Alexandra Ainge Cottle , LCMHC, LPC

Alexandra Ainge Cottle is a licensed clinician who helps people facing stress, anxiety, grief, relationship strain, and issues related to identity and intimacy. She brings 12 years of experience to sessions and focuses on practical ways to cope with depression, trauma, eating and sleeping concerns, parenting strain, and compassion fatigue. Alexandra works with people navigating major life changes and career stress as well as those managing chronic illness and caregiving challenges.

Her style is straightforward and warm. She listens first, then offers concrete tools drawn from several evidence-informed approaches. Sessions mix skills practice with space to talk through feelings and past hurts. Humor and steady support are used when helpful.

Alexandra trained in educational psychology at the University of Utah and holds the Licensed Clinical Mental Health Counselor credential and Licensed Professional Counselor credential. She has experience in school settings, homeless shelters, and community organizations, and has run a private practice in Utah working with many individuals and couples.

She often uses techniques from cognitive behavioral approaches to change unhelpful thinking and behavior. Attachment-based ideas help when relationships and bonding are central concerns. Acceptance and Commitment Therapy tools are introduced for managing painful emotions without getting stuck.

Presentation and training work are part of her background too. Alexandra has taught on parenting, anger management, self-esteem, grief, and related topics for groups in public settings. Her approach centers on collaboration and clear steps people can try between sessions.

Approaches that guide online sessions

Acceptance and Commitment Therapy helps people notice painful thoughts and feelings without getting stuck in them, so they can move toward what matters. It can help with anxiety, depression, grief, and life transitions. Attachment-Based Therapy looks at how early relationship patterns shape current bonds and trust, and it is useful when intimacy or relationship injuries are central concerns.

Finding the right approach is part of the work. Alexandra will collaborate with each person to choose methods that match their goals and preferences. Sessions often blend approaches so tools fit the situation rather than following one strict method.

Online therapy offers flexibility for busy lives. Video calls allow full conversation and visual cues, while phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging work well for quick check-ins, homework support, or paced communication between sessions. These options make it simpler to fit therapy into work, caregiving, or travel schedules and to maintain continuity during life changes.