If you’re feeling overwhelmed, anxious, emotionally stuck, or unsure how to handle everything life is throwing at you, therapy can give you space to step back, make sense of what’s going on, and decide what to do next. I work with adults who want to gain insight, explore their experiences, and build practical strategies that feel useful in real life.
AREAS I SPECIALIZE IN:
• Anxiety, stress, and burnout
• Depression and mood-related concerns
• Trauma and recovery from abuse or neglect
• Work-related stress and career challenges
• Parenting stress and caregiver fatigue
• Adjustment to disability (your own or a loved one’s)
• LGBTQ+ affirming care and identity exploration
WHAT IT’S LIKE TO WORK WITH ME
My style is direct, collaborative, and conversational. I ask meaningful questions, offer honest feedback, and help you look at things from new angles. I approach therapy with curiosity, respect, and a sense of humor. Sessions often feel like thoughtful, structured conversations — not stiff or scripted.
I use research-backed methods to help us understand how your thoughts, emotions, and behaviors interact:
• Cognitive Behavioral Therapy (CBT): Helps identify and shift unhelpful thought loops and behavioral patterns. On a deeper level, it helps us explore where these loops began and the core beliefs or stories that have kept them going.
• Solution-Focused Brief Therapy (SFBT): Focuses on your existing strengths, tracks small wins, and helps define clear goals. It doesn't dismiss problems but keeps our work future-focused and actionable.
• Motivational Interviewing (MI): Supports change by helping you clarify what matters, even if you feel ambivalent. Whether you’re not ready, thinking about change, or already taking steps, MI meets you where you are.
• Acceptance and Commitment Therapy (ACT): Builds psychological flexibility by helping you notice unhelpful mental habits, accept uncomfortable thoughts, and take actions guided by your values.
• Trauma-Focused Therapy – including Cognitive Processing Therapy (CPT), which helps process and reframe difficult experiences by exploring the meanings we’ve made about ourselves and the world in the aftermath of trauma
WHAT TO EXPECT IN OUR FIRST SESSION
In our first session, we’ll start with what feels most important to you. That might mean discussing your current concerns, reviewing relevant background, and exploring what you’d like from therapy. But it can also be a space to let out what you’ve been holding in. If you're not ready to dive into goals just yet, we can gather that information gradually. I’ll provide enough structure to guide us, while leaving room for what you need most in the moment.
A BIT ABOUT ME
I have a PsyD in Counseling Psychology from Our Lady of the Lake University and a Master’s in Mental Health Counseling from Texas A&M University. My background includes work in neuropsychological assessment, vocational counseling, and brief therapy models. I’ve worked in schools, hospitals, and private practice, with a wide range of clients.
I’m informed by brain science, trauma research, and the reality that our identities, communities, environments, and cognitive or physical abilities all shape our mental health. I strive to offer care that’s respectful of each person’s lived experience — including neurodiversity, disability, and the unique challenges and strengths we all bring.
MY PHILOSOPHY
Some people come to therapy like they would a doctor — when something feels off and they want to get back on track. Others use therapy more like the gym or a salon — a regular check-in and form of self-care. I support both. Whether we’re addressing something acute or investing in your growth, I want therapy to be worth your time.
We’ll explore patterns, build skills, and reconnect with your strengths. We may dig into the past or focus on the present. No matter where we start, my goal is to help you move forward.
These quotes represent just a few of the many positive reviews that we have received for April Abrego. We don't pay anyone to provide their review and they are all made voluntarily. Some people's experience receiving therapy with BetterHelp might be different.
Very smart and very honest.
Written on Jul 02, 2025 after therapy with April for 2 months on issues concerning depression, stress, anxiety, trauma and abuse, and grief
I Love my therapist and her ability to keep it real. She is so encouraging and uplifting and helps me think of solutions I hadn’t thought of before.
Written on May 12, 2023 after therapy with April for 5 months on issues concerning stress, anxiety, family conflicts, sleeping disorders, and coping with life changes
April has been wonderfully helpful in guiding me to see situations differently and break out of my mental traps. She has show care and compassion in the way she has approached my therapy needs. Thank you.
Written on Jan 13, 2023 after therapy with April for 2 weeks on issues concerning stress, anxiety, relationship issues, trauma and abuse, and self esteem
Dr. Abrego has been great. She’s helped me through some really rough moments in my life and helped me learn new ways to communicate my feelings and needs. She’s also taught me better ways to cope. Thank you Dr. Abrego.
Written on Jun 18, 2022 after therapy with April for 6 months on issues concerning depression, stress, anxiety, family conflicts, trauma and abuse, sleeping disorders, and self esteem
Dr. Abrego, is kind and understanding. She gets straight to the point without sugarcoating anything. I enjoy that about her. She does provide thought provoking insight as well which I believe to be the best attribute for her to have especially as a therapist.
Written on Feb 09, 2022 after therapy with April for 2 months on issues concerning depression, stress, anxiety, lgbt, trauma and abuse, intimacy-related issues, self esteem, anger management, career difficulties, coping with life changes, and coaching
April is doing a great job helping me work through my behavioral patterns. I'm learning a lot about myself and what I need to do in order to be better.
Written on Dec 26, 2021 after therapy with April for 3 weeks on issues concerning depression, stress, anxiety, lgbt, relationship issues, family conflicts, trauma and abuse, intimacy-related issues, self esteem, and coping with life changes
I have already recommended Better Help to pretty much everyone. I love that it's on my time and I get a response regularly. There's no pressure to share or squeeze visits into my schedule!
Written on Dec 13, 2021 after therapy with April for 2 weeks on issues concerning relationship issues, family conflicts, intimacy-related issues, parenting issues, self esteem, anger management, and bipolar disorder
Dr. Abrego has helped me through hard times and I am grateful for her. I recommend her to my friends and family.
