Elizabeth Kotkin , LMFT

Elizabeth Kotkin is a licensed marriage and family therapist with 35 years of clinical experience. She practices in New York and focuses on women's issues alongside a broad range of emotional and behavioral concerns. Her style is approachable and practical, meant for people who want clear steps and steady support.

She helps people facing depression, anxiety, grief, trauma, and addiction. She also addresses relationship struggles, intimacy-related concerns, and family of origin issues. Many people come to her with stress, burnout, or trouble sleeping, and she works with those problems in straightforward ways.

Her work often includes addressing abandonment, codependency, and the fallout from sexual assault or other abuse. Elizabeth also supports people dealing with midlife transitions, aging questions, and the complicated feelings that follow divorce or separation. She pays attention to shame, isolation, and social anxiety as part of healing.

Elizabeth blends client-centered care with practical tools from cognitive behavioral therapy and solution-focused techniques. She uses motivational interviewing to support change and trauma-focused methods when past events need to be processed. Sessions focus on real-life coping skills, clearer thinking, and steps that fit everyday life.

Clients can expect a collaborative relationship where goals are set together. She helps people build resilience and make tangible changes over time. Her long experience informs a calm, steady approach that keeps the work focused on what matters most.

How therapeutic methods translate into online care

Client-centered therapy focuses on understanding each person where they are and following their pace. It emphasizes listening, empathy, and helping people name their goals so work feels relevant to daily life. Cognitive behavioral therapy, or CBT, looks at thoughts and behaviors that keep problems going and teaches practical skills to change them, which can help with anxiety, depression, sleep, and stress.

Choosing the right approach is part of the process. The therapist will collaborate with each person to decide which methods fit their needs and preferences. That conversation helps set clear goals and determines whether to emphasize skills work, motivational support, or trauma processing.

Online sessions are offered by licensed professionals through video calls, phone sessions, live chat, and text-based messaging. Video calls are useful for face-to-face conversation and teaching skills, phone sessions can be easier when bandwidth is limited, live chat allows brief check-ins, and messaging supports ongoing reflection between appointments. These options help make therapy more flexible and easier to fit into work, family, and daily routines.