
Betsy Macdonald
LCSW
Betsy Macdonald, LCSW, is a Licensed Clinical Social Worker in Austin, Texas, with over 15 years of experience providing therapy for tween and teen girls and their families. As a native Austinite, Betsy is deeply committed to supporting adolescents as they build confidence, emotional resilience, and healthy coping skills during the often-challenging teenage years.
Betsy specializes in adolescent therapy for concerns including anxiety, stress, low self-esteem, friendship challenges, school pressure, family transitions, and life changes. She also brings extensive experience from hospital and residential treatment settings, allowing her to thoughtfully support teens and families navigating medical trauma, chronic illness, substance use concerns, and complex family stressors.
Using a strengths-based, relational, and trauma-informed approach, Betsy creates a safe, supportive space where teens feel comfortable exploring emotions, developing their voice, and learning practical coping strategies. She values a collaborative approach to care, partnering with parents to improve communication, reduce conflict, and strengthen family relationships.
As a mother of two high schoolers and one college student, Betsy understands firsthand the real-life joys and challenges of parenting teenagers. Her therapy style is warm, authentic, and approachable, helping both teens and parents feel seen, supported, and empowered as they navigate adolescence together.




