Margaret Sue Echols , LPC

Margaret Sue Echols is a Licensed Professional Counselor (LPC) in Texas with 34 years in mental health work. She focuses on stress, anxiety, depression, relationship concerns, trauma and abuse, grief, addictions, LGBT issues, parenting and intimacy-related problems. She supports people navigating career changes, coping with life transitions, and the emotional toll of caregiving and chronic illness.

Her style is straightforward and conversational. Sessions use talk therapy, cognitive behavioral techniques, mindfulness, and client-centered methods to help people identify what matters to them and take small steps toward change. She also draws on emotionally-focused and Jungian ideas when they fit a person's needs.

In practice she starts by listening to what feels most urgent. Then she helps set clear goals and a simple plan for moving forward. Therapy can include skills for managing anxiety, tools for improving communication, or structured work on painful memories and grief.

Margaret works with adults and with couples. She has run a private practice for many years and brings long experience helping people through life transitions and loss. Her approach values each person's beliefs and background while keeping sessions focused and practical.

She offers sessions by video calls, phone, live chat, and text-based messaging. Sessions are provided in English and she accepts international clients. To begin, a prospective client completes a short matching questionnaire and schedules a time that aligns with the therapist's availability.

Approaches that guide online sessions

Acceptance and Commitment Therapy (ACT) focuses on clarifying personal values and taking committed actions toward them while accepting difficult thoughts and feelings. It can help people who feel stuck or are coping with ongoing stress and life changes. Cognitive Behavioral Therapy (CBT) targets unhelpful thinking and behavior patterns with practical exercises and coping skills to reduce anxiety, improve mood, and manage sleep or anger problems. Client-Centered Therapy emphasizes a respectful, nonjudgmental relationship where the therapist listens deeply and supports the client's own problem-solving and growth.

Finding the right approach is a collaborative process. The therapist will work with each person to identify goals, try methods that fit their needs, and adjust the plan over time. Clients often combine elements from different approaches depending on what is most helpful for their situation.

Online therapy offers flexibility for people with busy schedules or limited mobility. Video calls allow face-to-face interaction for skill practice and emotional processing. Phone sessions or live chat can be easier when bandwidth is limited or a shorter check-in is needed. Text-based messaging supports ongoing reflection between sessions and quick touchpoints when problems come up. These options make it easier to keep momentum and fit therapy into daily life.