Carolyn Presnall , LCSW, LPC

Carolyn Presnall is a Texas-based licensed clinician with 42 years of experience in mental health care. She holds LCSW and LPC credentials - LCSW stands for Licensed Clinical Social Worker, a credential for clinical social work practice, and LPC stands for Licensed Professional Counselor, a credential for professional counseling. Over four decades she has worked with elderly clients, adults, adolescents, children and their families across private practice, residential programs, hospitals and educational settings.

Her training spans trauma treatment, cognitive behavioral therapy, PTSD-focused interventions, play therapy, solution-focused methods and client-centered therapy. She blends evidence-based techniques with a warm, approachable manner, believing that laughter together with compassion, empathy, kindness and understanding supports meaningful therapeutic progress. Carolyn has also held administrative roles in mental health, including directing a residential treatment program for severely emotionally disturbed children and serving as Director of Psychiatry for a major children’s medical center.

She has supported adults with intellectual and developmental disabilities in navigating community systems and has addressed relationship struggles, parenting challenges and stress in private practice. Carolyn spent five years working with older adults recently diagnosed with early-onset dementia or Alzheimer’s who were also coping with anxiety and depression. In response to recent stressful times for families, she draws on years of experience teaching parenting classes to help with anxiety, depression and school-related concerns affecting children and adolescents. She is accepting new clients and welcomes inquiries from those seeking support.

Approaches That Guide Online Care

Carolyn Presnall integrates client-centered therapy, cognitive behavioral therapy (CBT) and emotionally-focused therapy (EFT) into her online work. Client-centered therapy emphasizes a nonjudgmental, empathetic stance and helps people explore their values and strengths while building self-understanding and confidence. Cognitive behavioral therapy focuses on identifying unhelpful thoughts and behaviors and developing practical skills to manage anxiety, depression, stress and coping with life changes. Emotionally-focused therapy helps people and families recognize and express emotions more clearly to improve connections in relationships and address grief, conflict and attachment concerns.

Finding the right approach is part of the therapeutic process, and Carolyn collaborates with each person to determine which methods best match their needs, goals and preferences. She adapts techniques over time so therapy remains relevant and focused on measurable progress.

Online therapy with Carolyn can take place by video call, phone session, live chat or text-based messaging, offering flexibility for busy schedules, caregiving responsibilities and mobility limits. These options make it easier to maintain continuity of care, attend sessions from home or another comfortable setting, and access support when life circumstances create barriers to in-person visits.