Dr. Mary Cotten , TX Psychologist 24906, NM Psychologist PSY0791

Dr. Mary Cotten works with people who are worn down by stress, anxiety, depression, and relationship problems. She helps those coping with life changes, grief, trauma, addiction, and concerns about intimacy or self-esteem. Many who come to her are also navigating workplace strain, parenting stress, or challenges tied to women's issues.

Dr. Cotten is a Texas psychologist with three decades of clinical experience. She uses Cognitive Behavioral Therapy, helping people spot the thoughts and patterns that get in the way of feeling better and making different choices. Sessions are conversational and practical, focusing on small changes that add up over time.

Her style is calm and nonjudgmental. She listens first, then works with each person to set clear, realistic goals. That approach is useful for people facing career transitions, family of origin concerns, or the long tail of past trauma.

She offers several ways to meet, including video calls, phone sessions, live chat, and text-based messaging. Those options make it easier to fit therapy into a busy schedule and keep progress steady between visits.

Dr. Cotten holds a Texas psychologist credential and also maintains a New Mexico psychologist credential. She practices from Texas and conducts sessions in English. Online work is limited to clients in the United States and international clients are not accepted.

How CBT and online sessions work together

Dr. Cotten uses Cognitive Behavioral Therapy, which is about noticing unhelpful thoughts and testing different behaviors to see what helps. CBT can be useful for anxiety, depression, stress, workplace issues, and many forms of relationship or self-esteem concerns.

In sessions she focuses on clear goals and practical steps. That means together the therapist and client pick what to work on, try techniques between meetings, and check progress. Finding the right approach is a collaborative process and she will help tailor methods to each person's needs and preferences.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging. Video calls let people use visual cues and a fuller conversation. Phone sessions can fit a short break at work or require less bandwidth. Live chat and text messaging make it easier to check in between appointments or to communicate without being on camera. These formats aim to make therapy flexible and easier to fit into a busy life while keeping work focused on skills and progress.