About Elaine
Elaine Messarra uses a client-centered approach to guide people through stress, anxiety, grief, and life transitions. She is a Licensed Professional Counselor - LPC practicing in Texas with 26 years of experience. Elaine keeps sessions focused on what matters most to each person and moves at a pace that feels comfortable for them.
She draws on a mix of approaches including Cognitive Behavioral Therapy and Emotionally-Focused Therapy to address relationships, intimacy concerns, and trauma.
Background and approach
Mindfulness and narrative techniques are woven in to help people notice patterns and rewrite painful stories. Sessions often involve gentle questioning, practical coping strategies, and attention to how thoughts influence feelings and behavior. Elaine has a long history working in independent practice and providing therapy online.
She also spent many years as a teacher and school counselor, and has experience supporting older adults in assisted living settings. That background informs her work with caregivers, people facing aging and geriatric issues, and those managing chronic illness or hospice-related concerns. Faith can be part of the conversation when clients want it.
Elaine offers faith-based counseling and prayer as an option, and she respects each person’s values and beliefs. Her style emphasizes listening without judgment and offering unconditional positive regard. Sessions use a subscription model that can be canceled at any time.
Elaine aims to help people feel heard, validated, and more hopeful after each session.
How Elaine’s Approaches Translate to Online Therapy
Elaine often combines client-centered work with Cognitive Behavioral Therapy to help people notice unhelpful thoughts and build new coping strategies. CBT gives concrete tools for anxiety, depression, and sleep issues, while the client-centered stance keeps the pace gentle and focused on each person’s priorities.She also draws on Emotionally-Focused Therapy to address relationship and intimacy concerns. EFT helps people identify core emotions and change interaction patterns that cause hurt, which can be useful for improving communication and building safety in relationships.
Choosing the right approach is part of the work together. Elaine will discuss goals, preferences, and what feels helpful, then adjust methods as needed. That collaborative process helps make sure the therapy fits the person rather than forcing a single method.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversation and visual cues, phone sessions work well when bandwidth is limited, live chat can handle shorter check-ins, and messaging supports ongoing reflection between meetings. These options offer flexibility for different schedules and needs, making it easier to fit therapy into daily life.
Questions people ask
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What this counselor works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- Abandonment
- Addictions
- Aging and geriatric issues
- Anger management
- Attachment issues
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Divorce and separation
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Self esteem
- Self-love
- Sleeping disorders
- Social anxiety and phobia
- Traumatic brain injury
- Trichotillomania
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 26 years
- Licensed
- Texas
- Languages
- English