavioral Therapy is practical and goal-focused, useful for anxiety, depression, sleep problems, and coping with change.She also uses emotionally focused ideas to help people name and work through difficult feelings. That approach helps when grief, trauma, or relationship wounds make it hard to connect with emotions. Together, these approaches give options - sometimes learning a new skill, sometimes making sense of a story, sometimes simply feeling supported in the moment. Elaine will collaborate with each person to choose the best mix based on their needs, goals, and preferences so the plan fits the person, not the other way around.
Online therapy with Elaine includes video calls, phone sessions, live chat, and text-based messaging. Video calls let people use visual cues during deeper conversations. Phone sessions are a good option when bandwidth is limited or a check-in is needed during a work break. Live chat and messaging can be useful for shorter updates, reflective homework, or when typing feels easier than talking. These formats make it easier to fit therapy into busy schedules and different life circumstances.
05Questions people ask
What concerns does Elaine commonly address?
She works with stress, anxiety, trauma and abuse, grief, depression, and addictions, along with relationship and intimacy issues and caregiver strain.
What is her general therapy style?
Her style is client-centered and paced to each person. She uses talk therapy with empathy, active listening, and practical problem solving.
How much clinical experience does she have?
Elaine has 26 years of experience in psychotherapy, including independent practice and work in nursing home and assisted living settings.
Where is she licensed and based?
She is a Licensed Professional Counselor LPC in Texas and practices from that state.
Which languages are supported in sessions?
Sessions are offered in English.
What session formats are available?
Sessions can be done by video calls, phone sessions, live chat, or text-based messaging.
How are sessions paid for and what do they cost?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Use the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.
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