- Integrative approach
- Values-based work
- Experience with families
About Alexandra
Alexandra Ainge Cottle is a licensed counselor who helps people manage stress, anxiety, relationship strain, grief, and issues around intimacy. She also supports those facing depression, parenting challenges, caregiving strain, and work-life transitions. Alexandra brings a calm, practical presence to sessions and aims to help clients find clear next steps.
She earned a master’s degree in Educational Psychology from the University of Utah and holds the Licensed Clinical Mental Health Counselor credential and the Licensed Professional Counselor credential. Alexandra began her career as a school counselor and has since worked in community settings, homeless shelters, and civic organizations. Over 12 years she has run a independent practice in Utah and worked with many individuals, couples, adolescents, and families.
Her style is integrative and down-to-earth. She draws on cognitive behavioral methods, acceptance-based ideas, attachment-focused thinking, and client-centered listening to shape each plan. Sessions often include skill practice, attention to values, and work on communication and emotion regulation.
Alexandra has presented on parenting, self-esteem, anger management, grief, and related topics in public and professional settings. She emphasizes empathy, compassion, and a touch of humor while helping people cope with loss, trauma, and major life change.
People who choose her can expect collaborative goal-setting and practical steps they can use between sessions. She asks about a person’s background, strengths, and daily routines to tailor work that fits real life. English is the language used in sessions and she accepts international clients.
She earned a master’s degree in Educational Psychology from the University of Utah and holds the Licensed Clinical Mental Health Counselor credential and the Licensed Professional Counselor credential. Alexandra began her career as a school counselor and has since worked in community settings, homeless shelters, and civic organizations. Over 12 years she has run a independent practice in Utah and worked with many individuals, couples, adolescents, and families.
Her style is integrative and down-to-earth. She draws on cognitive behavioral methods, acceptance-based ideas, attachment-focused thinking, and client-centered listening to shape each plan. Sessions often include skill practice, attention to values, and work on communication and emotion regulation.
Alexandra has presented on parenting, self-esteem, anger management, grief, and related topics in public and professional settings. She emphasizes empathy, compassion, and a touch of humor while helping people cope with loss, trauma, and major life change.
People who choose her can expect collaborative goal-setting and practical steps they can use between sessions. She asks about a person’s background, strengths, and daily routines to tailor work that fits real life. English is the language used in sessions and she accepts international clients.
How her approaches translate to online care
Alexandra uses Acceptance and Commitment Therapy and Attachment-Based Therapy in ways that fit remote conversations. ACT looks at values and small behavioral steps to move toward what matters, which can be practiced between sessions and tracked from week to week. Attachment-Based Therapy focuses on how early relationship patterns affect current bonds and communication, and it often uses conversation and guided reflection to change those patterns.Choosing the right approach is part of the work. She collaborates with clients to decide what methods match their goals and daily life. That decision can shift as therapy continues, and she adjusts techniques based on progress and feedback.
The therapist biography does not specify session formats, so confirm current online options before booking. In general, online therapy can make it easier to fit sessions into a busy week, reduce travel time, and allow check-ins during breaks or between appointments. It also supports sharing exercises, worksheets, and homework that clients can complete at home to reinforce what is practiced in sessions.
Areas of expertise
Primary focus
Also works with
LGBTTrauma and abuseIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesCoping with life changesCoachingCompassion fatigue
Additional focus areas
AbandonmentAdoption and foster careAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeBlended family issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDivorce and separationEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesForgivenessGender dysphoriaGuilt and shameHoardingHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPhobiasPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobiaTrichotillomaniaWomen's issuesWorkplace issuesYoung adult issues
Therapeutic approaches
Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyGottman MethodMindfulness TherapyMotivational InterviewingNarrative TherapySolution-Focused TherapyTrauma-Focused Therapy
Experience
12+ years
Credentials
Utah, Oregon
Languages
English
Frequently asked questions
What kinds of concerns does Alexandra help with?
She supports people facing stress, anxiety, depression, grief, relationship and intimacy issues, parenting and caregiver strain, eating and sleeping concerns, trauma and abuse, and related challenges.
What is her therapeutic style like?
She uses a practical, integrative style that mixes skill-building with empathetic listening. Sessions focus on small steps, values, and clearer communication.
How much clinical experience does she have?
She has 12 years of experience working in schools, community programs, shelters, and independent practice with individuals, adolescents, couples, and families.
Which credentials and region are associated with this therapist?
She holds the LCMHC and LPC credentials and practices in Utah.
Are sessions offered in languages other than English or internationally?
Sessions are offered in English and she accepts international clients.
What session formats are available?
The original biography does not list specific session formats; please confirm current session options before booking.
How does pricing work for sessions?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Click the continue button on this profile, complete a short matching questionnaire, and schedule according to therapist availability.