Anxiety Insights
ME Portrait of Margaret Sue Echols

Margaret Sue Echols, LPC

Calm, experienced counselor for anxiety and life stress

34 years in practice · based in Texas · sessions in English · online sessions

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About Margaret

Margaret Sue Echols is a licensed professional counselor with 34 years of experience. She helps people who are coping with anxiety, stress, depression, grief, relationship problems, and addiction. She also supports concerns like sleep trouble, parenting strain, low self-esteem, and career stress.

Her approach is practical and straightforward, focused on what will reduce daily distress. In sessions she listens closely and uses talk therapy alongside goal-focused techniques. She often draws on cognitive behavioral tools to change unhelpful thinking and on mindfulness to calm the body and mind.

Book with Margaret Now Review online therapy options and next steps.

Background and approach

Emotion-focused methods are used when relationship patterns and attachment issues are central. Her work includes trauma and abuse, trauma-related grief, and complex situations such as chronic illness and caregiver stress. She also addresses intimacy-related concerns, codependency, and commitment issues.

Margaret pays attention to cultural and spiritual differences and respects each person’s beliefs. Margaret has practiced in personal and clinical settings for decades. She offers psychotherapy, counseling, and life coaching depending on a person’s needs.

Her style is warm and empathic, and she aims to help people find balance between mind, body, and spirit. Sessions are offered in English and are available to people in Texas and internationally. She provides video calls, phone sessions, live chat, and text-based messaging so people can choose what fits their life.

To begin, a short matching questionnaire helps pair someone with her practice.

Therapeutic approaches and online care

Acceptance and Commitment Therapy (ACT) focuses on helping people notice difficult thoughts and feelings without getting stuck in them. It emphasizes taking action that aligns with personal values even when anxiety or fear is present. Cognitive Behavioral Therapy (CBT) helps people identify unhelpful thought patterns and practice different responses to change feelings and behavior. This is often useful for anxiety, sleep issues, and low mood. Client-Centered Therapy centers the person’s own perspective and priorities, with the therapist offering empathic listening and guidance rather than directing the process. It can help people feel heard and build confidence in making changes.

Finding the right approach is part of the work together. Margaret will talk with each person about goals, preferences, and what has or hasn’t helped before, and then collaborate on an approach that fits. She often blends methods so the plan matches the person and the problem rather than forcing a single model.

Online therapy offers practical benefits for busy lives. Video calls allow face-to-face conversation when in-person meetings are not possible. Phone sessions can be easier when bandwidth is limited or when a shorter check-in is needed. Live chat and text-based messaging support ongoing reflection between sessions or give an option for those who prefer typing over talking. These options make it simpler to fit therapy around work, caregiving, and other responsibilities while keeping treatment consistent.
Book with Margaret Now Review online therapy options and next steps.

Questions people ask

What kinds of concerns does she address?
Her practice focuses on anxiety and stress as well as depression, grief, trauma and relationship issues. She also helps with sleep problems, addictions, parenting strain, and career or self-esteem concerns.
How would you describe her therapeutic style?
She uses a warm, direct style that combines talk therapy with practical techniques. Sessions focus on skills you can use day to day and on understanding patterns that cause distress.
What is her professional background?
She has 34 years of experience in mental health and has worked in independent practice and other clinical settings. Much of her work has involved trauma, mood concerns, and relationship difficulties.
What credentials and region are relevant?
She is a licensed professional counselor - LPC - in Texas and practices from that region.
Which languages and international arrangements are supported?
Sessions are offered in English and she welcomes clients from outside the United States.
What session formats are available?
She works via video calls, phone sessions, live chat, and text-based messaging so people can select the format that fits their routine.
How does cost and billing work?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What is the first step to begin?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions based on therapist availability.

What this therapist works with

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Therapeutic approaches

Experience
34 years
Licensed
Texas
Languages
English

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