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Annette Rios-Barrera

Annette Rios-Barrera, LCSW

Therapist in Texas

Trauma-informed relational therapist

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Experience

23+ years

Credentials

LCSW

Languages

English, Spanish

Based in

Texas

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 dealing with anxiety, depression, grief, identity questions, and intimacy-related concerns. Her pronouns are she/her and she brings a warm, direct presence to sessions.

Clients can expect practical, down-to-earth support aimed at everyday life. Annette focuses on building emotional safety, repairing trust, and increasing self-awareness. She balances mindful practices with straightforward tools so progress feels manageable and relevant.

Her work often includes issues that touch relationships and identity, including LGBT concerns, ethically non-monogamous dynamics, blended family stress, and commitment questions. She also supports people facing chronic illness, caregiver strain, body image struggles, and the grief that follows loss of many kinds.

Therapeutic choices are adapted to each person. Annette blends approaches such as Acceptance and Commitment Therapy and Attachment-Based work with Client-Centered care and skills from cognitive and dialectical methods when helpful. She may weave moments of playfulness into sessions, drawing on her background as a laughter yoga instructor when appropriate.

Sessions are offered in English and Spanish and she works with people across a range of life stages and transitions. If someone wants guidance that is compassionate and practical, Annette aims to help them find clearer footing and next steps.

How therapeutic approaches shape online care

Acceptance and Commitment Therapy (ACT) encourages people to notice difficult thoughts and then commit to actions that match their values. It is useful for stress, anxiety, and when someone wants a practical way to move forward despite uncomfortable feelings. Attachment-Based Therapy looks at how early patterns affect current relationships and helps people create safer, more connected ways of relating. It often helps with intimacy-related concerns and trust rebuilding.

Finding the right approach is part of the work. The therapist collaborates with each person to pick methods that fit their goals, needs, and preferences. That means trying things, checking what helps, and changing course together when needed.

The biography does not specify session formats, so confirm current online options before booking. Many people find online sessions easier to fit into a busy day, such as shorter check-ins during a work break or scheduling across different time zones for international clients. Others appreciate not needing travel time and being able to see a therapist who practices in a different part of Texas. The focus is on making therapy workable for everyday life while choosing approaches that match the concerns brought to therapy.

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

License details

LCSW · Texas
53659
NPI (National Provider Identifier)
1891147039

As listed on the therapist's professional profile. You can check these details with the relevant licensing board, professional body or registry.

Frequently asked questions

What kinds of concerns does she address?

She works with anxiety, depression, grief, intimacy-related issues, and relationship and identity concerns including LGBT topics and ethically non-monogamous situations.

How would you describe her therapeutic style?

Her style is trauma-informed and relational with a direct, compassionate approach that mixes practical skills and reflective exploration.

How much clinical experience does she have?

She has 23 years of professional experience as a clinician in social work and related therapeutic roles.

What are her credentials and where is she based?

She holds the credential LCSW and is based in Texas.

Which languages are supported during sessions?

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

What session formats can I expect?

The original biography does not list specific session formats, so confirm current session options before booking.

How does pricing or cost work?

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

What are the first steps to start therapy?

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

Some intimacy concerns have a physical side. If you notice pain or other physical symptoms, please speak with a doctor as well. Therapy can sit alongside medical care, not replace it.

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