About Alexandra
Alexandra Ainge Cottle helps people manage stress, anxiety, depression, grief, relationship and intimacy concerns, and the fallout from trauma and abuse. She also supports people facing parenting strain, career pressures, body image and eating issues, sleep disruption, and compassion fatigue. Alexandra uses straightforward talk and practical strategies to help people feel steadier in everyday life.
She brings 12 years of experience as a licensed mental health counselor (LCMHC) and a licensed professional counselor (LPC) practicing in Utah.
How Alexandra works
Her training includes a master’s degree in Educational Psychology from the University of Utah, with a focus on cognitive behavioral and multicultural approaches. Alexandra has worked across community settings, including schools and shelters, and has run a personal counseling practice. Her style is collaborative and down-to-earth.
Sessions focus on what is happening now, what patterns keep causing pain, and what small steps can make a difference. She mixes evidence-based tools with supportive listening and occasional light humor to help people stay engaged with change.
Alexandra tailors a plan to each person, drawing from several therapeutic methods such as cognitive behavioral techniques, acceptance and commitment ideas, attachment-informed work, and skills from dialectical behavior approaches. She also offers coaching-style support for life transitions and career decisions. Beyond individual sessions, Alexandra has led public trainings on parenting, anger management, grief, and self-esteem.
She describes her own experience with loss and change as part of what keeps her grounded and relatable in the therapy room.
Alexandra lists 13 ways of working on the entry:
- 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
What Alexandra works with
The areas below are the ones Alexandra selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Divorce and separation
- Eating disorders
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Trauma and abuse
- Trichotillomania
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Registers | LCMHC, LPC |
|---|---|
| Years in practice | 12 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Utah |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches for online care
Alexandra often draws on Acceptance and Commitment Therapy (ACT) to help people notice unhelpful thoughts and focus on values-driven action. ACT encourages small, practical steps toward a life that matters to the person, which can be useful for anxiety, depression, and coping with change.She also uses Attachment-Based ideas to look at how early relationship patterns affect current bonds and intimacy. That work helps people recognize recurring interaction patterns and build more supported ways of relating to others.
Finding the right approach is part of the work together. Alexandra partners with each person to determine which methods best match their goals, needs, and preferences, and she adjusts the plan as progress is made.
Online therapy offers flexible ways to connect, including video calls for face-to-face conversation, phone sessions when bandwidth is limited, live chat for brief check-ins, and text-based messaging for ongoing support between visits. These options make it easier to fit sessions around work, caregiving, or travel while keeping continuity of care with licensed professionals.
Start online instead of waiting
Our partner service asks a few questions about what you are looking for and matches you with a therapist for sessions from home.
Book with AlexandraWe will earn a commission if you sign up through our link, at no cost to you.
Common questions
What concerns does this therapist address?
What is her approach in sessions?
How much clinical experience does she have?
What credentials and location are listed?
Which languages and international options are supported?
What formats are available for sessions?
How does billing and cost work?
How do I begin working with this therapist?
A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
We will earn a commission if you sign up through our link, at no cost to you. Entries are not assessed or endorsed by this directory.
Other entries for stress, anxiety
Supportive LCSW helping people build strength and clarity
Practical, trauma-aware therapy for everyday life
Practical, relational therapy for life transitions