About Mary
Mary Cowen is a Licensed Clinical Social Worker with 26 years of experience. She has practiced in Texas, Oklahoma, and now North Carolina. She draws on long experience helping people navigate depression, anxiety, grief, relationship strain, and caregiving stress.
Her background includes work in hospitals, hospice, inpatient mental health, schools, community health, and home health. That variety shaped a flexible approach to care and comfort with many life situations. She has helped people facing addiction, eating concerns, chronic illness, and end-of-life questions.
Background and approach
Mary’s style is warm and interactive. She talks with people rather than lecturing, and she adapts sessions to each person’s needs. She aims to be respectful, sensitive, and compassionate while helping people name their goals.
In sessions she uses practical tools from cognitive behavioral methods and DBT skills alongside client-centered listening and mindfulness practices. That mix helps people learn new ways to manage stress, mood swings, and everyday challenges like motivation and focus. ADHD is one of the concerns she lists among areas she supports.
She also brings experience with relationship work, coaching around life transitions, and supporting caregivers. People who want a steady, experienced therapist for problem-solving and emotional support often find this approach useful. Mary encourages small, manageable steps toward clearer routines and better coping.
How therapeutic approaches translate to online care
Client-centered therapy focuses on understanding each person's perspective and building a trusting conversation. It emphasizes listening and helping people find their own answers rather than imposing solutions, which can be useful for relationship strain, grief, and parenting stress.Cognitive Behavioral Therapy (CBT) involves identifying unhelpful thoughts and testing them with concrete behavioral changes. It is practical and goal-oriented, often helpful for anxiety, depression, and managing stress. Dialectical Behavior Therapy (DBT) teaches emotion regulation and distress-tolerance skills; it is practical for strong mood swings, intense reactions, and learning coping strategies.
Finding the right approach is part of the work together. The therapist will discuss goals, preferences, and day-to-day challenges and then try methods that match those needs. Sessions are collaborative and can shift over time as goals change.
Online sessions are offered by video call, phone, live chat, or text-based messaging to fit different schedules. Video calls allow face-to-face interaction for skill practice, phone sessions can be easier when bandwidth is limited, live chat can suit shorter check-ins, and messaging supports ongoing contact between sessions. These options make it easier to keep appointments and try out approaches without long commutes.
Questions people ask
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What this therapist works with
Most often
- Grief
- Eating disorders
- Self esteem
Also listed
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Drug and alcohol addiction
- Eating and food-related issues
- Family conflicts
- Family of origin issues
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Intimacy-related issues
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Phobias
- Relationship issues
- Self-harm
- Self-love
- Social anxiety and phobia
- Stress, Anxiety
- Trauma and abuse
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 26 years
- Licensed
- North Carolina
- Languages
- English
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