Alexandra Ainge Cottle, LCMHC, LPC
Calm, practical therapy for life’s hard moments
Book with AlexandraWorks with
- Anger
- Stress, Anxiety
- Relationship issues
- Family conflicts
- Grief
- Depression
How Alexandra works
Practical facts
- Credentials
- LCMHC, LPC
- Licensed in
- Utah, Oregon
- Years in practice
- 12
- Languages
- English
- Session format
- Online, through our partner platform
About Alexandra
Alexandra Ainge Cottle helps people cope with stress, anxiety, anger, grief, and relationship struggles. She is a Licensed Clinical Mental Health Counselor (LCMHC) and a Licensed Professional Counselor (LPC) practicing from Utah. Her approach aims to make therapy practical and understandable for busy families and individuals.
She draws on 12 years of experience working in schools, shelters, and community settings. That background shaped her focus on adolescents, parenting challenges, and communication problems.
Background and approach
She has also led public trainings on parenting, anger management, grief, and self-esteem. In sessions, she mixes evidence-informed methods to match each person's needs. She uses cognitive behavioral strategies to rethink patterns, acceptance and commitment ideas to clarify values, and attachment-focused work to repair relationships.
She also brings dialectical skills when emotions feel overwhelming. Alexandra describes the counseling room as a place for practical problem solving and steady support. She emphasizes empathy, clear feedback, and a bit of humor when appropriate.
People leave with concrete tools to handle daily stress, manage anger, improve sleep, and navigate life changes. Her training includes a master’s degree in Educational Psychology from the University of Utah. She maintains a independent practice and has worked with many individuals, couples, and families over the years.
Sessions are offered in English and she accepts international clients.
What Alexandra works with
Everything Alexandra lists, in the therapist's own terms. Anger is the reason this directory exists; the rest tells you what usually sits alongside it in Alexandra's practice.
- 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 Alexandra lists
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Gottman Method
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
Therapeutic approaches and online care that fit your life
Alexandra commonly uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy online. Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small steps toward those values despite difficult thoughts or feelings. It can be useful for stress, anxiety, and coping with life changes. Cognitive Behavioral Therapy (CBT) looks at how thoughts and behaviors keep problems going and teaches practical skills to change them, which can help with anger, depression, sleep, and eating concerns.Choosing the right approach is part of the work. Alexandra will collaborate with each person to decide which methods match their goals and preferences, and she adjusts plans as progress is made. That shared decision makes sessions more useful and focused on real-life improvements.
Online sessions are offered by video calls, phone, live chat, or text-based messaging to fit different schedules and needs. Video calls allow face-to-face conversation for deeper discussion. Phone sessions can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat and text messaging work well for shorter check-ins, coaching between sessions, or when written communication feels more comfortable. These options make it easier to keep therapy consistent alongside work, school, or caregiving.
Questions people ask about Alexandra
What concerns does Alexandra help with?
She helps people facing stress, anxiety, anger, depression, grief, relationship and family issues, and a range of related concerns like parenting, sleep, and self-esteem.
What is her therapy style like?
Her style is practical and straightforward. Sessions focus on clear tools, emotion regulation, and improving communication.
What experience does she bring?
She has 12 years of experience working in schools, shelters, community programs, and independent practice with many individuals, couples, and families.
What are her credentials and where is she based?
She holds LCMHC and LPC credentials and practices from Utah.
Which languages are supported and can she work internationally?
Sessions are offered in English and she accepts international clients.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging for flexible scheduling.
How does payment and cost work?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Click Start Therapy, complete a short matching questionnaire, and then schedule sessions according to therapist availability.