Alexandra Ainge Cottle, LCMHC, LPC

Alexandra Ainge Cottle is a licensed counselor who helps people manage stress, anxiety, depression, grief, relationship problems, and parenting strain. She also supports those facing trauma, intimacy issues, eating and sleeping concerns, career stress, and compassion fatigue. Alexandra brings a calm, down-to-earth presence to sessions and focuses on practical steps people can try between meetings.

She has 12 years of experience and holds LCMHC and LPC credentials. Her work blends straightforward talk with skill-building. Clients can expect clear techniques to change unhelpful patterns and more space to notice values and goals.

Her approach mixes Cognitive Behavioral Therapy (CBT) with Acceptance and Commitment Therapy (ACT), attachment-based ideas, client-centered listening, and Dialectical Behavior Therapy (DBT) skills. Alexandra adapts methods to each person rather than following a single script. She explains tools simply and coaches practice in daily life.

Before private practice she spent time counseling in schools and volunteering at shelters and community organizations. Those settings shaped her focus on practical solutions and family dynamics. She has also presented on parenting, anger management, grief, and related topics in group settings.

Sessions may feel conversational but directed toward change. Alexandra aims to create a compassionate, respectful space with some humor and straightforward feedback. She acknowledges her own experiences with loss and recovery and uses that perspective to stay grounded with clients.

Practical therapy approaches for online care

Alexandra often draws on Cognitive Behavioral Therapy, which focuses on identifying unhelpful thoughts and behaviors and replacing them with more useful patterns. CBT is commonly used for anxiety, depression, sleep problems, and everyday stress and gives concrete tools to practice between sessions.

She also uses Acceptance and Commitment Therapy, which helps people clarify what matters to them and build small habits that reflect those values. ACT can be useful for coping with loss, chronic worry, and life transitions by combining acceptance with committed action.

Finding the right mix of approaches is part of the work. She collaborates with each person to choose methods that match goals, preferences, and daily life needs. That way clients learn skills that feel doable and relevant rather than theoretical.

Online therapy offers flexibility. Video calls allow face-to-face conversation and visual cues, while phone sessions can fit a short break or require less bandwidth. Live chat and text-based messaging make it possible to check in between sessions or share quick updates. These options help people fit therapy into work, family, and travel schedules without losing continuity.