About Mary
Mary Acosta-Granger is an LCSW with decades of clinical experience. She focuses on anxiety, stress, depression, relationship problems, and other concerns that make daily life harder. Mary works in a warm, respectful manner and speaks English and Spanish.
She prefers to work with adults who are motivated to make change. Sessions emphasize clear goals and practical steps. Many clients seek help for communication problems, grief, trauma, addictions, or navigating life transitions.
Background and approach
Mary blends client-centered listening with practical, skills-based methods. She uses Cognitive Behavioral Therapy to identify unhelpful thinking and try new behavior. She also draws on Dialectical Behavior Therapy skills and mindfulness to manage intense emotions and increase calm.
Her approach is collaborative. She and the person in therapy set a plan together and adjust it as progress is made. Sessions aim to be interactive rather than only talk-based, so people leave with tools to use between meetings.
Mary brings about 39 years of experience as a psychotherapist in Texas. Her practice also addresses specialized concerns such as caregiver stress, aging and geriatric issues, blended family dynamics, multicultural matters, and veteran-related issues. She notes experience with intimacy-related issues, bipolar concerns, and compassion fatigue.
She is fluent in Spanish at a native-speaker level and can conduct sessions in either language. Mary encourages clear communication and practical problem solving to help people move toward more satisfying daily life.
Therapeutic approaches and how they work online
Mary often uses Cognitive Behavioral Therapy to help people notice unhelpful thoughts and try practical behavior changes that reduce anxiety and improve daily functioning. CBT focuses on small experiments and clear strategies to shift thinking patterns and reactions.She also uses Client-Centered Therapy, which emphasizes listening, empathy, and building a strong working relationship. This approach helps people feel heard and then collaborate on goals and next steps. Dialectical Behavior Therapy skills and mindfulness exercises are also part of her toolbox for managing intense emotions and improving distress tolerance.
Finding the right approach is part of the work together. Mary will talk with each person about their needs, goals, and preferences, and then suggest methods to try. The process is collaborative and she adjusts the plan as progress is made.
Online sessions are offered via video calls, phone, live chat, or text-based messaging to make therapy accessible and flexible. Video lets people work face-to-face when that is helpful. Phone can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat and messaging allow short check-ins and ongoing support between longer sessions. These options are meant to fit therapy into busy days while keeping the focus on practical progress.
Questions people ask
What kinds of concerns does Mary address?
What is her therapeutic style like?
How much clinical experience does she have?
Where is she licensed and based?
Can sessions be held in languages other than English?
What formats are available for meeting online?
How are sessions paid for and what does it cost?
How do I begin working with her?
What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Addictions
- Aging and geriatric issues
- Anger management
- Bipolar disorder
- Blended family issues
- Caregiver issues and stress
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Grief
- Intimacy-related issues
- Multicultural concerns
- Parenting issues
- Self esteem
- Trauma and abuse
- Veteran and Armed Forces Issues
Therapeutic approaches
- Experience
- 39 years
- Licensed
- Texas
- Languages
- English, Spanish
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