Alexandra Ainge Cottle, LCMHC, LPC
Compassionate counselor for life transitions
Details
| Name | Alexandra Ainge Cottle |
|---|---|
| Credentials | LCMHC, LPC |
| Based in | Utah |
| Licensed in | Utah, Oregon |
| Session format | Online |
| Languages | English |
| Years in practice | 12 |
About Alexandra
Alexandra Ainge Cottle is a licensed counselor who helps people manage stress, anxiety, grief, depression, relationship strains, and parenting challenges. She is comfortable supporting concerns related to trauma and abuse, intimacy, LGBT issues, eating and sleeping problems, and career or life transitions. Alexandra is based in Utah and brings 12 years of clinical experience to her work.
She takes a practical, conversational approach in sessions. Conversations focus on everyday problems and what can change now.
Background and approach
She listens for the stories people tell about themselves and looks for small, concrete steps to test new ways of coping. Her background includes a Master of Science in Educational Psychology from the University of Utah and work in school settings early in her career.
Alexandra has spent time volunteering in schools, homeless shelters, and civic organizations, and she has experience presenting on parenting, grief, anger management, and related topics. Alexandra blends several therapy styles to match each person's needs. She draws from narrative ideas to reframe problems, from cognitive-behavioral work to change unhelpful thinking, and from attachment-focused ideas to repair relationships.
The goal is a plan that fits the client rather than a one-size-fits-all method. Sessions are offered through video calls, phone sessions, live chat, or text-based messaging. Alexandra aims to create a compassionate, straightforward space where people can speak openly, try new approaches, and practice skills between meetings.
What this therapist works with
Her listing names Stress, Anxiety, Relationship issues, Family conflicts among the things Alexandra works with, alongside the areas below.
- Stress, Anxiety
- Relationship issues
- Family conflicts
- Grief
- Depression
- LGBT
- Trauma and abuse
- Intimacy-related issues
- Eating disorders
- Sleeping disorders
- Parenting issues
- Anger management
- Self esteem
- Career difficulties
- Coping with life changes
- Coaching
- Compassion fatigue
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Attachment issues
- Autism and Asperger Syndrome
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Divorce and separation
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Veteran and Armed Forces Issues
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Phobias
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Trichotillomania
- Women's issues
- Workplace issues
- Young adult issues
Approaches listed
- Narrative Therapy: Named in her listing among her approaches.
- Acceptance and Commitment Therapy (ACT): Listed by Alexandra among the ways she works.
- Attachment-Based Therapy: Listed by Alexandra among the ways she works.
- Client-Centered Therapy: Listed by Alexandra among the ways she works.
- Cognitive Behavioral Therapy (CBT): Listed by Alexandra among the ways she works.
- Dialectical Behavior Therapy (DBT): Listed by Alexandra among the ways she works.
- Emotionally-Focused Therapy (EFT): Listed by Alexandra among the ways she works.
- Existential Therapy: Listed by Alexandra among the ways she works.
- Gottman Method: Listed by Alexandra among the ways she works.
- Mindfulness Therapy: Listed by Alexandra among the ways she works.
- Motivational Interviewing: Listed by Alexandra among the ways she works.
- Solution-Focused Therapy: Listed by Alexandra among the ways she works.
- Trauma-Focused Therapy: Listed by Alexandra among the ways she works.
- Training stated: This directory copies the approaches a therapist names and does not check training records. Ask Alexandra directly how much of the work is narrative and what a session usually looks like.
Narrative Therapy in this listing
Narrative Therapy appears in this therapist's own list of approaches. That tells you it is part of how she works. It does not tell you how much of a session it shapes, and this directory does not check or rate training.
If a narrative approach is what you are looking for, it is worth asking Alexandra directly how she uses it and what a session usually looks like.
Online session options
How narrative and ACT approaches work online
Alexandra uses Narrative Therapy to help people separate themselves from problems and rewrite unhelpful stories about their lives. This approach is useful for issues like identity, relationship patterns, and recurring conflicts. Acceptance and Commitment Therapy, or ACT, helps people notice difficult thoughts and feelings while choosing actions that match their values; it often helps with anxiety, depression, and coping with life changes.She also draws on Attachment-Based ideas to explore how early relationship patterns shape current interactions and to help people build more supported ways of relating. Finding the right approach is part of the work together; the therapist will discuss options and adapt the plan based on a person's goals, preferences, and what seems to help in early sessions. This collaborative process makes it easier to try different tools and keep what works.
Online therapy offers practical benefits for this style of work. Video calls allow face-to-face conversation and observing interactional patterns, phone sessions can be a lower-bandwidth option, live chat suits quick check-ins or coaching-style support, and text-based messaging can help with brief skill practice and tracking progress between meetings. These formats make it easier to fit sessions into busy lives and to continue work across changes in schedule or location.
Common questions about this listing
What concerns does Alexandra support?
She works with stress, anxiety, depression, grief, relationship and intimacy issues, parenting strain, LGBT concerns, trauma and abuse, and related challenges like sleep, eating, and self-esteem.
What is her therapeutic style like?
Her style is conversational and practical. She listens for the stories people tell and helps identify small, testable changes to improve day-to-day functioning.
How much clinical experience does she have?
She has 12 years of experience working in counseling roles across community and school settings, plus time running a independent practice.
What credentials and region are listed for this therapist?
She holds LCMHC and LPC credentials and is based in Utah.
Which languages and international options are available?
Sessions are offered in English and she accepts international clients.
In what session formats does she meet clients?
She offers video calls, phone sessions, live chat, and text-based messaging for flexible meeting options.
How does pricing work for sessions?
Cost varies by location and therapist availability and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.
Contacting this therapist
Sessions with Alexandra are arranged through our partner platform. It asks a few questions about what you are looking for, then shows you the therapists available to you, including Alexandra where she has space. Ask about fees, and whether she holds a licence or registration where you live.
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