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Nat Pacini, LPA

Texas therapist specializing in Cognitive Behavioral Therapy
  • CBT and client-centered care
  • Short-term practical goals
  • Frequent messaging support

About Nat Pacini

Nat Pacini offers a straightforward, respectful approach to therapy that emphasizes clear communication and practical progress. He prioritizes earning a client's trust and avoids clinical jargon in favor of plain language, creating a space where people can feel heard and understood. Early work in sessions focuses on developing a shared understanding of the problem - defining the issue, clarifying what matters about it, and using that clarity to guide meaningful solutions. For many people this process alone brings relief, as being accurately heard often reduces immediate distress.

Nat draws on Cognitive Behavioral Therapy as a primary model, explaining its principles and negotiating how they can be incorporated comfortably into each person's life. He balances respect for a client's boundaries with encouragement to take actionable steps toward change, and he discusses realistic plans that fit individual comfort levels and capacities. He also emphasizes the practical value of frequent messaging as part of treatment, recommending regular contact when beneficial to support the therapeutic work.

He aims for month-to-month progress with an initial goal of establishing measurable improvement within one to two months when possible, while acknowledging the amount of effort clients will invest outside sessions. Nat received undergraduate education at the University of Texas at Austin and earned a Master of Arts in Clinical Psychology from the University of Houston-Clear Lake in 1986 - a graduate degree preparing him for clinical practice. He spent more than 20 years working in an in-patient facility in Texas as an Associate Clinical Psychologist and has worked with individuals from a wide range of backgrounds. His typical schedule includes Tuesdays, Thursdays, Saturdays, and Sundays from 8 AM to 4 PM.

Areas of Expertise

Primary Focus

Also Specializes In

Relationship issuesGriefParenting issuesCareer difficultiesBipolar disorderCoping with life changesCompassion fatigue

Additional Focus Areas

Aging and geriatric issuesAvoidant personalityCaregiver issues and stressCoping with natural or human-caused disasterDependent personalityDissociationEating and food-related issuesEmptinessFatherhood issuesGuilt and shameHospice and end-of-life counselingIsolation / lonelinessLife purposeMen's issuesMidlife crisisMoney and financial issuesParanoiaPersonality disordersPhobiasPrejudice and discriminationWorkplace issues

Therapeutic Approach

Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Mindfulness Therapy Solution-Focused Therapy

Frequently Asked Questions

How much experience does Nat Pacini have?

Nat Pacini has 35 years of experience.

Is Nat Pacini a licensed therapist?

Yes. He holds the credential LPA - Licensed Psychological Associate - with license TX LPA 12533.

In which languages does Nat Pacini provide therapy?

Nat Pacini provides therapy in English.

Where is Nat Pacini located?

Nat Pacini is located in Texas.

How can I work with Nat Pacini as my therapist?

You can work with Nat Pacini through video calls, phone sessions, live chat, or text-based messaging.

Does Nat Pacini work with international clients?

Nat Pacini does not currently work with international clients.

How much does therapy with Nat Pacini cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Practical therapeutic approaches for online care

Nat Pacini uses evidence-based methods that translate well to remote work, beginning with Cognitive Behavioral Therapy - a focused approach that examines how thoughts, feelings, and behaviors interact and teaches practical strategies to shift unhelpful patterns. CBT is often used for anxiety, depression, stress, and anger when clients want structured tools and measurable change.

He also employs a client-centered stance that prioritizes empathy, active listening, and collaboration. This approach helps people explore their values and goals at their own pace and is useful when the primary need is to feel understood and supported while making personal decisions.

Finding the right approach is part of the therapeutic journey and Nat works collaboratively to select and adapt techniques based on a client's needs, goals, and comfort. He discusses options openly and tailors the plan so the client and therapist agree on the path forward.

Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging, allowing sessions to fit around work, family, and caregiving responsibilities. These options make it easier to maintain frequent contact and continue steady progress even when schedules or mobility are limited, while allowing licensed professionals to apply the same therapeutic methods used in traditional settings.

Ready to start therapy with Nat Pacini?

Take the first step toward a better you.