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- Stress and anxiety
- Trauma and grief
- CBT and mindfulness
About Margaret
Margaret Sue Echols, Licensed Professional Counselor (LPC) in Texas, has 34 years of experience in mental health and 29 years in private practice. She works with adults, marriages, and couples on stress, anxiety, relationship problems, trauma and abuse, grief, depression, addictions, LGBT issues, parenting, intimacy-related concerns, and related areas. She also provides psychotherapy, counseling, and life coaching.
Echols begins by assessing what causes the most distress for each person. She uses a mix of talk therapy, cognitive behavioral techniques, mindfulness, relaxation methods, and integrative processes. Sessions aim to find practical ways to manage symptoms and improve daily functioning.
Her approach includes elements of Acceptance and Commitment Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy, Emotionally-Focused Therapy, and Jungian ideas. She emphasizes working collaboratively to identify goals and steps that fit each person's life.
She has experience with a wide range of concerns including mood disorders, PTSD and trauma, end-of-life and grief issues, sexual abuse, and relationship struggles. Additional focus areas include caregiver stress, chronic illness, body image, codependency, and blended family issues.
Echols notes an awareness of multicultural issues and states respect for different faiths and beliefs. Sessions can include coaching elements when helpful, alongside psychotherapy techniques.
Her stated service options include messaging, phone or live chat, and video sessions. Prospective clients should confirm current session formats and scheduling details before booking.
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Therapeutic approaches used in remote sessions
Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and values and taking actions that match what matters most. It can help with anxiety, stress, and adapting to life changes. Cognitive Behavioral Therapy (CBT) targets unhelpful thinking and behavior patterns with practical skills for mood and anxiety management. Emotionally-Focused Therapy (EFT) looks at emotions and interaction patterns in relationships to improve connection and reduce conflict.Finding the right approach is part of the process. The therapist works with each person to identify goals and then tries approaches that match those goals and preferences. This is a collaborative process where methods are adjusted based on what helps most.
Her stated remote options include messaging, phone or live chat, and video sessions. Confirm the current session formats and scheduling details before booking. Remote sessions can make it easier to fit care into a busy routine, allow shorter check-ins when needed, and offer options when travel or timing is difficult. Licensed professionals use these formats to deliver therapy focused on skills, emotional processing, and relationship work without requiring in-person visits.
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
34+ years
Listed in
Texas
Languages
English
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Frequently asked questions
What concerns does she address?
She works with stress, anxiety, relationship problems, trauma and abuse, grief, depression, addictions, LGBT issues, intimacy-related issues, parenting, bipolar concerns, and other life changes.
What is her therapeutic style?
She uses talk therapy combined with cognitive behavioral techniques, mindfulness, relaxation, and integrative methods to help people manage symptoms and set goals.
How much experience does she have?
She has 34 years of experience in mental health and 29 years in private practice.
What are her credentials and location?
She is a Licensed Professional Counselor (LPC) licensed in Texas.
In which language are sessions offered?
Sessions are offered in English and international clients are accepted.
What session formats are used?
Her listed service options include messaging, phone or live chat, and video. Confirm current session options before booking.
How is cost handled?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, call 911, or call or text 988.