Annette Rios-Barrera, LCSW
Therapist in Texas
Annette Rios-Barrera is a licensed clinical social worker in Texas with 23 years of experience.
- Licensed inTexas
- License53659
- NPI 1891147039
- Experience23+ years
- LanguagesEnglish, 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 in Texas with 23 years of experience. She uses a practical, relational approach to help people navigate anxiety, depression, grief, and changes in identity. Annette’s style is direct and compassionate, with room for warmth and even humor when it helps someone cope.
Her work centers on building emotional safety and repairing attachment patterns that make relationships feel risky. She helps clients increase self-awareness, set clearer boundaries, and reconnect to what matters to them.
Background and approach
Sessions focus on skills that can be used between meetings as well as on understanding past patterns. Annette draws on Attachment-Based Therapy to explore how early relationships shape current connections. She also uses Acceptance and Commitment Therapy to clarify values and take action, and Cognitive Behavioral Therapy for practical behavior and thought changes.
These methods are woven together to fit each person’s needs rather than applied as a fixed package. She supports people facing grief, caregiving stress, chronic illness, career transitions, and intimacy-related concerns. Annette also works with issues around adoption and foster care, abandonment, body image, and kink-positive sexuality, helping people find steadier footing through hard moments.
Sessions are offered in English and Spanish. Annette respects different identities and relationship styles and aims to create a space where people feel seen and understood. Her approach balances gentle challenge with practical tools to help clients move forward.
Credentials
- LCSW (Texas)
- License 53659 · expires August 2027
- NPI
- 1891147039 · 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 therapist lists and checks neither.
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
- Attachment-Based Therapy
- Acceptance and Commitment Therapy (ACT)
- 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
How relational approaches adapt to online therapy
Attachment-Based Therapy looks at how early connections influence present relationships. Online sessions use conversation and targeted exercises to notice attachment patterns and try new ways of relating. This can help with trust, fear of closeness, and repeated relationship cycles.Acceptance and Commitment Therapy, or ACT, focuses on clarifying what matters to you and taking small committed steps toward those values. In virtual sessions, this often includes short experiential exercises and homework to practice acceptance and committed action between meetings.
Finding the right approach is a collaborative process. Annette will talk with you about your goals, try methods that fit your needs, and adjust as you go. Together you decide whether to emphasize relational work, values-based action, or practical cognitive-behavioral strategies.
Online formats offer flexibility for busy lives. Video calls let you work face to face from wherever you are. Phone sessions can be a good option when bandwidth is limited or during a quick check-in. Live chat and text-based messaging support shorter reflections, check-ins, and between-session coaching that keep progress steady without needing a full session.
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Frequently asked
What kinds of concerns does she help with?
She supports people dealing with anxiety, depression, grief, stress, relationship and intimacy-related issues, career transitions, and coping with life changes.
What is her therapeutic style like?
Her style is relational and practical. Expect a mix of reflective conversation, skills practice, and goal-focused steps that you can use between sessions.
How much experience does she have?
Annette has 23 years of professional experience as a licensed clinician working with a wide range of concerns and life stages.
What credentials and region are listed?
She is an LCSW licensed in Texas and practices from that state.
Which languages are supported?
Sessions are offered in English and Spanish, and she also accepts international clients.
In what formats are sessions offered?
Therapy is available via video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.
How are costs and payments handled?
Costs vary with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What do I do to start working together?
Click the Start Therapy button, complete a short matching questionnaire, and schedule a session based on the therapist's availability.
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