Annette Rios-Barrera, LCSW
Licensed in Texas · 23 years in practice
Annette Rios-Barrera is a licensed clinical social worker based in Texas with 23 years of experience.
License and registration
- LCSW, Texas
- 53659 · expires August 2027
- NPI
- 1891147039 · national provider identifier
- Years in practice
- 23
- Languages
- English, Spanish
Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.
About Annette
Annette Rios-Barrera is a licensed clinical social worker based in Texas with 23 years of experience. She uses a trauma-aware, relational approach to help people facing anxiety, depression, grief, identity questions, and challenges in close relationships. Annette's pronouns are she/her and she speaks both English and Spanish.
Her work focuses on making therapy practical and relevant. Sessions are shaped around each person's goals and values. She pays attention to emotional safety and rebuilding trust so clients can feel steadier in daily life.
Background and approach
Annette draws on several therapy styles to meet different needs. She uses Acceptance and Commitment Therapy to help people notice what matters to them and act on those values. She incorporates Attachment-Based ideas to understand relationship patterns and to strengthen connections.
Cognitive Behavioral Therapy tools are used to identify and change unhelpful thoughts and behaviors. She also brings lightness into the room when it helps, balancing serious work with moments of play or breath. That can make difficult topics easier to approach and sustain over time.
Annette works with a broad range of concerns including stress, intimacy and relationship issues, grief, career change, and recovery from past wounds. She also supports people dealing with chronic illness, caregiving strain, body image, and adoption or attachment-related worries. People can expect a collaborative style in sessions.
Annette helps clients set realistic steps, practice new skills between meetings, and check progress along the way.
Focus areas and approaches
Everything Annette lists on their public professional profile, in their own terms.
- LGBT
- Relationship issues
- Family conflicts
- Grief
- Intimacy-related issues
- Stress, Anxiety
- Career difficulties
- Depression
- Coping with life changes
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- BDSM, kink, and alternative sex culture
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Veteran and Armed Forces Issues
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Approaches Annette names
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Eye Movement Desensitization and Reprocessing (EMDR)
- Gottman Method
- Jungian Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Systemic Therapy
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
Therapeutic approaches and online care
Annette uses Acceptance and Commitment Therapy to help people clarify what matters most to them and take small steps toward those values even when feelings are hard. ACT is useful for anxiety, depression, and coping with life changes.She also draws on Attachment-Based Therapy to look at how early relationship patterns affect current connections and intimacy. This approach helps people identify repeating dynamics and find new ways to relate. Cognitive Behavioral Therapy is used to spot unhelpful thoughts and build practical skills for daily challenges.
Finding the right approach is a team effort. Annette will talk with each person about their goals, preferences, and what has or hasn’t worked before. Together they decide which methods to try and adjust the plan as progress is made.
Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to make therapy flexible. Video is useful for deeper conversations and visual cues, phone calls work well when bandwidth is limited, and messaging or live chat can be used for quick check-ins or ongoing skill practice. These options help fit therapy into busy schedules and make consistent care easier to maintain.
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Questions people ask
What concerns does Annette focus on?
She works with anxiety, depression, stress, grief, relationship and intimacy issues, and career or life changes. Additional focus areas include adoption and foster care concerns, caregiver stress, chronic illness, body image, and codependency.
What is her general therapy style?
Her style is collaborative and trauma-aware, with practical steps you can try between sessions. She balances focused skill work with attention to relationships and emotional safety.
How much experience does she have?
She brings 23 years of professional experience to her practice, working with a wide range of relational and mental health concerns.
What are her credentials and where is she based?
She is a licensed clinical social worker - LCSW - licensed in Texas and practices from that state.
Which languages are supported?
Sessions are offered in English and Spanish to accommodate bilingual clients.
What session formats are available?
Therapy is offered via video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs.
How does billing and cost work?
Cost varies with location and therapist availability and sessions use a subscription model that can be canceled at any time.
How do I begin if I want to work with her?
Start by selecting the Start Therapy button, complete the short matching questionnaire, and then schedule sessions according to therapist availability.
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