Alexandra Ainge Cottle helps people manage stress, anxiety, grief, relationship and family concerns, and changes that come with career or life transitions.
01About Alexandra
Alexandra Ainge Cottle helps people manage stress, anxiety, grief, relationship and family concerns, and changes that come with career or life transitions. She works with issues like depression, trauma and abuse, intimacy concerns, eating and sleeping problems, anger, low self-esteem, and compassion fatigue.
Alexandra also supports people facing adoption and foster care issues, attachment and commitment challenges, caregiver stress, chronic illness, and body image struggles. Alexandra practices in Utah and brings 12 years of experience as a clinician.
Background and approach
She holds a Licensed Clinical Mental Health Counselor credential and a Licensed Professional Counselor credential. Her background includes work in schools, homeless shelters, and community organizations, and she has run a personal counseling practice serving many individuals and couples. Her counseling style mixes practical tools with a warm, down-to-earth approach.
Sessions tend to focus on what is happening now and on skills people can use between meetings. She emphasizes clear communication, empathy, and sometimes gentle humor to help people open up and work through hard moments. Alexandra draws from several approaches when planning treatment.
She uses cognitive behavioral techniques to identify patterns of thought and behavior, acceptance-based strategies to build willingness around difficult feelings, and attachment-focused work to bring clarity to close relationships. She adapts methods to each person rather than using a single formula. Outside of clinical work she has presented on parenting, anger management, grief, and self-esteem.
Alexandra notes that she has faced loss and change herself and continues to work on her own growth alongside the people she supports.
02Credentials
- LCMHC (Utah)
- License 10997254-6004 · expires September 2026
- LPC (Oregon)
- License C4276 · expires September 2026
- NPI
- 1932507043 · national provider identifier
Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the counselor lists and checks neither.
03Focus areas and approaches
Everything Alexandra lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Relationship issues
- Family conflicts
- Grief
- Depression
- LGBT
- Trauma and abuse
- Intimacy-related issues
- Eating disorders
- Sleeping disorders
- Parenting issues
- Anger management
- Self esteem
- Career difficulties
- Coping with life changes
- Coaching
- Compassion fatigue
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Attachment issues
- Autism and Asperger Syndrome
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Divorce and separation
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Veteran and Armed Forces Issues
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Phobias
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Trichotillomania
- Women's issues
- Workplace issues
- Young adult issues
Methods Alexandra names
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Gottman Method
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
These are the methods Alexandra names on their own professional profile. Naming an approach is not evidence of training or certification in it, and this directory checks no training records. Ask directly if it matters to you.
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04Online support
How her approaches translate to online therapy
Acceptance and Commitment Therapy (ACT) supports people in noticing difficult thoughts and feelings and choosing actions that match their values. It can help with anxiety, depression, and life transitions by teaching acceptance and small, committed steps. Cognitive Behavioral Therapy (CBT) focuses on identifying patterns of thought and behavior that keep problems going and then practicing different responses; it is useful for anxiety, depression, sleep problems, and anger. Attachment-Based Therapy looks at how early relationship patterns affect current connections and helps people change interaction habits to feel more supported and understood.Choosing the right approach is part of the process. Alexandra will work collaboratively to pick methods that fit a person’s goals, preferences, and life circumstances. She often combines elements from different approaches so the plan matches what someone needs that week or month.
Online therapy offers practical flexibility. Video calls let people use face-to-face time for skills practice and deeper conversation. Phone sessions can be easier when bandwidth is low or a shorter check-in is needed. Live chat and text-based messaging are useful for quick support, tracking progress, or checking in between sessions. These options help people fit counseling into busy days and different time zones while keeping work focused on steps they can try between meetings.
05Questions people ask
What concerns does Alexandra commonly address?
She helps people with stress, anxiety, depression, grief, relationship and intimacy issues, trauma and abuse, parenting and family concerns, and problems with eating or sleeping.
What is her therapy style like?
Her style is practical and down-to-earth, focusing on skills people can use between sessions and a warm, empathetic conversation in the room.
How much clinical experience does she have?
She has 12 years of experience working in schools, community settings, and independent practice with individuals, couples, and families.
What credentials and region are listed for this therapist?
She holds LCMHC and LPC credentials and is based in Utah.
Which languages and international arrangements are available?
Sessions are offered in English and she accepts international clients.
In what formats are sessions offered?
Sessions are available as video calls, phone sessions, live chat, or text-based messaging to suit different schedules and needs.
How is payment handled and what does therapy cost?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What steps do I take to begin working with her?
Use the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.
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