Betsy Macdonald

LCSW

Betsy Macdonald, LCSW headshot

Betsy has spent more than 15 years helping tween and teen girls, and she gets it from every angle. She's a mom of two college kids and a high schooler, so she knows the eye rolls, the closed bedroom doors, and the late-night "can we talk?" moments that always seem to happen right when you're headed to bed.

Betsy started out working inside a school, at Trinity School, so she knows what a girl's day actually looks like: the friendship drama at lunch, the test she's dreading, the group chat that went sideways. After that, she worked in hospitals and residential treatment. That makes her especially good with girls dealing with a medical diagnosis, a chronic illness, a scary hospital stay, or a family that's going through a lot all at once.

Girls open up to Betsy because she's warm, real, and doesn't lecture. Parents love her because she brings them into the process, helping families fight less, talk more, and actually enjoy each other again.

Betsy is trained in CBT, DBT, and EFFT (Emotion-Focused Family Therapy). In plain English: she helps girls catch the worried thoughts that spiral, gives them real tools for big feelings, and coaches parents on how to support their daughter when emotions are running high.

Betsy is a born-and-raised Austinite. She knows the schools, the pressure, and how fast our girls are growing up here, and she's on their side every step of the way.

Not sure if Betsy's the right fit? Book a free 15-minute consult and find out if she's the right fit for you or your daughter. Ask her anything about your family or how therapy works here. No pressure, just a real conversation.