Written on Nov 21, 2021 after therapy with April for 1 year and 4 months on issues concerning depression
Dr. Abrego has been tremendously helpful. She listens to my concerns and offers ways to think differently about difficult situations. I am extremely grateful for her help along my personal growth journey. I would strongly recommend Dr. Abrego.
Written on Sep 04, 2020 after therapy with April for 9 months on issues concerning depression, stress, anxiety, family conflicts, grief, and self esteem
I have been seeing April for about 6 months so far and have learned so much about myself. She’s caring, attentive, funny and relatable. She finds balance in validating my feelings and showing me areas where I can improve or shift in my thoughts or perspective. I would recommend her to any and everyone!
Written on Aug 17, 2020 after therapy with April for 6 months on issues concerning depression, stress, anxiety, relationship issues, family conflicts, trauma and abuse, grief, parenting issues, and coping with life changes
April understands me and has helped me understand myself
Written on Jul 29, 2020 after therapy with April for 1 year and 7 months
April is amazing and I’m happy she’s there when I need her! She’s helped me a lot and I can always depend on her!
Written on Apr 21, 2020 after therapy with April for 1 year on issues concerning stress, anxiety, and relationship issues
I’ve only had a few sessions with April, but she truly is a wonderful counselor. I had tried counseling previously but didn’t particularly mesh well with who I was seeing. April has shown me how counseling truly should work, and what it feels like when you find the right one. She listens non judgmentally, validates how I feel, sends me relevant resources, and is able to find patterns to my jumbled thinking that I’m not aware of. Could not recommend her enough.
Written on Jan 17, 2020 after therapy with April for 2 weeks on issues concerning depression, self esteem, and career difficulties
She’s empathetic, and incredibly helpful. Appreciated her insight and resources.
Written on Sep 16, 2019 after therapy with April for 2 weeks
April was a fantastic listener and advice giver. Equal parts kind, funny, and empathetic. If it wasn’t frowned upon, I’d be happy to have her as a friend!
Written on Sep 05, 2019 after therapy with April for 2 months
I cannot say enough good things about April. I love her approach and how easy it is to talk to her. I work in a behavioral health hospital and because of my experience with April and Betterhelp, I have recommended this to other patients. I could not be happier with my therapist. Thank you, April.
Written on Sep 01, 2019 after therapy with April for 2 months on issues concerning depression, stress, anxiety, and trauma and abuse
April has been wonderful, supportive, and helped me find actual solutions to most of my issues.
Written on Aug 16, 2019 after therapy with April for 3 weeks
Posting this in case I can’t at some point uhhh.....so incredible. I think that’s a good description. She is a very good listener and very honest and very real with you. She doesn’t sugar coat things but she also doesn’t bluntly tell you things that would harm you rather than help. A heads up, in general, this does need to be said. If you are someone who has self dx’d with borderline personality disorder or questioning if you have it? Let me make it clear because I know the horror stories from people who have BPD she is one of the rare few that will listen to you and not disregard what you say. She will listen and within the BPD community, that is a major step forward as well as a signal that she is someone safe to talk about BPD because she doesn’t show any signs of a bias/hate/stigma that are seen among others. Other than that she’s great at helping you plan things out and so good at following through. I highly recommend her.
Written on Jun 16, 2019 after therapy with April for 5 months
April is very thoughtful and her probing is very constructive. She offered a lot is time slots in her schedule, making it easier for me to make therapy fit into my schedule. I'm very glad to have been matched with April.
Written on Apr 02, 2019 after therapy with April for 3 months on issues concerning relationship issues, intimacy-related issues, and eating disorders
Phenomenal!
Written on Mar 28, 2019 after therapy with April for 3 months
April has been really supportive and Professional and made me feel so Comfortable from the moment I spoke to her and at ease after 1 month of sessions with her I really found great peace ,understanding and solution to the issues I was dealing with really pleased with her very great and good person and Counselor
Written on Jan 26, 2019 after therapy with April for 2 weeks
I have really enjoyed my sessions with April. She listens, and responds appropriately. She makes sure my concerns are addressed. She finds ways to help my outside of the sessions.
Written on Jan 23, 2019 after therapy with April for 2 weeks on issues concerning depression, stress, anxiety, relationship issues, trauma and abuse, and self esteem
April is fantastic. For the first time I feel like someone is actually trying to understand what is at the root of all this, rather than walking in with a judgment and trying to walk me into it. I feel at ease, and she is always responsive - sometimes faster than I can be. I am VERY happy!
Written on Jan 23, 2019 after therapy with April for 2 weeks on issues concerning depression, stress, anxiety, grief, sleeping disorders, anger management, career difficulties, and bipolar disorder
April has been amazing. She understands how I feel, and tries to help me out. I can say without her I probably would of done something that would have been bad. She works with me with in phone calls and messages. She's absolutely amazing and an angel!
Written on Jan 11, 2019 after therapy with April for 2 weeks
Very helpful, has helped me out of a really dark place and continues to do so! through all the confusion of transitioning genders she has helped me realize that everything doesn't have to be so confusing and scary.
Written on Dec 31, 2018 after therapy with April for 2 weeks
I’ve only interacted a few times, but, it has been amazing. I really appreciate her time and compassion.
Written on Dec 28, 2018 after therapy with April for 2 weeks on issues concerning depression, stress, anxiety, relationship issues, family conflicts, intimacy-related issues, self esteem, and anger management
April is very easy to talk with. Like we've been friends forever. She put me at ease from the very beginning. Looking forward to a long working relationship.
Written on Dec 28, 2018 after therapy with April for 2 weeks
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