Dr. Mary Cotten, TX Psychologist 24906, NM Psychologist PSY0791

Dr. Mary Cotten helps people who are feeling overwhelmed by stress, anxiety, depression, or big life changes. She is a psychologist licensed in Texas and brings 30 years of experience to sessions. Her approach is calm and down-to-earth, and she aims to make conversations easy to begin.

She works with people facing relationship strain, family of origin issues, grief, addictions, and compassion fatigue. She also helps with intimacy concerns, self-esteem, career questions, bipolar disorder, ADHD, and the particular challenges that come with aging and geriatric issues. Her work is practical and focused on everyday problems.

Dr. Cotten primarily uses cognitive behavioral therapy, which means she and the client look at thoughts and actions that get in the way and try new ways of responding. Sessions are conversational and aim to identify specific patterns that cause distress. She prefers a relaxed, non-judgmental tone and emphasizes listening first.

Clients can expect the therapist to help name problems, set goals, and develop clear strategies to reach those goals. She often suggests small, doable steps that build toward larger change. Scheduling can include daytime hours and evenings by arrangement.

Dr. Cotten conducts sessions in English and holds licensure as TX Psychologist 24906 and NM Psychologist PSY0791. People considering her services are encouraged to review session options and scheduling details before booking.

How CBT and Online Work Can Help with Everyday Struggles

Dr. Cotten uses cognitive behavioral therapy to help people notice thoughts that lead to unhelpful actions. CBT involves identifying those thoughts, testing them against reality, and practicing different responses to reduce anxiety or low mood. This approach is useful for worry, depression, stress, relationship patterns, and many life changes.

Her work is collaborative. Together the client and therapist decide which techniques to try and adjust them based on what fits the client's goals and daily life. Finding the best approach is an ongoing conversation rather than a fixed plan.

The original biography notes a preference for video sessions and availability by phone if that is more convenient, so confirm current session options when you book. Online sessions can make it easier to fit therapy into a busy schedule, allow shorter check-ins when needed, and remove travel time. They also let people keep workday appointments or arrange evening times without rearranging their whole day. Talk with the therapist about what will work best for your routine and needs.