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Margaret Sue Echols

Therapist profile

Margaret Sue Echols, LPC

Texas

Licensed Professional Counselor - Family and parenting concerns

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About

  • Stress and anxiety
  • Trauma and grief
  • CBT and mindfulness

About Margaret

Margaret Sue Echols is a Licensed Professional Counselor (LPC) in Texas with 34 years in mental health and 29 years in private practice. She works with adults on stress, anxiety, relationship problems, trauma and abuse, grief, depression, addictions, parenting strains, intimacy issues, and related concerns.

She focuses on practical talk therapy and uses cognitive behavioral techniques to help people change patterns that cause distress. Mindfulness and relaxation strategies are part of sessions when they make sense. She also draws on client-centered and emotionally focused ideas to support conversations about attachment and closeness.

Sessions begin with a clear look at what is causing most trouble. The therapist and client then pick small, manageable steps to reduce distress and improve day-to-day function. Coaching elements are available when someone wants help translating therapy work into clear actions for family life, work, or relationships.

Margaret brings decades of experience with grief, end-of-life matters, sexual abuse, and challenges around identity, including LGBT and gender questions. She notes an awareness of multicultural issues and respects different faiths and beliefs while working with people who bring those concerns.

Her style is straightforward and conversational. She listens for patterns such as avoidance, control issues, codependency, or communication problems, and helps people practice different ways of responding. Adults considering therapy can expect focused, practical sessions aimed at easing the immediate burdens at home and in relationships.

How sessions work

How her approaches fit with online work

Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and choosing actions that reflect personal values. It can help when parenting, relationship stress, or chronic worry get in the way of what matters most. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behaviors and teaches concrete skills to reduce anxiety and improve sleep and mood. Emotionally-Focused Therapy (EFT) concentrates on patterns in close relationships and can be useful when intimacy or communication problems cause repeated conflict.

Finding the right approach is part of the work. The therapist will discuss goals, preferences, and what feels most helpful. Together they will try methods and adjust them as needed so the work matches real life demands and family schedules.

The biography lists messaging, phone or live chat, and video as formats. If you are unsure which format fits your routine, confirm available options before booking. Many people find that shorter phone check-ins or messaging can fit into busy days, while video sessions allow longer, more interactive conversations. Online work can make it easier to schedule therapy around parenting, work, and caregiving commitments.

Areas of focus

Areas of expertise

Primary focus

Also works with

AddictionsLGBTFamily conflictsIntimacy-related issuesSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigue

Additional focus areas

AbandonmentAging and geriatric issuesAvoidant personalityBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessLife purposeMen's issuesMidlife crisisMoney and financial issuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSexualitySocial anxiety and phobiaTraumatic brain injuryWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Jungian TherapyMindfulness TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

34+ years

Listed in

Texas

Languages

English

Questions

Frequently asked questions

What kinds of problems does she help with?

She works with adults on stress, anxiety, relationship troubles, trauma and abuse, grief, depression, addictions, parenting pressures, intimacy issues, and related concerns.

How would you describe her therapeutic style?

Sessions are conversational and practical. She uses talk therapy alongside CBT, mindfulness, and emotionally focused ideas to address recurring patterns.

How many years has she been practicing?

She has 34 years of experience in mental health, including 29 years in private practice.

Where is she licensed and based?

She is a Licensed Professional Counselor (LPC) licensed in Texas and practices from that state.

Can she work with people who live outside the United States?

She accepts international clients. Sessions are offered in English.

What session formats are used?

The original biography lists messaging, phone or live chat, and video. Please confirm the current session options before booking.

How are session costs handled?

Cost varies with location and sessions use a subscription that can be canceled at any time.

How do I begin if I want to work together?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If anyone is in danger, use the crisis numbers.

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Margaret Sue Echols

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