About Mary
Dr. Mary Cotten helps people who are feeling overwhelmed by stress, anxiety, depression, grief, relationship strain, or life changes. She writes clear, practical plans with clients to address everyday problems and improve how they cope.
Dr. Cotten is a licensed psychologist with three decades of experience and she practices in Texas. Her work focuses on identifying unhelpful thinking and finding better ways to respond.
She uses Cognitive Behavioral Therapy, which looks at thoughts, feelings, and actions and then tests new ways of behaving.
How Mary works
Sessions tend to be conversational and focused on specific steps clients can try between meetings. Clients often bring concerns about family history, intimacy, self-esteem, career stress, or addictions. She also addresses issues such as bipolar disorder, trauma and abuse, compassion fatigue, ADHD, and workplace challenges.
Practical problem solving is paired with listening and steady support. Dr. Cotten aims for a relaxed, nonjudgmental tone in sessions.
She describes herself as an attentive listener who offers feedback when it helps. Her language is straightforward and she makes suggestions that people can apply right away. Appointments are available by video calls, phone sessions, live chat, or text messaging.
People choose the format that fits their life and schedule. To begin, a short questionnaire helps match priorities and set up the first meeting.
Mary lists one way of working on the entry:
What Mary works with
The areas below are the ones Mary 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
- Addictions
- ADHD
- Aging and geriatric issues
- Bipolar disorder
- Career difficulties
- Codependency
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Family of origin issues
- Grief
- Intimacy-related issues
- Post-traumatic stress
- Self esteem
- Trauma and abuse
- Women's issues
- Workplace issues
Training and background
| Register | TX Psychologist, NM Psychologist |
|---|---|
| Years in practice | 30 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Texas |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How CBT and online sessions work together
Dr. Cotten primarily uses Cognitive Behavioral Therapy, which helps people spot thought patterns that lead to distress and then try different behaviors to see what improves mood and functioning. CBT is often helpful for anxiety, depression, stress, and many everyday problems where thinking and actions feed each other. She prefers to treat the choice of approach as a collaborative decision. The therapist and client review goals, try techniques, and adjust the plan together until it fits the person's needs and preferences. That way the work stays practical and focused on what the client wants to change. Online therapy with Dr. Cotten is available by video calls, phone sessions, live chat, or text-based messaging to suit different needs. Video calls let you use visual cues for a fuller conversation. Phone sessions can be easier when bandwidth is limited or a quieter check-in is needed. Live chat or text-based messaging can work for brief updates, reminders, or short problem-solving between sessions. These options increase flexibility so people can fit therapy into work, caregiving, or busy schedules.Start online instead of waiting
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Common questions
What concerns does Dr. Cotten help with?
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How much clinical experience does she have?
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How much do sessions cost?
How do I begin working with her?
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.
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