Elizabeth Kotkin, LMFT

Elizabeth Kotkin is a licensed marriage and family therapist with 35 years of clinical experience. She works with people facing depression, trauma, grief, anxiety, and life transitions. Her tone is direct and compassionate, focused on practical steps people can use each week.

She uses a mix of approaches to meet each person's needs. Conversations look at current problems and patterns from the past. Sessions often include skill practice for mood, sleep, and stress, along with attention to relationship and intimacy concerns.

Kotkin has long experience supporting recovery from addictions and working through the effects of abuse and sexual assault. She also helps people who feel isolated, overwhelmed by parenting, or stuck in midlife decisions. Aging and geriatric issues are part of her broader focus areas and inform how she approaches life stage changes.

Her work emphasizes clear goals and steady progress. She draws on client-centered methods to listen closely, and on cognitive behavioral tools to change unhelpful thinking and behavior. Motivational interviewing and solution-focused techniques are used when clients want short-term direction or help with readiness to change.

People who come to her can expect a practical, respectful space to talk through challenges. She aims to help clients build resilience, improve relationships, and find manageable ways to cope with stress and loss. Elizabeth practices from New York and conducts sessions in English.

How her approaches work in online therapy

Client-Centered Therapy focuses on listening and building a trusting relationship so clients can speak openly about what matters. This approach helps when people are sorting grief, life transitions, or relationship concerns.

Cognitive Behavioral Therapy, or CBT, looks at the link between thoughts, feelings, and actions and teaches practical skills to change unhelpful patterns. It is useful for anxiety, depression, sleep problems, and managing stress.

Motivational Interviewing helps people weigh their options and build motivation to change behaviors, which can be helpful for substance use and other habits they want to shift.

Finding the right mix of approaches is part of the work. The therapist works collaboratively to choose methods that match a person's goals, needs, and preferences. That choice can change as progress is made and new issues arise.

Online therapy can make it easier to fit sessions into a busy life by reducing travel time and allowing sessions during breaks or from different rooms at home or work. Some formats are better for shorter check-ins, while others suit deeper conversations that include guided exercises. Confirm current session options before booking to be sure the available formats match your needs.