My approach to therapy follows a simple format delivered with the utmost respect and enthusiasm. I must earn your trust. This is supposed to help you. My communication style is generally void of jargon, tired sayings or "psychobabble". I follow Cognitive Behavioral Therapy as a model.
Initially some mutual understanding of the problem must be established. Definition fosters clarity; clarity strengthens meaning; meaning empowers solutions. The goal is for both of us to understand more fully just what it is about your situation that makes it a problem. For many this discussion alone brings a bit of relief. It feels good to be heard and understood.
However very personal issues, secrets, about your life, about you, about what you think, must remain secrets to the extent that you are more comfortable with them being your secrets. I will not venture there. You will learn that some things are irrevocably secrets and nobody can ever know. I will teach you how to protect those secrets, and their effects, and only you will decide, and under what circumstances, which secrets, if any, you will ever release, including to me.
Next we learn more about the cognitive behavioral model. We know it is effective but we will decide how it will apply to you and how will you best incorporate the model comfortably into your life. We will discuss and negotiate what you can do. I respect your comfort level but I also respect your ability to overcome limitations. You are here to make a change. The two of us will decide how that will look.
I keep in mind the expense required of you. I will go month to month with the goal of helping you establish an improvement in your life in one to two months if possible. There will be an amount of work you will do. The beneficial effects of this work you will soon know. I very much encourage full use of this platform. We can utilize the most beneficial device available in this format which is the frequent contact via messaging.
This lends itself well to the model we use.
The techniques employed here are time honored and supported by research and experience. There is a vast amount of resources to explore. Or we make new ones.
My typical schedule is Tuesdays,Thursdays, and Saturday and Sunday from 8 AM until 4 stopping time.
I received my education from the University of Texas at Austin and was awarded Master of Arts in Clinical Psychology from the University of Houston-Clear Lake in 1986. I spent over 20 years in an in-patient facility in Texas as an Associate Clinical Psychologist. I have served as therapist to individuals from diverse backgrounds and with unique challenges. Some of the people I have worked with, in an alliance to make
their lives at the very least tolerable, are among the coolest and most admirable humans I have ever known. I owe them a lot for the skills I bring here.
Additional areas of focus: Relationship issues, Grief, Parenting issues, Career difficulties, Bipolar disorder, Coping with life changes, Compassion fatigue, Aging and geriatric issues, Avoidant personality, Caregiver issues and stress, Coping with natural or human-caused disaster, Dependent personality, Dissociation, Eating and food-related issues, Emptiness, Fatherhood issues, Guilt and shame, Hospice and end-of-life counseling, Isolation / loneliness, Life purpose, Men's issues, Midlife crisis, Money and financial issues, Paranoia, Personality disorders, Phobias, Prejudice and discrimination, Workplace issues
Clinical approaches: Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Mindfulness Therapy, Solution-Focused Therapy
TX LPA 12533
These quotes represent just a few of the many positive reviews that we have received for Nat Pacini. 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.
I thoroughly enjoy getting to talk and work with Nat. He is respectful, understanding, and very much so patient. He gives good words and guidance, and is always so kindly willing to repeat himself or things we’ve gone over. He makes it a comfortable space! I appreciate him and his help immensely.
Written on Sep 28, 2025 after therapy with Nat for 4 months on issues concerning depression, stress, anxiety, grief, and coping with life changes
Nat is Very prompt and professional, a great listener. I’ve already begun to notice benefit after only one live session together and communicating through the BetterHelp messaging system is convenient.
Its nice to always know that I can reach out as needed in between live sessions. I Would highly recommend both Nat and BetterHelp.
Written on Jul 03, 2025 after therapy with Nat for 3 weeks on issues concerning depression, stress, anxiety, relationship issues, trauma and abuse, intimacy-related issues, and self esteem
Really glad I signed up with him; Nat has been helping me through one of the toughest times in my life. He doesn't just tell me what I want to hear - he makes me work - but that's what I'm here for. I have made really good progress with his counsel.
Written on Aug 01, 2022 after therapy with Nat for 5 months on issues concerning stress, anxiety, lgbt, relationship issues, trauma and abuse, grief, intimacy-related issues, eating disorders, self esteem, anger management, career difficulties, and adhd
He has been very attentive and kind. He has also been very helpful with sending articles to help me with my bpd. I really appreciae his help with keeping me focused on improving and encouraged to keep at it.
Written on May 02, 2022 after therapy with Nat for 2 months on issues concerning depression, stress, anxiety, addictions, relationship issues, family conflicts, trauma and abuse, grief, intimacy-related issues, eating disorders, parenting issues, self esteem, anger management, coping with life changes, and adhd
Nat has been a great listener and even better therapist. He maintains a level of care, while still being a professional, that I truly appreciate. Having someone willing to hear your past and still help you plan your future is something everyone should experience. Don’t lose hope. There’s a lot of wonderful people out there if you’re willing to look. Nat is definitely one of them :)
Written on Apr 12, 2022 after therapy with Nat for 2 weeks on issues concerning depression, stress, anxiety, addictions, relationship issues, family conflicts, trauma and abuse, intimacy-related issues, eating disorders, self esteem, career difficulties, and coping with life changes
Nat is extremely helpful and eye-opening. He is very down to earth and offers real help. He challenges you to think and understand your problem.10/10 recommend him.
Written on Feb 26, 2022 after therapy with Nat for 2 weeks on issues concerning stress, anxiety, addictions, relationship issues, intimacy-related issues, bipolar disorder, and compassion fatigue