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AC Portrait of Alexandra Ainge Cottle

Alexandra Ainge Cottle

Compassionate, skill-based therapy for life transitions

LCMHC, LPC Utah

Experience
12 years in practice
Focus areas
Stress, Anxiety, Relationship, Family
Approaches
Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages
English
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About Alexandra

Alexandra Ainge Cottle is a Licensed Clinical Mental Health Counselor (LCMHC) and Licensed Professional Counselor (LPC) with a focus on stress, anxiety, relationships, grief, trauma and related concerns.

Background and approach

She draws on a 12-year practice history to help people navigate depression, intimacy challenges, parenting struggles, eating and sleeping issues, career transitions, compassion fatigue, and other life changes. Alexandra also brings attention to attachment, adoption and foster care issues, caregiver stress, chronic illness and disability, codependency, and communication or control problems.

Her style blends practical, evidence-informed methods with a warm, client-centered stance. Alexandra uses Cognitive Behavioral Therapy (CBT) alongside Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), Attachment-Based work, and client-centered strategies to tailor plans to individual needs.

She aims to collaborate with clients to address patterns, build skills, and improve functioning across relationships and daily life. Based in Utah, Alexandra has experience in schools, shelters, and community settings, and has provided training on parenting, anger management, grief, and related topics.

She accepts international clients and offers multiple online session formats to fit different schedules and preferences.

Approaches that guide online work and skill building

Alexandra uses Cognitive Behavioral Therapy (CBT) to help clients identify and shift unhelpful thinking and behavior patterns, which can be useful for anxiety, depression, sleep difficulties, and coping with life changes. She also incorporates Acceptance and Commitment Therapy (ACT) to support values-based action and emotional flexibility when clients face grief, trauma response, or chronic stress. Attachment-Based approaches are used to explore relationship patterns, improve emotional connection, and address intimacy or family concerns.

Selecting the right approach is a collaborative process. Alexandra partners with each person to clarify goals, try different techniques, and adjust strategies based on progress and preferences, so treatment reflects the client’s needs rather than a fixed method.

Online sessions provide practical benefits for access and consistency; she offers video calls, phone sessions, live chat, and text-based messaging to fit varied schedules and comfort levels. These formats make it easier to maintain continuity of care across locations and life demands while allowing flexibility in how therapeutic work proceeds.

Frequently asked questions

What concerns does Alexandra commonly address?
She works with stress, anxiety, depression, grief, relationship and family issues, trauma and abuse, intimacy-related concerns, eating and sleeping problems, parenting challenges, anger, self-esteem, career questions, and compassion fatigue.
How would you describe her therapeutic approach and style?
Her approach is integrative and client-centered, combining practical skill-building with empathy and collaboration. She pulls from Cognitive Behavioral Therapy, ACT, DBT, attachment work, and client-centered methods to create individualized treatment plans.
What background and experience does she bring?
She has 12 years of experience, a master’s degree in Educational Psychology from the University of Utah, and a history of work in schools, shelters, and community organizations as well as independent practice.
Where is Alexandra licensed and based?
She is licensed as an LCMHC and an LPC with Utah and Oregon credentials listed as UT LCMHC 10997254-6004 and OR LPC C4276, and she is based in Utah.
Does she work with clients who live outside the United States?
Yes, she accepts international clients and conducts sessions with people who are located outside the U.S.
What session formats are available for online therapy?
Sessions are offered via video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and schedules.
How are fees and billing handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What steps are involved in getting started?
Begin by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesFamily conflictsGriefDepression

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

Licensed

Utah, Oregon

Languages

English