Works with
- Anger
- Grief
- Eating disorders
- Self esteem
- Bipolar disorder
- ADHD
How Mary works
Practical facts
- Credentials
- LCSW
- Licensed in
- North Carolina
- Years in practice
- 26
- Languages
- English
- Session format
- Online, through our partner platform
About Mary
Mary Cowen is a Licensed Clinical Social Worker with 26 years of practice across Texas, Oklahoma, and North Carolina. She offers a calm, respectful approach and aims to make therapy straightforward for people feeling overwhelmed. Mary often helps with anger, anxiety, depression, grief, and relationship struggles in plain, direct ways.
She has worked in many settings including hospitals, hospice, inpatient mental health, schools, home health, and community programs. That variety means she has experience with crises, addiction, eating and food-related issues, chronic illness, and end-of-life concerns.
Background and approach
She draws on those experiences when planning care. Mary’s style is warm and interactive. Sessions are tailored to each person rather than following a single formula.
She focuses on building practical skills, improving communication, and finding manageable steps forward. Her work uses several grounded approaches such as client-centered techniques, cognitive behavioral ideas, dialectical behavior tools, and mindfulness practices. These are mixed to match what a person needs, whether that means managing strong emotions, changing unhelpful thinking, or improving relationships.
People who want straightforward, compassionate support for life changes, parenting stress, work strain, or chronic health problems may find her approach helpful. Mary speaks English and works with clients from North Carolina and beyond, offering flexible session formats to fit different schedules.
What Mary works with
Everything Mary lists, in the therapist's own terms. Anger is the reason this directory exists; the rest tells you what usually sits alongside it in Mary's practice.
- Grief
- Eating disorders
- Self esteem
- Bipolar disorder
- ADHD
- Stress, Anxiety
- Relationship issues
- Family conflicts
- Trauma and abuse
- Intimacy-related issues
- Parenting issues
- Anger management
- Career difficulties
- Depression
- Coping with life changes
- Coaching
- Compassion fatigue
- Adoption and foster care
- Aging and geriatric issues
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Dependent personality
- Drug and alcohol addiction
- Eating and food-related issues
- Family of origin issues
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Veteran and Armed Forces Issues
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Paranoia
- Phobias
- Self-harm
- Self-love
- Social anxiety and phobia
- Traumatic brain injury
- Women's issues
- Workplace issues
- Young adult issues
Approaches Mary lists
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Imago Relationship Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic 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.
Approaches that guide online therapy
Mary blends client-centered work with cognitive behavioral techniques and dialectical behavior tools. Client-centered therapy focuses on listening and responding to what matters most to the person, helping them feel heard and understood. Cognitive Behavioral Therapy (CBT) looks at patterns of thinking and behavior and teaches practical skills to change unhelpful habits and reduce symptoms like anxiety or depression. Dialectical Behavior Therapy (DBT) adds emotion regulation, distress tolerance, and interpersonal skills that can help with strong anger, impulsivity, and relationship conflicts.Choosing the right approach is a collaborative process. Mary explores goals, preferences, and daily challenges with each person and adjusts methods over time. This means sessions can shift from skills training to deeper conversation depending on what is most useful in the moment.
Online therapy offers several practical benefits. Video calls let people read facial cues and have a fuller conversation, while phone sessions use less bandwidth and can fit into a shorter break. Live chat and text-based messaging are helpful for quick check-ins, brief coaching, or when typing feels easier than speaking. These options make it simpler to continue work on anger, stress, grief, or relationship issues across different schedules and locations.
Questions people ask about Mary
What concerns does Mary commonly address?
She helps people facing anger, anxiety, depression, grief, relationship problems, parenting strain, addiction issues, chronic illness, body image and eating challenges, and stress related to caregiving or work.
How would you describe her therapeutic style?
Her approach is warm and interactive, focused on respect and sensitivity. Sessions are practical and tailored to each person rather than following a fixed formula.
What kind of experience does she bring?
Mary has 26 years of experience working in hospitals, hospice, inpatient mental health, schools, home health, and community settings, which informs her work with crises and complex needs.
What are her credentials and where is she based?
She holds a Licensed Clinical Social Worker credential - LCSW - and practices from North Carolina.
In which languages can sessions be held?
Sessions are offered in English and she also accepts international clients who communicate in English.
Which session formats are available?
Therapy can be scheduled as video calls, phone sessions, live chat, or text-based messaging to fit different routines and needs.
How does cost and billing work?
Costs vary by location and therapist availability; sessions use a subscription model that can be canceled at any time.
What steps are needed to begin therapy?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.