About Mary
Mary Cowen is a Licensed Clinical Social Worker with 26 years of practice. She has worked in Texas, Oklahoma, and now North Carolina, bringing long experience in many care settings. She has helped people facing anxiety and depression as well as grief, addiction, eating concerns, and relationship problems.
Mary has worked in hospitals, hospice, inpatient mental health, schools, home health, and community clinics. This range gives her experience with crisis work and long-term support.
Background and approach
Her style is warm, interactive, and respectful. Sessions are tailored to each person. She focuses on practical steps and on understanding the story behind the problem.
Mary uses approaches that include client-centered work, cognitive behavioral techniques, dialectical behavior ideas, mindfulness, and motivational interviewing. She adapts methods to what a person needs and prefers rather than using a single fixed plan. She also brings experience with family-related topics, caregiving stress, chronic illness and pain, adoption and foster care concerns, body image, and issues around aging.
Mary aims to help people find clearer thinking, better coping, and more satisfying relationships. For those ready to take a first step, she offers collaborative support and practical tools. Mary encourages small changes that add up to meaningful improvement in daily life.
How Mary’s approaches translate to online care
Mary often draws on client-centered work, which focuses on listening and building a strong therapeutic relationship so people feel heard and understood. This approach helps when someone needs a supportive space to sort out feelings and priorities.She also uses Cognitive Behavioral Therapy, a practical method that looks at how thoughts, feelings, and actions connect. CBT is useful for anxiety, depression, and stress because it teaches concrete strategies for changing unhelpful thinking and behavior.
Finding the right mix of approaches is part of the process. Mary collaborates with each person to choose methods that match their goals, comfort level, and daily life. Together they adjust techniques as progress is made and needs change.
Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging. Video allows face-to-face discussion and guided exercises, phone calls work well when bandwidth is limited, live chat offers a shorter real-time check-in, and messaging is useful for ongoing support between meetings. These options provide flexibility to fit appointments into busy schedules and different routines.
Questions people ask
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What this therapist works with
Most often
- Grief
- Eating disorders
- Self esteem
Also listed
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Drug and alcohol addiction
- Eating and food-related issues
- Family conflicts
- Family of origin issues
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Intimacy-related issues
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Phobias
- Relationship issues
- Self-harm
- Self-love
- Social anxiety and phobia
- Stress, Anxiety
- Trauma and abuse
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 26 years
- Licensed
- North Carolina
- Languages
- English
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