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MA Portrait of Mary Acosta-Granger

Mary Acosta-Granger

Practical, compassionate therapy for everyday challenges

LCSW Texas

Experience
39 years in practice
Focus areas
Stress, Anxiety, Relationship, Family
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English, Spanish
Continue with Mary

About Mary

Mary Acosta-Granger is an LCSW based in Texas who focuses on helping adults facing stress, anxiety, depression, grief, relationship and communication difficulties, and a range of other life challenges. With 39 years of clinical experience, she works with people who want practical, goal-oriented change and greater personal satisfaction.

Background and approach

Mary is bilingual in English and Spanish and is comfortable working with both European and Latin American Spanish speakers. Her approach blends Cognitive Behavioral Therapy with client-centered techniques and other evidence-informed methods to tailor treatment to each person.

She emphasizes a warm, interactive style that values respect, sensitivity, compassion, and a nonjudgmental attitude. Mary often helps clients who struggle with communication, intimacy-related issues, addictions, trauma, bipolar concerns, caregiver stress, blended family dynamics, and multicultural issues.

She and her clients collaborate to set treatment goals and create a plan that fits the individual’s needs. Mary accepts sessions through video calls, phone, live chat, or text-based messaging and does not currently take international clients.

Her Texas license is TX LCSW 11225.

Blending therapeutic approaches for online care

Mary commonly uses Cognitive Behavioral Therapy and client-centered therapy in her work. Cognitive Behavioral Therapy focuses on identifying and changing unhelpful thoughts and behaviors to reduce symptoms like anxiety and depression and to improve daily functioning. Client-centered therapy prioritizes the client’s own experience, offering empathy, active listening, and collaboration to help people find their own solutions and build self-understanding.

Finding the right approach is often a collaborative process. Mary works together with each person to explore goals, preferences, and what feels most helpful, and she adjusts methods over time to fit evolving needs and progress.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, which can make scheduling easier for busy lives and those with mobility or geographic constraints. These formats allow for flexible, ongoing work that can integrate CBT exercises, reflective client-centered conversations, and practical skills coaching without requiring in-person attendance.

Frequently asked questions

What concerns does Mary commonly address?
She works with stress, anxiety, depression, grief, relationship and communication problems, trauma and abuse, addictions, bipolar issues, parenting concerns, and compassion fatigue among other challenges.
How would you describe her therapeutic style?
Her style is warm, interactive, and client-centered, combining goal-directed work with Cognitive Behavioral Therapy and other evidence-informed techniques.
What is her clinical background and experience?
Mary is a licensed clinical social worker with 39 years of experience working with a wide range of clients from daily life issues to more serious mental health conditions.
Where is she licensed and what are her credentials?
She is licensed in Texas as an LCSW and holds license number TX LCSW 11225.
Does she offer services in other languages?
Yes, she is bilingual and provides therapy in English and Spanish, including both European and Latin American Spanish varieties.
What session formats are available for appointments?
Sessions are offered via video calls, phone sessions, live chat, or text-based messaging to accommodate different needs and preferences.
How is cost handled for therapy with her?
Cost varies by location and therapist availability, and sessions are delivered through a subscription model that can be canceled at any time.
What are the steps to begin working with Mary?
Begin by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to her availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesFamily conflictsSelf esteemDepression

Also works with

AddictionsTrauma and abuseGriefIntimacy-related issuesParenting issuesAnger managementBipolar disorderCoping with life changesCompassion fatigue

Additional focus areas

Aging and geriatric issuesBlended family issuesCaregiver issues and stressCodependencyCommitment issuesCommunication problemsVeteran and Armed Forces IssuesMulticultural concerns

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Gottman MethodMindfulness TherapySolution-Focused Therapy

Experience

39+ years

Licensed

Texas

Languages

English, Spanish