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Therapeutic Approach

Everyone’s story is different, and so is the way we heal. I offer therapy that blends talk and art therapy and expressive arts therapy to support your emotional well-being, help you process the past, and move forward with greater clarity, confidence, and self-understanding. Art therapy focuses on visual expression, while expressive arts therapy expands into multiple creative modalities such as movement, writing, and sound—allowing for deeper exploration beyond words alone. Based in Fort Worth, I provide online therapy to individuals across Texas.

 

My style is warm, compassionate, and grounded in deep respect for your unique journey. I believe in moving at your pace, building trust over time, and offering tools that feel right for you. Whether we talk, create, reflect, or simply sit with what is, I’m here to help you feel safe, seen, and empowered in your healing process.

Below are the core approaches I draw from in my work.

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Talk Therapy

Sometimes we just need someone to talk to—someone who listens without judgment and helps make sense of what feels confusing or overwhelming. My approach to talk therapy is grounded in warmth, curiosity, attunement, and a person-centered perspective. I move at your pace, creating space for you to explore your thoughts, emotions, and experiences in a way that feels safe and supported.

Within this relational foundation, I may incorporate Cognitive Processing Therapy (CPT), a structured, evidence-based approach designed to address the impact of trauma. CPT focuses on identifying and examining patterns of thinking that may have developed after difficult or painful experiences—particularly those that shape how you see yourself, others, and the world—and supports you in developing more balanced and helpful perspectives.

While CPT is traditionally a talk-based approach, I may integrate Art Therapy and Expressive Arts Therapy as supportive tools within this process when it feels appropriate for you. Creative expression can offer another way to access and communicate emotions that are difficult to put into words, while also helping to increase awareness of body sensations connected to past experiences. As Bessel van der Kolk highlights in The Body Keeps the Score, trauma is not only held in our thoughts, but also in the body—meaning cognitive work alone does not always fully resolve trauma-related symptoms. Integrating creative and somatic awareness can support a more complete and embodied healing process.

 

​My approach is somewhat eclectic—I draw from different models depending on what fits you best. Whether we’re exploring beliefs, unpacking your story, or simply creating space to be heard, I move at your pace and center what feels most meaningful and supportive to you. 

 

Learn more about Cognitive Processing Therapy

 

Arts Therapy

Art Therapy is a specialized, experiential approach that uses visual expression to support insight, emotional processing, and self-understanding. This may include drawing, painting, collage, or other image-based forms that allow you to explore your experiences in a way that does not rely solely on words.

In sessions, the focus is not on artistic skill or creating something “good,” but on what the images represent for you and what begins to emerge through the process. Art can offer a way to externalize thoughts, emotions, and internal experiences, making them easier to understand, reflect on, and work with in therapy.

At times, I may introduce structured art-based prompts or assessments to support exploration and insight. These are not used to evaluate or judge your artwork, but rather to help bring awareness to patterns, emotions, and experiences in a supportive and nonjudgmental way. All art-making is guided by your comfort level, and there is always space to engage in a way that feels safe and meaningful to you.

Learn more about Art Therapy

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Expressive Arts Therapy

Expressive Arts Therapy is a holistic, experiential approach that supports insight and healing by engaging the mind, body, and inner sense of self through gentle, creative exploration—not artistic skill or performance. In addition to talking, sessions may include a range of expressive modalities such as visual journaling, storytelling, movement, writing, music, sound, poetry, crafts, or nature-based practices. The process is adapted to align with your natural interests and ways of expressing yourself, allowing the work to feel more accessible and meaningful to you.

 

A defining element of expressive arts therapy is the movement between different forms of expression—such as from image to movement or writing—as a way of deepening understanding and expanding awareness of your experience. This intermodal process supports expression of experiences that may be difficult to put into words and increases awareness of thoughts, emotions, and body sensations.

This approach is collaborative, nonjudgmental, and guided by your comfort level. The focus is on your internal experience and meaning-making, rather than creating something “good” or getting it right. Expressive invitations may also support somatic awareness and connection with inner wisdom, whether understood as intuition, authentic self, spirituality, or personal meaning.

Learn more about Expressive Arts Therapy

Let’s Work Together

Get in touch so we can start working together

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CREATE THERAPY, PLLC

COUNSELING AND EXPRESSIVE ARTS THERAPY BY ELIZABETH

Virtual Therapy for Texas residents                         

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TEL: (432) 242-1798 

createtherapy.elizabeth@gmail.com

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