Donna Byxbe, LCSW

Donna Byxbe is a Licensed Clinical Social Worker (LCSW) practicing in Texas with 29 years of clinical experience. She began her career in 1995, spending many years in community mental health programs where she supported people across the lifespan, including children, adolescents, adults, older adults, couples and groups. Over time she developed expertise addressing a wide range of concerns such as stress, anxiety, relationship and family difficulties, trauma and abuse, grief and depression, addictions, parenting challenges, anger and self-esteem issues, bipolar and mood disorders, ADHD, and other life transitions.

In 2005 she opened a private practice and maintained it full time until 2020. During the pandemic she transitioned to telehealth, which led to a reduced caseload in her smaller community where many people were uncomfortable with remote sessions. Early in 2021 she accepted the vaccine but experienced medical complications and paused her practice for about three months while focusing on recovery. In December 2021 she again became ill with the virus and took additional time to regain strength. She now provides therapy through an online arrangement rather than restarting a solo in-person practice.

Donna draws on multiple clinical approaches, including client-centered work, cognitive behavioral techniques, psychodynamic perspectives, EMDR for trauma, and transpersonal methods such as hypnotherapy, meditation, and inner child work. Treatment plans are shaped by each client or couple, with goals and methods selected collaboratively to support growth, healing and improved relationships. Donna emphasizes respect for self-determination and offers guidance, feedback and clinical knowledge as clients pursue their chosen goals.

Approach-Focused Care Delivered Online

Donna combines evidence-informed methods to tailor sessions to each person or couple. Client-Centered Therapy emphasizes empathy and collaboration - the therapist offers active listening and support while clients lead the pace and focus of change, which can be especially helpful for self-esteem, relationship concerns and life transitions. Cognitive Behavioral Therapy (CBT) focuses on identifying patterns of thinking and behavior that maintain distress and teaches practical skills to shift those patterns; CBT is often used for anxiety, depression, panic and coping with stress. Eye Movement Desensitization and Reprocessing (EMDR) is a trauma-informed approach that helps people process painful memories in order to reduce their emotional intensity and improve functioning.

Choosing the right approach is part of the therapeutic process. Donna works collaboratively with clients to determine which methods fit their needs, goals and preferences, and she adapts care as progress unfolds. This collaborative planning helps ensure therapy aligns with each person or couple's priorities.

Online therapy via video, phone, live chat or text-based messaging offers flexibility for scheduling and access from different locations. These formats make it easier to maintain consistency with sessions around work, family responsibilities and life changes, while allowing therapists and licensed professionals to deliver structured, goal-oriented care in a format that suits the client.