About Mary

Dr. Mary Cotten is a licensed psychologist who helps people manage stress, anxiety, depression, and life changes. She brings three decades of experience and a calm, down-to-earth manner to sessions.

Clients can expect straightforward conversation and practical strategies they can try between meetings. She focuses on common struggles like relationship and family-of-origin issues, low self-esteem, grief, addiction concerns, and compassion fatigue. ADHD and bipolar challenges are also among the areas she addresses.

Background and approach

Her work often centers on everyday problems such as career transitions, workplace stress, and the effects of past trauma. Dr. Cotten uses Cognitive Behavioral Therapy, a hands-on approach that examines how thoughts and behaviors interact.

She helps people recognize thought patterns that get in the way, then practices different ways of thinking and acting to change outcomes. Sessions are collaborative and goal-oriented, with clear steps to try outside of therapy. She prefers video sessions so people can interact visually and verbally, but phone sessions are an option when that works better.

Messaging and live chat can fit quick check-ins or between-session support. Appointments are available during business hours, with some evening times arranged as needed. Dr.

Cotten holds psychologist credentials in Texas and New Mexico and works from Texas. She listens closely, offers honest feedback, and keeps the pace matched to each person's needs.

Approaches and online therapy that fit your life

Dr. Cotten uses Cognitive Behavioral Therapy, which focuses on how thoughts, feelings, and actions connect. It helps with anxiety, depression, stress, and patterns that keep problems stuck by teaching practical ways to test and change unhelpful thoughts and behaviors.

The choice of approach is a conversation. She works collaboratively to match methods to your goals and preferences. Together you will try strategies, see what helps, and adjust the plan as needed so the work fits your daily life.

Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy more flexible. Video sessions let you interact visually and verbally for a fuller connection, while phone sessions can be easier when bandwidth is limited or you need a quick check-in. Live chat and messaging suit brief updates, homework checks, or times when a shorter, text-based touchpoint is more practical. These options help fit therapy into work, family, and other commitments.

Questions people ask

What concerns does she commonly address?
She works with stress, anxiety, depression, trauma and relationship and family-of-origin issues, along with ADHD, addictions, grief, self-esteem, and workplace problems.
What is her therapeutic style like?
She uses a practical, conversational approach with Cognitive Behavioral Therapy at its core, focusing on identifying unhelpful thoughts and trying new behaviors.
How long has she practiced?
She brings 30 years of experience in mental health work across a range of common clinical concerns.
What credentials and location are listed?
She is a licensed psychologist in Texas (TX Psychologist 24906) and New Mexico (NM Psychologist PSY0791) and is based in Texas.
Which languages are used in sessions?
Sessions are offered in English.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging to suit different needs and schedules.
How does payment and cost work?
Cost varies by location and therapist availability; sessions are billed through a subscription model that can be canceled at any time.
How do I begin a therapy relationship?
Use the Start Therapy button, complete the short matching questionnaire, then schedule sessions according to the therapist's listed availability.

What this therapist works with

Most often

Experience
30 years
Licensed
Texas, New Mexico
Languages
English

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