Alexandra Ainge Cottle is a Licensed Clinical Mental Health Counselor (LCMHC) and a Licensed Professional Counselor (LPC) based in Utah. She helps people navigate stress, anxiety, grief, relationship struggles, parenting strain, and self esteem concerns. Her work also addresses trauma, depression, LGBT issues, eating and sleeping problems, and career or life transitions.
She takes a straightforward, practical approach in sessions. Conversations focus on what’s happening now and small steps that can make daily life easier. She draws on methods from cognitive behavioral work and acceptance-oriented strategies to help clients notice thoughts and change unhelpful patterns.
Alexandra brings 12 years of clinical experience that began in school counseling. She has worked with adolescents, volunteered in shelters and community organizations, and run a independent practice where she has seen hundreds of people and couples. That background informs how she balances direct skill-building with listening and problem solving.
Her style is warm and down-to-earth. She aims to build trust, offer clear feedback, and use humor when it helps. Treatment plans are tailored: techniques are chosen to fit the person rather than forcing a single method.
In addition to one-on-one work, she has presented on parenting, self-esteem, anger management, and grief. People who want a practical, collaborative counselor who understands family dynamics may find her approach helpful.
How therapy approaches guide online work
Acceptance and Commitment Therapy (ACT) helps people notice their thoughts and choose actions that match their values. It is useful for anxiety, depression, and life changes where getting stuck on thoughts makes things harder. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking and practicing new ways of responding, which can help with worry, low mood, and sleep problems. Attachment-Based Therapy looks at how early relationships shape current patterns and can be helpful for intimacy, abandonment concerns, and family conflict.
Finding the best approach is part of the work. The therapist will listen to goals, try methods, and adjust as needed. This is a collaborative process where techniques are chosen to fit the person rather than a single fixed plan.
The biography does not list specific session formats, so confirm current options before booking. Online therapy can make it easier to fit sessions into a busy week, reduce travel time, and allow shorter check-ins when schedules are tight. It can also let people meet with a licensed professional from another location, which helps when local options are limited. Ask about session length and delivery style when scheduling so appointments match daily routines and goals.
AbandonmentAdoption and foster careAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeBlended family issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDivorce and separationEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesForgivenessGender dysphoriaGuilt and shameHoardingHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPhobiasPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobiaTrichotillomaniaWomen's issuesWorkplace issuesYoung adult issues
She works with stress, anxiety, depression, grief, relationship and intimacy issues, parenting challenges, self esteem, trauma and related areas listed on her profile.
How would you describe her therapy style?
Sessions are practical and collaborative. She combines listening with hands-on tools and clear feedback to help clients make changes between sessions.
What kind of experience does she have?
She has 12 years of clinical experience, starting in school counseling and later working in independent practice and community settings.
What credentials and location are listed?
She holds LCMHC and LPC credentials and practices in Utah as noted in her profile.
Which languages and international work are supported?
Sessions are offered in English and she accepts international clients according to the profile.
What session formats are available?
The original biography does not specify session formats; please confirm the current session options before booking.
How is cost handled?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
How do I begin working together?
Use the continue button on this profile, complete a short matching questionnaire, and schedule a session based on therapist availability.
