About Alexandra
Alexandra Ainge Cottle is a Licensed Clinical Mental Health Counselor and Licensed Professional Counselor who helps people manage stress, anxiety, grief, depression, relationship and family concerns, and trauma. She draws on a range of approaches to help clients find practical ways to feel more steady and in control. Alexandra emphasizes clear communication and a warm, down-to-earth style.
She brings 12 years of experience in counseling. Her work started in school settings and expanded into community volunteering at shelters and civic groups.
Background and approach
Over time she moved into independent practice in Utah and has worked with many people on issues like parenting, intimacy, eating and sleeping struggles, and career transitions. Her approach blends techniques from cognitive behavioral therapy, acceptance and commitment therapy, and attachment-based methods. Sessions often focus on identifying unhelpful thinking, building small skills for coping, and clarifying personal values.
She adapts methods to each person's situation rather than using a single formula. Alexandra also uses client-centered and dialectical behavior ideas to support emotion regulation and stronger relationships. She has presented and trained groups on parenting, anger management, grief, and related topics.
Her counseling style aims to be compassionate, straightforward, and occasionally humorous when appropriate. Her background includes a master’s degree in Educational Psychology from the University of Utah. Alexandra says her own life experiences with loss and change inform her understanding of what it takes to recover and move forward.
Therapeutic approaches and online care
Alexandra uses cognitive behavioral therapy and acceptance and commitment therapy to help people change unhelpful thinking and take action toward what matters. Cognitive behavioral therapy focuses on noticing thoughts and behaviors that keep people stuck and practicing new responses. Acceptance and commitment therapy helps people accept difficult feelings and commit to small actions that match their values.Finding the right approach is part of the work. The therapist will discuss goals and preferences and try methods that fit the person's situation. That collaborative process helps shape a plan that feels useful and doable rather than one-size-fits-all.
Online therapy offers several practical benefits. Video calls allow face-to-face conversation and visual cues, phone sessions can work when bandwidth is low or a shorter check-in is needed, and live chat or text messaging suit quick updates or ongoing support between sessions. These options make it easier to fit counseling into a busy schedule and to keep momentum between meetings.
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Divorce and separation
- Eating disorders
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Trauma and abuse
- Trichotillomania
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- 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
- Experience
- 12 years
- Licensed
- Utah, Oregon
- Languages
- English
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