Alexandra Ainge Cottle, LCMHC, LPC

Alexandra Ainge Cottle is a Licensed Clinical Mental Health Counselor (LCMHC) and Licensed Professional Counselor (LPC) based in Utah. She helps people who are stressed, anxious, grieving, or facing relationship and family tensions. She also supports those dealing with trauma, depression, caregiver strain, aging and geriatric issues, and concerns around identity and intimacy.

Her style is calm and direct. She blends several approaches to suit each person. Sessions focus on practical skills, clearer communication, and realistic steps people can try between meetings. She aims to make therapy feel understandable rather than clinical jargon.

Alexandra draws on about 12 years of clinical experience that began in school counseling and expanded into community and private practice work. That background means she is familiar with family dynamics, parenting stress, and the pressures people face across life stages. She has also volunteered in shelters and community settings.

Therapy with her is collaborative. She uses tools from cognitive behavioral approaches, acceptance and commitment ideas, attachment-based thinking, and techniques that help people regulate strong emotions. She adapts methods to match a person’s goals instead of using the same plan for everyone.

She has presented on parenting, anger management, grief, and self-esteem in public settings. People who choose her can expect straightforward conversation, practical coping strategies, and attention to patterns that repeat in relationships and daily life.

How therapeutic approaches can work online

Acceptance and Commitment Therapy (ACT) encourages people to clarify what matters to them and take small actions toward those values while learning to accept difficult feelings. It often helps with anxiety, life transitions, and chronic stress. Cognitive Behavioral Therapy (CBT) focuses on practical skill building - identifying unhelpful thoughts and testing new behaviors - and works well for anxiety, depression, sleep, and eating concerns. Attachment-Based Therapy looks at relational patterns that repeat across relationships and helps people understand and change how they connect with others.

Finding the right approach is part of the process. The therapist works together with each person to pick and adapt methods based on goals, preferences, and what feels most useful. That collaborative planning can change over time as needs shift.

The biography does not list specific online session formats, so confirm current options before booking. In general, online sessions can make it easier to fit therapy into a busy week, shorten travel time, and allow for check-ins during a break or between appointments. Online work also supports using worksheets, in-session coaching, and practicing communication skills in real time, which many people find helpful when working on relationships, caregiving stress, or coping with life changes.