LPCTherapists

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Warm, practical counseling with clear goals

Andrea Pugh, MD, LCPC, LPC

10 years in practice · based in Texas · sessions in English · online only

AP Portrait of Andrea Pugh

About Andrea

Andrea Pugh is a Licensed Professional Counselor with a Master of Science degree in Counseling Psychology. She has ten years of clinical experience and brings a warm, down-to-earth presence to sessions. Andrea uses a mix of practical techniques and a lighthearted manner to help people take steps toward feeling better.

She favors person-centered work that treats the client as the expert of their story. Andrea also uses solution-focused strategies to set clear, achievable goals.

Explore online therapy options See what online therapy involves and what your next steps would be on BetterHelp.

Background and approach

Cognitive behavioral tools are used to change unhelpful thinking and behavior patterns that keep stress and anxiety active. Andrea has worked in schools, community mental health agencies, substance abuse clinics, and corrections. That background informs her direct style when addressing anger, addiction, depression, panic, and anxiety.

She has also supported people dealing with serious mental illness, including bipolar disorder and schizophrenia. Common issues she helps with include relationship strain, family stress, attachment concerns, communication problems, grief related to forgiveness, and struggles with guilt or shame. Body image, impulsivity, loneliness, and questions about life purpose are also areas she addresses.

Andrea often uses gentle humor and smiles to ease difficult conversations. She approaches therapy as a team effort grounded in honesty and accountability. Sessions aim to build on existing strengths and to teach concrete skills people can use between appointments.

Andrea lives in Texas and enjoys travel, live music, and time with family and her black Labrador, Bentley.

Therapeutic approaches and online sessions that fit your life

Andrea commonly uses person-centered methods that focus on listening and building on each person's strengths. This approach helps people clarify what matters most to them and feel understood as they make changes.

She also uses solution-focused techniques that break problems into small, workable steps. Those strategies aim for clear goals and quick wins you can use between sessions. Cognitive behavioral approaches are used to identify and shift unhelpful thoughts and behaviors that feed anxiety, panic, depression, or anger.

Choosing the right approach is part of the work. Andrea collaborates with clients to decide which methods match their needs, goals, and preferences, and she adjusts the plan as progress is made.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging. Video is useful for a near face-to-face conversation, phone calls can work when bandwidth is limited, live chat offers a shorter check-in, and messaging is helpful for ongoing support between appointments. These formats make it easier to fit therapy into a busy life and keep continuity when schedules change.
Explore online therapy options See what online therapy involves and what your next steps would be on BetterHelp.

Questions people ask

What kinds of concerns does Andrea address?

She works with stress, anxiety, depression, anger, relationship and family concerns, and related issues such as panic, social anxiety, attachment, body image, guilt and shame.

How would you describe her therapy style?

Andrea combines person-centered empathy with solution-focused planning and cognitive behavioral techniques, using a friendly, straightforward manner and occasional humor.

What is her background and experience?

Andrea has ten years of experience and has worked in schools, community mental health, substance abuse clinics, and corrections, supporting a wide range of concerns.

What credentials and location apply to this therapist?

She holds the credentials MD, LCPC, and LPC and is licensed in Texas.

Does she offer sessions in other languages or internationally?

Sessions are offered in English and international clients are not accepted at this time.

Which session formats are available?

Sessions may be conducted by video calls, phone sessions, live chat, or text-based messaging to suit different needs and schedules.

How are fees handled for sessions?

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

How do I begin working with this therapist?

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

What this counselor works with

Most often

Experience
10 years
Licensed
Texas, Oregon, Maryland
Languages
English